On examination the hands and feet of a 6 hours old infant is cyanotic without signs of distress. The nurse should document these findings as:

Questions 54

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ATI Maternal Newborn Proctored Exam Questions

Question 1 of 5

On examination the hands and feet of a 6 hours old infant is cyanotic without signs of distress. The nurse should document these findings as:

Correct Answer: D

Rationale: Acrocyanosis is a condition commonly seen in newborns where the hands and feet appear blue or purple in color due to decreased circulation in the peripheral blood vessels. It is usually a normal finding in newborns and is not associated with distress or poor oxygenation. Unlike central cyanosis which indicates a more serious underlying issue affecting oxygen levels in the blood, acrocyanosis is a benign and self-limiting condition. It is important for the nurse to recognize and document acrocyanosis to differentiate it from other potentially concerning conditions.

Question 2 of 5

What is the most appropriate action for a nurse when a newborn has jaundice on the second day of life?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.

Question 3 of 5

Which newborn reflex is assessed by stroking the cheek?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.

Question 4 of 5

How should a nurse educate a mother about kangaroo care for her preterm infant?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.

Question 5 of 5

A nurse is conducting a discharge teaching for a client going home after cesarean section. Which S&S should the client be taught to report?

Correct Answer: A

Rationale: After a cesarean section, the client should be taught to report symptoms of a urinary tract infection, such as frequency, urgency, and burning on urination. These symptoms can indicate an infection which needs prompt treatment to prevent complications. It is important for the client to report these symptoms to their healthcare provider for appropriate evaluation and management.

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