ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
A mother is concerned that her infant was very awake and alert immediately after birth for about 45 minutes but has now been asleep for 3 hours. Which statement by the nurse is most appropriate to address the mother's concerns?
Correct Answer: D
Rationale: The correct answer is D because it explains that babies often alternate between periods of activity and inactivity after birth, which is a normal behavior. This reassures the mother that her baby's behavior is typical and not a cause for concern. Option A is incorrect because it lacks specific information about post-birth baby behavior. Option B is incorrect as it suggests unnecessary medical intervention. Option C is incorrect as it focuses solely on feeding and does not address the mother's concerns about the baby's sleep pattern.
Question 2 of 5
A newborn was born over 3 days ago and has not passed any meconium stools. What should the nurse be most concerned about at this time?
Correct Answer: C
Rationale: The correct answer is C: Bowel obstruction. In a newborn, failure to pass meconium within the first 24-48 hours can indicate an underlying bowel obstruction, which is a serious condition requiring immediate medical attention. This could be due to various causes such as meconium ileus, Hirschsprung's disease, or anatomical defects. Jaundice (choice A) is common in newborns but not directly related to the absence of meconium. Constipation (choice B) typically occurs later in infancy and is not a concern in this immediate postnatal period. Gastrointestinal infection (choice D) is possible but less likely given the absence of meconium passage.
Question 3 of 5
As an effort to reduce cold stress and respiratory depression, which intervention is most important for the nurse to perform?
Correct Answer: D
Rationale: The correct answer is D. Rationale: 1. Drying the newborn with warm blankets helps prevent heat loss and reduce cold stress. 2. Placing the newborn under a radiant warmer helps maintain the baby's body temperature. 3. Maintaining a stable body temperature is crucial to prevent respiratory depression in newborns. 4. Immediate skin-to-skin contact like option B is beneficial but may not address cold stress as effectively as D. Summary: A: Keeping the room temperature low may lead to hypothermia in the newborn. B: Skin-to-skin contact is important but may not address cold stress as effectively as D. C: Bathing the newborn shortly after delivery may cause heat loss and worsen cold stress.
Question 4 of 5
Which statement indicates that learning has occurred in a new mother regarding iron storage in her newborn?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates an understanding that iron stores are passed from the mother to the newborn during pregnancy. This indicates learning has occurred as the mother recognizes that her newborn doesn't need additional iron if she had adequate stores. Choice B is incorrect because adding iron to breast milk after pumping may not be effective as the iron does not transfer well. Choice C is incorrect as iron is still necessary for a breastfed newborn, regardless of breastfeeding duration. Choice D is incorrect because adding iron to formula may not be necessary if the mother's iron stores were adequate.
Question 5 of 5
Which of the following newborn assessment findings is the most concerning to the newborn nursery nurse?
Correct Answer: A
Rationale: The correct answer is A. A newborn not voiding in 24 hours is concerning as it may indicate a urinary tract issue. Failure to void can lead to complications like dehydration or renal dysfunction. Option B is normal as meconium is the first stool passed by newborns. Option C describes an umbilical hernia, which is common and usually resolves on its own. Option D describes polydactyly, an extra digit, which is a physical anomaly that may not necessarily pose immediate health risks.