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 indicates endometriosis due to inflammatory ectopic tissue. PID, atypical Pap smears, and bloating lack specificity for this condition.
Extract:
2-year-old child with cystic fibrosis
Question 2 of 5
The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents suggests that additional education is necessary?
Correct Answer: D
Rationale: Pancreatic enzymes are essential for nutrient absorption in cystic fibrosis due to pancreatic insufficiency, regardless of appetite or bowel habits. Exercise, chest therapy, and high-calorie diets are appropriate management strategies.
Extract:
Client whose newborn had a circumcision with a Plastibell technique
Question 3 of 5
A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of circumcision care?
Correct Answer: C
Rationale: A loose diaper prevents friction and discomfort, supporting Plastibell healing. Alcohol swabs irritate, small bleeding is normal, and Plastibell detachment takes 5-8 days, not 24 hours.
Extract:
5-year-old child following an asthma event, caregiver expects unsupervised inhaler use
Question 4 of 5
A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?
Correct Answer: B
Rationale: Educating caregivers on developmental readiness for unsupervised inhaler use ensures age-appropriate expectations. Teaching the child, community resources, or educator referral are less focused on addressing developmental limitations.
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 5 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.