ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
The Apgar assessment tells the nurses and clinicians on the labor and delivery unit what information about the newborn?
Correct Answer: C
Rationale: Rationale: The correct answer is C because the Apgar assessment and score specifically evaluate how well the newborn is transitioning to the outside world after birth. The Apgar score assesses the newborn's heart rate, respiratory effort, muscle tone, reflex irritability, and color. These parameters provide crucial information about the baby's initial adaptation to life outside the womb. Option A is incorrect because it oversimplifies the assessment by focusing only on neurological and physical aspects. Option B is incorrect because the Apgar score is not intended to predict long-term morbidity and mortality. Option D is incorrect as it does not encompass the full scope of the Apgar assessment, which is primarily concerned with the immediate transition of the newborn to extrauterine life.
Question 2 of 5
Blood flow connection between the systemic, aorta, pulmonary blood flow, and pulmonary artery is which fetal shunt?
Correct Answer: C
Rationale: The correct answer is C: ductus arteriosus. During fetal circulation, the ductus arteriosus allows blood to bypass the lungs by connecting the pulmonary artery to the aorta. This shunt is crucial for directing blood from the right side of the heart to the systemic circulation. The other choices are incorrect because: A: The ductus venosus shunts blood from the umbilical vein to the inferior vena cava, bypassing the liver. B: The foramen ovale allows blood to pass directly from the right atrium to the left atrium, bypassing the lungs. D: There is no structure known as foramen venosus in fetal circulation.
Question 3 of 5
The nurse recommends skin-to-skin contact immediately following the birth of a newborn because it reduces what type of heat loss?
Correct Answer: D
Rationale: The correct answer is D: evaporation. Skin-to-skin contact reduces evaporative heat loss by preventing the newborn's skin from losing heat through evaporation of amniotic fluid. This is effective in helping the baby maintain a stable body temperature. Radiation (A), convection (B), and conduction (C) are other types of heat loss that are not specifically addressed by skin-to-skin contact immediately after birth.
Question 4 of 5
At birth, a newborn weighed 6 pounds, 12 ounces. Three days later, the newborn weighs 5 pounds, 10 ounces. What conclusion should the nurse draw regarding this newborn's weight?
Correct Answer: C
Rationale: The correct answer is C: This weight loss is excessive. The newborn's weight decreased from 6 lbs 12 oz to 5 lbs 10 oz in just three days, indicating a significant loss. A newborn typically loses around 5-10% of their birth weight in the first few days. This weight loss exceeds the expected range, suggesting potential issues like inadequate feeding or dehydration. Choices A and B are incorrect because the weight loss is not within normal limits, and weight gain is not observed. Choice D is incorrect as there is no weight gain, let alone excessive weight gain.
Question 5 of 5
What condition can result from a long, difficult labor and is characterized by a localized, soft area on the newborn's head?
Correct Answer: A
Rationale: The correct answer is A: caput succedaneum. This condition occurs due to pressure on the baby's head during a long and difficult labor. It is characterized by a soft, localized swelling on the newborn's head. The other choices are incorrect. B: molding refers to the shaping of the baby's head during passage through the birth canal. C: depressed fontanelles indicate dehydration or malnutrition. D: cephalohematoma is a collection of blood between the baby's skull and periosteum, usually due to birth trauma.