ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
A new parent asks the nurse why the 36-hour-old newborn has a yellow skin tint. What should the nurse explain to the parent?
Correct Answer: D
Rationale: The correct answer is D because physiologic jaundice is a normal condition in newborns due to the breakdown of fetal red blood cells. Bilirubin, a byproduct of this breakdown, causes the yellow skin tint. The liver is still developing in newborns, so it may take some time for it to process and eliminate the excess bilirubin. Choice A is incorrect because it implies liver dysfunction, which is not the case in physiologic jaundice. Choice B is incorrect as yellow skin does not indicate brain damage. Choice C is incorrect because bilirubin is primarily excreted through the liver, not the bowels, in newborns.
Question 2 of 5
How would the nurse elicit a rooting reflex in a newborn?
Correct Answer: A
Rationale: The correct answer is A because eliciting the rooting reflex in a newborn involves gently rubbing a finger on the side of the cheek. This reflex is important for feeding as it helps the baby turn their head towards the stimulus to locate the nipple for feeding. This action triggers a sucking response. The other choices are incorrect as they do not specifically target the rooting reflex. Choice B refers to the palmar grasp reflex, choice C is related to the sucking reflex, and choice D describes the Moro reflex. These reflexes are different from the rooting reflex and have distinct elicitation methods.
Question 3 of 5
The nurse knows that a full-term newborn presents with ears that include what assessment characteristics?
Correct Answer: B
Rationale: The correct answer is B because a full-term newborn typically has well-curved pinna that is soft and has a ready recoil. This indicates normal ear development and flexibility in newborns. Choice A is incorrect as a slightly curved pinna with slow recoil is not characteristic of a full-term newborn. Choices C and D are incorrect as thick cartilage with a stiff ear or a flat pinna that stays folded are not typical findings in full-term newborns. Therefore, the characteristics described in choice B align with normal ear development in a full-term newborn.
Question 4 of 5
When assessing the newborn for the presence of lanugo, where should the nurse look for it?
Correct Answer: D
Rationale: The correct answer is D because lanugo, the fine hair that covers a newborn's body, is commonly found on the back between the scapulae. This area is where lanugo is most prominent and noticeable. Lanugo is not typically found on the newborn's face (choice A) or extremities (choice B). While some lanugo may be present on the newborn's back near their buttocks (choice C), it is not the primary location for this fine hair to be observed. Therefore, choice D is the correct answer based on the typical distribution of lanugo on a newborn's body.
Question 5 of 5
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive a poor rating by reacting to what?
Correct Answer: D
Rationale: The correct answer is D because during the Brazelton assessment, crying inconsolably is an indication of the newborn's inability to self-regulate and cope with stimuli, leading to a poor rating. Turning the head towards a familiar voice (A) is a positive response showing recognition. Staying awake (B) may indicate alertness and engagement. Focusing on an object (C) demonstrates visual attention skills. But only crying inconsolably (D) reflects the newborn's distress and poor ability to regulate emotions, leading to a poor rating in the assessment.