ATI RN
Assessment and Management of Newborn Complications Quizlet Questions
Question 1 of 5
The NICU nurse encourages the mother of a premature neonate to bring breast milk to the unit for enteral feedings to her baby. For which reason does the nurse make this suggestion?
Correct Answer: D
Rationale: The correct answer is D because breast milk helps prevent necrotizing enterocolitis (NEC) in premature neonates. Breast milk contains protective factors that reduce the risk of NEC, a serious gastrointestinal condition common in preterm infants. Other choices are incorrect: A is not directly related to feeding breast milk, B focuses on emotional involvement rather than physiological benefits, and C does not address the specific health benefits of breast milk in preventing NEC.
Question 2 of 5
The nurse notices that a neonate being treated for hyperbilirubinemia with phototherapy has had a daily increase of total bilirubin serum levels greater than 5 mg/dL for the past 2 days. The neonatal care provider prescribes an exchange transfusion. Which knowledge does the nurse apply to the procedure?
Correct Answer: A
Rationale: The correct answer is A because a daily increase of total bilirubin levels greater than 5 mg/dL in a neonate being treated for hyperbilirubinemia with phototherapy indicates severe hemolytic disease. This condition requires an exchange transfusion to remove excess bilirubin and replace damaged RBCs. Choice B is incorrect as the percentage of RBCs replaced during an exchange transfusion is closer to 50-60%. Choice C is incorrect as donor RBCs are typically obtained from a blood bank, not the neonate's mother. Choice D is incorrect as an exchange transfusion may be necessary for severe hyperbilirubinemia of various etiologies, not exclusively pathological jaundice.
Question 3 of 5
The nurse is providing support to a mother whose newborn is diagnosed with a life-threatening defect. The mother states, “I just want to go home and never come back.” Which reaction by the mother does the nurse recognize?
Correct Answer: C
Rationale: The correct answer is C: Maternal emotional distancing. The mother's statement of wanting to go home and never come back indicates a desire to emotionally distance herself from the situation. This reaction is a common coping mechanism when faced with overwhelming emotions. Guilty feelings (choice A) typically involve a sense of responsibility or remorse, which is not evident in the mother's statement. Delay of attachment process (choice B) refers to difficulties in forming an emotional bond with the newborn, which is not explicitly mentioned in the scenario. Disruption of family life (choice D) implies changes in family dynamics, which are not directly related to the mother's expressed desire to distance herself emotionally.
Question 4 of 5
The nurse is present in the delivery room when a mother is told her neonate was stillborn. The mother begins to wail loudly and pull at her hair. Which action does the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Allow the mother to express grief in her own way. The nurse should prioritize the mother's emotional needs by providing a safe space for her to express her grief. This can help the mother process her emotions and begin the grieving process. Option B may come across as dismissive of the mother's feelings and could hinder her emotional healing. Option C with sedatives may suppress the mother's natural grieving process and is not recommended unless absolutely necessary. Option D is not appropriate as the nurse should be present to support the mother directly.
Question 5 of 5
The postnatal nurse is providing care for a neonate being treated with phototherapy for hyperbilirubinemia. For which side effects of phototherapy will the nurse contact the neonatal care provider? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Hyperthermia. During phototherapy, neonates are at risk for developing hyperthermia due to the heat generated by the lights. The nurse should contact the provider if the neonate shows signs of hyperthermia to prevent complications. B: Lethargy is not a direct side effect of phototherapy but can be a result of other factors such as inadequate feeding or underlying medical conditions. C: Hypocalcemia is not a common side effect of phototherapy. It is more often associated with other conditions or treatments. D: Thrombocytopenia is not a typical side effect of phototherapy. It refers to low platelet levels and is usually not directly related to phototherapy treatment.