Questions 49

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ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

A nurse is assessing a newborn immediately following a scheduled cesarean delivery.


Question 1 of 5

Which of the following assessments is the nurse's priority?

Correct Answer: A

Rationale: Respiratory distress is the priority due to the risk of fluid in the lungs post-cesarean, which can be life-threatening if not addressed promptly.

Extract:

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


Question 2 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 assessing a newborn immediately following a scheduled cesarean delivery.


Question 3 of 5

Which of the following assessments is the nurse's priority?

Correct Answer: A

Rationale: Respiratory distress is the priority due to the risk of fluid in the lungs post-cesarean, which can be life-threatening if not addressed promptly.

Extract:

A nurse receives report about assigned clients at the start of the shift.


Question 4 of 5

Which of the following clients should the nurse plan to see first?

Correct Answer: B

Rationale: Preeclampsia with elevated BP requires immediate monitoring to prevent complications like eclampsia, taking priority over stable or less urgent cases.

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 5 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.

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