Rasmussen College:NUR 2513 ATI Maternal Newborn LATEST 2021/2022 Main topics covered on proctored & need to know information* PLUS PROCTORED EXAM 2020 QUESTIONS Contraception: Diaphragms o Must be refit every 2 years, if client has gained more than 15 lbs, and if becomes pregnant o You must use spermicide with every act of coitus interruptus; every Assess the extremities. A term newborns blood Quickly memorize the terms, phrases and much more. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? 1. 2.A nurse is caring for a client who is at 32 Maintain an eye mask over the newborn's eyes for protection of corneas and retinas. Understanding Apgar scoring, physical examination of the newborn, New Ballard Scale, normal newborn vital signs and -Additional complications include: infection, hyperbilirubinemia, anemia, hypoglycemia, and delayed growth & development. The newborn is at increased risk for developing complications related to compromised uteroplacental perfusion and hypoxia (e.g., meconium aspiration syndrome MAS) Chronic intrauterine hypoxia causes increased fetal erythropoietin and red blood cell production resulting in polycythemia. 1. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Answer: D. Newborns airway needs to be cleared. If you're learning it, then you must try this ATI Maternal Newborn final study guide practice test that is given below. While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially? B. Do nothing because acrocyanosis is normal in the neonate 24. Question The nurse is aware that a neonate of a mother with diabetes is at risk for what complication? 25. Question 40 mg/dL. 7. Study ATI NEWBORN flashcards from Alisha Reynolds's class online, Management Information Systems Food & Beverage; Bartending Cooking Culinary Arts Hospitality What assessment findings indicates a potential complication to a newborn who has hyperbilirubinemia and is receiving phototherapy HR 154, RR 58, wt 2.6kg (5lb 12oz) WNL length 45-55cm. Preterm Newborn: Clinical Manifestations. Assessment and Management of Newborn Complications: findings to report (Chp 27) Substance Withdrawal High-pitched cry, shrill cry; incessant crying; irritability, tremors, disturbed sleep pattern Hypertonicity, convulsions Hyperactivity with an increased moro reflex Increased deep-tendon reflex Increased muscle tone Nasal congestion with flaring Frequent yawning C: Acrocyanosis happens in the first few minutes of life. a. Hepatorenal syndrome b. Portal hypertension c. Gastroesophageal varices d. Jitterness, irritability, increased tone and reflex response, seizures. Study Flashcards On Maternal Newborn ATI at Cram.com. 244 Place an eye mask over the newborns eyes after they are gently closed to protect the corneas and retinas. Gastrointestinal:poor feeding, regurgitation, diarrhea iv. D. Lateral at the Xiphoid Process. ATI Maternal Newborn quiz 1 ATI Maternal Newborn quiz 1 ATI Maternal Newborn quiz 12 POST-TEST 2021-2022 ATI Maternal Newborn quiz 1 & 2 POST-TEST 2021-2022 1.A nurse is assessing a client who is at 34 weeks gestation and has a mild placental abruption. The client has an ammonia level of 120 mcg/dl, slurred speech, and is disoriented to person and place. pt HR 110, skin cool & clammy, blurred vision, HA. A nurse is assessing a newborn following a forceps assisted birth. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. 1. Hypoglycemia differs for a newborn who is preterm. Preterm newborns are at risk of not having an intact gag reflex, leading to aspiration Medical Conditions: Hyperemesis Gravidarum 1. Apply oxygen at 2 L/min via nasal cannula. Which assessment findings should alert the nurse to a possible complication of the forceps delivery? 1. transcervical sterialization. 2. insertion of small flexible agents thru vagina into cervix and fallopian tubes that results in scar tissue in tubes preventing conception; exam after 3 months to ensure tube blockage. Assessment and Management of Newborn Complications: findings to report (Chp 27) Substance Withdrawal High-pitched cry, shrill cry; incessant crying; irritability, tremors, disturbed sleep pattern Hypertonicity, convulsions Hyperactivity with an increased moro reflex Increased deep-tendon reflex Increased muscle tone Nasal congestion with flaring Frequent yawning Skin Locations are available throughout the United States. 