ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Client just delivered first newborn, anticipates hyperbilirubinemia due to Rh incompatibility
Question 1 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: D
Rationale: Rh-negative mothers produce anti-Rh antibodies against Rh-positive fetal blood, causing hemolysis and hyperbilirubinemia. Other options describe incorrect mechanisms or unrelated conditions like ABO incompatibility.
Extract:
Question 2 of 5
Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel on a pediatric unit?
Correct Answer: A
Rationale: Weighing a diaper for output is a data collection task suitable for unlicensed assistive personnel, requiring no clinical judgment. Assessing dressings, calculating fall risk, or evaluating developmental milestones involve clinical expertise and are inappropriate for delegation.
Extract:
Breastfeeding client
Question 3 of 5
Which three assessment findings indicate that the breastfeeding client has achieved a proper latch?
Correct Answer: B,C,D
Rationale: Audible swallowing (
B), tongue cupping with flanged lips (
C), and rhythmic sucking (
D) indicate proper latch, ensuring effective milk transfer. Slurping/clicking (
A) or cheek dimpling (E) suggest poor latch, causing air entry or suction issues.
Extract:
Infant following surgical repair of an atrial septal defect
Question 4 of 5
The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant?
Correct Answer: A,B,C,D
Rationale: Measuring intake/output (
A), rest periods (
B), thermoneutral environment (
C), and bonding (
D) support recovery by monitoring fluid balance, reducing stress, stabilizing temperature, and promoting emotional health. Spirometers (E) are inappropriate for infants.
Extract:
Child with sickle cell anemia after an acute crisis episode
Question 5 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Adequate hydration reduces blood viscosity, preventing sickling episodes. Restricting play limits well-being, cold compresses worsen vasoconstriction, and temperature monitoring, while useful, is less critical than hydration.