ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
The nurse is providing support for the parents of a neonate born with anencephaly. The parents repeatedly state, “I don’t believe this is happening to us. We were so careful during pregnancy.” The nurse associates the parents’ comments with which stage of grief?
Correct Answer: A
Rationale: The correct answer is A: Disbelief. In the context of the scenario, the parents' statements indicate a sense of shock and difficulty accepting the reality of their situation, which aligns with the stage of disbelief in the grief process. During this stage, individuals may struggle to comprehend the situation and may question how it could have happened despite their efforts. This initial stage typically involves denial and confusion. Choice B: Depression, is incorrect because the parents' statements do not reflect feelings of sadness or hopelessness, which are typical of the depression stage of grief. Choice C: Denial of reality, is incorrect as the parents' statements are more about disbelief and questioning rather than outright denial of the situation. Choice D: Anger with each other, is incorrect as there is no mention of the parents expressing anger towards each other in the scenario.
Question 2 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 3 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 4 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.
Question 5 of 5
A newborn born 72 hours ago was diagnosed with jaundice, requiring phototherapy. Which is most important to educate the family on at this time?
Correct Answer: B
Rationale: The correct answer is B: Covering the newborn’s eyes during phototherapy. This is important because exposure to the bright lights used in phototherapy can harm the newborn’s eyes. Covering the eyes with a protective mask or eye patches helps prevent damage. Incorrect choices: A: Anticipatory guidance regarding immunization schedules is important but not the most immediate concern in this scenario. C: Proper clothing for the newborn during seasonal changes is important for general care but not as critical as protecting the eyes during phototherapy. D: How to accurately measure the newborn’s temperature is essential but not as urgent as ensuring eye protection during phototherapy. In summary, educating the family on covering the newborn’s eyes during phototherapy is crucial to prevent eye damage, making it the most important consideration in this situation.