ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Antenatal client at 32 weeks' gestation with premature rupture of membranes, no signs of labor
Question 1 of 5
An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?
Correct Answer: D
Rationale: Parenteral antibiotics prevent infection (e.g., chorioamnionitis) in PROM, protecting maternal and fetal health. Frequent cervical exams risk infection, delivery preparation is premature, and emotional support is secondary.
Extract:
Newborn born at 30 weeks' gestation
Question 2 of 5
The nurse is caring for a newborn born at 30 weeks' gestation. Which assessment finding should the nurse anticipate?
Correct Answer: D
Rationale: Lanugo, fine hair covering the body, is prominent in preterm neonates at 30 weeks, aiding thermoregulation. Plantar creases, extremity flexion, and subcutaneous fat are less developed in preterm infants, appearing closer to term.
Extract:
Laboring client with ruptured membranes, frequent contractions, and bloody show
Question 3 of 5
The nurse is caring for a laboring client who presents with ruptured membranes, frequent contractions, and bloody show. Which intervention should be performed first?
Correct Answer: C
Rationale: Obtaining fetal heart rate first assesses fetal well-being post-membrane rupture and contractions. Vaginal exams risk infection, IV access and vital signs are secondary to ensuring fetal oxygenation.
Extract:
Newborn
Question 4 of 5
Which assessment finding in a newborn places them at risk for physiological jaundice?
Correct Answer: C
Rationale: Cephalohematoma, a blood collection from birth trauma, increases bilirubin production via red blood cell breakdown, raising jaundice risk. Acrocyanosis, Mongolian spots, and caput succedaneum do not contribute to hemolysis or bilirubin accumulation.
Extract:
Question 5 of 5
Identify the trimester when each fetal development finding occurs.
Correct Answer: A,B,C,D,E
Rationale: Fingers/toes/facial features form in the 1st trimester (
A); hearing/response occurs in the 2nd (
B); fat reserves (
C) and rapid brain growth (
D) in the 3rd; gender is visible in the 2nd (E), aligning with fetal development timelines.