ATI RN
Nursing Care of the Newborn Questions
Question 1 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 2 of 5
Upon assessment, the RN notices that the newborn remains red at rest. Which laboratory value is most important for the nurse to evaluate?
Correct Answer: D
Rationale: The correct answer is D: Hematocrit. A red newborn at rest may indicate polycythemia, which increases the risk of hyperviscosity and complications. Hematocrit measures the percentage of red blood cells in the blood, so evaluating it can help determine if the newborn has polycythemia. Glucose (A) is important but not directly related to the newborn's redness. Bilirubin (B) is crucial for evaluating jaundice, not redness. Sodium (C) levels are not typically associated with a red newborn at rest.
Question 3 of 5
The nurse is preparing a new mother and newborn for discharge. Which statement indicates learning has occurred in the mother?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates understanding of the importance of exclusive breastfeeding every 2 to 3 hours. This statement shows the mother has learned about the recommended feeding schedule for newborns and the benefits of exclusive breastfeeding. Choice A is incorrect because feeding every 3 hours does not emphasize exclusive breastfeeding. Choice C is incorrect as supplementing with formula can interfere with establishing breastfeeding. Choice D is incorrect because iron-fortified formula is not typically needed if the baby is breastfed exclusively for the first 6 months.
Question 4 of 5
Which assessment finding of a newborn in the newborn nursery warrants further investigation and notification to the physician?
Correct Answer: D
Rationale: The correct answer is D because the absence of meconium stool on day 2 of life can indicate a potential intestinal obstruction, which requires immediate medical attention. Meconium should be passed within the first 24-48 hours of life. A: Absent bowel sounds 15 minutes after delivery are normal as the gastrointestinal system may take some time to start functioning. B: Bluish discoloration on the buttocks area can be due to vascular changes and is usually not concerning. C: Regurgitation of small amounts of feedings is common in newborns and often not indicative of a serious issue.
Question 5 of 5
What is the proper method for cleaning the bulb syringe?
Correct Answer: C
Rationale: The correct answer is C: Wash in warm soapy water daily or after each use. This method is recommended as it effectively removes any residue, dirt, or bacteria from the bulb syringe. Cleaning the syringe daily or after each use helps prevent the growth of harmful bacteria and ensures it remains hygienic for future use. Boiling the syringe (choice A) may damage the materials and is not necessary after every use. Microwaving in warm water (choice B) may not effectively clean the syringe. Wiping with alcohol prep (choice D) may not be sufficient to remove all contaminants.