ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
13-year-old with muscular dystrophy receiving corticosteroids
Question 1 of 5
When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for?
Correct Answer: A,B,E
Rationale: Weight gain (
A), mood changes (
B), and osteoporosis (E) are corticosteroid side effects due to metabolic, neuropsychiatric, and bone impacts. Weight loss and chronic fatigue are not typical effects.
Extract:
Laboring client with ruptured membranes, frequent contractions, and bloody show
Question 2 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: C
Rationale: Obtaining fetal heart rate first assesses fetal well-being post-membrane rupture and contractions. Vaginal exams risk infection, IV access and vital signs are secondary to ensuring fetal oxygenation.
Extract:
Full-term infant whose parents are Asian, blue-gray discoloration across the sacrum
Question 3 of 5
When performing an initial assessment on a full-term infant whose parents are Asian, the nurse notes a blue-gray discoloration across the sacrum of the newborn. What is the most appropriate action for the nurse to take?
Correct Answer: A
Rationale: Blue-gray sacral discoloration (Mongolian spots) is a benign congenital mark common in Asian newborns. Documenting ensures accurate records; notification, clotting studies, or reporting are unnecessary.
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:
Question 5 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.