ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
A new parent is concerned about a mass on the newborn's head. The nurse assesses this to be a cephalohematoma based on what characteristics?
Correct Answer: B
Rationale: The correct answer is B because a cephalohematoma is a collection of blood between the skull bone and its periosteum. It is usually unilateral and does not cross suture lines. Choice A is incorrect because cephalohematomas do not appear suddenly. Choice C is incorrect as cephalohematomas do not cause the head to feel boggy or cross suture lines. Choice D is incorrect because the mass does not increase in size when the infant cries.
Question 2 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 3 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 4 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.
Question 5 of 5
When teaching umbilical cord care to a new parent, the nurse would include which information?
Correct Answer: C
Rationale: Step 1: Keeping the cord dry and open to air helps promote natural drying and healing. Step 2: Moisture can lead to infection, so keeping it dry is crucial. Step 3: Covering the cord or applying substances can trap moisture and hinder healing. Step 4: Using peroxide or soap can irritate the delicate skin and disrupt the natural healing process. Summary: Choice C is correct as it promotes optimal cord healing, while the other choices can introduce moisture, irritants, or disrupt the natural healing process.