Questions 49

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ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

A nurse is planning care for a newborn who has a new diagnosis of phenylketonuria (PKU).


Question 1 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.

Extract:

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin.


Question 2 of 5

Which of the following should be included in the teaching?

Correct Answer: A

Rationale: Rh (
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies from hemolytic disease. It does not destroy antibodies or affect the newborn directly.

Extract:

A nurse is preparing to administer oxygen via hood therapy to a newborn who was born at 30 weeks of gestation.


Question 3 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 reviewing a newborn's laboratory results.


Question 4 of 5

Which of the following findings is the nurse's priority?

Correct Answer: C

Rationale: A blood glucose of 45 mg/dL indicates hypoglycemia, requiring immediate intervention to prevent neurological complications, taking priority over other findings.

Extract:

A nurse is caring for a client who is 1 hour postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Lochia rubra with small clots and a firm, midline fundus are normal 1 hour postpartum, requiring only documentation and continued monitoring.

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