ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
At birth, a newborn weighed 6 pounds, 12 ounces. Three days later, the newborn weighs 5 pounds, 10 ounces. What conclusion should the nurse draw regarding this newborn’s weight?
Correct Answer: A
Rationale: In the context of newborn care and pharmacology, understanding weight changes in infants is crucial for assessing their health and development. In this scenario, the correct answer is A) This weight loss is within normal limits. Newborns commonly lose weight in the first few days after birth due to factors like loss of excess fluid and meconium passage. This initial weight loss is considered normal as long as it does not exceed a certain percentage of the birth weight. Option B) This weight gain is within normal limits is incorrect because the newborn actually experienced weight loss, not weight gain. Option C) This weight loss is excessive is incorrect as it is a normal occurrence for newborns to lose some weight initially. Option D) This weight gain is excessive is also incorrect as the scenario describes a weight loss, not a weight gain. Educationally, nurses and healthcare providers need to be aware of the expected weight changes in newborns to differentiate between normal and abnormal patterns. Monitoring weight trends helps identify potential feeding issues or other health concerns early on, allowing for timely interventions to support the newborn's well-being.
Question 2 of 5
The nurse notices that a 6-hour-old newborn patient’s urethral opening is on the dorsal side of the penis. The nurse knows that this is called what?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) epispadias. Epispadias is a congenital condition where the urethral opening is on the dorsal side of the penis instead of the tip. This condition is important for a nurse caring for a newborn to recognize because it can impact urinary function and may require surgical intervention to correct. Option A) hypospadias is incorrect because it refers to a condition where the urethral opening is on the ventral side of the penis. Option C) phimosis is the inability to retract the foreskin over the glans penis and is unrelated to the position of the urethral opening. Option D) unispadias is not a recognized medical term and does not describe any known condition. Understanding these congenital anomalies is crucial for nurses caring for newborns as they need to be able to identify potential issues early on to ensure appropriate interventions and referrals to specialists if needed. Recognizing epispadias can prompt timely management and support for the newborn's future health and well-being.
Question 3 of 5
The nurse is assessing a newborn girl born at 40 weeks of gestation based on the parent’s LMP. What assessment finding of the genitalia confirms this gestational age?
Correct Answer: A
Rationale: In newborn assessment, the appearance of external genitalia provides valuable information about gestational age. In this case, option A is correct as it describes the typical genitalia appearance of a full-term newborn girl. The labia majora covering the clitoris and labia minora indicates maturity expected at 40 weeks of gestation. Option B is incorrect because a prominent clitoris and enlarged labia minora suggest prematurity, not full term. Option C, with a small labia minora and enlarged clitoris, also indicates prematurity. Option D, with enlarged labia majora and small labia minora, does not align with the expected genitalia appearance at 40 weeks. Educationally, understanding normal variations in newborn anatomy based on gestational age is crucial for nurses caring for newborns. This knowledge helps in accurate assessment, early identification of potential issues, and appropriate interventions, ensuring optimal care for the newborn and promoting positive health outcomes.
Question 4 of 5
The nurse is assigned to the postpartum room of a 12-hour-old neonate, and the EHR has a task reminder prompting the nurse to complete a Brazelton assessment on the newborn. Why is this not appropriate?
Correct Answer: C
Rationale: In this scenario, option C is the correct answer because conducting a Brazelton assessment on a newborn who is only 12 hours old is not appropriate. The Brazelton assessment is typically performed between 24-72 hours after birth to assess the newborn's neurologic and behavioral responses. At 12 hours old, the newborn is still in the immediate postpartum period and may not exhibit stable and consistent behaviors necessary for an accurate assessment. Option A is incorrect because the decision to conduct a Brazelton assessment is not influenced by whether the newborn is being placed for adoption. Option B is incorrect as the mode of delivery (cesarean section) does not preclude the need for a Brazelton assessment. Option D is also incorrect because pathologic jaundice does not directly impact the appropriateness of conducting a Brazelton assessment on a newborn. Educationally, it is essential for nurses to understand the appropriate timing and indications for assessments like the Brazelton, as it ensures accurate evaluations of newborn well-being and helps guide early interventions if needed. Understanding the developmental stages of newborns and the rationale behind assessment timing is crucial for providing optimal care.
Question 5 of 5
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive an exceptionally good rating by reacting to what? Select all that apply.
Correct Answer: C
Rationale: In the context of the Brazelton assessment, where the nurse evaluates the newborn's interaction and responsiveness, focusing on an object is considered a positive sign. When a newborn can visually track and focus on an object, it indicates neurological maturity and healthy visual development. This ability to focus demonstrates the newborn's capacity for visual engagement and cognitive processing, which are essential aspects of newborn development. Regarding the other options: A) Turning their head toward a familiar voice is a common and expected behavior in newborns but does not specifically indicate an exceptionally good rating in the Brazelton assessment. B) Staying awake is a normal behavior for newborns and does not necessarily indicate an exceptionally good rating in the assessment. D) Crying inconsolably is a sign of distress and would not contribute to a positive rating in the Brazelton assessment, as it indicates difficulty in self-regulation and responsiveness. Understanding these nuances in newborn behavior is crucial for nurses caring for neonates as it helps in early identification of any potential developmental concerns and allows for appropriate interventions and support. By recognizing these behavioral cues, nurses can provide individualized care that supports optimal growth and development in newborns.