ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Newborn
Question 1 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:
Child in sickle cell crisis
Question 2 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Pain is a hallmark of sickle cell crisis due to vaso-occlusion, causing ischemia. Constipation, high fever, or bradycardia are not typical; fever may indicate secondary infection, and tachycardia is more likely than bradycardia.
Extract:
Client using a diaphragm for contraception
Question 3 of 5
After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?
Correct Answer: C
Rationale: Leaving the diaphragm in for six hours post-intercourse ensures sperm neutralization by spermicide, optimizing efficacy. Permanent fit, use during menstruation, or extended retention increase risks of inefficacy or infection.
Extract:
Newborn diagnosed with patent ductus arteriosus
Question 4 of 5
The nurse is caring for a newborn diagnosed with patent ductus arteriosus (PDA). Which finding is expected?
Correct Answer: D
Rationale: A continuous 'machinery-like' heart murmur is classic for PDA due to turbulent blood flow between the aorta and pulmonary artery. Decreased urine output, bradycardia, or cyanosis are not typical, as PDA involves left-to-right shunting.
Extract:
13-year-old with muscular dystrophy receiving corticosteroids
Question 5 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,D
Rationale: Weight gain (
A), mood changes (
B), and osteoporosis (
D) are common corticosteroid side effects due to metabolic, neuropsychiatric, and bone metabolism impacts. Chronic fatigue is not a primary effect, though muscle weakness may occur.