ATI RN
Assessment and Management of Newborn Complications Quizlet Questions
Question 1 of 5
A family who immigrated to the United States in the past year is preparing to take their infant home with both oxygen and G-tube feeds. How does the nurse know discharge education has prepared them for success?
Correct Answer: A
Rationale: Step 1: Demonstrating successful G-tube feeds indicates understanding and ability to provide necessary nutrition to the infant. Step 2: Correct feeding times show adherence to the prescribed schedule for optimal care. Step 3: Successful demonstration implies comprehension of G-tube feed technique and importance of consistency. Step 4: This knowledge ensures the infant receives proper nutrition and contributes to their overall well-being. Summary: Choice A is correct as it demonstrates the family's readiness to provide essential care for the infant. Choices B, C, and D are incorrect as they do not address the core aspect of ensuring proper nutrition and care through successful G-tube feeds.
Question 2 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 3 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 4 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.
Question 5 of 5
Which is the most common etiology for pathological jaundice in an infant?
Correct Answer: A
Rationale: The correct answer is A: ABO incompatibility. This is the most common etiology for pathological jaundice in an infant because it occurs when the baby's blood type is incompatible with the mother's, leading to the destruction of the baby's red blood cells and subsequent release of bilirubin, causing jaundice. Physiological jaundice (B) is common but typically resolves on its own without treatment. Inherited pathologies (C) such as genetic conditions may cause jaundice, but they are less common than ABO incompatibility. Birth trauma (D) can lead to jaundice in rare cases, but it is not the most common etiology.