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: In newborn assessment, the appearance of external genitalia provides valuable information about gestational age. In this case, option A is correct as it describes the typical genitalia appearance of a full-term newborn girl. The labia majora covering the clitoris and labia minora indicates maturity expected at 40 weeks of gestation. Option B is incorrect because a prominent clitoris and enlarged labia minora suggest prematurity, not full term. Option C, with a small labia minora and enlarged clitoris, also indicates prematurity. Option D, with enlarged labia majora and small labia minora, does not align with the expected genitalia appearance at 40 weeks. Educationally, understanding normal variations in newborn anatomy based on gestational age is crucial for nurses caring for newborns. This knowledge helps in accurate assessment, early identification of potential issues, and appropriate interventions, ensuring optimal care for the newborn and promoting positive health outcomes.
Question 2 of 5
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive an exceptionally good rating by reacting to what? Select all that apply.
Correct Answer: C
Rationale: In the context of the Brazelton assessment, where the nurse evaluates the newborn's interaction and responsiveness, focusing on an object is considered a positive sign. When a newborn can visually track and focus on an object, it indicates neurological maturity and healthy visual development. This ability to focus demonstrates the newborn's capacity for visual engagement and cognitive processing, which are essential aspects of newborn development. Regarding the other options: A) Turning their head toward a familiar voice is a common and expected behavior in newborns but does not specifically indicate an exceptionally good rating in the Brazelton assessment. B) Staying awake is a normal behavior for newborns and does not necessarily indicate an exceptionally good rating in the assessment. D) Crying inconsolably is a sign of distress and would not contribute to a positive rating in the Brazelton assessment, as it indicates difficulty in self-regulation and responsiveness. Understanding these nuances in newborn behavior is crucial for nurses caring for neonates as it helps in early identification of any potential developmental concerns and allows for appropriate interventions and support. By recognizing these behavioral cues, nurses can provide individualized care that supports optimal growth and development in newborns.
Question 3 of 5
The nurse knows that newborns that are high-risk for delayed attachment with their parents/caregivers are at risk for what? Select all that apply.
Correct Answer: B
Rationale: In the context of pharmacology, understanding the importance of newborn attachment with parents/caregivers is crucial for providing holistic nursing care. The correct answer, option B - not bonding with their parents, is right because delayed attachment can lead to emotional and behavioral issues in newborns. When infants do not form secure attachments with their caregivers, they may experience difficulties in forming relationships later in life, impacting their emotional well-being. Option A - poor breast-feeding initiation, is incorrect because while delayed attachment can affect breastfeeding, it is not the primary risk associated with it. Option C - hard to wake to feed, is incorrect as it relates more to newborns' sleep patterns rather than attachment issues. Option D - not feeling happy, is incorrect as it is a vague and subjective statement that does not directly correlate with the consequences of delayed attachment. Educationally, this question emphasizes the importance of early bonding between newborns and parents/caregivers for the overall well-being of the infant. It highlights the role of nurses in promoting attachment through early interventions and support strategies. Understanding these concepts is essential for nursing students to provide comprehensive care to newborns and their families.
Question 4 of 5
When teaching umbilical cord care to a new parent, the nurse would include which information?
Correct Answer: C
Rationale: In the context of pharmacology and nursing care of the newborn, teaching proper umbilical cord care is crucial to prevent infection and promote healing. The correct answer, option C, advising to keep the cord dry and open to air, aligns with evidence-based practice guidelines. Allowing air circulation helps the cord stump to dry and fall off naturally, reducing the risk of infection. Option A, suggesting the use of peroxide, is incorrect as peroxide can be too harsh and may delay healing by causing irritation to the delicate skin around the cord. Option B, covering the cord with petroleum jelly, is also incorrect as it can trap moisture, creating a favorable environment for bacterial growth. Option D, washing the cord with soap and water daily during a tub bath, is not recommended as it can introduce bacteria and interfere with the natural drying process. It is essential to educate new parents on the importance of gentle care to ensure optimal healing of the umbilical cord stump and reduce the risk of complications.
Question 5 of 5
What directional order best describes the body progression of jaundice in the newborn infant?
Correct Answer: C
Rationale: In newborn infants, jaundice typically progresses in a cephalocaudal (head-to-toe) direction. Option C, "face, chest, abdomen, arms, legs," best describes this progression. Initially, jaundice appears in the face and then moves downward through the chest, abdomen, and eventually to the extremities. This pattern is due to the breakdown of fetal hemoglobin and the immature liver's inability to efficiently process bilirubin. Option A, "feet, legs, body, face, head," is incorrect as it describes a reverse direction of jaundice progression that is not consistent with the physiological processes involved in neonatal jaundice. Option B, "abdomen, extremities, face, head," is also incorrect because it does not follow the typical pattern of jaundice progression seen in newborns. Option D, "chest, face, head, abdomen, arms," is incorrect as it does not align with the usual cephalocaudal progression of jaundice in newborns. Understanding the direction of jaundice progression is crucial for nurses caring for newborns as it helps in early identification and monitoring of jaundice levels, which can prevent complications associated with severe hyperbilirubinemia. By knowing the expected pattern, nurses can intervene promptly and provide appropriate care to ensure the well-being of the newborn.