ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A newborn 1 minute after delivery with heart rate 120/min, slow weak cry, some flexion, grimace, pink body with blue extremities
Question 1 of 5
A Higienurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate of 120/min; slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn's Apgar score.
Correct Answer: 6
Rationale: Heart rate (2), respiratory effort (1), muscle tone (1), reflex irritability (1), color (1) sum to an Apgar score of 6.
Extract:
A newborn diagnosed with patent ductus arteriosus (PDA)
Question 2 of 5
The nurse is caring for a newborn diagnosed with patent ductus arteriosus (PDA). Which of the following assessment findings would be consistent with this diagnosis? (Select All that Apply.)
Correct Answer: B,C,F
Rationale: PDA causes bounding pulses, wide pulse pressure, and a machinery-like murmur due to left-to-right shunting, not typically cyanosis or bradycardia.
Extract:
A full-term infant whose parents are Asian with blue-gray sacral discoloration
Question 3 of 5
When preforming 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: B
Rationale: Mongolian spots are normal congenital findings in some ethnic groups, requiring only documentation to distinguish from bruising.
Extract:
A postpartum client
Question 4 of 5
A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?
Correct Answer: C
Rationale: A history of depression or anxiety is a strong risk factor for postpartum depression (PP
D). Harming the infant or psychosis is rare, and PPD develops over weeks, not within 48 hours.
Extract:
A newborn's parent
Question 5 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: A sponge bath keeps the umbilical cord stump dry, preventing infection and promoting detachment. Petroleum jelly, soap, or covering with a diaper increases infection risk.