ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Postpartum client one day after delivery, fundus soft and spongy
Question 1 of 5
A nurse is assessing the fundus of a postpartum client one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to perform?
Correct Answer: A
Rationale: Massaging the fundus first addresses uterine atony, reducing bleeding risk. Notification, documentation, or oxytocin are secondary to immediate mechanical stimulation.
Extract:
Client 1 hour after delivery with large amount of lochia rubra and small clots, fundus firm at umbilical level
Question 2 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:
Newborn
Question 3 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.
Extract:
Newborn whose mother was addicted to heroin during pregnancy
Question 4 of 5
Which nursing interventions are appropriate while caring for a newborn whose mother was addicted to heroin during pregnancy?
Correct Answer: A,C,D,F
Rationale: Oral glucose (
A), low-stimulation environment (
C), pacifier (
D), and swaddling (F) comfort and stabilize newborns with neonatal abstinence syndrome. Bright lights (
B) overstimulate, and half-strength formula (E) risks nutritional deficiency.
Extract:
5-year-old child following an asthma event, caregiver expects unsupervised inhaler use
Question 5 of 5
A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?
Correct Answer: B
Rationale: Educating caregivers on developmental readiness for unsupervised inhaler use ensures age-appropriate expectations. Teaching the child, community resources, or educator referral are less focused on addressing developmental limitations.