ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
How can the nurse explain the complications of preterm birth?
Correct Answer: C
Rationale: Respiratory distress syndrome is a leading cause of mortality in preterm infants due to underdeveloped lungs. Intraventricular hemorrhage is serious, necrotizing enterocolitis typically presents with gastrointestinal issues rather than constipation, and surfactant therapy helps improve lung function without causing excessive pliability.
Question 2 of 5
What two steps of the CJMM are included in the assessment step of the nursing process?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
What is the Apgar score for the infant whose findings are heart rate 120 bpm, crying vigorously, actively moving extremities, blue hands and feet, and sneezed upon suctioning with bulb suction?
Correct Answer: C
Rationale: The Apgar score assesses newborns' overall health at 1 and 5 minutes after birth. Each category (heart rate, respiratory effort, muscle tone, reflex irritability, color) is scored 0-2. In this case, the infant's findings indicate a heart rate of 120 bpm (2 points), vigorous crying (2 points), active movement of extremities (2 points), blue hands and feet (1 point), and sneezing (2 points). Adding these scores together, the total is 9 (2 + 2 + 2 + 1 + 2 = 9). Therefore, the correct answer is C: Score of 9. Other choices are incorrect because they do not accurately reflect the individual scores given in the scenario.
Question 4 of 5
The nursing student checks the newborn baby's temperature and finds the temperature to be 96°F axillary. What is the next action that should be taken?
Correct Answer: C
Rationale: Rationale: Choice C is correct because a temperature of 96°F axillary in a newborn indicates hypothermia. Swaddling the baby and placing a cap on the head helps conserve body heat. This action is essential to prevent further heat loss and maintain the newborn's body temperature within the normal range. The other choices are incorrect because: A: Notifying the physician is not the immediate action needed for hypothermia. B: Documenting the findings is important but should not take precedence over addressing the hypothermia. D: Educating the mother on heat loss mechanisms is not the primary action required in this situation.
Question 5 of 5
Which condition of a newborn should the nurse further investigate?
Correct Answer: D
Rationale: The correct answer is D: Fontanels that feel soft and flat. This indicates dehydration or a problem with intracranial pressure. Soft and flat fontanels in a newborn are concerning as they should be slightly elevated and have a slight pulsation. The nurse should further investigate this by checking for signs of dehydration or increased intracranial pressure. A: A temperature of 97.5°F axillary is within the normal range for a newborn. B: Respirations of 60 breaths per minute while sleeping soundly are normal for a newborn. C: Acrocyanosis in a baby born 6 hours ago is a common finding in newborns and usually resolves on its own.