ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Client with suspected endometriosis
Question 1 of 5
A clinic nurse is assessing a client with a suspected diagnosis of endometriosis. Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Correct Answer: C
Rationale: Dysmenorrhea unresponsive to NSAIDs is a hallmark of endometriosis due to ectopic endometrial tissue inflammation. PID, atypical Pap smears, and bloating are not specific to endometriosis.
Extract:
Client using a diaphragm for contraception
Question 2 of 5
After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?
Correct Answer: C
Rationale: Leaving the diaphragm in for six hours post-intercourse ensures sperm neutralization by spermicide, optimizing efficacy. Permanent fit, use during menstruation, or extended retention increase risks of inefficacy or infection.
Extract:
Full-term infant whose parents are Asian, blue-gray discoloration across the sacrum
Question 3 of 5
When performing an initial assessment on a full-term infant whose parents are Asian, the nurse notes a blue-gray discoloration across the sacrum of the newborn. What is the most appropriate action for the nurse to take?
Correct Answer: A
Rationale: Blue-gray sacral discoloration (Mongolian spots) is a benign congenital mark common in Asian newborns. Documenting ensures accurate records; notification, clotting studies, or reporting are unnecessary.
Extract:
Infant with a tracheoesophageal fistula under a radiant warmer with head elevated at a 45-degree angle
Question 4 of 5
The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?
Correct Answer: A
Rationale: Head elevation prevents gastric content aspiration into the lungs due to the tracheoesophageal fistula's abnormal connection, reducing pneumonia risk. Digestion, breathing ease, or stomach pressure are secondary or unrelated.
Extract:
Client in labor
Question 5 of 5
A nurse is preparing to measure the baseline fetal heart rate (FHR) on a client in labor. Which of the following statements is NOT accurate regarding baseline fetal heart rates?
Correct Answer: C
Rationale: Baseline FHR cannot be accurately assessed during contractions due to transient changes (accelerations/decelerations). A 10-minute period, ultrasound/auscultation, and 110-160 bpm range are correct for baseline assessment.