ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Infant undergone surgical repair of a myelomeningocele
Question 1 of 5
An infant has just undergone surgical repair of a myelomeningocele. What is the priority nursing intervention to perform immediately following the procedure?
Correct Answer: B
Rationale: Monitoring head circumference detects hydrocephalus, a common post-surgical complication due to altered cerebrospinal fluid dynamics. Supine positioning risks site disruption, and intake/output or skin integrity, while important, are secondary to neurological monitoring.
Extract:
Client with suspected endometriosis
Question 2 of 5
A clinic nurse is assessing a client with a suspected diagnosis of endometriosis. Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Correct Answer: C
Rationale: Dysmenorrhea unresponsive to NSAIDs is a hallmark of endometriosis due to ectopic endometrial tissue inflammation. PID, atypical Pap smears, and bloating are not specific to endometriosis.
Extract:
Postpartum client with saturated perineal pad with bright red blood
Question 3 of 5
When caring for a postpartum client, the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority to ask the client?
Correct Answer: A
Rationale: Asking when the pad was changed assesses bleeding rate, critical for evaluating postpartum hemorrhage. Clots, cramping, or bladder status are secondary to quantifying the bleeding volume and urgency.
Extract:
Client at 36 weeks' gestation
Question 4 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 5 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.