,10/5/24, 2:04 PM ATI RN MATERNAL NEWBORN 2024/2025 PROCTORED EXAM COMPLETE QUESTIONS WITH DETAILED VERIFIED AN…
Exhibit 1: Medical hx Respiratory findings is incorrect. The newborn's
Newborn delivered by respiratory rate is within the expected reference
repeat cesarean birth at range of 30 to 60/min. There is no indication the
40 weeks of gestation. newborn has an alteration in respiratory status;
Birth weight 3,515 g (7 lb therefore, this finding does not need to be reported
12 oz) Apgar scores 8 at 1 to the provider.
min and 9 at 5 min. Temperature is incorrect. The newborn's
Maternal history of temperature is within the expected reference range
methadone use during of 36.5° to 37.5° C (97.7° to 99.5° F). Therefore, this
pregnancy. finding does not need to be reported to the
Exhibit 2: VS provider.
@0700: Heart rate Oxygen saturation is incorrect. The newborn's
156/min. Respiratory rate oxygen saturation is within the expected reference
58/min. Temperature range of greater than 94%; therefore, this finding
37.2° C (98.9° F) Oxygen does not need to be reported to the provider.
saturation 98% on room Central nervous system findings is correct. The
air newborn is displaying inconsolability, high-pitched
@1100: Heart rate cry, increased muscle tone, tremors, hyperactive
160/min. Respiratory rate Moro reflex, and excessive sucking. These findings
60/min. Temperature are manifestations of NAS and should be reported
37.3° C (99.2° F) Oxygen to the provider.
saturation 96% on room Gastrointestinal findings is correct. The newborn is
air displaying poor feeding and loose stools. These
Exhibit 3: Phys Exam findings are manifestations of NAS and should be
Newborn is inconsolable reported to the provider.
with a high-pitched cry.
Newborn sucks
vigorously on pacifier but
breastfeeds poorly.
Respirations unlabored.
Lungs sound clear on
auscultation. Increased
muscle tone with
moderate to severe
tremors when disturbed.
Hyperactive Moro reflex
noted. Several loose
stools today.
Exhibit 4: Diagnostic
, 10/5/24, 2:04 PM ATI RN MATERNAL NEWBORN 2024/2025 PROCTORED EXAM COMPLETE QUESTIONS WITH DETAILED VERIFIED AN…
Exhibit 1: RN note When generating solutions, inserting a large bore
@ 0900: Client reports a intravenous catheter is indicated. Clients who have
small amount of bright third trimester vaginal bleeding may experience a
red blood in their sudden hemorrhage and require fluid resuscitation
underwear upon or the administration of blood products. The nurse
awakening. Client denies should weigh perineal pads. Weighing perineal pads
contractions or after use will provide a more accurate assessment of
abdominal pain. External the volume of blood loss that the client is
fetal monitor applied. experiencing.
@0930: Client passed
large amount of bright When generating solutions, the nurse should not
red blood from vagina. administer methotrexate or assess for cervical
Denies pain. Uterine tone dilation because it is contraindicated for this client.
soft and nontender to Methotrexate is an antimetabolite and folic acid
palpation. Contraction antagonist which destroys rapidly dividing cells. It
pattern: no contractions can be administered during pregnancy to medically
noted. Fetal heart rate resolve an ectopic pregnancy during the first
pattern: Fetal heart rate trimester. Assessing cervical dilation is
baseline 135/min. contraindicated for any pregnant client who is
Moderate variability. No experiencing vaginal bleeding. Manipulation of the
decelerations noted. cervix during the examination may result in further
Exhibit 2: VS damage to the placenta and compromise the well-
@0900: Temperature being of the client and fetus.
36.2°C (97.2° F)Pulse rate
78/min. Respiratory rate
20/min. Blood pressure
112/64 mmHg. Fetal heart
rate 132/min
@0930: Pulse rate 82/min.
Blood pressure 116/60
mmHg. Fetal heart rate
160/min
Exhibit 3: Medical hx
G4P3. 30 weeks
gestation. Previous
pregnancies delivered via
cesarean section
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