ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia. A vacuum extraction was necessary. Based on this information the nurse would
Correct Answer: C
Rationale: The correct answer is C: contact the pediatric provider. In this scenario, the newborn's presentation with a hard ridged area, significant molding, and no sign of depression in the fontanels is concerning given the prolonged pushing, epidural anesthesia, and vacuum extraction during delivery. Contacting the pediatric provider is crucial as these findings may indicate potential issues such as cranial molding, head trauma, or skull fracture which require further evaluation and management. Monitoring the newborn, anticipating molding subsiding, inspecting fontanels, or considering findings within normal limits are not appropriate actions given the risk factors and concerning presentation. Contacting the pediatric provider ensures prompt assessment and appropriate intervention if necessary.
Question 2 of 5
A patient delivers a term neonate and expresses concern about the reason for giving the neonate an injection. Which information from the nurse is accurate?
Correct Answer: B
Rationale: The correct answer is B: Vitamin K is needed to activate clotting factors. This is accurate because neonates have low levels of vitamin K and need it for blood clotting. Without adequate vitamin K, neonates are at risk of bleeding disorders. Incorrect choices: A: Neonates will hemorrhage without vitamin K - This is not entirely accurate as hemorrhage is a severe consequence of vitamin K deficiency, but the primary reason for giving vitamin K is to ensure proper clotting function. C: Mothers are unable to supply vitamin K to the fetus - This is incorrect as fetuses receive vitamin K from the placenta during pregnancy. D: Breastfeeding is an excellent source of vitamin K - This is incorrect as breast milk contains low levels of vitamin K, which is why neonates need supplementation shortly after birth.
Question 3 of 5
The nurse is assessing a newborn's reflexes. Which response will cause the nurse concern?
Correct Answer: C
Rationale: The correct answer is C: Asymmetrical Moro reflex. This is concerning because the Moro reflex should be symmetrical, with both arms and legs extending and then flexing in response to a sudden movement or loud noise. An asymmetrical Moro reflex could indicate a neurological issue or injury. A: A fencing position when the head is turned is a normal response indicating a healthy neurological function. B: A strong Babinski reflex is normal in infants and can indicate a healthy nervous system development. D: The absence of rooting or sucking reflexes can be a concern but is not as immediate as an asymmetrical Moro reflex.
Question 4 of 5
The nurse is presenting information to new parents regarding screening of their newborn. Which information does the nurse identify as being most important to the parents?
Correct Answer: D
Rationale: The correct answer is D because it accurately summarizes the purpose of newborn screenings, which include detecting infections, genetic diseases, and inherited disorders early on. This information is crucial for parents to understand the comprehensive nature of newborn screenings. A: This choice is incorrect because it is a general statement about newborn screenings in the United States, but it does not specifically address the important details about the purpose of the screenings. B: This choice is incorrect because it only mentions two specific tests within newborn screenings and does not encompass the full scope of conditions that screenings aim to detect. C: This choice is incorrect because it focuses on the legal aspect of newborn screenings rather than the information that is essential for parents to know about the screenings themselves.
Question 5 of 5
The nurse is providing information to a postpartum mother about circumcision of her neonate. The neonate's father states, 'We have never done that to any baby boy in my family.' Which statement is best for the nurse to make?
Correct Answer: D
Rationale: Rationale for Correct Answer D: 1. Acknowledges father's statement without judgment. 2. Shows empathy and understanding towards family beliefs. 3. Promotes respect for cultural diversity and individual choices. 4. Encourages open dialogue and shared decision-making. 5. Reflects a patient-centered approach to care. Summary of Incorrect Choices: A: Assumes most families opt for circumcision without considering individual preferences. B: Passively offers information without addressing father's concerns. C: Imposes personal opinion on father's decision-making process, disregarding cultural beliefs.