ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse on the labor and delivery unit is caring for a newborn immediately following birth.
Question 1 of 5
Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: A
Rationale: Drying the skin removes moisture, directly reducing evaporative heat loss, which is critical for maintaining the newborn's body temperature.
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 2 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 home health nurse is teaching a client who is breastfeeding about managing breast engorgement.
Question 3 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: A
Rationale: Frequent feeding every 2 hours prevents milk stasis, effectively managing engorgement, unlike the other options which are less effective or incorrect.
Extract:
A nurse is preparing to administer oxygen via hood therapy to a newborn who was born at 30 weeks of gestation.
Question 4 of 5
Which of the following is an appropriate nursing action when providing care to this infant?
Correct Answer: D
Rationale: Maintaining oxygen saturations between 93% to 95% ensures adequate oxygenation while avoiding oxygen toxicity, critical for preterm infants.
Extract:
A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Question 5 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.