ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Newborn with Apgar score calculation, heart rate 120/min, slow/weak cry, some extremity flexion, grimace to suctioning, body pink with blue extremities
Question 1 of 5
A nurse is caring for a newborn and calculating the Apgar score. At 1 minute after delivery, the following findings are noted: heart rate of 120/min, slow and weak cry, some flexion of extremities, grimace in response to suctioning of the nares, body pink in color with blue extremities. Calculate the newborn's Apgar score.
Correct Answer: C
Rationale: Heart rate 120/min (2), slow/weak cry (1), some flexion (1), grimace (1), pink body/blue extremities (1) sum to an Apgar score of 6, reflecting moderate adaptation needing monitoring.
Extract:
Client using a diaphragm for contraception
Question 2 of 5
After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?
Correct Answer: C
Rationale: Leaving the diaphragm in for six hours post-intercourse ensures sperm neutralization by spermicide, optimizing efficacy. Permanent fit, use during menstruation, or extended retention increase risks of inefficacy or infection.
Extract:
Newborn
Question 3 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.
Extract:
Infant weighs 6 kg, prescribed Amoxicillin 50 mg/kg/day every 6 hours
Question 4 of 5
As the nurse caring for an infant who has been prescribed Amoxicillin (Amoxil) orally every 6 hours, you need to calculate the dose. The recommended dosage is 50 mg/kg/day, divided into multiple doses. If the infant weighs 6 kg, how much Amoxicillin should you administer per dose?
Correct Answer: B
Rationale: 6 kg x 50 mg/kg/day = 300 mg/day; divided into 4 doses (every 6 hours) = 75 mg/dose. This ensures safe and effective antibiotic administration.
Extract:
Newborn admitted with a diagnosis of a spiral fracture of the right femur, mother states the child received the injury when the baby fell off the changing table
Question 5 of 5
A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?
Correct Answer: A
Rationale: Spiral fractures in non-ambulatory infants are highly suggestive of abuse, as they typically result from twisting forces unlikely in a fall. Reporting to the child abuse hotline is the priority to ensure the infant's safety and initiate investigation.