ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
A new mother asks whether she should feed her newborn colostrum because it is not 'real milk.' The nurse's best answer includes which information?
Correct Answer: B
Rationale: The correct answer is B because colostrum is crucial for newborns as it is rich in antibodies, proteins, vitamins, and minerals essential for the baby's health and immune system. Colostrum provides vital nutrients and protective factors that help the baby fight infections and establish a healthy gut microbiome. It acts as the baby's first vaccine and is crucial for their overall well-being. Choice A is incorrect because colostrum is necessary for newborns due to its unique composition. Choice C is incorrect as colostrum is not lower in calories, and it is not necessary to supplement with formula. Choice D is incorrect as the primary purpose of giving colostrum is to benefit the newborn's health, not just for the mother's learning process.
Question 2 of 5
The nurse is teaching a postpartum patient different holds for breastfeeding. Which of the following figures depicts the football hold frequently used for patients who have had a cesarean birth?
Correct Answer: B
Rationale: The correct answer is B because the football hold is a breastfeeding position where the baby is positioned at the side of the mother, with the baby's legs tucked under the mother's arm. This position is beneficial for mothers who have had a cesarean birth as it keeps the baby away from the incision site. Choice A does not show the baby tucked under the arm, choices C and D show the baby positioned differently than in the football hold. Therefore, B is the correct choice for the football hold commonly used for postpartum patients who have had a cesarean birth.
Question 3 of 5
What kind of muscle tone does a preterm newborn have compared to a full-term newborn?
Correct Answer: D
Rationale: The correct answer is D: flaccid. Preterm newborns typically have lower muscle tone compared to full-term newborns due to their immature nervous system. This results in a lack of firmness or strength in their muscles, leading to a flaccid appearance. Choice A is incorrect because preterm newborns do not have firm muscle tone. Choice B is incorrect as it is too general and does not specify the type of abnormality. Choice C is incorrect because preterm newborns do not have normal muscle tone like full-term newborns.
Question 4 of 5
Of the three fetal shunts, which one moves fetal blood from the lungs through the right atrium to the left atrium?
Correct Answer: B
Rationale: The correct answer is B: foramen ovale. The foramen ovale is a shunt that allows blood to bypass the fetal lungs by connecting the right atrium to the left atrium. This is important in utero to ensure oxygenated blood goes directly to the body. The other options are incorrect because: A: Ductus venosus - connects the umbilical vein to the inferior vena cava, bypassing the liver. C: Ductus arteriosus - connects the pulmonary artery to the aorta, bypassing the fetal lungs. D: Foramen venosus - does not exist; it is not a fetal shunt.
Question 5 of 5
A newborn at 20 minutes of age has an axillary temperature of 36° C (96.8° F). What intervention should the nurse perform?
Correct Answer: A
Rationale: The correct answer is A: ensure skin-to-skin contact until temperature is 37°C (98.6°F). Skin-to-skin contact helps regulate the baby's temperature by utilizing the parent's body heat. This method is gentle and effective in stabilizing the baby's temperature without the risk of overheating or cooling too quickly. It promotes bonding and breastfeeding initiation. Choice B is incorrect because giving the baby a warm bath may lead to overheating and should not be done for a newborn with a slightly low temperature. Choice C is incorrect because using a radiant warmer may be too aggressive for a mild temperature drop. Choice D is incorrect because rectal temperature checking is invasive and unnecessary at this point.