ATI RN
Postpartum Hormonal Changes Questions
Question 1 of 5
A mother asks the nurse to tell her about the responsiveness of neonates at birth. Which of the following answers is appropriate? Select one that doesn't apply.
Correct Answer: A
Rationale: The correct answer is A) Babies have a poorly developed sense of smell until they are 2 months old. This is the appropriate response because it accurately reflects the neonate's sensory development at birth. At birth, babies have a limited sense of smell which gradually improves over the first few months of life. This information is crucial for the mother to understand in order to manage her expectations regarding her baby's responses to smells. Option B is incorrect because babies do not respond equally well to all tastes; they have a preference for sweet tastes like breast milk. Option C, while partially true about babies preferring sweet tastes, does not fully address the question about neonatal responsiveness. Option D is incorrect as it focuses on touch and cuddling rather than the specific sensory aspect of smell being asked about. In an educational context, understanding neonatal sensory development is important for parents as it helps them comprehend their baby's behaviors and needs. By knowing that babies have a poorly developed sense of smell initially, parents can adjust their interactions and caregiving practices accordingly, leading to better bonding and care for the newborn.
Question 2 of 5
The pediatrician has ordered vitamin K 0.5 mg IM for a newborn. The medication is available as 2 mg/mL. How many milliliters (mL) should the nurse administer to the baby? Calculate to the nearest hundredth.
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) 0.25 mL. To administer the prescribed dose of 0.5 mg of vitamin K to the newborn, the nurse needs to calculate the volume of the medication to be given. Since the medication is available as 2 mg/mL, the nurse can use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL) Volume (mL) = 0.5 mg / 2 mg/mL Volume (mL) = 0.25 mL Therefore, the nurse should administer 0.25 mL of the medication to the newborn. Option B) 0.50 mL is incorrect because it represents the total dose prescribed rather than the calculated volume based on the concentration of the medication. Option C) 1.00 mL is incorrect as it does not accurately reflect the calculated volume needed for the prescribed dose. Option D) 2.00 mL is incorrect as it represents the total volume of the medication available, not the required dose for the newborn. Understanding medication calculations is crucial for nurses to ensure accurate administration of medications, especially in neonatal care where dosages need to be precise to prevent adverse effects. This educational context highlights the importance of dosage calculations in pediatric nursing and emphasizes the significance of accuracy in medication administration to ensure patient safety.
Question 3 of 5
A nurse notes that a 6-hour-old neonate has cyanotic hands and feet. Which of the following actions by the nurse is appropriate?
Correct Answer: C
Rationale: In this scenario, the appropriate action for the nurse to take is to swaddle the baby in a blanket (Option C). Explanation of correct answer: Swaddling the baby in a blanket helps to provide warmth and comfort, which can help improve circulation and alleviate the cyanosis in the hands and feet of the newborn. Newborns often have difficulty regulating their body temperature, and swaddling can help maintain their warmth and keep them calm. Explanation of why others are wrong: A) Placing the child in an isolette (Option A) may not address the immediate need to provide warmth and comfort to the baby. B) Administering oxygen (Option B) may not be necessary as the cyanosis in this case is likely due to peripheral vasoconstriction rather than a lack of oxygen. D) Applying a pulse oximeter (Option D) may provide information about oxygen saturation but does not address the underlying cause of cyanosis in the extremities. Educational context: Understanding the normal physiological changes that occur in newborns is crucial for healthcare providers working with neonates. In the first hours after birth, infants may exhibit cyanosis in their hands and feet due to peripheral vasoconstriction, which is a normal response to the transition from intrauterine to extrauterine life. Providing warmth and comfort through swaddling can help alleviate this transient condition and support the newborn's adjustment to the outside environment.
Question 4 of 5
A baby boy is to be circumcised by the mother's obstetrician. Which of the following actions shows that the nurse is being a patient advocate?
Correct Answer: B
Rationale: In this scenario, option B is the correct answer. The nurse preparing the sterile field for the physician demonstrates patient advocacy by ensuring that the procedure is conducted in a safe and hygienic manner, prioritizing the well-being of the baby. Option A is incorrect because simply acting before the procedure does not necessarily indicate advocacy. Option C is wrong because refusing to unclothe the baby until pain medication is ordered does not address the immediate needs of preparing for the circumcision. Option D is also incorrect as holding a feeding immediately before the circumcision is not directly related to advocating for the patient's safety during the procedure. Educationally, this question highlights the importance of advocating for patients by ensuring their safety and well-being during medical procedures. It emphasizes the role of nurses in safeguarding their patients' interests and promoting optimal outcomes through proactive and attentive care.
Question 5 of 5
A nurse is teaching a mother how to care for her 3-day-old son's circumcised penis. Which of the following actions demonstrates that the mother has learned the information?
Correct Answer: D
Rationale: In the context of caring for a 3-day-old circumcised penis, the correct action is option D, which states that the mother replaces the dry sterile dressing before putting on the diaper. This is the correct choice because it is essential to keep the circumcision site clean and dry to prevent infection and promote healing. By replacing the dry sterile dressing, the mother is ensuring that the area remains protected and is not exposed to contaminants from the diaper or clothing. Options A, B, and C are incorrect because they involve actions that can be harmful or not recommended for caring for a circumcised penis in a newborn. Using hydrogen peroxide, antifungal ointment, or squeezing soapy water directly on the glans can irritate the sensitive skin, disrupt the healing process, and increase the risk of infection. From an educational perspective, it is crucial to teach parents the correct techniques for caring for their newborn's circumcision site to prevent complications. Emphasizing the importance of keeping the area clean, dry, and protected can help parents understand how to properly care for their baby and promote optimal healing. Providing clear instructions and demonstrations can empower parents to confidently care for their newborn's circumcision site.