ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
The nurse is performing the initial assessment of a newborn and notes retractions, nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment on which system?
Correct Answer: A
Rationale: The correct answer is A: Respiratory. Retractions, nasal flaring, and tachypnea are signs of respiratory distress in a newborn. The nurse should focus on the respiratory system to assess the baby's breathing, lung sounds, oxygen saturation, and overall respiratory status. This is crucial for identifying any potential respiratory issues and providing prompt interventions. Choices B, C, and D are incorrect because the symptoms described are specific to respiratory distress and do not indicate cardiovascular, gastrointestinal, or musculoskeletal issues. Focusing on these systems would not address the immediate concern of respiratory distress in the newborn.
Question 2 of 5
The labor and delivery nurse understands that some neonates spontaneously take a breath once the head and chest is delivered. Which understanding does the nurse have for the neonate that requires chemical stimuli to breathe?
Correct Answer: C
Rationale: Step 1: Mild hypoxia and decreased pH stimulate the brain to initiate breathing in neonates. Step 2: This chemical stimuli trigger the respiratory centers in the brainstem. Step 3: Oxygen administration may not be necessary as the neonate's own respiratory drive is initiated by chemical stimuli. Step 4: Carbon dioxide administration is not needed as high levels can be harmful. Step 5: Suctioning is not used to stimulate breathing but to clear airways if necessary. Summary: Choice C is correct as it aligns with the physiological response of neonates to chemical stimuli for breathing, while the other choices are not relevant or could be potentially harmful.
Question 3 of 5
The nurse works in a postnatal nursery and is required by hospital policy to perform a gestational age assessment on specified neonates. On which neonate is the nurse most likely to perform this assessment?
Correct Answer: A
Rationale: The correct answer is A: The neonate with a birth weight of 4,100 g. Gestational age assessment is typically done based on birth weight, as it is a more accurate indicator than other factors like labor duration or exposure to medications. A birth weight of 4,100 g is considered to be indicative of a full-term baby, which is usually around 37-42 weeks gestation. Other choices like B (neonate born at 37 weeks) could be a premature or post-term baby, C (born after 18-hour labor) doesn't directly indicate gestational age, and D (exposed to oxytocin) is not a reliable indicator of gestational age. Weight is a key factor in determining gestational age, making choice A the most appropriate for the nurse to perform the assessment.
Question 4 of 5
The nurse in the neonate nursery notices a neonate, born 45 minutes ago, is unresponsive to external stimuli, and has a respiratory and heart rate below normal range. Which action does the nurse take?
Correct Answer: B
Rationale: The correct answer is B because newborns typically go through a period of deep sleep immediately after birth. This state is characterized by decreased responsiveness to external stimuli and lower respiratory and heart rates. It is important for the nurse to allow the neonate to naturally continue deep sleep as this is a normal physiological process. Picking up the neonate (choice A) may disrupt this important sleep state. Asking another nurse for assistance (choice C) may not be necessary at this point as the neonate's condition is likely normal. Notifying the caregiver (choice D) may cause unnecessary alarm as the neonate is most likely exhibiting normal behavior for this stage.
Question 5 of 5
The nurse is assisting a newborn's primary care provider with the performance of a circumcision. Which intervention is used to manage the neonate's pain?
Correct Answer: C
Rationale: The correct answer is C because offering a sucrose-dipped pacifier during the nerve block procedure can help manage the newborn's pain by providing comfort and distraction through the sweet taste and sucking motion. Sucrose has been shown to have analgesic effects in newborns. Choice A is incorrect as a tourniquet is not recommended for circumcision. Choice B may help with calming but not specifically with pain management. Choice D is incorrect as numbing with ice before the nerve block may not be effective in providing adequate pain relief during the procedure.