ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. For newborns, the vastus lateralis muscle is the preferred site for intramuscular injections due to its larger muscle mass and minimal nerve endings, reducing the risk of injury and increasing absorption. This site is recommended by healthcare guidelines for administering vaccines to infants to ensure proper absorption and effectiveness. The other choices are incorrect because vigorously massaging the site (
B) can cause pain and tissue damage, inserting the needle at a 45° angle (
C) may not reach the muscle and can cause subcutaneous injection, and using a 21-gauge needle (
D) is not specific to the site and age group, potentially causing discomfort and inadequate absorption.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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