ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Child with sickle cell anemia after an acute crisis episode
Question 1 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Adequate hydration reduces blood viscosity, preventing sickling episodes. Restricting play limits well-being, cold compresses worsen vasoconstriction, and temperature monitoring, while useful, is less critical than hydration.
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 2 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 experiencing menopausal symptoms
Question 3 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:
Client in labor with an external fetal monitor
Question 4 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:
Postpartum client with saturated perineal pad with bright red blood
Question 5 of 5
When caring for a postpartum client, the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority to ask the client?
Correct Answer: A
Rationale: Asking when the pad was changed assesses bleeding rate, critical for evaluating postpartum hemorrhage. Clots, cramping, or bladder status are secondary to quantifying the bleeding volume and urgency.