ATI RN Maternal Newborn 2023 IV | Nurselytic

Questions 35

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ATI RN Maternal Newborn 2023 IV Questions

Extract:

A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Administering a lactated Ringer's bolus restores fluid volume and stabilizes blood pressure due to persistent bleeding, addressing the immediate concern of fluid loss.

Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Administering a lactated Ringer's bolus restores fluid volume and stabilizes blood pressure due to persistent bleeding, addressing the immediate concern of fluid loss.

Extract:

A nurse is preparing to administer phytonadione 0.5 mg to a newborn.


Question 3 of 5

Which of the following routes should the nurse choose for administration of the medication?

Correct Answer: C

Rationale: The vastus lateralis muscle in the thigh is the preferred site for IM injections in newborns due to its size and accessibility. Phytonadione (Vitamin K) is administered IM, not subcutaneously, and the deltoid is not used in newborns.

Extract:

A nurse is reviewing the history of a client who is pregnant.


Question 4 of 5

Which of the following clinical data indicates the client is at risk for preterm delivery?

Correct Answer: A

Rationale: A history of cervical cerclage indicates cervical insufficiency, a known risk factor for preterm delivery. The other findings do not directly correlate with preterm risk.

Extract:

A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization.


Question 5 of 5

Which of the following information should the nurse provide to the client?

Correct Answer: A

Rationale: IVF increases the risk of multiple gestations, necessitating discussion about fetal reduction to reduce maternal and fetal risks. Donor oocytes and embryo freezing are options, and sperm is fertilized in vitro, not in utero.

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