ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
Because late preterm infants are more stable than early preterm infants, they may receive care that is much like that of a full-term baby. The mother-baby or nursery nurse knows that these infants are at increased risk for which of the following? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Sepsis. Late preterm infants, born between 34-36 weeks, are at increased risk for sepsis due to their immature immune systems. Their immune response is not as developed as full-term infants, making them more vulnerable to infections. Sepsis can quickly become life-threatening in these infants. Other choices are incorrect: B: Hyperglycemia is not commonly associated with late preterm infants; they are more prone to hypoglycemia due to their immature liver function. C: Hyperbilirubinemia is common in late preterm infants, but it's not the highest priority risk compared to sepsis. D: Cardiac distress is not a typical risk for late preterm infants unless there are specific underlying cardiac conditions present.
Question 2 of 5
The family with a newborn diagnosed with cleft lip and palate is concerned about what will happen in the future. The birthing parent asks if they will be able to breast-feed the infant. What is the best response from the nurse?
Correct Answer: C
Rationale: The correct answer is C because newborns with a cleft lip and palate may still be able to breast-feed due to the possibility of latching filling the gap. This response acknowledges the potential for successful breastfeeding and provides reassurance to the family. Choice A is incorrect as it suggests a specific setup is required, which may not always be the case. Choice B is incorrect by stating newborns cannot breast-feed, which is not universally true. Choice D is incorrect as it implies that surgical repair is necessary for breastfeeding, which is not always the case and might cause unnecessary worry for the parents.
Question 3 of 5
A premature newborn requires assistance with ventilation and oxygenation. What method of respiratory support is most likely to be utilized if the newborn requires PPV at birth and continues to need assistance?
Correct Answer: C
Rationale: The correct answer is C: continuous positive airway pressure (CPAP). CPAP is indicated for providing continuous pressure to a premature newborn's airways, helping keep the air sacs open to improve oxygenation without the need for invasive ventilation. CPAP is a non-invasive method that can be used both initially and continuously for respiratory support. A: Bag mask PPV is used for initial resuscitation but may not be suitable for continuous support due to potential lung injury. B: ECMO is an advanced therapy used for severe respiratory or cardiac failure, usually after other methods have failed. D: Nasal cannula at 1 L provides low levels of oxygen and is not sufficient for a premature newborn requiring continuous respiratory support.
Question 4 of 5
The birthing parent has been watched closely by their health-care team because of their risk factors for delivering prematurely. What items in this patient’s medical history and current diagnosis increase their risk for delivering prematurely? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: history of fibroid removal. Fibroid removal can weaken the cervix, leading to an increased risk of premature delivery. Hypertension (A) and obesity (B) are risk factors for premature delivery but not directly related to fibroid removal. History of premature delivery (C) is a risk factor itself but not directly linked to fibroid removal. Therefore, the history of fibroid removal is the most relevant factor in this case.
Question 5 of 5
A newborn was prenatally diagnosed with trisomy 13 along with an unrepairable cardiac anomaly. Genetic testing and cardiac imaging after birth have confirmed both findings. What discharge planning should be included for this infant?
Correct Answer: C
Rationale: The correct answer is C: home hospice care. This infant has trisomy 13 with an unrepairable cardiac anomaly, indicating a poor prognosis. Home hospice care focuses on providing comfort and support for the infant and family in such situations, ensuring a peaceful environment and managing symptoms. Choice A (cardiology follow-up) is not appropriate as the cardiac anomaly is unrepairable. Genetic testing for the family (Choice B) is not a priority at this stage. Lactation consultant (Choice D) is not relevant for this situation.