ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
2-year-old child with cystic fibrosis
Question 1 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:
5-year-old child postoperative following a tonsillectomy
Question 2 of 5
A nurse is caring for a 5-year-old child who is postoperative following a tonsillectomy. Which of the following pain scales should the nurse use to determine the child's pain level?
Correct Answer: D
Rationale: The FACES scale, with pictorial faces, is age-appropriate for a 5-year-old to express pain. Oucher and Visual Analog Scale suit older children, and FLACC is for non-verbal patients.
Extract:
Postpartum client one day after delivery, fundus soft and spongy
Question 3 of 5
A nurse is assessing the fundus of a postpartum client one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to perform?
Correct Answer: A
Rationale: Massaging the fundus first addresses uterine atony, reducing bleeding risk. Notification, documentation, or oxytocin are secondary to immediate mechanical stimulation.
Extract:
Antenatal client at 32 weeks' gestation with premature rupture of membranes, no signs of labor
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: D
Rationale: Parenteral antibiotics prevent infection (e.g., chorioamnionitis) in PROM, protecting maternal and fetal health. Frequent cervical exams risk infection, delivery preparation is premature, and emotional support is secondary.
Extract:
Newborn being assessed for reflexes
Question 5 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: A
Rationale: A sharp hand clap near the infant elicits the Moro reflex, a startle response involving symmetric arm extension and flexion, indicating neurological health. Other actions elicit different reflexes: plantar grasp (toes), stepping (vertical hold), or tonic neck (head turn).