ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Infant following surgical repair of an atrial septal defect
Question 1 of 5
The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant?
Correct Answer: A,B,C,D
Rationale: Measuring intake/output (
A), rest periods (
B), thermoneutral environment (
C), and bonding (
D) support recovery by monitoring fluid balance, reducing stress, stabilizing temperature, and promoting emotional health. Spirometers (E) are inappropriate for infants.
Extract:
4-year-old with spastic type cerebral palsy
Question 2 of 5
Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy?
Correct Answer: A,D,E
Rationale: Large-handled utensils (
A), range of motion exercises (
D), and games (E) promote independence, prevent contractures, and support development. Carbidopa (
B) is for Parkinson's, not drooling, and limiting peer interaction (
C) hinders socialization.
Extract:
Newborn
Question 3 of 5
Which assessment finding in a newborn places them at risk for physiological jaundice?
Correct Answer: C
Rationale: Cephalohematoma, a blood collection from birth trauma, increases bilirubin production via red blood cell breakdown, raising jaundice risk. Acrocyanosis, Mongolian spots, and caput succedaneum do not contribute to hemolysis or bilirubin accumulation.
Extract:
Newborn with Apgar score calculation, heart rate 120/min, slow/weak cry, some extremity flexion, grimace to suctioning, body pink with blue extremities
Question 4 of 5
A nurse is caring for a newborn and calculating the Apgar score. At 1 minute after delivery, the following findings are noted: heart rate of 120/min, slow and weak cry, some flexion of extremities, grimace in response to suctioning of the nares, body pink in color with blue extremities. Calculate the newborn's Apgar score.
Correct Answer: C
Rationale: Heart rate 120/min (2), slow/weak cry (1), some flexion (1), grimace (1), pink body/blue extremities (1) sum to an Apgar score of 6, reflecting moderate adaptation needing monitoring.
Extract:
Breastfeeding client
Question 5 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.