ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
The nurse knows that a full-term newborn presents with ears that include what assessment characteristics?
Correct Answer: B
Rationale: The correct answer is B because a full-term newborn typically has well-curved pinna that is soft and has a ready recoil. This indicates normal ear development and flexibility in newborns. Choice A is incorrect as a slightly curved pinna with slow recoil is not characteristic of a full-term newborn. Choices C and D are incorrect as thick cartilage with a stiff ear or a flat pinna that stays folded are not typical findings in full-term newborns. Therefore, the characteristics described in choice B align with normal ear development in a full-term newborn.
Question 2 of 5
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive a poor rating by reacting to what?
Correct Answer: D
Rationale: The correct answer is D because during the Brazelton assessment, crying inconsolably is an indication of the newborn's inability to self-regulate and cope with stimuli, leading to a poor rating. Turning the head towards a familiar voice (A) is a positive response showing recognition. Staying awake (B) may indicate alertness and engagement. Focusing on an object (C) demonstrates visual attention skills. But only crying inconsolably (D) reflects the newborn's distress and poor ability to regulate emotions, leading to a poor rating in the assessment.
Question 3 of 5
When teaching umbilical cord care to a new parent, the nurse would include which information?
Correct Answer: C
Rationale: Step 1: Keeping the cord dry and open to air helps promote natural drying and healing. Step 2: Moisture can lead to infection, so keeping it dry is crucial. Step 3: Covering the cord or applying substances can trap moisture and hinder healing. Step 4: Using peroxide or soap can irritate the delicate skin and disrupt the natural healing process. Summary: Choice C is correct as it promotes optimal cord healing, while the other choices can introduce moisture, irritants, or disrupt the natural healing process.
Question 4 of 5
At 1 minute following birth, the newborn exhibited the following: heart rate of 155; loud, vigorous crying with active movement of all extremities; sneezing when nose is stimulated with a catheter; hands and feet bluish and cool to the touch. The Apgar score of this newborn should be recorded as
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
When caring for a newborn, the nurse must be alert for signs of cold stress, including:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.