Questions 60

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ATI NUR 207 Maternal Newborn Exam Questions

Extract:

Client with painful nipples due to breastfeeding.


Question 1 of 5

A nurse is providing care for a client with painful nipples due to breastfeeding. What intervention is appropriate?

Correct Answer: B

Rationale: Teaching proper latching techniques prevents nipple trauma, addressing the cause of pain.

Extract:

Newborn delivered via cesarean, 4337 grams, full-term, Apgar 8/9, under observation for jaundice and poor feeding, jittery, lethargic, poor suck, jaundice, loose stool, bilirubin 15 mg/dL, glucose 45 mg/dL.


Question 2 of 5

A nurse is caring for a newborn in the neonatal unit. The newborn was delivered via cesarean birth approximately 1 hour ago. Complete the diagram by specifying: 1. What condition the newborn is most likely experiencing. 2. Two actions the nurse should take to address that condition. 3. Two parameters the nurse should monitor to assess the newborn's progress.

Correct Answer: A

Rationale: Neonatal jaundice is indicated by elevated bilirubin and yellow skin. Phototherapy and frequent feeding reduce bilirubin, while monitoring bilirubin and glucose tracks progress.

Extract:

Client breastfeeding.


Question 3 of 5

A nurse is assisting a client with breastfeeding. Which of the following reflexes will promote the newborn to latch?

Correct Answer: C

Rationale: The rooting reflex triggers head-turning and sucking, aiding latching during breastfeeding.

Extract:

Client with a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours.


Question 4 of 5

The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

Correct Answer: C

Rationale: Calculation: 0.2 mg every 6 hours = 4 doses in 24 hours; 0.2 mg x 4 = 0.8 mg.

Extract:

A client with an IUD inserted a few weeks ago, reporting heavy menstrual flow.


Question 5 of 5

A client calls the clinic to report some concerns. She had an IUD inserted a few weeks ago and her present menstrual flow is heavy. You advise her to:

Correct Answer: A

Rationale: Heavy bleeding post-IUD insertion may indicate complications like displacement, requiring urgent evaluation.

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