ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
The nurse is observing a 38-week gestation newborn in the nursery. Data reveals periods of apnea lasting approximately 10 seconds followed by a period of rapid respirations. The infant’s color and heart rate remain unchanged. The nurse suspects that the infant
Correct Answer: C
Rationale: The correct answer is C because the infant is exhibiting periodic breathing, a common phenomenon in newborns where they have brief periods of apnea followed by rapid respirations. This is a normal finding in many healthy newborns and does not necessarily indicate a serious medical issue. Continuous monitoring is necessary to ensure the infant's respiratory pattern stabilizes over time. Choice A (RDS) is incorrect because the infant's color and heart rate are unchanged, which are not typical signs of respiratory distress syndrome. Choice B is incorrect because tactile stimulation is not needed for periodic breathing episodes in newborns unless there are additional concerning symptoms present. Choice D is incorrect because CPAP is not typically indicated for periodic breathing episodes in a healthy newborn without other respiratory issues.
Question 2 of 5
Because late preterm infants are more stable than early preterm infants, they may receive care that is much like that of a full-term baby. The mother-baby or nursery nurse knows that these infants are at increased risk for which of the following? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Sepsis. Late preterm infants, born between 34-36 weeks, are at increased risk for sepsis due to their immature immune systems. Their immune response is not as developed as full-term infants, making them more vulnerable to infections. Sepsis can quickly become life-threatening in these infants. Other choices are incorrect: B: Hyperglycemia is not commonly associated with late preterm infants; they are more prone to hypoglycemia due to their immature liver function. C: Hyperbilirubinemia is common in late preterm infants, but it's not the highest priority risk compared to sepsis. D: Cardiac distress is not a typical risk for late preterm infants unless there are specific underlying cardiac conditions present.
Question 3 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 4 of 5
The family with a newborn diagnosed with cleft lip and palate is concerned about what will happen in the future. The birthing parent asks if they will be able to breast-feed the infant. What is the best response from the nurse?
Correct Answer: C
Rationale: The correct answer is C because newborns with a cleft lip and palate may still be able to breast-feed due to the possibility of latching filling the gap. This response acknowledges the potential for successful breastfeeding and provides reassurance to the family. Choice A is incorrect as it suggests a specific setup is required, which may not always be the case. Choice B is incorrect by stating newborns cannot breast-feed, which is not universally true. Choice D is incorrect as it implies that surgical repair is necessary for breastfeeding, which is not always the case and might cause unnecessary worry for the parents.
Question 5 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.