ATI RN
ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions
Extract:
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin.
Question 1 of 5
Which of the following should be included in the teaching?
Correct Answer: A
Rationale: Rh (
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies from hemolytic disease. It does not destroy antibodies or affect the newborn directly.
Extract:
A nurse is teaching the parent of a newborn about car seat use.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: Positioning the newborn at a 45-degree angle ensures proper airway maintenance and comfort. The retainer clip should be at chest level, the car seat should remain rear-facing until at least 2 years or as per guidelines, and shoulder straps should be at or above the shoulders for rear-facing seats.
Extract:
A nurse is caring for a newborn and auscultates an apical heart rate of 130/min.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A heart rate of 130/min is within the normal newborn range (120-160 bpm), requiring only documentation.
Extract:
A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Question 4 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.
Extract:
A nurse is caring for a client who is 5 hours postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz (4252 g).
Question 5 of 5
The nurse should recognize that this client is at risk for which of the following postpartum complications?
Correct Answer: A
Rationale: A large newborn increases the risk of uterine atony due to uterine overdistension, a common cause of postpartum hemorrhage.