Questions 49

ATI RN

ATI RN Test Bank

ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

A nurse is caring for a client who reports unrelieved episiotomy pain 8 hours following a vaginal birth.


Question 1 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 providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.


Question 2 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.

Extract:

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


Question 3 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 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 4 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.

Extract:

A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed.


Question 5 of 5

Which of the following findings indicate mastitis?

Correct Answer: D

Rationale: A red, painful area in one breast indicates mastitis, a localized infection, unlike the other findings which suggest other conditions or normal breastfeeding issues.

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