ATI RN
Nursing Care of the Newborn Questions
Question 1 of 5
The newborn nursery nurse walks into the mother's room and notices the patient next to the window. What is the nurse's next course of action?
Correct Answer: A
Rationale: The correct answer is A: Ask the mom to hold the infant using skin-to-skin contact. This is because skin-to-skin contact between the mother and newborn is important for bonding, regulating the baby's temperature, promoting breastfeeding, and comforting the baby. It also helps establish trust and promote attachment. Choice B is incorrect because newborns should not be exposed to direct sunlight for long periods due to the risk of sunburn and overheating. Choice C is incorrect because there is no specific benefit to placing the infant near the door, and it does not address the importance of skin-to-skin contact. Choice D is incorrect because obtaining the baby's weight is not the immediate priority when entering the room, especially when the opportunity for skin-to-skin contact is present.
Question 2 of 5
Which infant is not at risk for heat loss?
Correct Answer: D
Rationale: The correct answer is D because swaddling helps maintain the infant's body temperature by preventing heat loss. Swaddling creates a cocoon-like environment, reducing exposure to external factors. Choice A is incorrect because a baby scale does not provide warmth. Choice B is incorrect as the preterm infant is in an extended position, which increases heat loss. Choice C is incorrect as the term infant lying next to the door may experience drafts and heat loss.
Question 3 of 5
An infant has just been admitted to the newborn nursery after an uncomplicated delivery. Upon assessment, the nurse notes poor muscle tone and a temperature of 96°F axillary. What is the next course of action?
Correct Answer: A
Rationale: The correct next course of action is to obtain a blood glucose reading (Choice A). Poor muscle tone and low temperature in a newborn can be indicative of hypoglycemia, which is a common issue in infants. By checking the blood glucose level, the healthcare provider can determine if hypoglycemia is the cause of the symptoms. This action allows for prompt intervention if needed. Choices B, C, and D are incorrect as they do not address the potential underlying issue of hypoglycemia. Resuscitation needs (Choice B) should only be considered if the infant's condition deteriorates. Calling for a transfer to the neonatal intensive care unit (Choice C) may not be necessary if the issue can be managed in the nursery. Placing warm blankets (Choice D) may help with temperature regulation but does not address the root cause of the symptoms.
Question 4 of 5
The nurse enters the room of a patient who just gave birth 2 days ago to a healthy newborn. The nurse asks her what her newborn's name is and she shrugs and says, 'I haven't thought about a name yet.' What priority is the nurse most concerned about with this patient?
Correct Answer: B
Rationale: The correct answer is B: Parent-to-newborn attachment may be a concern. The nurse is most concerned about the lack of bonding or attachment between the mother and her newborn, as indicated by the mother not having thought about a name yet. This lack of interest or engagement with the newborn could potentially impact the mother's ability to form a healthy attachment, which is crucial for the newborn's well-being. The nurse should prioritize assessing and supporting the mother in developing a bond with her baby. Choices A, C, and D are incorrect: A: The patient not naming the newborn does not indicate she has not transitioned from the fourth stage of labor. C: There is no evidence to suggest that the mother may be contemplating suicide based solely on her not naming the newborn. D: Different cultural practices do not seem to be the primary concern in this scenario compared to the potential lack of parent-to-newborn attachment.
Question 5 of 5
A mother brings her 4-week-old newborn into the clinic for a well-child check. She reports to the nurse that the newborn developed small white marks on her nose. What are these small white marks commonly called?
Correct Answer: A
Rationale: The correct answer is A: Milia. Milia are tiny, white, pearly bumps that commonly appear on a newborn's face, including the nose, due to blocked oil glands. They are harmless and typically disappear on their own. Explanation: 1. Milia are common in newborns, appearing as small white bumps on the nose and face. 2. They result from blocked oil glands and are not harmful. 3. Mongolian spots are bluish-gray birthmarks usually on the lower back or buttocks. 4. Erythema toxicum presents as red blotches on the skin shortly after birth. 5. Port-wine stain is a vascular birthmark that appears as a pink or red mark on the skin.