Questions 74

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ATI Maternal Newborn Exam Final Questions

Extract:

A newborn following delivery


Question 1 of 5

Which nursing action should be done first to care for the newborn?

Correct Answer: C

Rationale: Clearing the respiratory tract ensures a patent airway, preventing aspiration of mucus or fluid, and is the first priority. Drying, stimulation, and cord cutting follow.

Extract:

A client who is breastfeeding about managing breast engorgement


Question 2 of 5

Which of the following client statements indicates understanding of the teaching?

Correct Answer: D

Rationale: Frequent feedings every 2 hours prevent milk buildup, reducing engorgement. Cold compresses, herbal tea, and single-breast drainage are less effective or inappropriate.

Extract:

A client who is experiencing preterm labor, receiving magnesium sulfate IV


Question 3 of 5

Which of the following is the priority nursing assessment for this client?

Correct Answer: C

Rationale: Respiratory rate is the priority due to magnesium sulfate's risk of respiratory depression. FHR, temperature, and bowel sounds are monitored but are less critical.

Extract:

A preterm newborn in an incubator to maintain a neutral thermal environment


Question 4 of 5

Which of the following responses should the nurse make to the father's question about why this is necessary?

Correct Answer: B

Rationale: Preterm newborns lack adequate thermoregulation due to less subcutaneous fat and inability to shiver, necessitating an incubator. Other options are incorrect or irrelevant.

Extract:

A client who is receiving opioid epidural analgesia during labor


Question 5 of 5

Which of the following observations should the nurse prioritize?

Correct Answer: C

Rationale: Hypotension (80/56 mm Hg) is a critical complication of epidural analgesia, risking maternal and fetal perfusion. Itching, fever, and weakness are less urgent.

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