ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
What is the recommended method of administering hepatitis B vaccine to a newborn?
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering the hepatitis B vaccine intramuscularly ensures optimal absorption and immune response. Muscle tissue has a rich blood supply, allowing for efficient distribution of the vaccine components. This route also minimizes the risk of injection site reactions and ensures proper dosage delivery. Oral administration (
B) is not recommended for the hepatitis B vaccine as it may not be as effective due to degradation in the digestive system.
Topical application (
C) is ineffective for vaccines that require systemic circulation. Subcutaneous injection (
D) may lead to inadequate absorption and efficacy compared to intramuscular injection.
Question 2 of 5
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: 8 tablets.
To calculate the number of tablets needed, divide the total dose (2g = 2000mg) by the strength of each tablet (250mg). 2000mg/250mg = 8 tablets. The other choices are incorrect because they do not result in the correct total dose required for treatment. B: 4 tablets would only provide 1000mg, which is half the required dose. C: 2 tablets would only provide 500mg, which is a quarter of the required dose. D: 1 tablet would only provide 250mg, which is only an eighth of the required dose.
Therefore, the correct choice is to administer 8 tablets to achieve the necessary 2g dose for effective treatment of trichomoniasis.
Question 3 of 5
Which of the following is a potential ethical issue related to maternal request for cesarean delivery?
Correct Answer: A
Rationale: The ethical issue of autonomy versus beneficence arises when a mother's request for a cesarean delivery conflicts with medical recommendations. Respecting patient autonomy while ensuring beneficence (doing what is best for the patient) can create ethical dilemmas.
Question 4 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Levonorgestrel is an emergency contraceptive that should be taken within 72 hours of unprotected intercourse to be most effective in preventing pregnancy.
Question 5 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:
Rationale:
1. Occipitoposterior position causes back labor due to fetal head pressing on the sacrum.
2. Hands-and-knees position can alleviate back labor by encouraging the fetus to rotate.
3. Asking if back labor improved evaluates effectiveness directly.
4. Options A, B, and C do not specifically address back labor, making them less relevant.
5. Option D focuses on the expected outcome of the intervention.