ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
The nurse is providing discharge teaching to a woman who delivered her first child 2 days ago. The nurse understands that additional information is needed if the client makes which statement?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) "My bleeding will remain red for about a month." This statement indicates a misunderstanding of postpartum bleeding. It is essential for the nurse to clarify this misconception because postpartum bleeding typically transitions from bright red to pinkish to yellowish-white over the course of a few weeks, not remaining red for a month. This information is crucial for the woman's understanding of what to expect post-delivery. Option A) "The flow will increase if I am too active" is incorrect because being active can actually help decrease postpartum bleeding by promoting uterine contractions. Option B) "I should expect a lighter flow next week" is incorrect as postpartum bleeding typically decreases gradually over several weeks, not necessarily becoming lighter by the following week. Option D) "I will be able to use a pantiliner in a day or two" is incorrect because postpartum bleeding is usually heavier initially and may require more absorbent pads than a pantiliner in the first few days. Educationally, understanding postpartum bleeding patterns is crucial for nurses caring for postpartum women. Providing accurate information can help new mothers manage their expectations and monitor their postpartum recovery effectively. It also ensures that any abnormal bleeding is identified promptly, promoting overall maternal well-being.
Question 2 of 5
The nurse determines the gestational age of an infant to be 40 weeks. Which characteristics are most likely to be observed? (Select all that apply.)
Correct Answer: A
Rationale: In this question, option A is correct because at 40 weeks of gestational age, the testes of a male infant are pendulous and the scrotum has deep rugae due to the full development of the male reproductive system. This is a characteristic seen in full-term newborns. Option B is incorrect because plantar creases over the entire sole are typically observed in preterm infants, not in full-term infants like the one in this scenario. Option C is incorrect because abundant lanugo over the shoulders and back is a characteristic of a preterm infant, not a full-term infant at 40 weeks. Option D is incorrect because vernix, the white, cheesy substance covering the skin of a newborn, is usually well-distributed over the body of a preterm infant, not a full-term infant. Educationally, understanding the characteristics of newborns at different gestational ages is crucial for nurses caring for infants. By knowing these distinctions, nurses can provide appropriate care and anticipate any potential complications based on the infant's gestational age. This knowledge helps in promoting optimal outcomes for newborns and ensuring their well-being.
Question 3 of 5
The nurse is evaluating the involution of a woman who is 3 days post partum. Which of the following finding would the nurse evaluate as normal?
Correct Answer: D
Rationale: In the scenario presented, option D is the correct answer. The nurse would evaluate the finding of the fundus being 3 cm below the umbilicus and the presence of lochia serosa as normal for a woman who is 3 days postpartum. This is because at 3 days postpartum, the fundus should be descending approximately 1 cm per day, indicating appropriate involution. Lochia serosa, which is a pinkish-brown discharge, is expected around this time as it represents the transition from the initial red lochia rubra to the final whitish lochia alba. Option A is incorrect as the fundus being 1 cm above the umbilicus at this stage would indicate inadequate involution. Lochia rosa is not a typical postpartum discharge color, making this option incorrect. Option B is incorrect as the fundus being 2 cm above the umbilicus is also indicative of inadequate involution. Additionally, lochia alba, a whitish discharge, is not expected at 3 days postpartum. Option C is incorrect as the fundus being 2 cm below the umbilicus at this point would suggest excessive involution, which is not typical. Lochia rubra, a red discharge, is expected in the immediate postpartum period, not at 3 days postpartum. Understanding the normal progression of postpartum involution is crucial for nurses caring for newborns and their mothers. Monitoring these physical changes helps identify any deviations from normal, allowing for prompt intervention if necessary to promote optimal maternal recovery and well-being.
Question 4 of 5
The nurse completes an initial newborn examination. The nurses findings include the following: heart rate 136 beats/minute; respiratory rate 64 breaths/minute; temperature 98.2F (36.8C). The nurse also documents a heart murmur,absence of bowel sounds symmetry of ears and eyes no grunting or nasal flaring and full range of movement of all extremities. Which finding requires immediate consultation with the health-care provider?
Correct Answer: A
Rationale: In this scenario, the finding that requires immediate consultation with the health-care provider is "Absent bowel sounds" (Option A). Absence of bowel sounds in a newborn may indicate an underlying serious condition like intestinal obstruction or ileus, which requires prompt evaluation and intervention to prevent complications. The other options are not as urgent: - Heart murmur: It is common for newborns to have innocent heart murmurs due to physiological changes after birth. Most innocent murmurs resolve on their own without treatment. - Respiratory rate: A respiratory rate of 64 breaths/minute falls within the normal range for a newborn, so it does not warrant immediate consultation. - Temperature: The newborn's temperature of 98.2F (36.8C) is within the normal range, so it does not pose an immediate concern. Understanding these findings is crucial for nurses caring for newborns as it helps in early identification of potential health issues and timely intervention, ensuring optimal care and outcomes for the newborns. Being able to differentiate between normal variations and concerning findings is essential in providing safe and effective nursing care to newborns.
Question 5 of 5
A student nurse is verbalizing disappointment in a new mothers seeming lack of interest in her newborn baby. The student complains to the registered nurse that the mother just wants to sleep and have someone else care for the infant. What response by the registered nurse is best?
Correct Answer: C
Rationale: In this scenario, option C, "The mother may be completely exhausted from the childbirth experience," is the best response by the registered nurse. This answer demonstrates empathy and understanding towards the new mother's situation. Childbirth can be physically and emotionally draining, and it is common for mothers to feel exhausted and overwhelmed in the immediate postpartum period. By acknowledging the physical and emotional toll of childbirth, the nurse shows compassion and offers a plausible explanation for the mother's behavior. Option A, "Assess closely; we may need to call social work," is not the best response because it jumps to conclusions and escalates the situation without considering the new mother's perspective or circumstances. It is important to approach the situation with empathy and understanding before considering involving social work. Option B, "Don't judge other people until you have had a baby," is not an appropriate response as it dismisses the student nurse's concerns and fails to provide support or guidance in dealing with the situation. It is important to address the student nurse's feelings in a constructive and educational manner rather than resorting to dismissive statements. Option D, "We have to accept that everyone's experience is different," while acknowledging individual differences, does not directly address the student nurse's concerns or provide insight into the possible reasons behind the mother's behavior. It is essential to offer a more specific and supportive response in this situation to help guide the student nurse in understanding and empathizing with the new mother's situation. In an educational context, it is crucial for nursing students to learn how to approach and communicate effectively with patients, especially in sensitive situations like postpartum care. Understanding the physical and emotional challenges faced by new mothers is vital for providing holistic and compassionate care. By choosing option C, the nurse can role model empathetic communication and promote a patient-centered approach to care, which are essential skills for nursing students to develop in their practice.