ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
Parents of an infant born 3 hours ago ask the nurse what medicine had to be given to their newborn. What is the most appropriate statement made by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Vitamin K was given to prevent hemorrhagic disease. Vitamin K is routinely given to newborns to prevent hemorrhagic disease of the newborn, which is a condition that can lead to severe bleeding. This is a standard practice shortly after birth to ensure the baby has enough clotting factors. Incorrect Choices: A: Clindamycin is not routinely given to newborns to prevent eye infections from sexually transmitted infections. C: Haemophilus influenzae vaccine is typically given later in infancy to prevent Haemophilus influenzae infections, not the flu. D: Rotateq is a vaccine for rotavirus to prevent gastrointestinal illness, but it is not typically given immediately after birth.
Question 2 of 5
Which situation places the infant at greatest risk for developing hypothermia?
Correct Answer: A
Rationale: The correct answer is A: Maternal fever. Maternal fever can lead to increased heat transfer to the infant, causing higher body temperature and increased risk of hypothermia. Fever in the mother can disrupt the infant's thermoregulation mechanisms, making them more susceptible to hypothermia. Neutral ambient environment (B) is not a risk factor for hypothermia unless it is too cold. Large for gestational age (C) infants may have more body fat which can help with heat retention. Jaundice (D) does not directly increase the risk of hypothermia.
Question 3 of 5
A mother is concerned that her infant was very awake and alert immediately after birth for about 45 minutes but has now been asleep for 3 hours. Which statement by the nurse is most appropriate to address the mother's concerns?
Correct Answer: D
Rationale: The correct answer is D because it explains that babies often alternate between periods of activity and inactivity after birth, which is a normal behavior. This reassures the mother that her baby's behavior is typical and not a cause for concern. Option A is incorrect because it lacks specific information about post-birth baby behavior. Option B is incorrect as it suggests unnecessary medical intervention. Option C is incorrect as it focuses solely on feeding and does not address the mother's concerns about the baby's sleep pattern.
Question 4 of 5
What information should not be documented during the admission process to the newborn nursery following the delivery of the newborn?
Correct Answer: B
Rationale: The correct answer is B: City and state of birth location. This information is not necessary for the newborn's medical care. Time of birth (A), Apgar scores (C), and birth weight (D) are crucial for assessing the newborn's health status and guiding medical interventions. The location details are irrelevant in this context and could potentially compromise the newborn's privacy and security. Thus, omitting city and state information during the admission process is appropriate to maintain confidentiality and focus on essential medical data.
Question 5 of 5
A newborn was born over 3 days ago and has not passed any meconium stools. What should the nurse be most concerned about at this time?
Correct Answer: C
Rationale: The correct answer is C: Bowel obstruction. In a newborn, failure to pass meconium within the first 24-48 hours can indicate an underlying bowel obstruction, which is a serious condition requiring immediate medical attention. This could be due to various causes such as meconium ileus, Hirschsprung's disease, or anatomical defects. Jaundice (choice A) is common in newborns but not directly related to the absence of meconium. Constipation (choice B) typically occurs later in infancy and is not a concern in this immediate postnatal period. Gastrointestinal infection (choice D) is possible but less likely given the absence of meconium passage.