ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diaphoresis, jitteriness, and lethargy suggest hypoglycemia; obtaining a blood glucose level is the priority to confirm and treat this condition.
Extract:
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site.
Question 2 of 5
The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: B
Rationale: Petechiae and bleeding suggest DIC, a complication of abruptio placentae due to clotting factor consumption following placental separation.
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 3 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.
Extract:
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP).
Question 4 of 5
Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: A
Rationale: Changing a perineal pad is a basic hygiene task suitable for delegation to an AP, unlike the other tasks requiring nursing judgment.
Extract:
A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will 'come in.'
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Milk typically transitions to mature milk 3-5 days postpartum, aligning with the onset of copious milk production.