ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line.
Question 1 of 5
How should the nurse document this finding?
Correct Answer: D
Rationale: Cephalhematoma is a collection of blood under the periosteum, confined by suture lines, often with bruising, matching the description.
Extract:
A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Question 2 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Hot packs during feeding can worsen engorgement by increasing blood flow; ice, cabbage leaves, and frequent feeding are appropriate measures.
Extract:
A nurse is preparing to administer vitamin K by IM injection to a newborn.
Question 3 of 5
The nurse should administer the medication into which of the following muscles?
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in newborns due to its size and accessibility, minimizing risk to other structures.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 4 of 5
After assuring a patent airway, what is the priority nursing action?
Correct Answer: A
Rationale: Drying the skin prevents evaporative heat loss, which is critical immediately after birth to maintain thermoregulation, taking precedence over other actions.
Extract:
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hours following a vaginal birth.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A warm sitz bath promotes healing and relieves episiotomy pain by increasing blood flow and relaxing muscles, more effective for persistent pain than other options.