ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam 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. This is the recommended site for administering vaccines to newborns due to its large muscle mass, which allows for optimal absorption and minimizes the risk of injury to surrounding structures. It is also the preferred site to prevent damage to the sciatic nerve and femoral artery. Options B, C, and D are incorrect because massaging the site vigorously can cause discomfort, inserting the needle at a 45° angle may not reach the muscle in newborns, and using a 21-gauge needle may not be appropriate for newborns.
Question 2 of 5
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
Correct Answer: D
Rationale: Quality improvement patient-centered care and safety are all fundamental professional standards in nursing practice. These standards ensure high-quality safe and compassionate care for mothers and newborns.
Question 3 of 5
A nurse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Using a car seat during air travel ensures the newborn's safety during takeoff, landing, and turbulence.
Question 4 of 5
Which of the following is a potential complication of a cesarean delivery?
Correct Answer: D
Rationale: The correct answer is D: All of the above. A cesarean delivery can lead to hemorrhage due to the incision made in the uterus, infection can occur at the incision site or in the uterus post-surgery, and uterine rupture is a risk especially in future pregnancies. Choosing A, B, or C individually would be incorrect as each of these complications can indeed occur following a cesarean delivery. Selecting any of the other choices would not encompass all potential complications associated with a cesarean delivery.
Question 5 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale: The correct answer is D:
To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ophthalmic ointment allows for immediate skin-to-skin contact and bonding between the newborn and parent, which is crucial for establishing a strong emotional connection and promoting breastfeeding. This initial bonding period is a critical time for the newborn's development and emotional well-being.
Choices A, B, and C are incorrect because delaying the instillation of the ointment for these reasons could potentially jeopardize the newborn's health and increase the risk of infection.