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:
16-year-old with bruising around eyes and neck, states 'I walked into a door'
Question 2 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:
Sexually active adolescent female concerned about gonorrhea
Question 3 of 5
Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?
Correct Answer: B
Rationale: Slight yellow vaginal discharge is typical of gonorrhea due to mucopurulent cervicitis. Fever is rare unless disseminated, frothy discharge suggests trichomoniasis, and decreased urinary frequency is not associated; increased frequency is more likely.
Extract:
Infant weighs 6 kg, prescribed Amoxicillin 50 mg/kg/day every 6 hours
Question 4 of 5
As the nurse caring for an infant who has been prescribed Amoxicillin (Amoxil) orally every 6 hours, you need to calculate the dose. The recommended dosage is 50 mg/kg/day, divided into multiple doses. If the infant weighs 6 kg, how much Amoxicillin should you administer per dose?
Correct Answer: B
Rationale: 6 kg x 50 mg/kg/day = 300 mg/day; divided into 4 doses (every 6 hours) = 75 mg/dose. This ensures safe and effective antibiotic administration.
Extract:
Postpartum client one day after delivery, fundus soft and spongy
Question 5 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.