ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
Parents of a newborn are asking the nurse why their baby has to have a shot. Which is the nurse's best response?
Correct Answer: D
Rationale: The correct answer is D: Clotting problems can occur in infants because they don't receive food right away. This is the best response as it explains the importance of the shot in preventing clotting issues due to delayed feeding. Infants are at risk of developing clotting problems since they don't receive food immediately after birth. Incorrect choices: A: Incorrect because the shot is not primarily aimed at preventing eye infections. B: Incorrect because the umbilical cord is not the main concern for the shot. C: Incorrect because hospital policy is not the reason for administering the shot. In summary, choice D is correct as it addresses a critical issue related to infant health, while the other choices do not focus on the primary reason for the shot administration.
Question 2 of 5
Which behaviors should be alarming to the newborn nursery nurse and reported to the practitioner for further assessment?
Correct Answer: B
Rationale: The correct answer is B because active movement on one side of the body can indicate a neurological issue that needs further assessment. This asymmetrical movement could suggest a potential problem with the baby's motor function or nerve development. Choice A is a normal behavior known as the "Moro reflex" where the arms are flexed towards the face in response to a startle. Choice C is also a normal behavior as babies often cry during baths due to being exposed to a new sensation. Choice D describes meconium, which is a normal stool for newborns in the first few days of life.
Question 3 of 5
Which diagnosis is most appropriate for a newborn who has not voided within 24 hours after delivery?
Correct Answer: A
Rationale: The correct answer is A: Hypovolemia related to insufficient fluid intake. In a newborn, the inability to void within 24 hours after birth can indicate dehydration and hypovolemia due to insufficient fluid intake. Newborns need to pass urine within the first 24 hours of life to show adequate hydration. Altered growth and development (choice B) is not relevant to the immediate concern of no voiding. Altered nutrition (choice C) is unlikely to cause the absence of urine output. Constipation (choice D) is less likely in a newborn and is not the primary concern when a newborn fails to void.
Question 4 of 5
Which method is correct for obtaining a blood glucose reading on a newborn?
Correct Answer: C
Rationale: The correct method is C because newborns have delicate blood vessels in their feet, making it easier to obtain a blood sample. Step-by-step rationale: 1. Warm the foot to increase blood flow. 2. Clean with an alcohol pad to prevent infection. 3. Puncture the side of the heel as it has a good blood supply and less painful. Other choices are incorrect: A is invasive and not suitable for newborns. B is not recommended as thumb samples may be inaccurate. D does not specify the heel's side, which is crucial for newborns' safety.
Question 5 of 5
A mother asks the newborn nursery RN why her newborn's eyes are yellow. Which offers the mother the most accurate explanation?
Correct Answer: C
Rationale: The correct answer is C because jaundice in newborns is often due to increased bilirubin levels. Bilirubin is a byproduct of the breakdown of red blood cells and can cause yellowing of the skin and eyes. The RN suggests laboratory work to confirm the diagnosis and determine the severity. Choice A is incorrect as kernicterus is a serious condition resulting from untreated severe jaundice, not a likely immediate concern without confirming the diagnosis first. Choice B is incorrect because while a newborn's liver is indeed immature, jaundice still needs to be monitored and managed appropriately. Choice D is incorrect as prematurity does increase the risk of jaundice, but it doesn't explain why the baby's eyes are yellow.