ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Newborn receiving hepatitis B virus (HBV) vaccine
Question 1 of 5
The nurse is preparing to administer a hepatitis B virus (HBV) vaccine to a newborn. Which intervention by the nurse is correct?
Correct Answer: B
Rationale: A 25-gauge, 5/8-inch needle is appropriate for intramuscular vaccine administration in newborns, typically in the vastus lateralis.
Extract:
Mother and newborn transferred to postpartum unit from labor and delivery
Question 2 of 5
A mother and her newborn have just been transferred to the postpartum unit from labor and delivery. Which infant safety education would be provided as soon as mom and baby are settled into their room? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Hand hygiene, maintaining ID bands, keeping the infant in sight, and verifying staff identity are critical for newborn safety to prevent infections and abduction.
Extract:
Question 3 of 5
What are the most common causes for subinvolution of the uterus?
Correct Answer: C
Rationale: Retained placental fragments and infection prevent normal uterine contraction, leading to subinvolution.
Extract:
Client is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 4 of 5
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: C
Rationale: Ambulation promotes circulation and prevents venous stasis, reducing the risk of thromboembolism in a client with a history of this condition.
Extract:
Newborn with weak cry, some flexion of arms and legs, active movement and cries to stimulation, heart rate 145, pallor all over
Question 5 of 5
You're assessing the one-minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score?
Correct Answer: B
Rationale: Weak cry (1), some flexion (1), active movement (2), heart rate >100 (2), and pallor (0) yield an APGAR score of 6, indicating moderate adaptation.