Questions 49

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ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

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


Question 1 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 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 2 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 is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.


Question 3 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 teaching a newborn's parent to care for the umbilical cord stump.


Question 4 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 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.

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