ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth.
Question 1 of 5
Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Suctioning the mouth first clears the airway, preventing aspiration and facilitating breathing, which is the priority in this scenario.
Extract:
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hours following a vaginal birth.
Question 2 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.
Extract:
A nurse is assessing a newborn immediately following a scheduled cesarean delivery.
Question 3 of 5
Which of the following assessments is the nurse's priority?
Correct Answer: A
Rationale: Respiratory distress is the priority due to the risk of fluid in the lungs post-cesarean, which can be life-threatening if not addressed promptly.
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 4 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 nurse is planning care for a newborn who has a new diagnosis of phenylketonuria (PKU).
Question 5 of 5
Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: A low-protein diet restricts phenylalanine, essential for managing PKU to prevent neurological damage, unlike the other options.