ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Fortified soy milk is a good source of vitamin B12, which is essential for individuals following a vegan diet as it is mainly found in animal products. Raw carrots, fresh citrus fruits, and brown rice do not contain vitamin B12. The rationale is to recommend fortified soy milk to ensure the client meets their vitamin B12 needs.
Question 2 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, as the leaking cerebrospinal fluid exposes the newborn to a high risk of meningitis. Antibiotics help to prevent and treat potential bacterial infections. Monitoring rectal temperature (
B) does not address the immediate risk of infection. Cleansing the site with povidone-iodine (
C) is important but not as urgent as starting antibiotics. Surgical closure (
D) should be done promptly but not necessarily after 72 hours; infection prevention is the priority.
Question 3 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 the larger muscle mass and reduced risk of nerve damage. This site also allows for proper absorption of the vaccine. Massaging the site vigorously (
B) can cause discomfort and is not recommended. Inserting the needle at a 45° angle (
C) may not reach the muscle mass, leading to improper absorption. Using a 21-gauge needle (
D) is too large for a newborn and may cause unnecessary pain and tissue damage.
Question 4 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale: The correct answer is D: "Has your back labor improved?" In the occipitoposterior position, the baby's head is pressing against the mother's sacrum, causing intense back pain known as back labor. By asking if the back labor has improved, the nurse can directly assess the effectiveness of the hands-and-knees position in helping relieve the pressure on the sacrum and potentially rotating the baby into a more favorable position. Option A focuses on suprapubic pain, which is not typically associated with occipitoposterior positioning. Option B addresses pelvic pressure, which may not be directly affected by the hands-and-knees position. Option C inquires about contractions, which are not the primary concern in this scenario.
Question 5 of 5
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome is characterized by withdrawal symptoms in newborns exposed to drugs in utero. Excessive crying is a common manifestation due to irritability and discomfort. Diminished deep tendon reflexes (choice
A) are not typically associated. Decreased muscle tone (choice
C) is more commonly seen in conditions like hypotonia. Absent Moro reflex (choice
D) is not typically part of neonatal abstinence syndrome.