Questions 60

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ATI NUR 207 Maternal Newborn Exam Questions

Extract:

Newborn 8 hours of age.


Question 1 of 5

A nurse is caring for a newborn 8 hours of age. Which of the following assessment findings require follow-up by the nurse?

Correct Answer: A,B,D

Rationale: A: Large ecchymotic caput may indicate complications. B: Jaundice requires monitoring. D: High respiratory rate suggests distress.

Extract:

Newborn with blood glucose level of 40.


Question 2 of 5

A nurse is caring for a newborn whose blood glucose level is 40. Which of the following interventions has priority in the nurse's plan of care?

Correct Answer: C

Rationale: A glucose level of 40 mg/dL is low, requiring immediate physician notification for prompt intervention.

Extract:

4-hour-old newborn who breastfed well initially but has not fed again.


Question 3 of 5

A newborn is reported to have breastfed very well during the first successful feeding after birth. The baby is now 4 hours old and has not had a second feeding. The nurse would:

Correct Answer: D

Rationale: Teaching about newborn sleep and hunger patterns addresses normal irregular feeding schedules.

Extract:


Question 4 of 5

The nurse is teaching the patient about breastfeeding. The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

Correct Answer: A

Rationale: Oxytocin triggers the let-down reflex by causing milk duct contraction, ejecting milk during breastfeeding.

Extract:

Newborn 56 hours old, poor feeding, poor suck, jittery, lethargic, jaundice, loose stool, bilirubin 14 mg/dL, glucose 50 mg/dL.


Question 5 of 5

A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? Each finding may support more than one disease process.

Correct Answer: A

Rationale: Jitteriness, lethargy, and poor feeding align with hypoglycemia and NAS; jaundice indicates neonatal jaundice; loose stool is typical in NAS.

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