ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Client in labor with an external fetal monitor
Question 1 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency, reducing fetal oxygenation. Cord compression causes variable decelerations, head compression causes early decelerations, and maternal bradycardia is unrelated to fetal monitor patterns.
Extract:
Postmature infant
Question 2 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:
Client whose newborn had a circumcision with a Plastibell technique
Question 3 of 5
A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of circumcision care?
Correct Answer: C
Rationale: A loose diaper prevents friction and discomfort, supporting Plastibell healing. Alcohol swabs irritate, small bleeding is normal, and Plastibell detachment takes 5-8 days, not 24 hours.
Extract:
Infant with a tracheoesophageal fistula under a radiant warmer with head elevated at a 45-degree angle
Question 4 of 5
The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?
Correct Answer: A
Rationale: Head elevation prevents gastric content aspiration into the lungs due to the tracheoesophageal fistula's abnormal connection, reducing pneumonia risk. Digestion, breathing ease, or stomach pressure are secondary or unrelated.
Extract:
Antenatal client at 32 weeks' gestation with premature rupture of membranes, no signs of labor
Question 5 of 5
An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?
Correct Answer: D
Rationale: Parenteral antibiotics prevent infection (e.g., chorioamnionitis) in PROM, protecting maternal and fetal health. Frequent cervical exams risk infection, delivery preparation is premature, and emotional support is secondary.