ATI RN
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 is planning care for a newborn who has a new diagnosis of phenylketonuria (PKU).
Question 2 of 5
Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: A low-protein diet restricts phenylalanine, essential for managing PKU to prevent neurological damage, unlike the other options.
Extract:
A nurse is caring for a client 2 hours after a spontaneous vaginal birth, and the client has saturated two perineal pads with blood in a 30-minute period.
Question 3 of 5
Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: Palpating the fundus assesses for uterine atony, a common cause of excessive postpartum bleeding, making it the priority to guide further interventions.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 4 of 5
After assuring a patent airway, what is the priority nursing action?
Correct Answer: A
Rationale: Drying the skin prevents evaporative heat loss, which is critical immediately after birth to maintain thermoregulation, taking precedence over other actions.
Extract:
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy.
Question 5 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.