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Practice Question

The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales? Select one:

Answer Choices:

Correct Answer:

Vitamin K will promote blood clotting ability.

Rationale:

🟢 Newborns are born with low levels of vitamin K, which is essential for the activation of clotting factors II, VII, IX, and X—proteins necessary for normal blood coagulation.

🟢 This deficiency occurs because vitamin K does not cross the placenta efficiently, and the gut flora needed to synthesize it is not yet established in the newborn.

🟢 Without supplementation, infants are at risk for Vitamin K Deficiency Bleeding (VKDB), which can be life-threatening and may occur within the first few days to months of life.

🟢 A single intramuscular dose of vitamin K (usually 1 mg IM) is given at birth to prevent spontaneous internal or external bleeding, including dangerous intracranial hemorrhage.

🟢 It does not affect bilirubin metabolism, erythropoiesis, or Rh sensitization.

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This question is from RN ATI Maternity Exam III which contains 55 questions.

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A client who is breastfeeding her newborn tells the nurse, "l notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate? Select one:

Answer Choices:

A. "Your body is responding to the events of labor, just like after a tough workout.
B. "This could be a sign that your body is trying to get rid of retained placental fragments."
C. "Let me check your vaginal discharge just to make sure everything is fine."
D. "The baby's sucking releases oxytocin which causes your uterus to contract."
A couple who has had difficulty conceiving confides in the nurse at the infertility clinic that they feel overwhelmed with the decisions that face them. Which of the following nursing strategies would be most appropriate and therapeutic? Select one:

Answer Choices:

A. Provide compassionate and accurate information throughout the process and support them to make their own decisions.
B. Inquire about the names they have chosen for their baby to get their mind off their stress.
C. Express sympathy and provide directive advice to the couple about what they should do.
D. Refer them to a marriage counselor in the same building to help them with the decisions.
The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate: Select one:

Answer Choices:

A. Continuing to monitor and document fetal heart rate.
B. Changing the mother's position to left lateral and giving oxygen by nasal cannula.
C. With a sterile glove, maintaining pressure to lift the presenting part and emergently notifying the provider for a STAT C-section.
D. Blousing the patient with 1000cc lactated ringers.
The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize? Select one:

Answer Choices:

A. About 1 of every 5 women will experience abuse in her lifetime.
B. When women go back to the situation after the abuser has calmed down, things will be better.
C. The victimized woman can easily leave the situation.
D. The violence will not stop or decrease if the woman becomes pregnant.
From Exam
RN ATI Maternity Exam III

55 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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