Questions 49

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ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A heart rate of 130/min is within the normal newborn range (120-160 bpm), requiring only documentation.

Extract:

A nurse is teaching a newborn's parent to care for the umbilical cord stump.


Question 2 of 5

Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Sponge baths keep the cord dry, reducing infection risk until it falls off. The other practices increase moisture and infection risk.

Extract:

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A heart rate of 130/min is within the normal newborn range (120-160 bpm), requiring only documentation.

Extract:

A nurse is caring for a client who is 12 hours postpartum.


Question 4 of 5

Which of the following findings should alert the nurse to the possibility of a postpartum complication?

Correct Answer: C

Rationale: Orthostatic hypotension suggests possible postpartum hemorrhage or hypovolemia, requiring further assessment, unlike the other normal or less urgent findings.

Extract:

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.


Question 5 of 5

Based on these findings, which of the following actions should the nurse take?

Correct Answer: B

Rationale: A boggy, displaced fundus suggests bladder distention; assisting the client to void relieves pressure on the uterus, addressing the issue.

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