Questions 60

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ATI NUR 207 Maternal Newborn Exam Questions

Extract:

Newborn who is 56 hours old, vital signs: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%.


Question 1 of 5

A nurse is caring for a newborn who is 56 hours old. Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

Correct Answer: F

Rationale: High heart rate, respiratory rate, and temperature instability are consistent with Neonatal Abstinence Syndrome.

Extract:

Neonate with heart rate 60, weak cry, partial flexion of extremities, weak suck, gray color.


Question 2 of 5

The nurse calculates the 1-minute Apgar score of a neonate with the following characteristics to be: Heart rate 60; weak cry, partial flexion of extremities; weak suck; gray color.

Correct Answer: B

Rationale: Apgar: Heart rate 60 (1), weak cry (1), partial flexion (1), weak suck (1), gray color (0) = 4.

Extract:

Postpartum client who had a cesarean section 4 days ago.


Question 3 of 5

The nurse is reviewing discharge instructions with the postpartum client who had a cesarean section 4 days ago and will include which of the following warning signs to report once she is home?

Correct Answer: A,B,C,D

Rationale: A: Red, tender breast suggests mastitis. B: Fever (100.8°F) may indicate infection. C: Burning on urination suggests UTI. D: Increased lochia rubra may indicate hemorrhage.

Extract:

Breastfeeding client managing engorgement.


Question 4 of 5

A home health nurse is teaching a client who is breastfeeding about managing engorgement. Which statement indicates understanding of the teaching?

Correct Answer: B

Rationale: Warm compresses before feeding soften breasts, easing milk flow and reducing engorgement.

Extract:


Question 5 of 5

The hormone responsible for the production of breast milk is:

Correct Answer: A

Rationale: Prolactin, produced by the anterior pituitary, stimulates mammary glands for milk production.

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