ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is teaching the parent of a newborn about bottle feeding.
Question 1 of 5
Which of the following statements by the parent indicates a need for further instruction?
Correct Answer: B
Rationale: Tipping the nipple to allow air during feeding can lead to ingestion of air, causing discomfort and gas in the baby. Keeping the head elevated, allowing burping, and expecting yellow stools are appropriate practices.
Extract:
A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.
Question 2 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Checking the baby's temperature rectally every hour is excessive and may cause discomfort. The other statements reflect appropriate newborn care practices, though placing the baby on the stomach is not recommended for sleep due to SIDS risk, which is addressed in the explanation.
Extract:
A nurse is teaching the parent of a newborn about car seat use.
Question 3 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: Positioning the newborn at a 45-degree angle ensures proper airway maintenance and comfort. The retainer clip should be at chest level, the car seat should remain rear-facing until at least 2 years or as per guidelines, and shoulder straps should be at or above the shoulders for rear-facing seats.
Extract:
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin.
Question 4 of 5
Which of the following should be included in the teaching?
Correct Answer: A
Rationale: Rh (
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies from hemolytic disease. It does not destroy antibodies or affect the newborn directly.
Extract:
Postpartum day 1: Client is breastfeeding newborn every 4 to 5 hr for 30 to 40 minutes each time, reports some nipple discomfort during feedings. Assisted with positioning and latch. Recommended awakening the newborn to feed every 3 hr during the day. Newborn voided twice and passed two meconium stools in the past 24 hr. Postpartum day 2: Client reports breastfeeding every 3 to 4 hr, nipple discomfort during some feedings, no nipple trauma noted. Breasts are soft, denies feelings of fullness. Newborn voided twice and passed three meconium stools in the second 24 hr.
Question 5 of 5
Which of the following statements by the client indicates an understanding of the discharge teaching?
Correct Answer: B,D,E
Rationale: Frequent feeding (8-12 times/day) stimulates milk production. Stool transition to yellow indicates proper digestion. Breast engorgement signs are expected. Supplementing with formula, using plastic-lined pads, and relying solely on water intake may indicate misunderstandings.