Questions 58

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ATI NUR209 Maternal Newborn Final Assessment 2025 Questions

Extract:

Newborn whose mother was addicted to heroin during pregnancy


Question 1 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 2 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:

Child with sickle cell anemia after an acute crisis episode


Question 3 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:

Full-term infant whose parents are Asian, blue-gray discoloration across the sacrum


Question 4 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:

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,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.

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