ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
The mother-baby nurse is providing care to a patient and her newborn 2 hours after delivery. On review of the newborn's chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother's chart?
Correct Answer: B
Rationale: Caput succedaneum is caused by pressure against the mother's cervix during labor, resulting in localized edema on the newborn's head. Therefore, the nurse would expect to find a notation of longer than usual labor in the mother's chart. This is a common occurrence related to the labor process, not related to the mother's race, use of epidural, or mode of delivery.
Question 2 of 5
An hour after birth, the nurse assesses a newborn's temperature and notes that it is 36.2°C (97.2°F). The next activity planned for the newborn is the bath, and the new mother and father are invited to participate in the procedure. What is the nurse's next action?
Correct Answer: C
Rationale: The nurse's next action should be to delay the bath until the newborn's temperature is above 36.7°C (98°F). This is important because infants can lose heat during a bath through evaporation. Rectal temperatures should be avoided to prevent mucosal trauma, and it is the nurse's responsibility to ensure the bath water is at the appropriate temperature to prevent scalding.
Question 3 of 5
Which statement by the parents indicates the need for further education with regard to pacifier use?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The patient should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?
Correct Answer: A
Rationale: The correct answer is A - Unwrap and gently arouse the infant. If the infant falls asleep during feeding, it may indicate inadequate feeding. Arousing the infant gently and continuing the feeding is important to ensure proper nutrition. Waiting, offering a bottle, or delaying the feeding can lead to decreased milk production and potential issues with breastfeeding.
Question 5 of 5
A mother conveys concern over the fact that she is not certain if her newborn is receiving enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What information can you provide that will help alleviate her fears regarding nutrient status for her newborn?
Correct Answer: A
Rationale: The correct answer is A because monitoring the infant's output, specifically the number of wet diapers changed in a 24-hour period, is a good indicator that the baby is receiving sufficient intake from breastfeeding. This can help alleviate the mother's fears about her newborn's nutrient status. It is important to provide practical and reassuring information to support the mother in her breastfeeding journey.