ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
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 1 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 postpartum and finds the fundus slightly boggy and displaced to the right.
Question 2 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.
Extract:
A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.
Question 3 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Checking the baby's temperature rectally every hour is excessive and may cause discomfort. The other statements reflect appropriate newborn care practices, though placing the baby on the stomach is not recommended for sleep due to SIDS risk, which is addressed in the explanation.
Extract:
A nurse is reinforcing teaching about newborn care with a postpartum client.
Question 4 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Baby powder can cause respiratory issues when inhaled and is not recommended for diaper rash prevention. The other practices are appropriate for newborn care.
Extract:
A nurse in the newborn nursery is caring for a group of newborns.
Question 5 of 5
Which of the following newborns requires immediate intervention?
Correct Answer: D
Rationale: Failure to void within 24 hours may indicate a urinary tract obstruction, requiring immediate assessment. The other findings are either normal or less urgent.