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ATI N230 Exam 3 with NGN Maternal Newborn exam

Total Questions : 49

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Question 1:

A nurse is teaching the parent of a newborn about bottle feeding. Which of the following statements by the parent indicates a need for further instruction?

Answer and Explanation

A
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Question 2:

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?

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Question 3:

A nurse is teaching the parent of a newborn about car seat use. Which of the following information should the nurse include?

Answer and Explanation

A
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Question 4:

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin. Which of the following should be included in the teaching?

Answer and Explanation

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Question 5:

A nurse is caring for a postpartum client.

Nurses Notes Postpartum day 1:

Client is breastfeeding newborn every 4 to 5 hr for 30 to 40 minutes each time.

patient reports some nipple discomfort during the feedings.

Assisted client with positioning and latch. Recommended the client awaken 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.

Client reports nipple discomfort during some feedings. No physical findings of nipple trauma are noted.

Breasts are soft. Client denies feelings of fullness.

Newborn voided twice and passed three meconium stools in the second 24 hr of life Discharge teaching provided to client regarding breastfeeding.

Which of the following statements by the client indicates an understanding of the discharge teaching?

Answer and Explanation

A
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Question 6:

A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn's plan of care?

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Question 7:

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

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Question 8:

A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?

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Question 9:

A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

Answer and Explanation

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Question 10:

A nurse on the labor and delivery unit is caring for a newborn immediately following birth.
Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Answer and Explanation

A
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Question 11:

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. Which of the following is an appropriate response by the nurse?

Answer and Explanation

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Question 12:

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

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Question 13:

A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

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Question 14:

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

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Question 15:

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn.
The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?

Answer and Explanation

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Question 16:

A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

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Question 17:

A nurse is preparing to administer oxygen via hood therapy to a newborn who was born at 30 weeks of gestation. Which of the following is an appropriate nursing action when providing care to this infant?

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Question 18:

A nurse is caring for a client 2 hours after a spontaneous vaginal birth, and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?

Answer and Explanation

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Question 19:

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?

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Question 20:

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. How should the nurse document this finding?

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Question 21:

A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Answer and Explanation

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Question 22:

A nurse is providing teaching to the mother of a newborn born small for gestational age.
Which of the following should the nurse include as a possible cause of this condition?

Answer and Explanation

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Question 23:

A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?

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Question 24:

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

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Question 25:

A nurse is completing a newborn gestational age assessment. Which of the following findings should be recorded as part of this assessment on the newborn?

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