ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.
Question 1 of 5
Based on these findings, which of the following actions should the nurse take?
Correct Answer: B
Rationale: A boggy, displaced fundus suggests bladder distention; assisting the client to void relieves pressure on the uterus, addressing the issue.
Extract:
A nurse is caring for a client who is 12 hours postpartum.
Question 2 of 5
Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: C
Rationale: Orthostatic hypotension suggests possible postpartum hemorrhage or hypovolemia, requiring further assessment, unlike the other normal or less urgent findings.
Extract:
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP).
Question 3 of 5
Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: A
Rationale: Changing a perineal pad is a basic hygiene task suitable for delegation to an AP, unlike the other tasks requiring nursing judgment.
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 4 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.
Extract:
A nurse is assessing a newborn immediately following a scheduled cesarean delivery.
Question 5 of 5
Which of the following assessments is the nurse's priority?
Correct Answer: A
Rationale: Respiratory distress is the priority due to the risk of fluid in the lungs post-cesarean, which can be life-threatening if not addressed promptly.