ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
How would the nurse elicit a rooting reflex in a newborn?
Correct Answer: A
Rationale: The correct answer is A because eliciting the rooting reflex in a newborn involves gently rubbing a finger on the side of the cheek. This reflex is important for feeding as it helps the baby turn their head towards the stimulus to locate the nipple for feeding. This action triggers a sucking response. The other choices are incorrect as they do not specifically target the rooting reflex. Choice B refers to the palmar grasp reflex, choice C is related to the sucking reflex, and choice D describes the Moro reflex. These reflexes are different from the rooting reflex and have distinct elicitation methods.
Question 2 of 5
When assessing the newborn for the presence of lanugo, where should the nurse look for it?
Correct Answer: D
Rationale: The correct answer is D because lanugo, the fine hair that covers a newborn's body, is commonly found on the back between the scapulae. This area is where lanugo is most prominent and noticeable. Lanugo is not typically found on the newborn's face (choice A) or extremities (choice B). While some lanugo may be present on the newborn's back near their buttocks (choice C), it is not the primary location for this fine hair to be observed. Therefore, choice D is the correct answer based on the typical distribution of lanugo on a newborn's body.
Question 3 of 5
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive a poor rating by reacting to what?
Correct Answer: D
Rationale: The correct answer is D because during the Brazelton assessment, crying inconsolably is an indication of the newborn's inability to self-regulate and cope with stimuli, leading to a poor rating. Turning the head towards a familiar voice (A) is a positive response showing recognition. Staying awake (B) may indicate alertness and engagement. Focusing on an object (C) demonstrates visual attention skills. But only crying inconsolably (D) reflects the newborn's distress and poor ability to regulate emotions, leading to a poor rating in the assessment.
Question 4 of 5
When teaching umbilical cord care to a new parent, the nurse would include which information?
Correct Answer: C
Rationale: Step 1: Keeping the cord dry and open to air helps promote natural drying and healing. Step 2: Moisture can lead to infection, so keeping it dry is crucial. Step 3: Covering the cord or applying substances can trap moisture and hinder healing. Step 4: Using peroxide or soap can irritate the delicate skin and disrupt the natural healing process. Summary: Choice C is correct as it promotes optimal cord healing, while the other choices can introduce moisture, irritants, or disrupt the natural healing process.
Question 5 of 5
At 1 minute following birth, the newborn exhibited the following: heart rate of 155; loud, vigorous crying with active movement of all extremities; sneezing when nose is stimulated with a catheter; hands and feet bluish and cool to the touch. The Apgar score of this newborn should be recorded as
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.