ATI 2023 & 2024 MATERNAL NEWBORN TEST A AND B

ATI 2023 & 2024 MATERNAL
NEWBORN TEST A AND B
Newborn delivered by repeat cesarean birth at 40 weeks of
gestation.
Birth weight 3,515 g (7 lb 12 oz)
Apgar scores 8 at 1 min and 9 at 5 min
Maternal history of methadone use during pregnancy.
Which should the Nurse report?
Respiratory findings
Temperature
Oxygen saturation
Central nervous system findings
Gastrointestinal findings - CORRECT ANSWER-Gastrointestinal
findings
Central nervous system findings
Client reports a small amount of bright red blood in their
underwear upon awakening. Client denies contractions or
abdominal pain.
External fetal monitor applied.
Potential Nursing Action
Indicated or Contraindicated
Assess cervical dilation
Weigh perineal pads.
Administer methotrexate.
Insert a large bore intravenous catheter. - CORRECT ANSWERContraindicated
Assess Cervical Dilation - She's currently bleeding and not in the
middle of labor, unnecessary.
Administer Methotrexate - She isn't having an ectopic pregnancy
- this is used to resolve ectopic pregnancies in the first trimester.
Indicated
Weigh Perineal Pads - We need to know how much blood she's
losing.
Insert a large bore IV - Third Trimester Bleeding may lead to
larger hemorrhage - having IV access is critical if we need to
administer fluids.
A nurse is assessing the newborn of a client who took selective
serotonin reuptake inhibitor during pregnancy. Which of the
following manifestations should the nurse identify as an
indication of withdrawal from an SSRI? - CORRECT ANSWERVomiting
- Also could be irritability, agitation, tremors, or
diarrhea. These manifestations typically last 2 days.
A nurse in a family planning clinic is caring for a client who
request an oral
contraceptive. Which of the following findings in the clients
history show the nurse
recognized as a contraindication to oral contraceptives. select
all that apply
Cholecystitis
Hypertension
Human papillomavirus
Migraine headaches
Anxiety disorder - CORRECT ANSWER-Cholecystitis
Hypertension
Anxiety disorder
A nurse is caring for a newborn.Medical History
1600:Apgar Score 9 at 1 min and 9 at 5 min
Birth weight 10 lb 6 oz (4706 gm)
Gestational age 40 weeks
Difficult vaginal birth with shoulder dystocia. - CORRECT
ANSWER-Indicated:
Educate the parents to begin ROM exercises on the affected arm
after 1 week. - ROM help restore functionality. Delay 1 week to
prevent additional injury to brachial plexus.
Assess for grasp reflex in the affected extremity. - With Erb's
Palsy (Erb-Duchenne) only the upper arm is affected. Wrist and
finger function should NOT be affected.
Immobilize the arm across the abdomen by pinning the
newborn's sleeve to their shirt. - This will assist int he healing
process.
A nurse is admitting a client to the labor and delivery unit when
the client states, "my water just broke", which of the following is
the priority intervention for the nurse to take? - CORRECT
ANSWER-Begin FHR Monitoring - The greatest risk to the client
and their fetus following a rupture of membranes is an umbilical
cord prolapse. FHR is the PRIORITY action.
A nurse in an antepartum clinic is providing care for a client who
is at 26 weeks gestation. Upon reviewing the clients medical
record, what findings should the nurse report to the provider?
1-hr Glucose of 130 to 140 (or greater) indicates a positive test.
Hematocrit of 34% is within range - should be greater than 33%.
FHR - Should be between 110/min to 160/min for a client at 26
weeks of gestation. - CORRECT ANSWER-Fundal height 30 cm -
Fundal height should be PLUS or MINUS 2cm from weeks of
gestation
A nurse is caring for a newborn who is 48 hr old.
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy.
Maternal use of marijuana during pregnancy
Client who gave birth plans to breastfeed.
Day 2, 0900:
Newborn awake, alert, and crying. Loosely<<<< wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool.