ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?
Correct Answer: A
Rationale: The correct answer is A: Depress the tip of the nose. This method checks for jaundice by observing for blanching of the skin. If jaundice is present, the skin will not blanch. This technique is specifically used to assess for jaundice in newborns. B, C, and D are incorrect because they do not provide a reliable way to assess for jaundice in newborns. Stroking the foot, placing a finger in the hand, or rotating the hips do not elicit a specific response related to jaundice. These techniques are not appropriate for evaluating newborn jaundice.
Question 2 of 5
The nurse is assessing a newborn's reflexes. Which response will cause the nurse concern?
Correct Answer: C
Rationale: The correct answer is C: Asymmetrical Moro reflex. This is concerning because the Moro reflex should be symmetrical, with both arms and legs extending and then flexing in response to a sudden movement or loud noise. An asymmetrical Moro reflex could indicate a neurological issue or injury. A: A fencing position when the head is turned is a normal response indicating a healthy neurological function. B: A strong Babinski reflex is normal in infants and can indicate a healthy nervous system development. D: The absence of rooting or sucking reflexes can be a concern but is not as immediate as an asymmetrical Moro reflex.
Question 3 of 5
The nurse is presenting information to new parents regarding screening of their newborn. Which information does the nurse identify as being most important to the parents?
Correct Answer: D
Rationale: The correct answer is D because it accurately summarizes the purpose of newborn screenings, which include detecting infections, genetic diseases, and inherited disorders early on. This information is crucial for parents to understand the comprehensive nature of newborn screenings. A: This choice is incorrect because it is a general statement about newborn screenings in the United States, but it does not specifically address the important details about the purpose of the screenings. B: This choice is incorrect because it only mentions two specific tests within newborn screenings and does not encompass the full scope of conditions that screenings aim to detect. C: This choice is incorrect because it focuses on the legal aspect of newborn screenings rather than the information that is essential for parents to know about the screenings themselves.
Question 4 of 5
The nurse is providing information to a postpartum mother about circumcision of her neonate. The neonate's father states, 'We have never done that to any baby boy in my family.' Which statement is best for the nurse to make?
Correct Answer: D
Rationale: Rationale for Correct Answer D: 1. Acknowledges father's statement without judgment. 2. Shows empathy and understanding towards family beliefs. 3. Promotes respect for cultural diversity and individual choices. 4. Encourages open dialogue and shared decision-making. 5. Reflects a patient-centered approach to care. Summary of Incorrect Choices: A: Assumes most families opt for circumcision without considering individual preferences. B: Passively offers information without addressing father's concerns. C: Imposes personal opinion on father's decision-making process, disregarding cultural beliefs.
Question 5 of 5
The breastfeeding patient should be taught a safe method to remove her breast from the baby's mouth. Which suggestion by the nurse is most appropriate?
Correct Answer: A
Rationale: Rationale for correct answer (A): 1. Breaking the suction by inserting a finger into the corner of the infant's mouth is the most appropriate method to remove the breast safely. 2. This technique prevents trauma to the nipple and helps the baby release the latch gently. 3. It allows for a smooth and painless disengagement of the baby from the breast. 4. By breaking the suction first, the risk of causing discomfort or injury to both the mother and the baby is minimized. Summary of why other choices are incorrect: B. A popping sound is not a reliable indicator of correct breast removal and may lead to abrupt disengagement, causing pain and potential injury. C. Removing the breast slowly while the baby is asleep can disrupt the baby's sleep and may not be gentle or safe. D. Eliciting the Moro reflex is unnecessary and may startle the baby, leading to an abrupt disengagement that can cause discomfort and potential injury.