ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
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 1 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.
Extract:
New parent expressing concern about safety in the home
Question 2 of 5
The nurse is in a maternal/child unit and is caring for a new parent. The new parent expresses concern about their safety in the home. The nurse provides the client with an intimate partner violence crisis center number. Which of the following is a way the nurse can evaluate the client's response to the safety plan?
Correct Answer: B
Rationale: Storing the crisis center number shows proactive engagement with the safety plan. Thanking, false optimism about safety, or refusing to leave do not indicate effective response to the plan.
Extract:
Client 2 days postpartum, breastfeeding, reports nipple soreness
Question 3 of 5
A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?
Correct Answer: B,C,D
Rationale: Applying breast milk (
B), changing positions (
C), and starting with the less sore nipple (
D) reduce soreness by moisturizing, varying pressure, and minimizing initial latch pain. Tight bras or ice packs may worsen discomfort or reduce milk flow.
Extract:
Client in labor
Question 4 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.
Extract:
Antenatal client at 32 weeks' gestation with premature rupture of membranes, no signs of labor
Question 5 of 5
An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?
Correct Answer: D
Rationale: Parenteral antibiotics prevent infection (e.g., chorioamnionitis) in PROM, protecting maternal and fetal health. Frequent cervical exams risk infection, delivery preparation is premature, and emotional support is secondary.