ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
A student nurse asks the newborn nursery nurse why so many babies prefer to be in a flexed position. What answer by the nurse is best?
Correct Answer: C
Rationale: The correct answer to the question is C) "It's very familiar to them from being in utero." This answer is correct because during their time in the womb, babies are in a flexed position due to the limited space available. This flexed position is comforting and familiar to newborns as it replicates the position they were in before birth. It helps them feel secure and safe as it mimics the environment they were used to. Option A) "Flexion keeps their limbs symmetrical" is incorrect because although flexion may contribute to keeping limbs in a more symmetrical position, the primary reason for newborns preferring flexion is the familiarity from being in utero. Option B) "It keeps their body temperature normal" is incorrect as flexion does not play a direct role in regulating body temperature in newborns. Option D) "They don't have the strength for extension" is incorrect as the preference for flexion in newborns is not due to a lack of strength for extension but rather due to the comfort and security associated with the fetal position. Understanding why newborns prefer a flexed position is crucial for healthcare professionals working with newborns as it helps them provide care and handle newborns in a way that is comforting and promotes a sense of security for the infant. By knowing this, nurses and caregivers can create a supportive environment that meets the needs of the newborn.
Question 2 of 5
A nurse is providing discharge teaching to parents of a newborn. The baby had no medical problems and is healthy other than having failed an automated auditory brainstem response (AABR) hearing test conducted in the nursery. What information does the nurse provide?
Correct Answer: C
Rationale: In this scenario, option C is the correct choice because it aligns with best practices in newborn hearing screening. The nurse should explain to the parents that a failed AABR test does not definitively indicate deafness in the newborn. It is crucial to retest the baby's hearing within a month to rule out any temporary issues or potential false results from the initial test. Option A is incorrect because it is important to avoid making definitive statements about a baby's hearing status based solely on one failed test. Option B is incorrect as it does not address the need for a retest within a specific timeframe. Option D is also incorrect as waiting a week may not be sufficient to reevaluate the baby's hearing accurately. From an educational perspective, it is essential for nurses to understand the nuances of newborn hearing screening and communicate effectively with parents regarding the significance of test results. Emphasizing the need for timely follow-up testing ensures early detection and intervention if there are any hearing concerns, ultimately supporting the newborn's overall development and well-being.
Question 3 of 5
The nurse notes swelling in the scrotum of a newborn infant. Transillumination reveals a reddish-yellow reflection. What action by the nurse is best?
Correct Answer: A
Rationale: When the nurse assesses a swollen scrotum, it is important to determine that the scrotal sac does not contain entrapped bowel or a mass. Transillumination can determine the presence of a mass when the light directed at the scrotum does not produce a reflection. A reddish-yellow reflection indicates fluid, which will be reabsorbed on its own. The nurse should document the findings and reassure the parents. No further action is needed.
Question 4 of 5
A nurse is preparing to discharge an infant who has developmental dysplasia of the hip (DDH). What discharge instruction would be most important?
Correct Answer: B
Rationale: A baby with DDH will be placed in a special splint, most often the Pavlik harness, to keep the legs in a position of abduction. The harness is worn continuously for 3-6 months, during which time bone growth helps create a normal hip joint. Ortolani's maneuver is an assessment for DDH. Surgery may be required, but not until it has been determined that bone growth is not creating a normally shaped hip joint. Corrective shoes are not needed.
Question 5 of 5
In preparing a family for discharge from the perinatal unit, which method of nail care does the nurse teach as the preferred method?
Correct Answer: B
Rationale: Several options exist for nail care to keep the infant from scratching her face. The nails can be cut, but there is a risk of damaging the delicate skin around the nail. This is best done while the baby sleeps. Letting the nails break off is not a good option, as the child may injure herself before they break. Covering the hands with mittens or a tee shirt is a possible option, but does not allow the child to suck on the fingers for self-soothing. The best option is to file the nails gently with a fine-grained emery board.