ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Child with sickle cell anemia after an acute crisis episode
Question 1 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Adequate hydration reduces blood viscosity, preventing sickling episodes. Restricting play limits well-being, cold compresses worsen vasoconstriction, and temperature monitoring, while useful, is less critical than hydration.
Extract:
Postpartum client one day after delivery, fundus soft and spongy
Question 2 of 5
A nurse is assessing the fundus of a postpartum client one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to perform?
Correct Answer: A
Rationale: Massaging the fundus first addresses uterine atony, reducing bleeding risk. Notification, documentation, or oxytocin are secondary to immediate mechanical stimulation.
Extract:
Preterm newborn
Question 3 of 5
A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?
Correct Answer: B
Rationale: Clustering care activities minimizes disruptions, promoting rest and development in preterm newborns. Bright lights, fingertip calming, or muscle extension disrupt sleep, stress regulation, or natural flexion.
Extract:
Client in labor with an external fetal monitor
Question 4 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency, reducing fetal oxygenation. Cord compression causes variable decelerations, head compression causes early decelerations, and maternal bradycardia is unrelated to fetal monitor patterns.
Extract:
4-year-old with spastic type cerebral palsy
Question 5 of 5
Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy?
Correct Answer: A,D,E
Rationale: Large-handled utensils (
A), range of motion exercises (
D), and games (E) promote independence, prevent contractures, and support development. Carbidopa (
B) is for Parkinson's, not drooling, and limiting peer interaction (
C) hinders socialization.