ATI RN
ATI NUR209 Maternal Newborn Final Assessment 2025 Questions
Extract:
Breastfeeding client
Question 1 of 5
Which three assessment findings indicate that the breastfeeding client has achieved a proper latch?
Correct Answer: B,C,D
Rationale: Audible swallowing (
B), tongue cupping with flanged lips (
C), and rhythmic sucking (
D) indicate proper latch, ensuring effective milk transfer. Slurping/clicking (
A) or cheek dimpling (E) suggest poor latch, causing air entry or suction issues.
Extract:
16-year-old with bruising around eyes and neck, states 'I walked into a door'
Question 2 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 with Trisomy 21 (Down's Syndrome)
Question 3 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.
Extract:
Client 1 hour after delivery with large amount of lochia rubra and small clots, fundus firm at umbilical level
Question 4 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:
Infant following surgical repair of an atrial septal defect
Question 5 of 5
The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant?
Correct Answer: A,B,C,D
Rationale: Measuring intake/output (
A), rest periods (
B), thermoneutral environment (
C), and bonding (
D) support recovery by monitoring fluid balance, reducing stress, stabilizing temperature, and promoting emotional health. Spirometers (E) are inappropriate for infants.