ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Client experiencing menopausal symptoms
Question 1 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:
16-year-old with bruising around eyes and neck, states 'I walked into a door'
Question 2 of 5
A 16-year-old is brought to the emergency room by her boyfriend with bruising around her eyes and neck. When asked what happened, she states, 'I walked into a door.' What are the most appropriate interventions by the nurse?
Correct Answer: A,B,C
Rationale: Private interview (
A), calm demeanor (
B), and safety assessment (
C) foster trust and identify abuse risks without intimidation. Police contact requires consent or legal mandate to preserve trust.
Extract:
Client 1 hour after delivery with large amount of lochia rubra and small clots, fundus firm at umbilical level
Question 3 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 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:
Newborn
Question 5 of 5
The nurse educates the parents on actions to prevent sudden infant death syndrome. Which observation indicates the teaching has been effective?
Correct Answer: C
Rationale: Placing the newborn on their back reduces SIDS risk by preventing airway obstruction. Pacifier use lowers risk, feeding schedules are unrelated, and blankets increase suffocation risk.