ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Sexually active adolescent female concerned about gonorrhea
Question 1 of 5
Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?
Correct Answer: B
Rationale: Slight yellow vaginal discharge is typical of gonorrhea due to mucopurulent cervicitis. Fever is rare unless disseminated, frothy discharge suggests trichomoniasis, and decreased urinary frequency is not associated; increased frequency is more likely.
Extract:
Client with suspected endometriosis
Question 2 of 5
A clinic nurse is assessing a client with a suspected diagnosis of endometriosis. Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Correct Answer: C
Rationale: Dysmenorrhea unresponsive to NSAIDs indicates endometriosis due to inflammatory ectopic tissue. PID, atypical Pap smears, and bloating lack specificity for this condition.
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:
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:
Client in labor with an external fetal monitor
Question 5 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency, reducing fetal oxygenation. Cord compression causes variable decelerations, head compression causes early decelerations, and maternal bradycardia is unrelated to fetal monitor patterns.