ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
2-month-old infant brought to the emergency room
Question 1 of 5
A 2-month-old infant is brought to the emergency room. Which factor should lead the RN to suspect that the child may have experienced abusive head trauma?
Correct Answer: B
Rationale: Retinal hemorrhages are strongly associated with abusive head trauma due to shearing forces during shaking or impact, rupturing retinal blood vessels. This is a hallmark of non-accidental trauma in infants, unlike sunken fontanels (dehydration), bruises (non-specific), or lacerations (accidental or other abuse).
Extract:
Question 2 of 5
Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel on a pediatric unit?
Correct Answer: A
Rationale: Weighing a diaper for output is a data collection task suitable for unlicensed assistive personnel, requiring no clinical judgment. Assessing dressings, calculating fall risk, or evaluating developmental milestones involve clinical expertise and are inappropriate for delegation.
Extract:
Client with a new diagnosis of polycystic ovarian syndrome
Question 3 of 5
A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome. The nurse should plan to monitor which of the following laboratory values?
Correct Answer: D
Rationale: Serum glucose levels are critical in PCOS due to increased risk of insulin resistance and type 2 diabetes. Monitoring helps manage glucose metabolism and prevent complications, unlike liver function, BUN, or TSH, which are not directly related to PCOS.
Extract:
Newborn admitted with a diagnosis of a spiral fracture of the right femur, mother states the child received the injury when the baby fell off the changing table
Question 4 of 5
A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?
Correct Answer: A
Rationale: Spiral fractures in non-ambulatory infants are highly suggestive of abuse, as they typically result from twisting forces unlikely in a fall. Reporting to the child abuse hotline is the priority to ensure the infant's safety and initiate investigation.
Extract:
Newborn being assessed for reflexes
Question 5 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: A
Rationale: A sharp hand clap near the infant elicits the Moro reflex, a startle response involving symmetric arm extension and flexion, indicating neurological health. Other actions elicit different reflexes: plantar grasp (toes), stepping (vertical hold), or tonic neck (head turn).