ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
16-year-old with bruising around eyes and neck, states 'I walked into a door'
Question 1 of 5
A 16-year-old is brought to the emergency room by her boyfriend with bruising around her eyes and neck. When asked what happened, she states, 'I walked into a door.' What are the most appropriate interventions by the nurse?
Correct Answer: A,B,C
Rationale: Private interview (
A), calm demeanor (
B), and safety assessment (
C) foster trust and identify abuse risks without intimidation. Police contact requires consent or legal mandate to preserve trust.
Extract:
Question 2 of 5
Identify a complication resulting from a cleft palate, the anatomical changes that lead to the complication, and the priority interventions for care.
Correct Answer: A
Rationale: Horizontal eustachian tubes in cleft palate increase otitis media risk due to poor drainage; surgical closure corrects anatomy, reducing infections. Other options misalign anatomical changes, complications, or interventions.
Extract:
Newborn born at 30 weeks' gestation
Question 3 of 5
The nurse is caring for a newborn born at 30 weeks' gestation. Which assessment finding should the nurse anticipate?
Correct Answer: D
Rationale: Lanugo, fine hair covering the body, is prominent in preterm neonates at 30 weeks, aiding thermoregulation. Plantar creases, extremity flexion, and subcutaneous fat are less developed in preterm infants, appearing closer to term.
Extract:
Three-hour-old newborns
Question 4 of 5
The following newborns are three-hours old and are sleeping. The registered nurse should notify the provider about which newborn?
Correct Answer: C
Rationale: A respiratory rate of 72 breaths/minute is tachypneic (normal 30-60), indicating potential distress requiring provider notification. Hemangiomas, heart rate of 154, and gum nodules are benign or within normal limits.
Extract:
Child in sickle cell crisis
Question 5 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Pain is a hallmark of sickle cell crisis due to vaso-occlusion, causing ischemia. Constipation, high fever, or bradycardia are not typical; fever may indicate secondary infection, and tachycardia is more likely than bradycardia.