ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Laboring client with ruptured membranes, frequent contractions, and bloody show
Question 1 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 2 of 5
The nurse educates the parents on actions to prevent sudden infant death syndrome. Which observation indicates the teaching has been effective?
Correct Answer: C
Rationale: Placing the newborn on their back reduces SIDS risk by preventing airway obstruction. Pacifier use lowers risk, feeding schedules are unrelated, and blankets increase suffocation risk.
Extract:
Newborn admitted with a diagnosis of a spiral fracture of the right femur, mother states the child received the injury when the baby fell off the changing table
Question 3 of 5
A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?
Correct Answer: A
Rationale: Spiral fractures in non-ambulatory infants are highly suggestive of abuse, as they typically result from twisting forces unlikely in a fall. Reporting to the child abuse hotline is the priority to ensure the infant's safety and initiate investigation.
Extract:
2-year-old child with cystic fibrosis
Question 4 of 5
The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home. Which statement made by the parents suggests that additional education is necessary?
Correct Answer: D
Rationale: Pancreatic enzymes are essential for nutrient absorption in cystic fibrosis due to pancreatic insufficiency, regardless of appetite or bowel habits. Exercise, chest therapy, and high-calorie diets are appropriate management strategies.
Extract:
Client 1 hour after delivery with large amount of lochia rubra and small clots, fundus firm at umbilical level
Question 5 of 5
A nurse is assessing a client 1 hour after delivery and notices a large amount of lochia rubra along with several small clots on the perineal pad. The client's fundus is firm and located at the umbilical level, in the midline. What action should the nurse take next?
Correct Answer: B
Rationale: With a firm, midline fundus, lochia rubra and small clots are normal within the first hour postpartum. Documenting and monitoring is appropriate, as increased massage, notification, or bladder emptying are unnecessary without signs of atony or complications.