Questions 49

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ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

Extract:

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.


Question 1 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 on the postpartum unit is caring for a group of clients with an assistive personnel (AP).


Question 2 of 5

Which of the following tasks should the nurse plan to delegate to the AP?

Correct Answer: A

Rationale: Changing a perineal pad is a basic hygiene task suitable for delegation to an AP, unlike the other tasks requiring nursing judgment.

Extract:

A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth.


Question 3 of 5

Which of the following actions is the nurse's priority?

Correct Answer: B

Rationale: Suctioning the mouth first clears the airway, preventing aspiration and facilitating breathing, which is the priority in this scenario.

Extract:

A nurse in the newborn nursery is caring for a group of newborns.


Question 4 of 5

Which of the following newborns requires immediate intervention?

Correct Answer: D

Rationale: Failure to void within 24 hours may indicate a urinary tract obstruction, requiring immediate assessment. The other findings are either normal or less urgent.

Extract:

A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line.


Question 5 of 5

How should the nurse document this finding?

Correct Answer: D

Rationale: Cephalhematoma is a collection of blood under the periosteum, confined by suture lines, often with bruising, matching the description.

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