ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 1 of 5
Which of the following vaccines should the nurse plan to administer?
Correct Answer: B
Rationale: Tdap is recommended during pregnancy (typically 27-36 weeks) to protect the newborn from pertussis, especially critical if the client lacks prior immunization.
Extract:
A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).
Question 2 of 5
Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg to a newborn.
Question 3 of 5
What routes should the nurse choose for administration of the medication?
Correct Answer: C
Rationale: The intramuscular route in the vastus lateralis is preferred for phytonadione in newborns due to its large muscle mass and effective absorption.
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: D
Rationale: A previous cervical cerclage indicates a history of cervical insufficiency, a known risk factor for preterm delivery.
Extract:
A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 5 of 5
How many tablet(s) should the nurse plan to administer per dose?
Correct Answer: B
Rationale: Calculation: 250 mg ÷ 500 mg/tablet = 0.5 tablet per dose, ensuring the correct dosage is administered.