Questions 49

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ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site.


Question 1 of 5

The nurse should recognize that this client is at risk for which of the following complications?

Correct Answer: B

Rationale: Petechiae and bleeding suggest DIC, a complication of abruptio placentae due to clotting factor consumption following placental separation.

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 caring for a newborn who has myelomeningocele.


Question 3 of 5

Which of the following nursing goals has the priority in the care of this infant?

Correct Answer: B

Rationale: Maintaining the sac's integrity prevents infection and neural damage, the most urgent need in myelomeningocele care.

Extract:

A nurse is caring for a newborn 4 hours after birth.


Question 4 of 5

Which of the following actions should the nurse include in the plan of care to prevent jaundice?

Correct Answer: B

Rationale: Early feeding promotes meconium passage, reducing bilirubin reabsorption, a key preventive measure for jaundice.

Extract:

A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed.


Question 5 of 5

Which of the following findings indicate mastitis?

Correct Answer: D

Rationale: A red, painful area in one breast indicates mastitis, a localized infection, unlike the other findings which suggest other conditions or normal breastfeeding issues.

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