ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A newborn.
Question 1 of 5
Which of the following routes should the nurse choose for administration of the medication?
Correct Answer: B
Rationale: The correct answer is B: IM in the left vastus lateralis. The nurse should choose this route for administration of the medication because the vastus lateralis muscle is a recommended site for intramuscular injections due to its size and low risk of injury to nerves and blood vessels. IM injections in this site allow for the medication to be absorbed into the bloodstream more quickly compared to subcutaneous injections. Subcutaneous injections (choices A and
D) are typically used for medications that require slower absorption. IM in the right deltoid (choice
C) may cause injury to the radial nerve. As for the blank options, since they are not provided, we cannot assess their appropriateness.
Extract:
A maternal unit policy to ensure proper identification of newborns.
Question 2 of 5
Which of the following should the nurse include in the policy?
Correct Answer: C
Rationale: The correct answer is C because obtaining an imprint of the infant's feet prior to taking him to the nursery is crucial for proper identification and ensuring the right baby goes to the correct parent. This step helps prevent mix-ups and enhances patient safety.
Choice A is incorrect because replacing the infant's identification band after his name has been recorded may lead to errors in identification.
Choice B is incorrect as checking the newborn's identification using the crib card alone may not be sufficient for accurate identification.
Choice D is incorrect as requiring visitors to wear an identification band does not directly address the issue of infant identification and safety.
In summary, choice C is the most appropriate as it directly contributes to proper infant identification and reduces the risk of errors, making it the best option for inclusion in the policy.
Extract:
A client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 3 of 5
The nurse should initiate which of the following types of isolation precautions for the client?
Correct Answer: D
Rationale: The correct answer is D: Contact. Contact isolation precautions are used to prevent the spread of infections that are transmitted by direct or indirect contact. This includes wearing gloves, gowns, and practicing proper hand hygiene. For this client, contact precautions are necessary to prevent transmission of infectious agents through direct physical contact or contact with contaminated surfaces. Droplet precautions (
A) are used for infections spread through respiratory droplets, airborne precautions (
B) are for infections transmitted through tiny particles in the air, and protective environment (
C) is used to protect immunocompromised patients from outside pathogens. In this case, contact precautions are the most appropriate to prevent the spread of infection.
Extract:
A client who is in labor.
Question 4 of 5
The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer oxygen via a face mask. Late decelerations indicate uteroplacental insufficiency, causing fetal hypoxia. Administering oxygen improves oxygenation to the fetus by increasing maternal oxygen levels. Placing the client in a side-lying position helps improve uteroplacental perfusion. Decreasing IV fluids may further compromise perfusion. Fetal scalp stimulation is used for non-reassuring fetal heart rate patterns, not specifically for late decelerations. Elevating the client's head does not directly address the fetal distress.
Extract:
A client who is pregnant and whose last menstrual cycle started June 21.
Question 5 of 5
Which of the following is the estimated date of delivery in the next year?
Correct Answer: A
Rationale: The estimated date of delivery in the next year can be determined by looking for the last day of March, which is 31st. Since 28-Mar is the closest to the end of March, it is the correct answer.
Choice B, 21-Mar, is too early in March.
Choice C, 4-Apr, is in April.
Choice D, 14-Mar, is also too early in March.
Choices E, F, and G are not provided.