ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL.
Question 1 of 5
How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 0.5 mL. The dose should be administered per the prescribed amount, which in this case is 0.5 mL. It is important to follow the specific instructions provided by the healthcare provider to ensure the correct dosage is given to the patient.
Choice B: 1 mL is not correct as it does not match the prescribed dose.
Choice C: 2 mL is incorrect as it exceeds the prescribed amount.
Choice D: 0.6 mL is also incorrect as it is not the exact prescribed dose. It is crucial for the nurse to accurately measure and administer the correct dosage to ensure the patient's safety and treatment efficacy.
Extract:
A nurse is caring for a newborn immediately after birth.
Question 2 of 5
Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: B
Rationale: The correct answer is B: Drying the newborn's skin thoroughly. This action reduces evaporative heat loss by removing moisture from the baby's skin, preventing heat loss through evaporation. Maintaining ambient room temperature (
A) helps prevent conductive heat loss, not evaporative heat loss. Preventing air drafts (
C) reduces convective heat loss, not evaporative heat loss. Placing the newborn on a warm surface (
D) helps prevent conductive heat loss but does not directly address evaporative heat loss.
Extract:
A nurse is caring for a client who is postpartum.
Question 3 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: The correct answer is A. Rho(
D) immune globulin is administered to Rh-negative mothers who give birth to Rh-positive babies to prevent sensitization of the mother's immune system. If the mother's blood is exposed to Rh-positive blood during birth, she may develop antibodies that can harm future Rh-positive pregnancies.
Choices B, C, and D do not involve the Rh incompatibility issue, so Rho(
D) immune globulin is not indicated.
Extract:
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes.
Question 4 of 5
Which of the following complications should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Newborn hypoglycemia. This complication should be included because infants born to mothers with gestational diabetes are at risk for hypoglycemia due to the abrupt decrease in glucose supply after birth. The other options are not directly related to gestational diabetes. A (Small for gestational age) is a condition where the baby is smaller than expected, not necessarily due to gestational diabetes. B (Oligohydramnios) is a low level of amniotic fluid, which is not typically a complication of gestational diabetes. D (Placenta previa) is a condition where the placenta partially or completely covers the cervix, unrelated to gestational diabetes.
Extract:
Question 5 of 5
Which of the following reflects the normal sequence of postpartum vaginal discharge?
Correct Answer: D
Rationale: The correct sequence is Lochia rubra, lochia serosa, lochia alba. Lochia rubra consists of blood and tissue debris, lasting for the first 3-4 days postpartum. Lochia serosa is pinkish or brownish and persists from days 4-10. Lochia alba is the final stage, yellowish-white discharge lasting up to 6 weeks. This sequence reflects the normal progression of postpartum vaginal discharge, starting with the presence of blood and ending with a lighter-colored discharge as the healing process progresses.
Choice D is correct.
Choices A, B, and C have the sequence of colors in the incorrect order, not following the typical progression of postpartum discharge.