ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Newborn diagnosed with patent ductus arteriosus
Question 1 of 5
The nurse is caring for a newborn diagnosed with patent ductus arteriosus (PDA). Which finding is expected?
Correct Answer: D
Rationale: A continuous 'machinery-like' heart murmur is classic for PDA due to turbulent blood flow between the aorta and pulmonary artery. Decreased urine output, bradycardia, or cyanosis are not typical, as PDA involves left-to-right shunting.
Extract:
Question 2 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.
Extract:
Client 2 days postpartum, breastfeeding, reports nipple soreness
Question 3 of 5
A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?
Correct Answer: B,C,D
Rationale: Applying breast milk (
B), changing positions (
C), and starting with the less sore nipple (
D) reduce soreness by moisturizing, varying pressure, and minimizing initial latch pain. Tight bras or ice packs may worsen discomfort or reduce milk flow.
Extract:
Client just delivered first newborn, anticipates hyperbilirubinemia due to Rh incompatibility
Question 4 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: D
Rationale: Rh-negative mothers produce anti-Rh antibodies against Rh-positive fetal blood, causing hemolysis and hyperbilirubinemia. Other options describe incorrect mechanisms or unrelated conditions like ABO incompatibility.
Extract:
Newborn
Question 5 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sponge baths keep the cord stump dry, preventing infection and aiding detachment. Petroleum jelly, soap/water washing, or diaper coverage increase moisture and infection risk, delaying healing.