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ATI NUR 207 Maternal Newborn Exam Questions

Extract:


Question 1 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.

Extract:

Postpartum client who delivered vaginally, saturated 6 perineal pads with bright red blood and small clots in one hour.


Question 2 of 5

A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period. The nurse suspects a post-partum hemorrhage. The nurse knows that a risk factor for post-partum hemorrhage is:

Correct Answer: A

Rationale: A macrosomic baby causes uterine overstretching, increasing the risk of postpartum hemorrhage.

Extract:

Newborn exhibiting diaphoresis, jitteriness, and lethargy.


Question 3 of 5

A nurse is caring for a newborn who exhibits signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Diaphoresis, jitteriness, and lethargy suggest hypoglycemia, requiring a blood glucose check.

Extract:

Mother delivered vaginally 2 hours ago, fundus firm at umbilicus, BP 108/64, apical 90, RR 20, temp 98.6°F, sudden heavy lochia saturating chux pad in 5 minutes.


Question 4 of 5

A nurse admits a normal vaginal delivery to the maternity unit 2 hours ago. The patient's fundus is firm at the umbilicus. On admission, her vital signs are BP 108/64, Apical 90, RR 20, and Temp. 98.6°F. Suddenly, her lochia appears to be heavy, saturating the entire chux pad within 5 minutes. At this time, the nurse's first priority action is:

Correct Answer: D

Rationale: Massaging the fundus promotes uterine contraction, addressing heavy lochia to control bleeding.

Extract:

Breastfeeding mother at risk for mastitis.


Question 5 of 5

The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding. Which statement by the client indicates a need for MORE teaching?

Correct Answer: A

Rationale: Antibiotics for mastitis require a full 10-14 day course to prevent recurrence, indicating a need for further teaching.

Similar Questions

The RN has received a hand-off report. Which client does the RN need to see first?
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
A certified nursing assistant (CNA) reports to the charge nurse. Which client care assignment is appropriate for the CNA?
The nurse evaluates a 10-hour-old newborn who is B-negative blood type and whose mother is O+. The nurse assesses the newborn to have noticeable yellow discoloration of the skin. The nurse reports this as pathologic jaundice and understands that which finding is most helpful in reducing jaundice in the infant?
Which of the following interventions should the nurse prioritize for this newborn? Select all that apply.

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