ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Client 1 hour after delivery with large amount of lochia rubra and small clots, fundus firm at umbilical level
Question 1 of 5
A nurse is assessing a client 1 hour after delivery and notices a large amount of lochia rubra along with several small clots on the perineal pad. The client's fundus is firm and located at the umbilical level, in the midline. What action should the nurse take next?
Correct Answer: B
Rationale: With a firm, midline fundus, lochia rubra and small clots are normal within the first hour postpartum. Documenting and monitoring is appropriate, as increased massage, notification, or bladder emptying are unnecessary without signs of atony or complications.
Extract:
Question 2 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.
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:
Client at 36 weeks' gestation
Question 4 of 5
The nurse identifies the following assessment findings in a client who is 36 weeks' gestation. Which should be immediately reported to the provider?
Correct Answer: B
Rationale: Blood pressure of 144/94 mmHg indicates gestational hypertension, risking preeclampsia, requiring immediate reporting. Rubella immunity, leukorrhea, and O-negative blood type are not urgent unless associated with other complications.
Extract:
Newborn
Question 5 of 5
Which assessment finding in a newborn places them at risk for physiological jaundice?
Correct Answer: C
Rationale: Cephalohematoma, a blood collection from birth trauma, increases bilirubin production via red blood cell breakdown, raising jaundice risk. Acrocyanosis, Mongolian spots, and caput succedaneum do not contribute to hemolysis or bilirubin accumulation.