ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Newborn with Trisomy 21 (Down's Syndrome)
Question 1 of 5
A nurse is assessing a newborn who has Trisomy 21 (Down's Syndrome). Which of the following are common characteristics?
Correct Answer: A,D
Rationale: Transverse palmar creases (
A) and protruding tongue (
D) are common in Trisomy 21 due to genetic anomalies affecting hand and facial development. Hypertonia, low birth weight, and large ears are not typical; hypotonia and normal birth weight are more common.
Question 2 of 5
A nurse is assessing a newborn who has Trisomy 21 (Down's Syndrome). Which of the following are common characteristics?
Correct Answer: A,D
Rationale: Transverse palmar creases (
A) and protruding tongue (
D) are common in Trisomy 21 due to genetic anomalies affecting hand and facial development. Hypertonia, low birth weight, and large ears are not typical; hypotonia and normal birth weight are more common.
Extract:
Client experiencing menopausal symptoms
Question 3 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contraindicated due to which of the following findings in the client's medical history?
Correct Answer: A
Rationale: A history of breast cancer contraindicates HT due to the risk of stimulating hormone receptor-positive cancer cells, increasing recurrence. GERD, dermatitis, and COPD are not standard contraindications, though cardiopulmonary status requires evaluation.
Extract:
Newborn
Question 4 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: C
Rationale: Sponge baths keep the cord stump dry, preventing infection and aiding detachment. Petroleum jelly, soap/water washing, or diaper coverage increase moisture and infection risk, delaying healing.
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.