ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Newborn
Question 1 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sponge baths keep the cord stump dry, preventing infection and aiding detachment. Petroleum jelly, soap/water washing, or diaper coverage increase moisture and infection risk, delaying healing.
Extract:
5-year-old child following an asthma event, caregiver expects unsupervised inhaler use
Question 2 of 5
A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?
Correct Answer: B
Rationale: Educating caregivers on developmental readiness for unsupervised inhaler use ensures age-appropriate expectations. Teaching the child, community resources, or educator referral are less focused on addressing developmental limitations.
Extract:
Client at 36 weeks' gestation
Question 3 of 5
The nurse identifies the following assessment findings in a client who is 36 weeks' gestation. Which should be immediately reported to the provider?
Correct Answer: B
Rationale: Blood pressure of 144/94 mmHg indicates gestational hypertension, risking preeclampsia, requiring immediate reporting. Rubella immunity, leukorrhea, and O-negative blood type are not urgent unless associated with other complications.
Extract:
Child in heart failure
Question 4 of 5
Which assessment findings would alert the nurse to an infant or child in heart failure?
Correct Answer: A,B,C,D
Rationale: Difficulty feeding (
A), wheezes/rales (
B), edema (
C), and tachypnea (
D) indicate heart failure due to fatigue, pulmonary congestion, venous congestion, and compensatory respiratory efforts, respectively, reflecting poor cardiac output.
Extract:
Client in labor with an external fetal monitor
Question 5 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.