ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Newborn being assessed for reflexes
Question 1 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: A
Rationale: A sharp hand clap near the infant elicits the Moro reflex, a startle response involving symmetric arm extension and flexion, indicating neurological health. Other actions elicit different reflexes: plantar grasp (toes), stepping (vertical hold), or tonic neck (head turn).
Extract:
13-year-old with muscular dystrophy receiving corticosteroids
Question 2 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,E
Rationale: Weight gain (
A), mood changes (
B), and osteoporosis (E) are corticosteroid side effects due to metabolic, neuropsychiatric, and bone impacts. Weight loss and chronic fatigue are not typical effects.
Extract:
18-hour-old infant with hyperbilirubinemia placed under phototherapy bank lights
Question 3 of 5
An 18-hour-old infant with hyperbilirubinemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?
Correct Answer: A
Rationale: Maximizing skin exposure to phototherapy lights enhances bilirubin breakdown via photoisomerization, reducing serum levels. Lotion risks burns, constant eye shields hinder bonding, and swaddling reduces light exposure, all compromising treatment efficacy.
Extract:
Client in labor
Question 4 of 5
A nurse is preparing to measure the baseline fetal heart rate (FHR) on a client in labor. Which of the following statements is NOT accurate regarding baseline fetal heart rates?
Correct Answer: C
Rationale: Baseline FHR cannot be accurately assessed during contractions due to transient changes (accelerations/decelerations). A 10-minute period, ultrasound/auscultation, and 110-160 bpm range are correct for baseline assessment.
Extract:
Client with suspected endometriosis
Question 5 of 5
A clinic nurse is assessing a client with a suspected diagnosis of endometriosis. Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Correct Answer: C
Rationale: Dysmenorrhea unresponsive to NSAIDs is a hallmark of endometriosis due to ectopic endometrial tissue inflammation. PID, atypical Pap smears, and bloating are not specific to endometriosis.