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ATI RN Maternal Newborn A With 100% ACCURATE QUESTIONS AND ANSWERS GRADED A+
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JACKLINEATI RN Maternal Newborn A With 100% ACCURATE QUESTIONS AND ANSWERS GRADED A+
Terms in this set (60)
ATI RN Maternal Newborn A
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,Exhibit 1: Medical hx Respiratory findings is incorrect. The newborn's respiratory rate is within the expected reference
Newborn delivered by repeat cesarean birth at 40 range of 30 to 60/min. There is no indication the newborn has an alteration in respiratory status;
weeks of gestation. Birth weight 3,515 g (7 lb 12 oz) therefore, this finding does not need to be reported to the provider.
Apgar scores 8 at 1 min and 9 at 5 min. Maternal Temperature is incorrect. The newborn's temperature is within the expected reference range of
history of methadone use during pregnancy. 36.5° to 37.5° C (97.7° to 99.5° F). Therefore, this finding does not need to be reported to the
Exhibit 2: VS provider.
@0700: Heart rate 156/min. Respiratory rate Oxygen saturation is incorrect. The newborn's oxygen saturation is within the expected reference
58/min. Temperature 37.2° C (98.9° F) Oxygen range of greater than 94%; therefore, this finding does not need to be reported to the provider.
saturation 98% on room air Central nervous system findings is correct. The newborn is displaying inconsolability, high-pitched
@1100: Heart rate 160/min. Respiratory rate 60/min. cry, increased muscle tone, tremors, hyperactive Moro reflex, and excessive sucking. These
Temperature 37.3° C (99.2° F) Oxygen saturation findings are manifestations of NAS and should be reported to the provider.
96% on room air Gastrointestinal findings is correct. The newborn is displaying poor feeding and loose stools.
Exhibit 3: Phys Exam These findings are manifestations of NAS and should be reported to the provider.
Newborn is inconsolable 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 Results
Maternal urine toxicology screen positive for
opiates (-). Newborn urine toxicology screen
positive for opiates (-
ATI RN Maternal Newborn A
2/24
, Exhibit 1: RN note When generating solutions, inserting a large bore intravenous catheter is indicated. Clients who
@ 0900: Client reports a small amount of bright have third trimester vaginal bleeding may experience a sudden hemorrhage and require fluid
red blood in their underwear upon awakening. resuscitation or the administration of blood products. The nurse should weigh perineal pads.
Client denies contractions or abdominal pain. Weighing perineal pads after use will provide a more accurate assessment of the volume of
External fetal monitor applied. blood loss that the client is experiencing.
@0930: Client passed large amount of bright red
blood from vagina. Denies pain. Uterine tone soft When generating solutions, the nurse should not administer methotrexate or assess for cervical
and nontender to palpation. Contraction pattern: dilation because it is contraindicated for this client. Methotrexate is an antimetabolite and folic
no contractions noted. Fetal heart rate pattern: acid antagonist which destroys rapidly dividing cells. It can be administered during pregnancy to
Fetal heart rate baseline 135/min. Moderate medically resolve an ectopic pregnancy during the first trimester. Assessing cervical dilation is
variability. No decelerations noted. contraindicated for any pregnant client who is experiencing vaginal bleeding. Manipulation of the
Exhibit 2: VS cervix during the examination may result in further damage to the placenta and compromise the
@0900: Temperature 36.2°C (97.2° F)Pulse rate well-being of the client and fetus.
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
A nurse is assessing the newborn of a client who d. Vomiting
took selective serotonin reuptake inhibitor (SSRI)
during pregnancy. Which of the following Expected manifestations associated with fetal exposure to SSRIs include irritability, agitation,
manifestations should the nurse identify as an tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
indication of withdrawal from an SSRI?
a. Large for gestational age
b. Hyperglycemia
c. Bradypnea
d. Vomiting
ATI RN Maternal Newborn A
3/24
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