Questions 58

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ATI NUR209 Maternal Newborn Final Assessment 2025 Questions

Extract:

Client using a diaphragm for contraception


Question 1 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 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:

Child in sickle cell crisis


Question 3 of 5

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Pain is a hallmark of sickle cell crisis due to vaso-occlusion, causing ischemia. Constipation, high fever, or bradycardia are not typical; fever may indicate secondary infection, and tachycardia is more likely than bradycardia.

Extract:

Sexually active adolescent female concerned about gonorrhea


Question 4 of 5

Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?

Correct Answer: B

Rationale: Slight yellow vaginal discharge is typical of gonorrhea due to mucopurulent cervicitis. Fever is rare unless disseminated, frothy discharge suggests trichomoniasis, and decreased urinary frequency is not associated; increased frequency is more likely.

Extract:

5-year-old child postoperative following a tonsillectomy


Question 5 of 5

A nurse is caring for a 5-year-old child who is postoperative following a tonsillectomy. Which of the following pain scales should the nurse use to determine the child's pain level?

Correct Answer: D

Rationale: The FACES scale, with pictorial faces, is age-appropriate for a 5-year-old to express pain. Oucher and Visual Analog Scale suit older children, and FLACC is for non-verbal patients.

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