Questions 49

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ATI N230 Exam 3 with NGN Maternal Newborn Exam Questions

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 1 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 planning care for a newborn who has spina bifida.


Question 2 of 5

Which of the following actions should be included in the plan of care?

Correct Answer: C

Rationale: The prone position prevents pressure on the spina bifida lesion, reducing trauma and infection risk, unlike the other options which are contraindicated.

Extract:

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


Question 3 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 teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin.


Question 4 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 caring for a client who is 2 hours postpartum following a vaginal birth.


Question 5 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: A

Rationale: A fundus displaced to the right suggests bladder distention pushing the uterus off midline, a key indicator unlike the other findings.

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