ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Infant with a tracheoesophageal fistula under a radiant warmer with head elevated at a 45-degree angle
Question 1 of 5
The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?
Correct Answer: A
Rationale: Head elevation prevents gastric content aspiration into the lungs due to the tracheoesophageal fistula's abnormal connection, reducing pneumonia risk. Digestion, breathing ease, or stomach pressure are secondary or unrelated.
Extract:
Child with sickle cell anemia after an acute crisis episode
Question 2 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Adequate hydration reduces blood viscosity, preventing sickling episodes. Restricting play limits well-being, cold compresses worsen vasoconstriction, and temperature monitoring, while useful, is less critical than hydration.
Extract:
Pregnant patient with elevated alpha fetoprotein (AFP) level
Question 3 of 5
Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?
Correct Answer: B
Rationale: Elevated AFP suggests neural tube defects like spina bifida, not Down syndrome, which typically shows decreased AFP. 'May have' reflects the need for further testing, indicating accurate understanding.
Extract:
Postmature infant
Question 4 of 5
A nurse is assessing a postmature infant. Which of the following findings would the nurse expect?
Correct Answer: A,C
Rationale: Cracked, peeling skin (
A) and sole creases (
C) are typical in postmature infants due to prolonged amniotic fluid exposure and advanced maturity. Moro reflex is normal, but long nails and absent vernix are more characteristic.
Extract:
Child in heart failure
Question 5 of 5
Which assessment findings would alert the nurse to an infant or child in heart failure?
Correct Answer: A,B,C,D
Rationale: Difficulty feeding (
A), wheezes/rales (
B), edema (
C), and tachypnea (
D) indicate heart failure due to fatigue, pulmonary congestion, venous congestion, and compensatory respiratory efforts, respectively, reflecting poor cardiac output.