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ATI RN MATERNAL NEWBORN PROCTORED 2024 FORM B REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
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ATI RN MATERNAL NEWBORN PROCTORED 2024 FORM B REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
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10/26/24, 11:50 AM ATI RN MATERNAL NEWBORN PROCTORED 2024 FORM B REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RA…ATI RN MATERNAL NEWBORN PROCTORED
2024 FORM B REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
Terms in this set (60)
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,10/26/24, 11:50 AM ATI RN MATERNAL NEWBORN PROCTORED 2024 FORM B REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RA…
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 temperature
Maternal history of is within the expected reference range of 36.5° to
methadone use during 37.5° C (97.7° to 99.5° F). Therefore, this finding does
pregnancy. not need to be reported to the provider.
Exhibit 2: VS Oxygen saturation is incorrect. The newborn's oxygen
@0700: Heart rate 156/min. saturation is within the expected reference range of
Respiratory rate 58/min. greater than 94%; therefore, this finding does not
Temperature 37.2° C (98.9° need to be reported to the provider.
F) Oxygen saturation 98% Central nervous system findings is correct. The
on room air newborn is displaying inconsolability, high-pitched
@1100: Heart rate 160/min. cry, increased muscle tone, tremors, hyperactive
Respiratory rate 60/min. Moro reflex, and excessive sucking. These findings are
Temperature 37.3° C (99.2° manifestations of NAS and should be reported to the
F) Oxygen saturation 96% provider.
on room air Gastrointestinal findings is correct. The newborn is
Exhibit 3: Phys Exam displaying poor feeding and loose stools. These
Newborn is inconsolable findings are manifestations of NAS and should be
with a high-pitched cry. reported to the provider.
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
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,10/26/24, 11:50 AM ATI RN MATERNAL NEWBORN PROCTORED 2024 FORM B REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RA…
Results
Maternal urine toxicology
screen positive for opiates
(-). Newborn urine
toxicology screen positive
for opiates (-
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, 10/26/24, 11:50 AM ATI RN MATERNAL NEWBORN PROCTORED 2024 FORM B REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RA…
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 red third trimester vaginal bleeding may experience a
blood in their underwear sudden hemorrhage and require fluid resuscitation or
upon awakening. Client the administration of blood products. The nurse
denies contractions or should weigh perineal pads. Weighing perineal pads
abdominal pain. External after use will provide a more accurate assessment of
fetal monitor applied. the volume of blood loss that the client is
@0930: Client passed experiencing.
large amount of bright red
blood from vagina. Denies When generating solutions, the nurse should not
pain. Uterine tone soft and administer methotrexate or assess for cervical dilation
nontender to palpation. because it is contraindicated for this client.
Contraction pattern: no Methotrexate is an antimetabolite and folic acid
contractions noted. Fetal antagonist which destroys rapidly dividing cells. It can
heart rate pattern: Fetal be administered during pregnancy to medically
heart rate baseline resolve an ectopic pregnancy during the first
135/min. Moderate trimester. Assessing cervical dilation is
variability. No contraindicated for any pregnant client who is
decelerations noted. experiencing vaginal bleeding. Manipulation of the
Exhibit 2: VS cervix during the examination may result in further
@0900: Temperature damage to the placenta and compromise the well-
36.2°C (97.2° F)Pulse rate 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
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