ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
The nurse is caring for an infant with FAS. What symptoms would the nurse expect to see when assessing the infant?
Correct Answer: C
Rationale: The correct answer is C because these symptoms are characteristic of Fetal Alcohol Syndrome (FAS). Small eyes, thin upper lip, and smooth skin between the nose and upper lip are common physical features seen in infants with FAS. This is due to the exposure to alcohol in utero affecting the development of the facial features. A, B, and D do not align with the typical symptoms of FAS. Widely spaced nipples and a webbed neck (A) are not specific to FAS. Flattened bridge of the nose, short neck, small ears, large tongue (B) are more indicative of other conditions. Acyanotic with a murmur a few weeks after birth (D) indicates a different issue, not related to FAS.
Question 2 of 5
A premature newborn requires assistance with ventilation and oxygenation. What method of respiratory support is most likely to be utilized if the newborn requires PPV at birth and continues to need assistance?
Correct Answer: C
Rationale: The correct answer is C: continuous positive airway pressure (CPAP). CPAP is indicated for providing continuous pressure to a premature newborn's airways, helping keep the air sacs open to improve oxygenation without the need for invasive ventilation. CPAP is a non-invasive method that can be used both initially and continuously for respiratory support. A: Bag mask PPV is used for initial resuscitation but may not be suitable for continuous support due to potential lung injury. B: ECMO is an advanced therapy used for severe respiratory or cardiac failure, usually after other methods have failed. D: Nasal cannula at 1 L provides low levels of oxygen and is not sufficient for a premature newborn requiring continuous respiratory support.
Question 3 of 5
The birthing parent has been watched closely by their health-care team because of their risk factors for delivering prematurely. What items in this patient’s medical history and current diagnosis increase their risk for delivering prematurely? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: history of fibroid removal. Fibroid removal can weaken the cervix, leading to an increased risk of premature delivery. Hypertension (A) and obesity (B) are risk factors for premature delivery but not directly related to fibroid removal. History of premature delivery (C) is a risk factor itself but not directly linked to fibroid removal. Therefore, the history of fibroid removal is the most relevant factor in this case.
Question 4 of 5
A newborn was prenatally diagnosed with trisomy 13 along with an unrepairable cardiac anomaly. Genetic testing and cardiac imaging after birth have confirmed both findings. What discharge planning should be included for this infant?
Correct Answer: C
Rationale: The correct answer is C: home hospice care. This infant has trisomy 13 with an unrepairable cardiac anomaly, indicating a poor prognosis. Home hospice care focuses on providing comfort and support for the infant and family in such situations, ensuring a peaceful environment and managing symptoms. Choice A (cardiology follow-up) is not appropriate as the cardiac anomaly is unrepairable. Genetic testing for the family (Choice B) is not a priority at this stage. Lactation consultant (Choice D) is not relevant for this situation.
Question 5 of 5
An infant with a congenital cardiac disorder is receiving postsurgical palliation and nearing time for discharge. What findings would be indicators that the infant is ready for discharge?
Correct Answer: A
Rationale: Rationale: Choice A is correct because it indicates that the infant is medically stable, has undergone all necessary discharge screenings, and is up to date on vaccinations. These factors are crucial for ensuring the infant's health and safety post-discharge. Choice B is incorrect as it highlights the caregiver's lack of training, which is essential for managing the infant's needs at home. Choice C is incorrect as it mentions a delay in equipment delivery, which is necessary for the infant's care. Choice D is incorrect as escalating oxygen requirements and temperature instability indicate the infant is not ready for discharge.