ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
Following the vaginal birth of a macrosomic infant, the nurse should evaluate the infant for
Correct Answer: B
Rationale: The correct answer is B: clavicle fractures. Macrosomic infants are at increased risk for birth injuries, such as clavicle fractures, due to their larger size during vaginal birth. This evaluation is crucial for early detection and appropriate management. Incorrect choices: A: Hyperglycemia is not typically a direct concern following vaginal birth of a macrosomic infant. C: Hyperthermia is not a common issue in this scenario unless there are other contributing factors. D: An increase in red blood cells is not a primary concern immediately after birth and is not specifically related to macrosomia.
Question 2 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 3 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 4 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 5 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.