ATI RN
Assessment and Management of Newborn Complications Quizlet Questions
Question 1 of 5
A 3-month-old has pulled out their NG tube at home, and the mother is now speaking with the on-call nurse. What recommendation should the nurse provide her?
Correct Answer: C
Rationale: The correct answer is C because the mother was trained on NG tube replacement. This knowledge ensures proper technique and reduces the risk of injury. Driving to the ER or calling 911 may waste time, and feeding by mouth without the NG tube is not safe. Replacing the NG tube at home is the most efficient and appropriate course of action in this scenario.
Question 2 of 5
What term best describes an infant born with a birth weight below the 10th percentile for gestational age?
Correct Answer: C
Rationale: The correct answer is C: Small for gestational age. This term describes an infant born with a birth weight below the 10th percentile for gestational age, indicating intrauterine growth restriction. This term specifically addresses the infant's size in relation to their gestational age, distinguishing it from other choices. A: Appropriate for gestational age refers to infants whose birth weight falls within the normal range for their gestational age, not below the 10th percentile. B: Failure to thrive is a broader term encompassing various factors affecting a child's growth and development, not specifically related to birth weight percentile. D: Infant born to mother of gestational diabetes pertains to a specific maternal condition that may affect the infant's health but does not directly address the infant's birth weight percentile.
Question 3 of 5
Based on the following risk factors, which newborn is least at risk for developing persistent pulmonary hypertension? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Appropriate for gestational age. Newborns who are appropriate for gestational age are least at risk for developing persistent pulmonary hypertension because they have not experienced intrauterine growth restriction or other complications that can lead to lung problems. Being born late or postdates (A) can increase the risk of complications, including pulmonary hypertension. Being born to a mother with gestational diabetes (B) can also increase the risk due to potential metabolic issues. Meconium aspiration (D) can lead to respiratory distress and increase the risk of pulmonary hypertension.
Question 4 of 5
If the neonatal nurse is suspicious of necrotizing enterocolitis in the infant, which intervention should take place first?
Correct Answer: A
Rationale: The correct answer is A: Stop feeds. This is the first intervention because neonatal necrotizing enterocolitis is a serious condition that requires immediate action to prevent further complications. Stopping feeds helps reduce intestinal inflammation and allows the bowel to rest. This step is crucial in managing NEC and preventing perforation. Obtaining a blood gas or checking electrolytes can provide valuable information but are not as urgent as stopping feeds. Calling the practitioner is important but should come after initiating the immediate intervention of stopping feeds.
Question 5 of 5
Which causes infants of diabetic mothers to be large for gestational age?
Correct Answer: D
Rationale: Step 1: Maternal diabetes leads to high blood glucose levels. Step 2: Maternal glucose crosses the placenta to the fetus. Step 3: Fetal pancreas produces more insulin in response to high glucose. Step 4: Excess insulin promotes fetal growth, leading to macrosomia. Summary: A: Incorrect - Maternal insulin doesn't cross placenta in significant amounts. B: Incorrect - Blood flow doesn't directly cause fetal overgrowth. C: Incorrect - Maternal insulin doesn't directly cause increased growth.