ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Question 1 of 5
Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel on a pediatric unit?
Correct Answer: A
Rationale: Weighing a diaper for output is a data collection task suitable for unlicensed assistive personnel, requiring no clinical judgment. Assessing dressings, calculating fall risk, or evaluating developmental milestones involve clinical expertise and are inappropriate for delegation.
Extract:
Client whose newborn had a circumcision with a Plastibell technique
Question 2 of 5
A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of circumcision care?
Correct Answer: C
Rationale: A loose diaper prevents friction and discomfort, supporting Plastibell healing. Alcohol swabs irritate, small bleeding is normal, and Plastibell detachment takes 5-8 days, not 24 hours.
Extract:
Client 1 hour after delivery with large amount of lochia rubra and small clots, fundus firm at umbilical level
Question 3 of 5
A nurse is assessing a client 1 hour after delivery and notices a large amount of lochia rubra along with several small clots on the perineal pad. The client's fundus is firm and located at the umbilical level, in the midline. What action should the nurse take next?
Correct Answer: B
Rationale: With a firm, midline fundus, lochia rubra and small clots are normal within the first hour postpartum. Documenting and monitoring is appropriate, as increased massage, notification, or bladder emptying are unnecessary without signs of atony or complications.
Extract:
18-hour-old infant with hyperbilirubinemia placed under phototherapy bank lights
Question 4 of 5
An 18-hour-old infant with hyperbilirubinemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?
Correct Answer: A
Rationale: Maximizing skin exposure to phototherapy lights enhances bilirubin breakdown via photoisomerization, reducing serum levels. Lotion risks burns, constant eye shields hinder bonding, and swaddling reduces light exposure, all compromising treatment efficacy.
Extract:
Newborn with Trisomy 21 (Down's Syndrome)
Question 5 of 5
A nurse is assessing a newborn who has Trisomy 21 (Down's Syndrome). Which of the following are common characteristics?
Correct Answer: A,D
Rationale: Transverse palmar creases (
A) and protruding tongue (
D) are common in Trisomy 21 due to genetic anomalies affecting hand and facial development. Hypertonia, low birth weight, and large ears are not typical; hypotonia and normal birth weight are more common.