ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
The neonate is placed on the radiant warmer in the delivery room. Which nursing intervention would take priority?
Correct Answer: D
Rationale: The correct answer is D: Place temperature probe on the infant. This is the priority intervention as it helps monitor the neonate's temperature and prevent hypothermia or hyperthermia. Monitoring the infant's temperature is crucial for maintaining thermal stability. Placing pulse oximetry (choice A) is important but not as immediate as monitoring temperature. Placing leads (choice B) is not necessary for immediate thermal stability. Placing the infant in a polyurethane bag (choice C) is not recommended as it can increase the risk of hyperthermia.
Question 2 of 5
A mother is taking methadone 85 mg. She has been told by her ob-gyn that her infant will not withdraw from this medication. At 3 days of life, the infant is jittery, inconsolable with poor feeding, and recent diarrhea. What is the most appropriate statement for the RN to make to the mother at this time?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. The infant's symptoms (jittery, inconsolable, poor feeding, diarrhea) are classic signs of withdrawal from methadone. 2. The mother's methadone use during pregnancy can lead to neonatal abstinence syndrome (NAS) in the infant. 3. NAS requires pharmacological intervention to manage withdrawal symptoms. 4. It is essential to inform the mother about the situation to seek appropriate medical care for the infant. Summary: A: Incorrect. The infant's symptoms are not just typical fussiness but indicative of withdrawal. C: Incorrect. The symptoms do not align with hypoglycemia, which would require different management. D: Incorrect. Colic and temperament issues do not explain the specific symptoms observed.
Question 3 of 5
The labor and delivery nurse is present for the delivery of a premature neonate. Which action by the nurse is most important?
Correct Answer: A
Rationale: The correct answer is A: Stabilize and transfer neonate to NICU. This is the most important action because premature neonates require immediate specialized care in the Neonatal Intensive Care Unit (NICU) to address their unique medical needs and increase their chances of survival. Stabilizing the neonate involves assessment, monitoring vital signs, providing respiratory support if needed, and ensuring a safe transition to the NICU. Reviewing pregnancy history (B) is important but not as urgent as immediate stabilization and transfer. Maintaining fluid and electrolyte balance (C) and providing a neutral temperature environment (D) are also important but secondary to the critical need for specialized care in the NICU.
Question 4 of 5
A mother of a premature neonate in NICU asks the nurse when her baby will begin getting oral feedings. The nurse is aware that multiple conditions are desired. Which condition is most essential?
Correct Answer: B
Rationale: Correct Answer: B Rationale: Cardiorespiratory regulation is the most essential condition for initiating oral feedings in a premature neonate. This is crucial to ensure the baby can safely coordinate breathing and swallowing during feeding, reducing the risk of aspiration and other complications. If the baby's cardiorespiratory system is not stable, oral feedings could pose a serious risk to their health. Proper feeding actions (Choice A) are important but depend on the baby's ability to regulate their breathing and heart rate. Hunger cues (Choice C) and maintaining a quiet alert state (Choice D) are secondary considerations to cardiorespiratory stability in this context.
Question 5 of 5
The nurse is providing care for a premature neonate born at 28 weeks gestation who is experiencing respiratory distress syndrome (RDS). Which assessment finding indicates to the nurse that the neonate’s respiratory status is deteriorating?
Correct Answer: A
Rationale: The correct answer is A. A Pao2 of 48 and Paco2 of 55 mm Hg on 90% oxygen indicates severe hypoxemia and hypercapnia, suggesting worsening respiratory status in a neonate with RDS. Here's a step-by-step rationale: 1. Hypoxemia (low Pao2) indicates inadequate oxygenation, which can lead to tissue hypoxia and organ damage. 2. Hypercapnia (high Paco2) is a sign of inadequate ventilation and respiratory acidosis. 3. High oxygen requirement (90%) despite low Pao2 suggests poor oxygen exchange. 4. Overall, these findings point to respiratory failure and deterioration in the neonate's condition. Summary: B is incorrect because an elevated respiratory rate is a compensatory mechanism for respiratory distress. C is incorrect as decreased breath sounds can be expected in RDS. D is incorrect as an elevated heart rate can be a compensatory response to hypoxemia