ATI RN
ATI Maternity Exam 3 Questions
Extract:
The nurse administers vitamin K intramuscularly to a newborn.
Question 1 of 5
The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales?
Correct Answer: D
Rationale: Vitamin K is essential for clotting factor synthesis, preventing hemorrhagic disease in newborns due to their low vitamin K levels at birth.
Extract:
A postpartum client approximately 6 hours after delivery.
Question 2 of 5
When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation?
Correct Answer: D
Rationale: A heart rate of 115 suggests possible hemorrhage or dehydration, requiring further assessment, unlike normal postpartum findings like lochia or sweating.
Extract:
Post-term fetal risks.
Question 3 of 5
Post-term fetal risks include all of the following, EXCEPT:
Correct Answer: C
Rationale: Cord prolapse is not a post-term risk but is associated with other factors like prematurity or breech presentation, unlike macrosomia, IUGR, and MAS, which are linked to post-term pregnancies.
Extract:
A newborn receiving phototherapy.
Question 4 of 5
Which of the following would the nurse include in the plan of care for a newborn receiving phototherapy?
Correct Answer: D
Rationale: Frequent feeding supports hydration and bilirubin excretion during phototherapy, unlike harmful lotion, dehydration, or static positioning.
Extract:
A client at the first prenatal visit who has a BMI of 26.5
Question 5 of 5
A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: For a BMI of 26.5 (overweight), 15-25 pounds is recommended. One pound per week is too vague, 11-20 pounds is insufficient, and 25-35 pounds is for normal BMI.