ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
A patient who is at 41 weeks gestation is concerned when the primary care provider decides to induce labor. Which reason does the nurse explain as the most important need for this procedure?
Correct Answer: C
Rationale: The correct answer is C: Risk for placental dysfunction. At 41 weeks gestation, the placenta may start to deteriorate, leading to reduced oxygen and nutrient supply to the fetus, increasing the risk of stillbirth. Inducing labor can prevent this complication and ensure the well-being of both the mother and the baby. A: Increasing size of the neonate - While fetal size can be a consideration for induction, it is not the most important reason at 41 weeks gestation. B: Ability to deliver vaginally - Inducing labor does not solely depend on the ability to deliver vaginally, as other factors like fetal well-being take precedence. D: Likelihood of meconium aspiration - Meconium aspiration is a risk in post-term pregnancies, but it is not the primary reason for inducing labor at 41 weeks gestation.
Question 2 of 5
The nurse is providing support for the parents of a neonate born with anencephaly. The parents repeatedly state, “I don’t believe this is happening to us. We were so careful during pregnancy.” The nurse associates the parents’ comments with which stage of grief?
Correct Answer: A
Rationale: The correct answer is A: Disbelief. In the context of the scenario, the parents' statements indicate a sense of shock and difficulty accepting the reality of their situation, which aligns with the stage of disbelief in the grief process. During this stage, individuals may struggle to comprehend the situation and may question how it could have happened despite their efforts. This initial stage typically involves denial and confusion. Choice B: Depression, is incorrect because the parents' statements do not reflect feelings of sadness or hopelessness, which are typical of the depression stage of grief. Choice C: Denial of reality, is incorrect as the parents' statements are more about disbelief and questioning rather than outright denial of the situation. Choice D: Anger with each other, is incorrect as there is no mention of the parents expressing anger towards each other in the scenario.
Question 3 of 5
The premature neonate is more susceptible to skin breakdown than a term neonate. Which skin care interventions will the nurse implement for the premature neonate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Perform daily skin assessment to identify problems early. Premature neonates have fragile skin due to their immature epidermal barrier, making them more susceptible to skin breakdown. Daily skin assessments help in early detection of any skin issues, allowing prompt intervention to prevent complications. A: Using a neutral pH cleanser and sterile water for bathing is important, but it is not specific to premature neonates. B: Gently applying emollients is beneficial, but it does not address the need for regular skin assessments. D: Using water, air, or gel mattresses is more related to pressure ulcer prevention rather than general skin care for premature neonates.
Question 4 of 5
The nurse is preparing for the discharge of a neonate diagnosed with a congenital breathing disorder. Which health team members does the nurse include in discharge planning? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Home health agency nurse. The nurse includes the home health agency nurse in discharge planning as they will provide ongoing care and support for the neonate with a congenital breathing disorder at home. The home health agency nurse can assess the home environment, educate the family on care techniques, monitor the neonate's condition, and provide necessary interventions. A: Respiratory therapist may be involved in managing acute respiratory issues but may not provide ongoing care at home. B: Community agency manager may help with connecting to community resources but may not provide direct care. C: Social worker may assist with psychosocial support but may not have the expertise in managing the neonate's medical needs at home.
Question 5 of 5
The nurse is providing care for a neonate born to a mother with preexisting diabetes mellitus. Which neonatal assessment findings do the nurse expect? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Macrosomia. This is expected in neonates born to mothers with preexisting diabetes mellitus due to excessive glucose crossing the placenta, leading to increased fetal growth. Hyperglycemia (choice B) is not a neonatal assessment finding but rather a maternal condition. Hypocalcemia (choice C) and jaundice (choice D) are not directly associated with maternal diabetes mellitus in neonates.