ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Client with a new diagnosis of polycystic ovarian syndrome
Question 1 of 5
A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome. The nurse should plan to monitor which of the following laboratory values?
Correct Answer: D
Rationale: Serum glucose levels are critical in PCOS due to increased risk of insulin resistance and type 2 diabetes. Monitoring helps manage glucose metabolism and prevent complications, unlike liver function, BUN, or TSH, which are not directly related to PCOS.
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 2 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:
Newborn being assessed for reflexes
Question 3 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: A
Rationale: A sharp hand clap near the infant elicits the Moro reflex, a startle response involving symmetric arm extension and flexion, indicating neurological health. Other actions elicit different reflexes: plantar grasp (toes), stepping (vertical hold), or tonic neck (head turn).
Extract:
18-hour-old infant with hyperbilirubinemia placed under phototherapy bank lights
Question 4 of 5
An 18-hour-old infant with hyperbilirubinemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?
Correct Answer: A
Rationale: Maximizing skin exposure to phototherapy lights enhances bilirubin breakdown via photoisomerization, reducing serum levels. Lotion risks burns, constant eye shields hinder bonding, and swaddling reduces light exposure, all compromising treatment efficacy.
Extract:
Question 5 of 5
The nurse knows that which of the following is not a cause of mastitis?
Correct Answer: C
Rationale: Gradual weaning reduces milk production, preventing engorgement and stasis, thus lowering mastitis risk. Infrequent feedings, nipple cracks, and engorgement promote milk stasis or bacterial entry, increasing infection likelihood.