ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
The nurse is preparing for the discharge of a premature neonate to home with the parents. The nurse explains the neonate must be able to pass the infant car seat challenge before discharge. For which reason would the neonate be considered unsafe in a car seat?
Correct Answer: C
Rationale: The correct answer is C because the infant car seat challenge is used to assess if the neonate can maintain adequate oxygenation, heart rate, and respiratory rate in a seated position. This is crucial as infants who are unable to maintain these vital signs while in a car seat are at risk of oxygen desaturation and apnea, which can lead to serious complications such as suffocation or sudden infant death syndrome. Therefore, if the neonate is unable to maintain adequate oxygenation, heart rate, and respiratory rate during the trial, it would be unsafe for them to travel in a car seat. Choices A, B, and D are incorrect because they do not directly relate to the safety concerns associated with the infant car seat challenge. Choice A refers to the angle at which the neonate should be positioned in the car seat, which is important for proper positioning but not the primary concern during the car seat challenge. Choice B focuses on parental attitudes towards using the car seat, which is not a physiological
Question 2 of 5
The premature neonate is more susceptible to skin breakdown than a term neonate. Which skin care interventions will the nurse implement for the premature neonate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Perform daily skin assessment to identify problems early. Premature neonates have fragile skin due to their immature epidermal barrier, making them more susceptible to skin breakdown. Daily skin assessments help in early detection of any skin issues, allowing prompt intervention to prevent complications. A: Using a neutral pH cleanser and sterile water for bathing is important, but it is not specific to premature neonates. B: Gently applying emollients is beneficial, but it does not address the need for regular skin assessments. D: Using water, air, or gel mattresses is more related to pressure ulcer prevention rather than general skin care for premature neonates.
Question 3 of 5
The nurse is preparing for the discharge of a neonate diagnosed with a congenital breathing disorder. Which health team members does the nurse include in discharge planning? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Home health agency nurse. The nurse includes the home health agency nurse in discharge planning as they will provide ongoing care and support for the neonate with a congenital breathing disorder at home. The home health agency nurse can assess the home environment, educate the family on care techniques, monitor the neonate's condition, and provide necessary interventions. A: Respiratory therapist may be involved in managing acute respiratory issues but may not provide ongoing care at home. B: Community agency manager may help with connecting to community resources but may not provide direct care. C: Social worker may assist with psychosocial support but may not have the expertise in managing the neonate's medical needs at home.
Question 4 of 5
The nurse is providing care for a neonate born to a mother with preexisting diabetes mellitus. Which neonatal assessment findings do the nurse expect? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Macrosomia. This is expected in neonates born to mothers with preexisting diabetes mellitus due to excessive glucose crossing the placenta, leading to increased fetal growth. Hyperglycemia (choice B) is not a neonatal assessment finding but rather a maternal condition. Hypocalcemia (choice C) and jaundice (choice D) are not directly associated with maternal diabetes mellitus in neonates.
Question 5 of 5
A newborn’s blood glucose level is recorded at 42 mg/dL. What is the next step the nurse should take?
Correct Answer: C
Rationale: The correct answer is C: Report the blood glucose level to the practitioner. A blood glucose level of 42 mg/dL in a newborn is considered low and may indicate hypoglycemia. It is important to involve the practitioner immediately for further evaluation and management. Reporting to the practitioner ensures timely intervention and appropriate treatment. Summary: A: Recording the number in the chart without taking any action may lead to delayed intervention. B: Immediately asking the mother to feed the newborn may not address the underlying cause of the low blood glucose level. D: Observing for hypoglycemia is important but reporting to the practitioner should be prioritized for proper management.