ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Postpartum client with saturated perineal pad with bright red blood
Question 1 of 5
When caring for a postpartum client, the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority to ask the client?
Correct Answer: A
Rationale: Asking when the pad was changed assesses bleeding rate, critical for evaluating postpartum hemorrhage. Clots, cramping, or bladder status are secondary to quantifying the bleeding volume and urgency.
Extract:
Newborn whose mother was addicted to heroin during pregnancy
Question 2 of 5
Which nursing interventions are appropriate while caring for a newborn whose mother was addicted to heroin during pregnancy?
Correct Answer: A,C,D,F
Rationale: Oral glucose (
A), low-stimulation environment (
C), pacifier (
D), and swaddling (F) comfort and stabilize newborns with neonatal abstinence syndrome. Bright lights (
B) overstimulate, and half-strength formula (E) risks nutritional deficiency.
Extract:
Question 3 of 5
Which of the following clients would the nurse report as a suspected abuse case?
Correct Answer: B,C,D
Rationale: Circular abrasions (
B), palm burn (
C), and splash burns (
D) suggest intentional injury patterns (binding, forced contact, scalding), warranting abuse reporting. A forehead bruise (
A) may be accidental in a mobile toddler.
Extract:
Postpartum client with saturated perineal pad with bright red blood
Question 4 of 5
When caring for a postpartum client, the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority to ask the client?
Correct Answer: A
Rationale: Asking when the pad was changed assesses bleeding rate, critical for evaluating postpartum hemorrhage. Clots, cramping, or bladder status are secondary to quantifying the bleeding volume and urgency.
Extract:
Client at 36 weeks' gestation
Question 5 of 5
The nurse identifies the following assessment findings in a client who is 36 weeks' gestation. Which should be immediately reported to the provider?
Correct Answer: B
Rationale: Blood pressure of 144/94 mmHg indicates gestational hypertension, risking preeclampsia, requiring immediate reporting. Rubella immunity, leukorrhea, and O-negative blood type are not urgent unless associated with other complications.