Questions 49

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ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

A nurse is caring for a newborn who has myelomeningocele.


Question 1 of 5

Which of the following nursing goals has the priority in the care of this infant?

Correct Answer: B

Rationale: Maintaining the sac's integrity prevents infection and neural damage, the most urgent need in myelomeningocele care.

Extract:

A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed.


Question 2 of 5

Which of the following findings indicate mastitis?

Correct Answer: D

Rationale: A red, painful area in one breast indicates mastitis, a localized infection, unlike the other findings which suggest other conditions or normal breastfeeding issues.

Extract:

A nurse is assessing a newborn 1 hour after birth.


Question 3 of 5

Which of the following respiratory rates is within the expected reference range for a newborn?

Correct Answer: B

Rationale: A respiratory rate of 48/min is within the normal newborn range (30-60 breaths/min), unlike the other rates which are too high or too low.

Extract:

A nurse is planning care for a newborn who is small for gestational age (SGA).


Question 4 of 5

Which of the following is the priority intervention the nurse should include in the newborn's plan of care?

Correct Answer: C

Rationale: SGA newborns are at risk for hypoglycemia due to low glycogen stores, making blood glucose monitoring the priority to prevent neurological complications.

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 5 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.

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