ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Client 2 days postpartum, breastfeeding, reports nipple soreness
Question 1 of 5
A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?
Correct Answer: B,C,D
Rationale: Applying breast milk (
B), changing positions (
C), and starting with the less sore nipple (
D) reduce soreness by moisturizing, varying pressure, and minimizing initial latch pain. Tight bras or ice packs may worsen discomfort or reduce milk flow.
Extract:
Client just delivered first newborn, anticipates hyperbilirubinemia due to Rh incompatibility
Question 2 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:
Child with a heart defect, weighs 19 pounds, prescribed Lanoxin elixir at 0.07 mg/kg/day in two doses
Question 3 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:
Three-hour-old newborns
Question 4 of 5
The following newborns are three-hours old and are sleeping. The registered nurse should notify the provider about which newborn?
Correct Answer: C
Rationale: A respiratory rate of 72 breaths/minute is tachypneic (normal 30-60), indicating potential distress requiring provider notification. Hemangiomas, heart rate of 154, and gum nodules are benign or within normal limits.
Extract:
13-year-old with muscular dystrophy receiving corticosteroids
Question 5 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.