ATI RN Maternal Newborn Practice Exam Questions with 100% Correct Answers |2024- 2025
1.) A nərs is assessing a newborn who has Trisomy 21 (Down Syndrome). Which of the following are common characteristics? SATA
A.) Transverse palmar creases
B.) Large ears
C.) Muscular hypertonicity
D.) Protruding tongue
E.) Low birth weight
2.) A nərs is assessing a newborn who has a coarctation of the aorta. Which of the following should the nərs recognize is a clinical
manifestation of coarctation of the aorta?
A.) Increased blood pressure in the arms with decreased blood pressure in the legs.
B.) Decreased blood pressure in the arms with increased blood pressure in the legs
C.) Increased BP in both the arms and the legs
D.) Decreased BP in both the arms and the legs
3.) A nərs is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nərs
expect?
A.) Cyanosis with crying
B.) Systolic murmur
C.) Weak pulses
D.) Chronic hypoxemia
4.) A nərs is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nərs expect to find?
A.) Over-riding suture lines
B.) Dilated scalp veins
C.) Hypertension
D.) A backward sloping appearance of the forehead
5.) A nərs is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nərs, "Is there a chance that I
could deliver my next baby without having a cesarean section?" Which of the following responses should the nərs provide?
A.) "The primary consideration is what type of incision was performed this time."
B.) "There are so many variables that you'll have to ask your obstetrician."
C.) "It's too soon for you to be worrying about this now."
D.) "A repeat cesarean birth is safer for both you and your baby."
6.) A nərs is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?
A.) Maintain the integrity of the sac.
B.) Promote maternal-infant bonding
C.) Educate the parents about the defect.
D.) Provide age-appropriate stimulation
7.) A nərs is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the
following responses by the nərs is appropriate?
A.) "The newborn might be actively shedding the virus."
B.) "The newborn is at risk for developing a TORCH infection."
C.) "The child might develop encephalitis, a complication of rubella."
D.) "Exposure to rubella will suppress the newborn's immune response."
8.) A nərs in the newborn nərsry is caring for a group of newborns. Which of the following newborns requires immediate intervention?
A.) A newborn who is 24 hr. post-delivery and has not voided
B.) A newborn who is 18 hr. post-delivery and has acrocyanosis
C.) A newborn who is 24-hr post-delivery and has not passed meconium
D.) A newborn who is 12 hr. post-delivery and has a temperature of 37.5o C (99.5o F)
(void Acrocyanosis up to 24hrs ok, meconium up to 12 to 48hrs ok)
1.) A nərs is assessing a newborn who has Trisomy 21 (Down Syndrome). Which of the following are common characteristics? SATA
A.) Transverse palmar creases
B.) Large ears
C.) Muscular hypertonicity
D.) Protruding tongue
E.) Low birth weight
2.) A nərs is assessing a newborn who has a coarctation of the aorta. Which of the following should the nərs recognize is a clinical
manifestation of coarctation of the aorta?
A.) Increased blood pressure in the arms with decreased blood pressure in the legs.
B.) Decreased blood pressure in the arms with increased blood pressure in the legs
C.) Increased BP in both the arms and the legs
D.) Decreased BP in both the arms and the legs
3.) A nərs is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nərs
expect?
A.) Cyanosis with crying
B.) Systolic murmur
C.) Weak pulses
D.) Chronic hypoxemia
4.) A nərs is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nərs expect to find?
A.) Over-riding suture lines
B.) Dilated scalp veins
C.) Hypertension
D.) A backward sloping appearance of the forehead
5.) A nərs is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nərs, "Is there a chance that I
could deliver my next baby without having a cesarean section?" Which of the following responses should the nərs provide?
A.) "The primary consideration is what type of incision was performed this time."
B.) "There are so many variables that you'll have to ask your obstetrician."
C.) "It's too soon for you to be worrying about this now."
D.) "A repeat cesarean birth is safer for both you and your baby."
6.) A nərs is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?
A.) Maintain the integrity of the sac.
B.) Promote maternal-infant bonding
C.) Educate the parents about the defect.
D.) Provide age-appropriate stimulation
7.) A nərs is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the
following responses by the nərs is appropriate?
A.) "The newborn might be actively shedding the virus."
B.) "The newborn is at risk for developing a TORCH infection."
C.) "The child might develop encephalitis, a complication of rubella."
D.) "Exposure to rubella will suppress the newborn's immune response."
8.) A nərs in the newborn nərsry is caring for a group of newborns. Which of the following newborns requires immediate intervention?
A.) A newborn who is 24 hr. post-delivery and has not voided
B.) A newborn who is 18 hr. post-delivery and has acrocyanosis
C.) A newborn who is 24-hr post-delivery and has not passed meconium
D.) A newborn who is 12 hr. post-delivery and has a temperature of 37.5o C (99.5o F)
(void Acrocyanosis up to 24hrs ok, meconium up to 12 to 48hrs ok)
