ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
18-hour-old infant with hyperbilirubinemia placed under phototherapy bank lights
Question 1 of 5
An 18-hour-old infant with hyperbilirubinemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?
Correct Answer: A
Rationale: Maximizing skin exposure to phototherapy lights enhances bilirubin breakdown via photoisomerization, reducing serum levels. Lotion risks burns, constant eye shields hinder bonding, and swaddling reduces light exposure, all compromising treatment efficacy.
Extract:
Question 2 of 5
Which of the following clients would the nurse report as a suspected abuse case?
Correct Answer: B,C,D
Rationale: Circular abrasions (
B), palm burn (
C), and splash burns (
D) suggest intentional injury patterns (binding, forced contact, scalding), warranting abuse reporting. A forehead bruise (
A) may be accidental in a mobile toddler.
Extract:
Newborn being assessed for reflexes
Question 3 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: A
Rationale: A sharp hand clap near the infant elicits the Moro reflex, a startle response involving symmetric arm extension and flexion, indicating neurological health. Other actions elicit different reflexes: plantar grasp (toes), stepping (vertical hold), or tonic neck (head turn).
Extract:
Client in labor
Question 4 of 5
A nurse is preparing to measure the baseline fetal heart rate (FHR) on a client in labor. Which of the following statements is NOT accurate regarding baseline fetal heart rates?
Correct Answer: C
Rationale: Baseline FHR cannot be accurately assessed during contractions due to transient changes (accelerations/decelerations). A 10-minute period, ultrasound/auscultation, and 110-160 bpm range are correct for baseline assessment.
Extract:
Question 5 of 5
The nurse knows that which of the following is not a cause of mastitis?
Correct Answer: C
Rationale: Gradual weaning reduces milk production, preventing engorgement and stasis, thus lowering mastitis risk. Infrequent feedings, nipple cracks, and engorgement promote milk stasis or bacterial entry, increasing infection likelihood.