ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Child in sickle cell crisis
Question 1 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Pain is a hallmark of sickle cell crisis due to vaso-occlusion, causing ischemia. Constipation, high fever, or bradycardia are not typical; fever may indicate secondary infection, and tachycardia is more likely than bradycardia.
Extract:
2-month-old infant brought to the emergency room
Question 2 of 5
A 2-month-old infant is brought to the emergency room. Which factor should lead the RN to suspect that the child may have experienced abusive head trauma?
Correct Answer: B
Rationale: Retinal hemorrhages are strongly associated with abusive head trauma due to shearing forces during shaking or impact, rupturing retinal blood vessels. This is a hallmark of non-accidental trauma in infants, unlike sunken fontanels (dehydration), bruises (non-specific), or lacerations (accidental or other abuse).
Extract:
13-year-old with muscular dystrophy receiving corticosteroids
Question 3 of 5
When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for?
Correct Answer: A,B,D
Rationale: Weight gain (
A), mood changes (
B), and osteoporosis (
D) are common corticosteroid side effects due to metabolic, neuropsychiatric, and bone metabolism impacts. Chronic fatigue is not a primary effect, though muscle weakness may occur.
Extract:
Preterm newborn
Question 4 of 5
A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?
Correct Answer: B
Rationale: Clustering care activities minimizes disruptions, promoting rest and development in preterm newborns. Bright lights, fingertip calming, or muscle extension disrupt sleep, stress regulation, or natural flexion.
Extract:
Full-term infant whose parents are Asian, blue-gray discoloration across the sacrum
Question 5 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.