ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is caring for a client who is 2 hours postpartum following a vaginal birth.
Question 1 of 5
Which of the following findings indicates the client's bladder is distended?
Correct Answer: A
Rationale: A fundus displaced to the right suggests bladder distention pushing the uterus off midline, a key indicator unlike the other findings.
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:
Postpartum day 1: Client is breastfeeding newborn every 4 to 5 hr for 30 to 40 minutes each time, reports some nipple discomfort during feedings. Assisted with positioning and latch. Recommended awakening the newborn to feed every 3 hr during the day. Newborn voided twice and passed two meconium stools in the past 24 hr. Postpartum day 2: Client reports breastfeeding every 3 to 4 hr, nipple discomfort during some feedings, no nipple trauma noted. Breasts are soft, denies feelings of fullness. Newborn voided twice and passed three meconium stools in the second 24 hr.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the discharge teaching?
Correct Answer: B,D,E
Rationale: Frequent feeding (8-12 times/day) stimulates milk production. Stool transition to yellow indicates proper digestion. Breast engorgement signs are expected. Supplementing with formula, using plastic-lined pads, and relying solely on water intake may indicate misunderstandings.
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 4 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 providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Question 5 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Hot packs during feeding can worsen engorgement by increasing blood flow; ice, cabbage leaves, and frequent feeding are appropriate measures.