ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is planning care for a newborn who has spina bifida.
Question 1 of 5
Which of the following actions should be included in the plan of care?
Correct Answer: C
Rationale: The prone position prevents pressure on the spina bifida lesion, reducing trauma and infection risk, unlike the other options which are contraindicated.
Extract:
A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH).
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Asymmetric thigh folds result from hip instability in DDH, a common clinical sign due to femoral head displacement.
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 3 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 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 in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother's room.
Question 5 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: For security and safety, the nurse should verify with the mother before allowing the newborn to be taken, ensuring proper protocol is followed.