ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Question 1 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:
Client 2 days postpartum, breastfeeding, reports nipple soreness
Question 2 of 5
A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?
Correct Answer: B,C,D
Rationale: Applying breast milk (
B), changing positions (
C), and starting with the less sore nipple (
D) reduce soreness by moisturizing, varying pressure, and minimizing initial latch pain. Tight bras or ice packs may worsen discomfort or reduce milk flow.
Extract:
Client in labor with an external fetal monitor
Question 3 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.
Extract:
Postpartum client one day after delivery, fundus soft and spongy
Question 4 of 5
A nurse is assessing the fundus of a postpartum client one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to perform?
Correct Answer: A
Rationale: Massaging the fundus first addresses uterine atony, reducing bleeding risk. Notification, documentation, or oxytocin are secondary to immediate mechanical stimulation.
Extract:
Question 5 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.