ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n)
Correct Answer: D
Rationale: The correct answer is D, blood glucose level of 25 mg/dL. Low blood glucose levels can lead to hypoglycemia, which can impair thermoregulation in infants. Hypoglycemia affects the body's ability to produce heat and maintain body temperature. A high hematocrit level (choice A) or RBC count (choice B) would not directly impact thermoregulation. Similarly, a high WBC count (choice C) is more indicative of an infection rather than a direct effect on thermoregulation. Therefore, the correct concern for thermoregulation in a post-term infant would be a low blood glucose level.
Question 2 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 3 of 5
The nurse is observing a 38-week gestation newborn in the nursery. Data reveals periods of apnea lasting approximately 10 seconds followed by a period of rapid respirations. The infant’s color and heart rate remain unchanged. The nurse suspects that the infant
Correct Answer: C
Rationale: The correct answer is C because the infant is exhibiting periodic breathing, a common phenomenon in newborns where they have brief periods of apnea followed by rapid respirations. This is a normal finding in many healthy newborns and does not necessarily indicate a serious medical issue. Continuous monitoring is necessary to ensure the infant's respiratory pattern stabilizes over time. Choice A (RDS) is incorrect because the infant's color and heart rate are unchanged, which are not typical signs of respiratory distress syndrome. Choice B is incorrect because tactile stimulation is not needed for periodic breathing episodes in newborns unless there are additional concerning symptoms present. Choice D is incorrect because CPAP is not typically indicated for periodic breathing episodes in a healthy newborn without other respiratory issues.
Question 4 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 5 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.