ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
An hour after birth, the nurse assesses a newborn's temperature and notes that it is 36.2°C (97.2°F). The next activity planned for the newborn is the bath, and the new mother and father are invited to participate in the procedure. What is the nurse's next action?
Correct Answer: C
Rationale: The nurse's next action should be to delay the bath until the newborn's temperature is above 36.7°C (98°F). This is important because infants can lose heat during a bath through evaporation. Rectal temperatures should be avoided to prevent mucosal trauma, and it is the nurse's responsibility to ensure the bath water is at the appropriate temperature to prevent scalding.
Question 2 of 5
The patient should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?
Correct Answer: A
Rationale: The correct answer is A - Unwrap and gently arouse the infant. If the infant falls asleep during feeding, it may indicate inadequate feeding. Arousing the infant gently and continuing the feeding is important to ensure proper nutrition. Waiting, offering a bottle, or delaying the feeding can lead to decreased milk production and potential issues with breastfeeding.
Question 3 of 5
A mother conveys concern over the fact that she is not certain if her newborn is receiving enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What information can you provide that will help alleviate her fears regarding nutrient status for her newborn?
Correct Answer: A
Rationale: The correct answer is A because monitoring the infant's output, specifically the number of wet diapers changed in a 24-hour period, is a good indicator that the baby is receiving sufficient intake from breastfeeding. This can help alleviate the mother's fears about her newborn's nutrient status. It is important to provide practical and reassuring information to support the mother in her breastfeeding journey.
Question 4 of 5
post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n)
Correct Answer: D
Rationale: The correct answer is D because glucose is necessary to produce heat, the infant who is also hypoglycemic will not be able to produce enough body heat. A hematocrit level of 58% is within the expected range for newborns. WBC count may be as high as 30,000 cells/mm3. RBC count ranges from 3.9 to 5.5 million/mcL.
Question 5 of 5
The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of
Correct Answer: A
Rationale: Persistent pulmonary hypertension is a common complication associated with meconium aspiration syndrome. It can lead to hypoxemia and acidosis, making it crucial for the nurse to monitor for this complication in infants with meconium aspiration syndrome. The other options do not directly correlate with meconium aspiration syndrome and its complications.