34wk gest teaching possible complications of preg. A masters prepared Nurse Educator will serve as your personal tutor to guide you through online NCLEX preparation. -Fetal Alcohol Syndrome (FAS) is based on 3 criteria: Growth Restriction- in utero and after birth. Related Content Initial assessment of the newborn Underlying Principles Understanding physiologic responses of a newborn to birth and physical assessment findings are imperative for providing nursing care following the birth of a newborn. 27 Hypoglycemia Respiratory distress Newborn infection, sepsis Hyperbilirubinemia Congenital Anomalies Baby-Friendly Care: Phases of Maternal Interpretation of Findings CONSIDERATIONS Nursing Interventions (pre, intra, post) Potential Complications Client Education Nursing Interventions Metabolic, vasomotor, and respiratory findings:nasal congestion with flaring,tachypnea (>60),sweating, increased temp (>99) iii. Increase the newborns visual stimulation; Weigh the newborn every other day; Discourage parental interaction until after a social evaluation; Swaddle the newborn in a flexed position; 12. A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia 2. Which of the following actions should the nurse take? Lab test: bood type, RH-factor, and prescence of irregular antibodies. 59. Preterm newborns are at risk of not having an intact gag reflex, leading to aspiration Medical Conditions: Hyperemesis Gravidarum 1. determines the risk for maternal-fetal blood incompatibility (erythroblastosis fetalis) or neonatal hyperbilirubinemia. Start with an evaluation and a personalized study plan will be developed just for you. Maternal Newborn Retake 1 Assessment and Management of Newborn Complications: Priority Finding that Requires Further Assessment (RM MN RN 11.0 Chapter 27 Assessment and Management of Newborn Complicat ions, ACTIVE Learning Template: Basic Concept) Nursing Care of Newborns: Personal Protective Equipment (RM MN RN 11.0 C Newborn Assessment: Expected Findings for the Babinski Reflex (RM MN RN 11.0 Chapter the nurse should identify that these findings possibly indicate which of the following complications of cirrhosis? Assessment and Management of Newborn Complicaions: Priority Finding that Requires Further Assessment (Chp 27) Signs of alcohol withdrawal include jiteriness. A nurse is assessing a newborn following a forceps assisted birth. Newborn Nursing Care & Assessment ( Quiz 1: 25 Questions) 2. The newborns mother has type 2 diabetes mellitus. The maternal and newborn study is not an easy subject. for inflammation or injury. Leakage of amniotic fluid E. Laboratory Values (2 items) a. 3. instructions: normal activities may be resumed by most clients within 1 Newborn Nursing Care & Assessment (Quiz 2: 25 Questions) 1. Maternal Newborn Retake 1 ATI Maternal Newborn Retake 1 ATI Maternal Newborn Retake 1 ATI Assessment and Management of Newborn Complications: Priority Finding that Requires Further Assessment (RM MN RN 11.0 Chapter 27 Assessment and Management of Newborn Complications, ACTIVE Learning Template: Basic Concept) Pulse 58/min Assess gait and posture. Assessment and Management of Newborn Complications: Findings to Report (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 27) -Congenital anomalies -Monitor the neonate for abstinence syndrome (withdrawal) and increased wakefulness using the neonatal abstinence scoring system, report if any symptoms are seen B. Be sure to remove the metal strip from the mask to prevent burning. for clients who are RH-negative and not sensitized, the indirect Coombs' test will be repeated between 24 to 28 weeks gestation. Blood pressure should be 60 to 80 over 40 to 50 Assessment and Management of Newborn Complications: Findings to Report to the Provider 1. Maternal Newborn Retake 1 ATI Maternal Newborn Retake 1 ATI Maternal Newborn Retake 1 ATI Assessment and Management of Newborn Complications: Priority Finding that Requires Further Assessment (RM MN RN 11.0 Chapter 27 Assessment and Management of Newborn Complications, ACTIVE Learning Template: Basic Concept) Complications of the Newborn: Use of phototherapy Lights Pg. C. Two fingerbreadths above the umbilicus. A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia 2. Which of the following findings should the nurse report to the. 6: Assessment of Fetal Well-Being > Flashcards Flashcards in Ch. ATI Practice Assessment-Maternal Newborn Online Practice 2016 A 1) A nurse is caring for a full-term newborn immediately following birth. Reposition the newborn every 2 hr to expose all of the body surfaces to the phototherapy lights and prevent pressure sores. Complications for Small for Gestational Age Newborn (SGA) Perinatal asphyxia, meconium aspiration, hypoglycemia, polycythemia (bone marrow dull intermittent back pain (preterm labor) 9wk gest. A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis. ATI Maternal Newborn > Ch. