ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Postmature infant
Question 1 of 5
A nurse is assessing a postmature infant. Which of the following findings would the nurse expect?
Correct Answer: A,C
Rationale: Cracked, peeling skin (
A) and sole creases (
C) are typical in postmature infants due to prolonged amniotic fluid exposure and advanced maturity. Moro reflex is normal, but long nails and absent vernix are more characteristic.
Extract:
Child with a heart defect, weighs 19 pounds, prescribed Lanoxin elixir at 0.07 mg/kg/day in two doses
Question 2 of 5
A child with a heart defect has been prescribed a maintenance dose of Lanoxin elixir at 0.07 mg/kg/day, divided into two doses. The child weighs 19 pounds. What is the maximum dose of medication the nurse should administer in each dose?
Correct Answer: A
Rationale: 19 pounds = 8.64 kg; 0.07 mg/kg/day = 0.605 mg/day; divided into two doses = 0.3025 mg/dose. Closest safe dose is 0.3 mg, but 0.15 mg is typically used to avoid toxicity, aligning with pediatric digoxin dosing precision.
Extract:
2-year-old child with cystic fibrosis
Question 3 of 5
The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents suggests that additional education is necessary?
Correct Answer: D
Rationale: Pancreatic enzymes are essential for nutrient absorption in cystic fibrosis due to pancreatic insufficiency, regardless of appetite or bowel habits. Exercise, chest therapy, and high-calorie diets are appropriate management strategies.
Extract:
Question 4 of 5
Identify the trimester when each fetal development finding occurs.
Correct Answer: A,B,C,D,E
Rationale: Fingers/toes/facial features form in the 1st trimester (
A); hearing/response occurs in the 2nd (
B); fat reserves (
C) and rapid brain growth (
D) in the 3rd; gender is visible in the 2nd (E), aligning with fetal development timelines.
Extract:
Postpartum client with saturated perineal pad with bright red blood
Question 5 of 5
When caring for a postpartum client, the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority to ask the client?
Correct Answer: A
Rationale: Asking when the pad was changed assesses bleeding rate, critical for evaluating postpartum hemorrhage. Clots, cramping, or bladder status are secondary to quantifying the bleeding volume and urgency.