ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
4-year-old with spastic type cerebral palsy
Question 1 of 5
Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy?
Correct Answer: A,D,E
Rationale: Large-handled utensils (
A), range of motion exercises (
D), and games (E) promote independence, prevent contractures, and support development. Carbidopa (
B) is for Parkinson's, not drooling, and limiting peer interaction (
C) hinders socialization.
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:
16-year-old with bruising around eyes and neck, states 'I walked into a door'
Question 3 of 5
A 16-year-old is brought to the emergency room by her boyfriend with bruising around her eyes and neck. When asked what happened, she states, 'I walked into a door.' What are the most appropriate interventions by the nurse?
Correct Answer: A,B,C
Rationale: Private interview (
A), calm demeanor (
B), and safety assessment (
C) foster trust and identify abuse risks without intimidation. Police contact requires consent or legal mandate to preserve trust.
Extract:
Newborn
Question 4 of 5
The nurse educates the parents on actions to prevent sudden infant death syndrome. Which observation indicates the teaching has been effective?
Correct Answer: C
Rationale: Placing the newborn on their back reduces SIDS risk by preventing airway obstruction. Pacifier use lowers risk, feeding schedules are unrelated, and blankets increase suffocation risk.
Extract:
2-month-old infant brought to the emergency room
Question 5 of 5
A 2-month-old infant is brought to the emergency room. Which factor should lead the RN to suspect that the child may have experienced abusive head trauma?
Correct Answer: B
Rationale: Retinal hemorrhages are strongly associated with abusive head trauma due to shearing forces during shaking or impact, rupturing retinal blood vessels. This is a hallmark of non-accidental trauma in infants, unlike sunken fontanels (dehydration), bruises (non-specific), or lacerations (accidental or other abuse).