ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
A nurse takes a newborns initial set of vital signs and records the following: Temperature: 97.9F (36.6C) pulse: 198 beats/minute respirations: 78 breaths/minute blood pressure: 64/44 mm Hg. What does the nurse conclude about this infant?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A nurse observes a student nurse examining a newborn baby boys scrotum and testicles. The student softly palpates the scrotum with all five digits of the dominant hand and states that there is only one testicle present. What action by the nurse is best?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A nurse assessing an infant notes that the baby is jittery, has muscle twitches, and has jittery movement of the arms and legs. What action by the nurse is most appropriate?
Correct Answer: D
Rationale: Hypertonia is characterized by muscle tremors, twitches, or jerkiness, and this finding is often associated with neonatal abstinence syndrome. The nurse should notify the health-care provider and request a drug screen. A warm, quiet environment may be best for this infant, but this action is not the priority. Muscle relaxants and scanning tests are not warranted.
Question 4 of 5
Prior to giving a newborn the first bath, what action by the nurse is most appropriate?
Correct Answer: A
Rationale: Preventing temperature instability is a critical nursing action when bathing an infant in the hospital. If the infant's temperature is within normal limits, the baby can be given a sponge bath. After the umbilical cord stump falls off, the infant can be bathed in a tub of water. Obtaining needed supplies is always important prior to performing any procedure, but this is not as important as maintaining safety. Taking the blood pressure is not needed.
Question 5 of 5
New parents wish to include their extended family in welcoming their new baby. What suggestion does the nurse offer this couple?
Correct Answer: D
Rationale: Nurses can foster attachment in several ways, including encouraging parents to invite siblings and other family members to visit for short periods of time to avoid tiring the mother and overstimulating the baby. Of course sick people should not visit. Others can be recruited to feed the baby, and often relatives and close friends desire to do so. If all the visiting takes place when the baby is sleeping, the baby and the visitors cannot get to know each other.