ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
The nurse is assessing a newborn girl born at 40 weeks of gestation based on the parent's LMP. What assessment finding of the genitalia confirms this gestational age?
Correct Answer: A
Rationale: The correct answer is A because at 40 weeks of gestation, the labia majora should completely cover the clitoris and labia minora. This is known as the "laboratory majora sign" and is characteristic of full-term newborns. Choice B is incorrect because a prominent clitoris and enlarged labia minora indicate a younger gestational age, typically around 36-38 weeks. Choice C is incorrect as small labia minora and enlarged clitoris suggest a preterm newborn, around 32-34 weeks. Choice D is incorrect as enlarged labia majora and small labia minora are more indicative of a post-term newborn, around 42 weeks or more. Overall, the correct answer, choice A, aligns with the expected genitalia findings for a newborn born at 40 weeks of gestation based on the parent's LMP.
Question 2 of 5
The nurse knows that during the motoric process, the newborn will be rated poorly if they do what?
Correct Answer: B
Rationale: The correct answer is B because hyper- or hypotonic movements indicate abnormal muscle tone, which can be a sign of neurological or developmental issues in newborns. This would lead to a poor rating during the motoric process as it reflects a lack of proper muscle control and coordination. Good reflexes (A) and good head control (C) are positive indicators of normal motor development in newborns. Moderate activity levels (D) are subjective and not directly related to motoric assessment.
Question 3 of 5
When the nurse determines they have a high-risk newborn and birthing person in their care, what can they do to mitigate the situation?
Correct Answer: C
Rationale: The correct answer is C: Refer the couplet to social work for early intervention. This is the best course of action as social work can provide support and resources to address the high-risk situation. Documenting in the chart (A) is important but not sufficient for immediate intervention. Reassuring the parent (B) may be helpful, but it doesn't address the risk factor. Referring to a pediatric provider (D) is important but social work intervention can provide more comprehensive support in this specific situation.
Question 4 of 5
A home health nurse visits a 2-week-old infant and observes the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. Given these assessment findings, what instruction should the nurse give the parent?
Correct Answer: D
Rationale: The correct answer is D: give the baby a bath in an infant tub now. This instruction is appropriate as the umbilical cord has dried and fallen off, indicating that the area is healed. Giving the baby a bath in an infant tub will help keep the area clean and promote healing. A: Covering the umbilicus with a band-aid is unnecessary and may hinder air circulation, leading to potential infection. B: Continuing to clean the stump with alcohol for 1 week is unnecessary as the cord has already fallen off and the area is healed. C: Applying an antibiotic ointment to the stump is not recommended unless there are signs of infection, which are not present in this case.
Question 5 of 5
The nurse must administer erythromycin ophthalmic ointment to a newborn after birth. The nurse should:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.