ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
As an effort to reduce cold stress and respiratory depression, which intervention is most important for the nurse to perform?
Correct Answer: D
Rationale: The correct answer is D. Rationale: 1. Drying the newborn with warm blankets helps prevent heat loss and reduce cold stress. 2. Placing the newborn under a radiant warmer helps maintain the baby's body temperature. 3. Maintaining a stable body temperature is crucial to prevent respiratory depression in newborns. 4. Immediate skin-to-skin contact like option B is beneficial but may not address cold stress as effectively as D. Summary: A: Keeping the room temperature low may lead to hypothermia in the newborn. B: Skin-to-skin contact is important but may not address cold stress as effectively as D. C: Bathing the newborn shortly after delivery may cause heat loss and worsen cold stress.
Question 2 of 5
Which of the following newborn assessment findings is the most concerning to the newborn nursery nurse?
Correct Answer: A
Rationale: The correct answer is A. A newborn not voiding in 24 hours is concerning as it may indicate a urinary tract issue. Failure to void can lead to complications like dehydration or renal dysfunction. Option B is normal as meconium is the first stool passed by newborns. Option C describes an umbilical hernia, which is common and usually resolves on its own. Option D describes polydactyly, an extra digit, which is a physical anomaly that may not necessarily pose immediate health risks.
Question 3 of 5
You are receiving report from the nightshift nurse. Which newborn should you assess first?
Correct Answer: B
Rationale: The correct answer is B. Bilateral breath sounds and nasal flaring indicate respiratory distress, which is a priority assessment in a newborn. Nasal flaring suggests increased work of breathing, requiring prompt evaluation to prevent respiratory compromise. Choice A is incorrect as acrocyanosis is a common finding in newborns and not an urgent concern. Choice C is incorrect as breastfeeding is a normal activity for newborns. Choice D is incorrect as failing a hearing screen test does not present an immediate threat to the newborn's health.
Question 4 of 5
The hips of a newborn are examined for developmental dysplasia. Which clinical finding indicates an incomplete development of the acetabulum?
Correct Answer: D
Rationale: The correct answer is D because asymmetric thigh and gluteal creases suggest incomplete development of the acetabulum in developmental dysplasia of the hip. This finding indicates a potential instability or abnormality in the hip joint. The other choices are incorrect because a negative Barlow test (A) indicates no dislocation, equal knee heights (B) are not indicative of hip dysplasia, and a negative Ortolani sign (C) suggests no hip dislocation during abduction.
Question 5 of 5
Which statement best explains why a newborn with a congenital defect of the penis should not be circumcised?
Correct Answer: B
Rationale: The correct answer is B because in the case of a newborn with a congenital defect of the penis, the foreskin might be needed for future repairs to correct the defect. Removing the foreskin through circumcision could potentially limit surgical options and make it more challenging to address the underlying issue. It is essential to preserve as much tissue as possible to allow for optimal outcomes in any necessary corrective procedures. Choice A is incorrect as the risk of infection is not the primary reason for avoiding circumcision in this scenario. Choice C is incorrect as the visibility of the defect is not a determining factor in the decision. Choice D is also incorrect as there can be a valid medical rationale for circumcision in other cases, but in this specific situation, preserving the foreskin for potential future repairs is the most important consideration.