ATI RN
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.