ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 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 2 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 3 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
Question 4 of 5
The nurse is providing support for the parents of a neonate born with anencephaly. The parents repeatedly state, “I don’t believe this is happening to us. We were so careful during pregnancy.” The nurse associates the parents’ comments with which stage of grief?
Correct Answer: A
Rationale: The correct answer is A: Disbelief. In the context of the scenario, the parents' statements indicate a sense of shock and difficulty accepting the reality of their situation, which aligns with the stage of disbelief in the grief process. During this stage, individuals may struggle to comprehend the situation and may question how it could have happened despite their efforts. This initial stage typically involves denial and confusion. Choice B: Depression, is incorrect because the parents' statements do not reflect feelings of sadness or hopelessness, which are typical of the depression stage of grief. Choice C: Denial of reality, is incorrect as the parents' statements are more about disbelief and questioning rather than outright denial of the situation. Choice D: Anger with each other, is incorrect as there is no mention of the parents expressing anger towards each other in the scenario.
Question 5 of 5
The premature neonate is more susceptible to skin breakdown than a term neonate. Which skin care interventions will the nurse implement for the premature neonate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Perform daily skin assessment to identify problems early. Premature neonates have fragile skin due to their immature epidermal barrier, making them more susceptible to skin breakdown. Daily skin assessments help in early detection of any skin issues, allowing prompt intervention to prevent complications. A: Using a neutral pH cleanser and sterile water for bathing is important, but it is not specific to premature neonates. B: Gently applying emollients is beneficial, but it does not address the need for regular skin assessments. D: Using water, air, or gel mattresses is more related to pressure ulcer prevention rather than general skin care for premature neonates.