ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
A mother is taking methadone 85 mg. She has been told by her ob-gyn that her infant will not withdraw from this medication. At 3 days of life, the infant is jittery, inconsolable with poor feeding, and recent diarrhea. What is the most appropriate statement for the RN to make to the mother at this time?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. The infant's symptoms (jittery, inconsolable, poor feeding, diarrhea) are classic signs of withdrawal from methadone. 2. The mother's methadone use during pregnancy can lead to neonatal abstinence syndrome (NAS) in the infant. 3. NAS requires pharmacological intervention to manage withdrawal symptoms. 4. It is essential to inform the mother about the situation to seek appropriate medical care for the infant. Summary: A: Incorrect. The infant's symptoms are not just typical fussiness but indicative of withdrawal. C: Incorrect. The symptoms do not align with hypoglycemia, which would require different management. D: Incorrect. Colic and temperament issues do not explain the specific symptoms observed.
Question 2 of 5
A mother of a premature neonate in NICU asks the nurse when her baby will begin getting oral feedings. The nurse is aware that multiple conditions are desired. Which condition is most essential?
Correct Answer: B
Rationale: Correct Answer: B Rationale: Cardiorespiratory regulation is the most essential condition for initiating oral feedings in a premature neonate. This is crucial to ensure the baby can safely coordinate breathing and swallowing during feeding, reducing the risk of aspiration and other complications. If the baby's cardiorespiratory system is not stable, oral feedings could pose a serious risk to their health. Proper feeding actions (Choice A) are important but depend on the baby's ability to regulate their breathing and heart rate. Hunger cues (Choice C) and maintaining a quiet alert state (Choice D) are secondary considerations to cardiorespiratory stability in this context.
Question 3 of 5
The nurse is providing care for a premature neonate born at 28 weeks gestation who is experiencing respiratory distress syndrome (RDS). Which assessment finding indicates to the nurse that the neonate’s respiratory status is deteriorating?
Correct Answer: A
Rationale: The correct answer is A. A Pao2 of 48 and Paco2 of 55 mm Hg on 90% oxygen indicates severe hypoxemia and hypercapnia, suggesting worsening respiratory status in a neonate with RDS. Here's a step-by-step rationale: 1. Hypoxemia (low Pao2) indicates inadequate oxygenation, which can lead to tissue hypoxia and organ damage. 2. Hypercapnia (high Paco2) is a sign of inadequate ventilation and respiratory acidosis. 3. High oxygen requirement (90%) despite low Pao2 suggests poor oxygen exchange. 4. Overall, these findings point to respiratory failure and deterioration in the neonate's condition. Summary: B is incorrect because an elevated respiratory rate is a compensatory mechanism for respiratory distress. C is incorrect as decreased breath sounds can be expected in RDS. D is incorrect as an elevated heart rate can be a compensatory response to hypoxemia
Question 4 of 5
A patient who is at 41 weeks gestation is concerned when the primary care provider decides to induce labor. Which reason does the nurse explain as the most important need for this procedure?
Correct Answer: C
Rationale: The correct answer is C: Risk for placental dysfunction. At 41 weeks gestation, the placenta may start to deteriorate, leading to reduced oxygen and nutrient supply to the fetus, increasing the risk of stillbirth. Inducing labor can prevent this complication and ensure the well-being of both the mother and the baby. A: Increasing size of the neonate - While fetal size can be a consideration for induction, it is not the most important reason at 41 weeks gestation. B: Ability to deliver vaginally - Inducing labor does not solely depend on the ability to deliver vaginally, as other factors like fetal well-being take precedence. D: Likelihood of meconium aspiration - Meconium aspiration is a risk in post-term pregnancies, but it is not the primary reason for inducing labor at 41 weeks gestation.
Question 5 of 5
The nurse is preparing for the discharge of a premature neonate to home with the parents. The nurse explains the neonate must be able to pass the infant car seat challenge before discharge. For which reason would the neonate be considered unsafe in a car seat?
Correct Answer: C
Rationale: The correct answer is C because the infant car seat challenge is used to assess if the neonate can maintain adequate oxygenation, heart rate, and respiratory rate in a seated position. This is crucial as infants who are unable to maintain these vital signs while in a car seat are at risk of oxygen desaturation and apnea, which can lead to serious complications such as suffocation or sudden infant death syndrome. Therefore, if the neonate is unable to maintain adequate oxygenation, heart rate, and respiratory rate during the trial, it would be unsafe for them to travel in a car seat. Choices A, B, and D are incorrect because they do not directly relate to the safety concerns associated with the infant car seat challenge. Choice A refers to the angle at which the neonate should be positioned in the car seat, which is important for proper positioning but not the primary concern during the car seat challenge. Choice B focuses on parental attitudes towards using the car seat, which is not a physiological