ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
Following a traumatic birth of a 10-lb infant, the nurse should evaluate
Correct Answer: D
Rationale: The correct answer is D because a traumatic birth, especially with a large infant, increases the risk of hypoglycemia due to stress and metabolic demands. Monitoring blood sugar levels is crucial to detect hyperglycemia and prevent complications. Evaluating gestational age (A) is important for assessing developmental milestones but not immediately relevant post-trauma. Flexion of both upper extremities (B) may indicate neurological issues but is not specific to traumatic birth. Infant's percentile on growth chart (C) is important for overall growth assessment but not a priority in this scenario.
Question 2 of 5
The nurse is caring for an infant with FAS. What symptoms would the nurse expect to see when assessing the infant?
Correct Answer: C
Rationale: The correct answer is C because these symptoms are characteristic of Fetal Alcohol Syndrome (FAS). Small eyes, thin upper lip, and smooth skin between the nose and upper lip are common physical features seen in infants with FAS. This is due to the exposure to alcohol in utero affecting the development of the facial features. A, B, and D do not align with the typical symptoms of FAS. Widely spaced nipples and a webbed neck (A) are not specific to FAS. Flattened bridge of the nose, short neck, small ears, large tongue (B) are more indicative of other conditions. Acyanotic with a murmur a few weeks after birth (D) indicates a different issue, not related to FAS.
Question 3 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 4 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 5 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.