ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
The family with a newborn diagnosed with cleft lip and palate is concerned about what will happen in the future. The birthing parent asks if they will be able to breast-feed the infant. What is the best response from the nurse?
Correct Answer: C
Rationale: The correct answer is C because newborns with a cleft lip and palate may still be able to breast-feed due to the possibility of latching filling the gap. This response acknowledges the potential for successful breastfeeding and provides reassurance to the family. Choice A is incorrect as it suggests a specific setup is required, which may not always be the case. Choice B is incorrect by stating newborns cannot breast-feed, which is not universally true. Choice D is incorrect as it implies that surgical repair is necessary for breastfeeding, which is not always the case and might cause unnecessary worry for the parents.
Question 2 of 5
The birthing parent has been watched closely by their health-care team because of their risk factors for delivering prematurely. What items in this patient’s medical history and current diagnosis increase their risk for delivering prematurely? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: history of fibroid removal. Fibroid removal can weaken the cervix, leading to an increased risk of premature delivery. Hypertension (A) and obesity (B) are risk factors for premature delivery but not directly related to fibroid removal. History of premature delivery (C) is a risk factor itself but not directly linked to fibroid removal. Therefore, the history of fibroid removal is the most relevant factor in this case.
Question 3 of 5
A newborn was prenatally diagnosed with trisomy 13 along with an unrepairable cardiac anomaly. Genetic testing and cardiac imaging after birth have confirmed both findings. What discharge planning should be included for this infant?
Correct Answer: C
Rationale: The correct answer is C: home hospice care. This infant has trisomy 13 with an unrepairable cardiac anomaly, indicating a poor prognosis. Home hospice care focuses on providing comfort and support for the infant and family in such situations, ensuring a peaceful environment and managing symptoms. Choice A (cardiology follow-up) is not appropriate as the cardiac anomaly is unrepairable. Genetic testing for the family (Choice B) is not a priority at this stage. Lactation consultant (Choice D) is not relevant for this situation.
Question 4 of 5
An infant with a congenital cardiac disorder is receiving postsurgical palliation and nearing time for discharge. What findings would be indicators that the infant is ready for discharge?
Correct Answer: A
Rationale: Rationale: Choice A is correct because it indicates that the infant is medically stable, has undergone all necessary discharge screenings, and is up to date on vaccinations. These factors are crucial for ensuring the infant's health and safety post-discharge. Choice B is incorrect as it highlights the caregiver's lack of training, which is essential for managing the infant's needs at home. Choice C is incorrect as it mentions a delay in equipment delivery, which is necessary for the infant's care. Choice D is incorrect as escalating oxygen requirements and temperature instability indicate the infant is not ready for discharge.
Question 5 of 5
Which of the following is the newborn at risk for during delivery due to green-stained amniotic fluid aspiration causing inflammation and respiratory distress?
Correct Answer: B
Rationale: The correct answer is B: Meconium aspiration. Meconium aspiration occurs when a newborn inhales meconium-stained amniotic fluid during delivery, leading to inflammation and respiratory distress. Meconium can obstruct the airways and cause chemical pneumonitis, resulting in respiratory compromise. Atelectasis (choice A) is the collapse of part or all of the lung, which can occur secondary to meconium aspiration. Bronchopulmonary dysplasia (choice C) is a chronic lung disease in premature infants. Patent ductus arteriosus (choice D) is a heart condition where a blood vessel doesn't close normally after birth. Meconium aspiration is the most immediate risk for the newborn in this scenario due to its impact on the respiratory system.