Questions 60

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ATI NUR 207 Maternal Newborn Exam Questions

Extract:

40-week small for gestational age (SGA) newborn.


Question 1 of 5

A nurse is assessing a 40-week small for gestational age (SGA) newborn. Which finding would indicate dehydration?

Correct Answer: D

Rationale: Tenting skin and dry lips indicate dehydration, common in SGA newborns with low fluid intake.

Extract:

Client receiving newborn care teaching.


Question 2 of 5

A nurse is providing teaching about newborn care to a client. Which statement indicates the need for further teaching?

Correct Answer: B

Rationale: Routine rectal temperature checks every 3 hours are unnecessary and invasive, requiring further teaching.

Extract:

Rh-negative client.


Question 3 of 5

A nurse is caring for a client who is Rh negative. Which of the following findings would cause the nurse to administer Rh immunoglobulin?

Correct Answer: B

Rationale: Rh immunoglobulin prevents antibody formation in Rh-negative mothers with Rh-positive newborns.

Extract:

Mother delivered vaginally 2 hours ago, fundus firm at umbilicus, BP 108/64, apical 90, RR 20, temp 98.6°F, sudden heavy lochia saturating chux pad in 5 minutes.


Question 4 of 5

A nurse admits a normal vaginal delivery to the maternity unit 2 hours ago. The patient's fundus is firm at the umbilicus. On admission, her vital signs are BP 108/64, Apical 90, RR 20, and Temp. 98.6°F. Suddenly, her lochia appears to be heavy, saturating the entire chux pad within 5 minutes. At this time, the nurse's first priority action is:

Correct Answer: D

Rationale: Massaging the fundus promotes uterine contraction, addressing heavy lochia to control bleeding.

Extract:

Postpartum client.


Question 5 of 5

A nurse is caring for a client who is postpartum. When should the nurse instruct the client that the breast milk will 'come in'?

Correct Answer: A

Rationale: Breast milk typically comes in 3-5 days postpartum due to hormonal shifts.

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