ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
A mother asks the newborn nursery RN why her newborn's eyes are yellow. Which offers the mother the most accurate explanation?
Correct Answer: C
Rationale: The correct answer is C because jaundice in newborns is often due to increased bilirubin levels. Bilirubin is a byproduct of the breakdown of red blood cells and can cause yellowing of the skin and eyes. The RN suggests laboratory work to confirm the diagnosis and determine the severity. Choice A is incorrect as kernicterus is a serious condition resulting from untreated severe jaundice, not a likely immediate concern without confirming the diagnosis first. Choice B is incorrect because while a newborn's liver is indeed immature, jaundice still needs to be monitored and managed appropriately. Choice D is incorrect as prematurity does increase the risk of jaundice, but it doesn't explain why the baby's eyes are yellow.
Question 2 of 5
Upon discharge, parents of a newborn reveal their plans to take their newborn to the beach with them on a vacation when the newborn is 3 months old. Which statement by the nurse is the most appropriate?
Correct Answer: D
Rationale: The correct answer is D because newborns have delicate skin that is highly susceptible to sunburn and heat-related issues. Placing the newborn in lightweight clothing and in the shade helps protect their sensitive skin from harmful UV rays. This approach minimizes the risk of sunburn and overheating. A is incorrect because newborns should not be exposed to direct sunlight for prolonged periods. B is inappropriate as it is important for newborns to be with their parents for bonding and care. C is incorrect as sunscreen is not recommended for infants under 6 months of age due to potential skin irritation and absorption concerns.
Question 3 of 5
Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?
Correct Answer: A
Rationale: The correct answer is A: Babinski reflex. This reflex is elicited by stroking the lateral sole of the infant's foot, causing the big toe to extend and the other toes to fan out. This response is normal in infants up to 2 years old. The other choices are incorrect because: B: Stepping reflex is the automatic movement of the legs when held upright with the feet touching a surface. C: Tonic neck reflex occurs when an infant turns their head to one side, the arm on that side extends while the opposite arm flexes. D: Plantar grasp reflex is when pressure is applied to the sole of the foot, causing the toes to curl.
Question 4 of 5
A maculopapular rash with a red base and a small white papule in the center is commonly known as
Correct Answer: C
Rationale: The correct answer is C: erythema toxicum. This rash is characterized by red macules with small white papules in the center. Erythema toxicum is a common benign rash in newborns, usually appearing in the first few days of life. Milia (A) are tiny white bumps on the skin, Mongolian spots (B) are blue-gray birthmarks, and Café-au-lait spots (D) are flat, light brown spots. In this case, the description of a maculopapular rash with a red base and a small white papule matches the characteristics of erythema toxicum, making it the correct choice.
Question 5 of 5
Which nursing action is designed to avoid unnecessary heat loss in the newborn?
Correct Answer: B
Rationale: The correct answer is B because placing a blanket over the scale before weighing the infant helps prevent unnecessary heat loss by keeping the baby warm during the process. This action maintains the baby's body temperature and reduces the risk of hypothermia. A: Maintaining room temperature at 21°C may not be sufficient to prevent heat loss during specific procedures. C: Taking rectal temperature every hour is not necessary and may expose the baby to unnecessary heat loss. D: Undressing the infant completely for assessments can lead to rapid heat loss and should be avoided to maintain the baby's body temperature.