ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an IM injection to a newborn. Which of the following sites should the nurse select?
Correct Answer: A
Rationale: The correct answer is A: Vastus lateralis. For newborns, the vastus lateralis muscle is the preferred site for IM injections due to its larger muscle mass, lower risk of hitting nerves or blood vessels, and better absorption of the medication. The site is located on the lateral aspect of the thigh, making it easily accessible and safe for injections. The other choices are incorrect for newborns: B (dorsogluteal) is not recommended due to the risk of sciatic nerve injury, C (deltoid) is typically used for older children and adults, and D (rectus femoris) is not a commonly used site for IM injections in newborns.
Question 2 of 5
What is the recommended method of feeding for a premature infant?
Correct Answer: C
Rationale: Tube feeding is often recommended for premature infants who may not have the ability to suck and swallow effectively. It ensures they receive adequate nutrition.
Question 3 of 5
Which of the following is a potential complication of maternal obesity during pregnancy?
Correct Answer: D
Rationale: Maternal obesity can lead to gestational diabetes, preterm labor, and fetal macrosomia.
Question 4 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Verify that informed consent is obtained prior to administration.
Rationale: Verifying informed consent is crucial before any medical procedure, including administering dinoprostone, to ensure the client understands the risks and benefits. It also respects the client's autonomy and legal rights.
Summary of other choices:
A: Allowing the medication to reach room temperature is irrelevant to the administration process.
B: Placing the client in a semi-Fowler's position is not necessary for administering a dinoprostone insert.
C: Instructing the client to avoid urinary elimination is unnecessary and can be harmful.
E, F, G: No additional choices provided.
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial to prevent infection in the newborn with a myelomeningocele, as the leaking cerebrospinal fluid puts them at high risk for meningitis. Antibiotics help to combat potential pathogens and reduce the risk of serious complications. Monitoring the rectal temperature (
B) does not address the immediate need for infection prevention. Cleansing the site with povidone-iodine (
C) may not be sufficient to prevent infection. Surgical closure (
D) should be planned once the newborn is stable, but immediate infection prevention is the priority.