ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
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 1 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 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 planning care for a newborn who has a new diagnosis of phenylketonuria (PKU).
Question 4 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 teaching a newborn's parent to care for the umbilical cord stump.
Question 5 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.