ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is assessing a newborn 1 hour after birth.
Question 1 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 teaching the parent of a newborn about bottle feeding.
Question 2 of 5
Which of the following statements by the parent indicates a need for further instruction?
Correct Answer: B
Rationale: Tipping the nipple to allow air during feeding can lead to ingestion of air, causing discomfort and gas in the baby. Keeping the head elevated, allowing burping, and expecting yellow stools are appropriate practices.
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 providing teaching to the mother of a newborn born small for gestational age.
Question 4 of 5
Which of the following should the nurse include as a possible cause of this condition?
Correct Answer: D
Rationale: Placental insufficiency restricts nutrient and oxygen delivery, a primary cause of intrauterine growth restriction leading to SGA.
Extract:
A nurse is preparing to administer vitamin K by IM injection to a newborn.
Question 5 of 5
The nurse should administer the medication into which of the following muscles?
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for IM injections in newborns due to its size and accessibility, minimizing risk to other structures.