ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is administering a hepatitis B vaccine to a newborn.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The vastus lateralis is the preferred site for newborn IM injections; a 23-25 gauge needle at 90° is standard, and massage is avoided to prevent irritation.
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 2 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: Clomiphene citrate, used to stimulate ovulation, commonly causes breast tenderness due to hormonal changes. The other effects are not typically associated with this medication.
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 3 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: Advanced labor (8 cm dilation) increases the risk of postpartum hemorrhage due to rapid delivery or uterine atony, not the other conditions listed.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Peripartum cardiomyopathy requires fluid restriction to reduce cardiac strain; fluids could worsen heart failure.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Closing the newborn's eyes before applying eyepatches protects the corneas from phototherapy light. Glucose water is unnecessary, turning should be more frequent (every 2 hours), and lotion can interfere with treatment.