ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
The hips of a newborn are examined for developmental dysplasia. Which clinical finding indicates an incomplete development of the acetabulum?
Correct Answer: D
Rationale: The correct answer is D because asymmetric thigh and gluteal creases suggest incomplete development of the acetabulum in developmental dysplasia of the hip. This finding indicates a potential instability or abnormality in the hip joint. The other choices are incorrect because a negative Barlow test (A) indicates no dislocation, equal knee heights (B) are not indicative of hip dysplasia, and a negative Ortolani sign (C) suggests no hip dislocation during abduction.
Question 2 of 5
A new patient asks, 'Why are you doing a gestational age assessment on my baby?' The nurse's best response is
Correct Answer: C
Rationale: The correct answer is C because gestational age assessment helps identify infants at risk for problems like prematurity-related complications. It aids in providing appropriate care and monitoring for high-risk infants. Choice A is not patient-centered. Choice B is inaccurate as gestational age assessment is for clinical purposes, not insurance. Choice D is incorrect as hospitalization duration is determined by clinical condition, not just gestational age.
Question 3 of 5
A new mother states, 'My baby is so thin and wrinkled. It looks like he has too much skin.' Which is the most therapeutic response by the nurse in response to the patient's statement?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the mother's feelings and offers empathy, showing understanding and validating her concerns. It encourages open communication and allows the mother to express her emotions. Incorrect choices: B: This response generalizes all mothers and does not address the specific concerns of the new mother. C: While this choice attempts to reassure the mother, it minimizes her feelings and may come across as dismissive. D: This response is accusatory, blaming the mother for the baby's appearance and could potentially cause guilt and defensiveness.
Question 4 of 5
Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia. A vacuum extraction was necessary. Based on this information the nurse would
Correct Answer: C
Rationale: The correct answer is C: contact the pediatric provider. In this scenario, the newborn's presentation with a hard ridged area, significant molding, and no sign of depression in the fontanels is concerning given the prolonged pushing, epidural anesthesia, and vacuum extraction during delivery. Contacting the pediatric provider is crucial as these findings may indicate potential issues such as cranial molding, head trauma, or skull fracture which require further evaluation and management. Monitoring the newborn, anticipating molding subsiding, inspecting fontanels, or considering findings within normal limits are not appropriate actions given the risk factors and concerning presentation. Contacting the pediatric provider ensures prompt assessment and appropriate intervention if necessary.
Question 5 of 5
The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?
Correct Answer: A
Rationale: The correct answer is A: Depress the tip of the nose. This method checks for jaundice by observing for blanching of the skin. If jaundice is present, the skin will not blanch. This technique is specifically used to assess for jaundice in newborns. B, C, and D are incorrect because they do not provide a reliable way to assess for jaundice in newborns. Stroking the foot, placing a finger in the hand, or rotating the hips do not elicit a specific response related to jaundice. These techniques are not appropriate for evaluating newborn jaundice.