ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A laboring client with ruptured membranes, frequent contractions, 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: D
Rationale: Obtaining fetal heart rate is the priority to assess fetal well-being after membrane rupture, ensuring no cord prolapse or distress.
Extract:
A client with a suspected diagnosis of endometriosis
Question 2 of 5
Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Correct Answer: A
Rationale: Severe dysmenorrhea (painful periods) unrelieved by NSAIDs is a hallmark symptom of endometriosis. The condition occurs when endometrial-like tissue grows outside the uterus, leading to inflammation and pain.
Extract:
A postpartum client with saturated perineal pad
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 question to ask the client?
Correct Answer: A
Rationale: Asking when the last pad change occurred helps quantify the rate of bleeding, critical for assessing postpartum hemorrhage.
Extract:
An antenatal client at 32 weeks' gestation with premature rupture of membranes
Question 4 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: B
Rationale: Antibiotics are given prophylactically to prevent infection after premature rupture of membranes, prioritizing fetal and maternal safety over immediate delivery or frequent exams.
Extract:
An 18-hour-old infant with hyperbilirubenemia
Question 5 of 5
An 18-hour-old infant with hyperbilirubenemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?
Correct Answer: D
Rationale: Maximizing skin exposure ensures effective phototherapy by allowing light to break down bilirubin. The infant should wear only a diaper, and swaddling or lotions should be avoided.