ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Client at 36 weeks' gestation
Question 1 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:
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 indicates endometriosis due to inflammatory ectopic tissue. PID, atypical Pap smears, and bloating lack specificity for this condition.
Extract:
Breastfeeding client
Question 3 of 5
Which three assessment findings indicate that the breastfeeding client has achieved a proper latch?
Correct Answer: B,C,D
Rationale: Audible swallowing (
B), tongue cupping with flanged lips (
C), and rhythmic sucking (
D) indicate proper latch, ensuring effective milk transfer. Slurping/clicking (
A) or cheek dimpling (E) suggest poor latch, causing air entry or suction issues.
Extract:
Pregnant patient with elevated alpha fetoprotein (AFP) level
Question 4 of 5
Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?
Correct Answer: B
Rationale: Elevated AFP suggests neural tube defects like spina bifida, not Down syndrome, which typically shows decreased AFP. 'May have' reflects the need for further testing, indicating accurate understanding.
Extract:
Infant undergone surgical repair of a myelomeningocele
Question 5 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.