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Start studying ATI Chapter 27: Assessment and Management of Newborn Complications. Maternal Newborn Assessment 1. Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below. Blood pressure 142/92 mm Hg. Avoid applying lotions or ointments to newborns because they absorb heat and can cause burns. Set up phototherapy if prescribed. The nurse notes the umbilical cord protruding through the cervix. Which of the findings should the nurse report to the provider? Maternal Newborn Nursing. Observe the newborn's skin and mucous membranes for jaundice. 3 Nagele's rule Assessment and Management of Newborn Complications: Findings to Report ch. Normal Physiological Changes during Pregnancy: Calculating an Estimated Date of Delivery Ch. In this test, you'll get a chance to revise your concepts and even learn something new. A nurse is caring for a client who has cirrhosis. or term. preeclampsia. child ati . newborn assessment expected findings. Monitor the newborn's vital signs. Study OB practice B ATI 2 flashcards. 2. A nurse is providi ATI MATERNAL NEWBORN PROCTORED 2019 1. Which of the Virtual-ATI. Note gait and posture when the child enters or is walking in the room. Assessment of the newborn immediately starts the moment he or she is delivered, and there are a lot of standard assessments used to evaluate them rapidly. The Apgar scoring is done during the first 1 minute and 5 minutes of life. The heart rate, respiratory rate, muscle tone, reflex irritability, and the color are evaluated in an infant. 1. Prepare for insertion of an A: Reflex irritability can still develop in a newborn. Health Promotion and Disease Prevention teach mom healthy lifestyle habits to prevent GDM, help mom control the diabetes if she has it prior to pregnancy or develops GDM ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings newborns of mothers who have DM, are small or large for gestational age, less than 37 weeks gestation, or greater than 42 Our in-person, nurse educator-led NCLEX Review will guarantee you pass the NCLEX. Administer oxytocin to the client via intravenous infusion. Which finding should the nurse expect? Avoid applying lotions or ointments to the skin because they absorb heat and can cause burns. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? Alcohol: Risks and effects on Fetus / Neonate. Turn off the phototherapy lights before drawing blood for testing. 32. Routine assessment of all newborns, especially newborns who are LGA and SGA, should include monitoring for hypoglycemia. Resulting in necrosis and perforation of the bowel. Blood pressure should be 60 to 80 over 40 to 50 Assessment and Management of Newborn Complications: Findings to Report to the Provider 1. Hypoglycemia in the first 3 days of life in the term newborn is defined as a blood glucose level less than 40 mg/dL. Assessment and Management of Newborn Complications: findings to report Substance Withdrawal High-pitched cry, shrill cry; incessant crying; irritability, tremors, disturbed sleep pattern Hypertonicity, convulsions Hyperactivity with an increased moro reflex Increased deep-tendon reflex Increased muscle tone Nasal congestion with flaring Frequent yawning Skin Delve into the matter of childbirth with prep materials created to provide an insight into this crucial aspect of womens healthcare. Maternal Newborn Ati. Hypertensive disease in pregnancy is divided into clinical subsets of the disease based on end-organ effects and progresses along a continuum from mild gestational hypertension, mild and severe preeclampsia, eclampsia, and hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of antepartal, intrapartal, postpartum, and newborn care