ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
A patient delivers a term neonate and expresses concern about the reason for giving the neonate an injection. Which information from the nurse is accurate?
Correct Answer: B
Rationale: The correct answer is B: Vitamin K is needed to activate clotting factors. This is accurate because neonates have low levels of vitamin K and need it for blood clotting. Without adequate vitamin K, neonates are at risk of bleeding disorders. Incorrect choices: A: Neonates will hemorrhage without vitamin K - This is not entirely accurate as hemorrhage is a severe consequence of vitamin K deficiency, but the primary reason for giving vitamin K is to ensure proper clotting function. C: Mothers are unable to supply vitamin K to the fetus - This is incorrect as fetuses receive vitamin K from the placenta during pregnancy. D: Breastfeeding is an excellent source of vitamin K - This is incorrect as breast milk contains low levels of vitamin K, which is why neonates need supplementation shortly after birth.
Question 2 of 5
The nurse is presenting information to new parents regarding screening of their newborn. Which information does the nurse identify as being most important to the parents?
Correct Answer: D
Rationale: The correct answer is D because it accurately summarizes the purpose of newborn screenings, which include detecting infections, genetic diseases, and inherited disorders early on. This information is crucial for parents to understand the comprehensive nature of newborn screenings. A: This choice is incorrect because it is a general statement about newborn screenings in the United States, but it does not specifically address the important details about the purpose of the screenings. B: This choice is incorrect because it only mentions two specific tests within newborn screenings and does not encompass the full scope of conditions that screenings aim to detect. C: This choice is incorrect because it focuses on the legal aspect of newborn screenings rather than the information that is essential for parents to know about the screenings themselves.
Question 3 of 5
The nurse is providing information to a postpartum mother about circumcision of her neonate. The neonate's father states, 'We have never done that to any baby boy in my family.' Which statement is best for the nurse to make?
Correct Answer: D
Rationale: Rationale for Correct Answer D: 1. Acknowledges father's statement without judgment. 2. Shows empathy and understanding towards family beliefs. 3. Promotes respect for cultural diversity and individual choices. 4. Encourages open dialogue and shared decision-making. 5. Reflects a patient-centered approach to care. Summary of Incorrect Choices: A: Assumes most families opt for circumcision without considering individual preferences. B: Passively offers information without addressing father's concerns. C: Imposes personal opinion on father's decision-making process, disregarding cultural beliefs.
Question 4 of 5
The breastfeeding patient should be taught a safe method to remove her breast from the baby's mouth. Which suggestion by the nurse is most appropriate?
Correct Answer: A
Rationale: Rationale for correct answer (A): 1. Breaking the suction by inserting a finger into the corner of the infant's mouth is the most appropriate method to remove the breast safely. 2. This technique prevents trauma to the nipple and helps the baby release the latch gently. 3. It allows for a smooth and painless disengagement of the baby from the breast. 4. By breaking the suction first, the risk of causing discomfort or injury to both the mother and the baby is minimized. Summary of why other choices are incorrect: B. A popping sound is not a reliable indicator of correct breast removal and may lead to abrupt disengagement, causing pain and potential injury. C. Removing the breast slowly while the baby is asleep can disrupt the baby's sleep and may not be gentle or safe. D. Eliciting the Moro reflex is unnecessary and may startle the baby, leading to an abrupt disengagement that can cause discomfort and potential injury.
Question 5 of 5
Which type of formula should not be diluted before being administered to an infant?
Correct Answer: C
Rationale: The correct answer is C: Ready to use. Ready to use formula should not be diluted before being administered to an infant because it is already in the appropriate concentration for consumption. Diluting it further could result in the infant not receiving the necessary nutrients in the right proportions, potentially leading to nutritional deficiencies or other health issues. Explanation of why other choices are incorrect: A: Powdered formulas are designed to be mixed with water according to specific instructions provided by the manufacturer, so they should be diluted before administering to an infant. B: Concentrated formulas are meant to be mixed with water before feeding to the infant, so they should be diluted as per the instructions. D: Modified cow's milk should be diluted as it is not suitable for infants in its concentrated form and needs to be appropriately prepared according to guidelines provided by healthcare professionals.