ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Pregnant patient with elevated alpha fetoprotein (AFP) level
Question 1 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:
Postmature infant
Question 2 of 5
A nurse is assessing a postmature infant. Which of the following findings would the nurse expect?
Correct Answer: A,C
Rationale: Cracked, peeling skin (
A) and sole creases (
C) are typical in postmature infants due to prolonged amniotic fluid exposure and advanced maturity. Moro reflex is normal, but long nails and absent vernix are more characteristic.
Extract:
Laboring client with ruptured membranes, frequent contractions, and bloody show
Question 3 of 5
The nurse is caring for a laboring client who presents with ruptured membranes, frequent contractions, and bloody show. Which intervention should be performed first?
Correct Answer: C
Rationale: Obtaining fetal heart rate first assesses fetal well-being post-membrane rupture and contractions. Vaginal exams risk infection, IV access and vital signs are secondary to ensuring fetal oxygenation.
Extract:
Sexually active adolescent female concerned about gonorrhea
Question 4 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 experiencing menopausal symptoms
Question 5 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contraindicated due to which of the following findings in the client's medical history?
Correct Answer: A
Rationale: A history of breast cancer contraindicates HT due to the risk of stimulating hormone receptor-positive cancer cells, increasing recurrence. GERD, dermatitis, and COPD are not standard contraindications, though cardiopulmonary status requires evaluation.