ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
A faculty member is supervising a student who is preparing to administer vitamin K1 phytonadione (Aqual/EPHYTON) to an infant. What action by the student prompts the faculty member to intervene?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse notes that an infant has a drooping tongue which causes difficulty with feeding. What cranial nerve should the nurse assess further?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse observes a student nurse examining a newborn baby boys scrotum and testicles. The student softly palpates the scrotum with all five digits of the dominant hand and states that there is only one testicle present. What action by the nurse is best?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A nurse assessing an infant notes that the baby is jittery, has muscle twitches, and has jittery movement of the arms and legs. What action by the nurse is most appropriate?
Correct Answer: D
Rationale: Hypertonia is characterized by muscle tremors, twitches, or jerkiness, and this finding is often associated with neonatal abstinence syndrome. The nurse should notify the health-care provider and request a drug screen. A warm, quiet environment may be best for this infant, but this action is not the priority. Muscle relaxants and scanning tests are not warranted.
Question 5 of 5
Prior to giving a newborn the first bath, what action by the nurse is most appropriate?
Correct Answer: A
Rationale: Preventing temperature instability is a critical nursing action when bathing an infant in the hospital. If the infant's temperature is within normal limits, the baby can be given a sponge bath. After the umbilical cord stump falls off, the infant can be bathed in a tub of water. Obtaining needed supplies is always important prior to performing any procedure, but this is not as important as maintaining safety. Taking the blood pressure is not needed.