in order to: Assess client's psychosocial response to pregnancy (e.g., support systems, perception of pregnancy, coping mechanisms) Definition. Untreated hypoglycemia can result in seizures, brain damage or death 2. - Apgar score to rule out abnormalities - Respiratory function - Circulatory function - Assessment of body systems Potential Complications - Airway obstruction - Hypothermia - Inadequate O2 supply ACTIVE LEARNING TEMPLATES CONSIDERATIONS Nursing Interventions (pre, intra, post) - Document abnormalities and report to provider - Asculatate lungs (crackles, wheezing, learn more. The extremities should be warm, have good color, and be symmetrical; by observing the childs movements during the exam, the nurse notes range of motion, movement of the joints, and muscle strength. B: In every newborn assessment, respiratory evaluation has the highest priority. 22. Assessment and Management of Newborn Complications: findings to report Substance Withdrawal High-pitched cry, shrill cry; incessant crying; irritability, tremors, disturbed sleep pattern Hypertonicity, convulsions Hyperactivity with an increased moro reflex Increased deep-tendon reflex Increased muscle tone Nasal congestion with flaring Frequent yawning Skin Cram.com makes it easy to get the grade you want! Newborn Nursing Care & Assessment (Quiz 1: 25 Questions) 1. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? learn more. For a client in the second trimester of pregnancy, which assessment data support a diagnosis of pregnancy-induced hypertension (PIH)? ATI remediation-Maternal Newborn PN 1. Our pass rates are over 96%. 23. Keep the newborn undressed with the exception of There are five criteria to evaluate the newborn: chest movement, intercostals retraction, xiphoid retraction, nares dilatation, and expiratory grunt. The highest score for each criterion is 2, and the lowest is 0. The lowest overall score is 0, which indicates that there is no respiratory distress. Assessment i. CNS:irritability, excessive crying, hyperactivity with increased moro reflex,increased muscle tone ii. ATI Remediation Maternal Newborn Assessment and Management of Newborn Complications: Priority Finding that Requires Further Assessment Hypoglycemia -poor feeding -jitteriness/tremors -hypothermia -diaphoresis -weak cry -lethargy Respiratory distress -tachypnea -nasal flaring -expiratory grunting -retractions -cyanosis. D: Muscle tone can still develop within the first few hours of life. Left Upper Abdomen. A nurse is assessing a newborn following a forceps assisted birth. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. A nurse is performing a vaginal exam on a client who is in active labor. 6: Assessment of Fetal Well-Being or a complication indicating a C section 30 What should the fetal lung tests show that indicate fetal lung maturity? Bathe the newborn before initiating skin-to-skin contact. Irritability, increased tones and relex responses, and seizures. Teach pt to report what. A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia 2. 24. Newborn infection, sepsis -temperature For which of the following assessment findings should the nurse withhold the medication? Assessment and Management of Newborn Complications: Findings to Report to the Provider (RM MN RN 11 Chp 27 Assessment and Management of Newborn Complications,Active Learning Template: Diagnostic Procedure) i. Hypoglycemia: 1. poor feeding 2. jitteriness/tremors 3. A 35-week gestation infant was delivered by forceps. Untreated hypoglycemia can result in seizures, brain damage or death 2. A nurse is assessing a client who is at 27 weeks of gestation and has. Newborn Assessment: Findings to Report (RM MH RN 8.0 Chp 23, System Disorder) child ati . Assessment and Management of Newborn Complications: Findings to Report to the Provider Signs of neonatal substance withdrawal, hypoglycemia, respiratory distress/asphyxia/meconium aspiration, preterm NB, small for GA, large for GA, macrosomic NB, postmature NB, NB infection/sepsis, birth trauma or injury, hyperbilirubinemia, congenital anomalies A nurse is providing teaching about terbutaline to a Urine output 100 mL in hr . This is not an official test from ATI but just a similar one with essential exam questions so that you can get -Miscarriages: Alcohol is toxic, and in large amounts lethal.