ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
The nurse notices that a 6-hour-old newborn patient’s urethral opening is on the dorsal side of the penis. The nurse knows that this is called what?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) epispadias. Epispadias is a congenital condition where the urethral opening is on the dorsal side of the penis instead of the tip. This condition is important for a nurse caring for a newborn to recognize because it can impact urinary function and may require surgical intervention to correct. Option A) hypospadias is incorrect because it refers to a condition where the urethral opening is on the ventral side of the penis. Option C) phimosis is the inability to retract the foreskin over the glans penis and is unrelated to the position of the urethral opening. Option D) unispadias is not a recognized medical term and does not describe any known condition. Understanding these congenital anomalies is crucial for nurses caring for newborns as they need to be able to identify potential issues early on to ensure appropriate interventions and referrals to specialists if needed. Recognizing epispadias can prompt timely management and support for the newborn's future health and well-being.
Question 2 of 5
The nurse is assigned to the postpartum room of a 12-hour-old neonate, and the EHR has a task reminder prompting the nurse to complete a Brazelton assessment on the newborn. Why is this not appropriate?
Correct Answer: C
Rationale: In this scenario, option C is the correct answer because conducting a Brazelton assessment on a newborn who is only 12 hours old is not appropriate. The Brazelton assessment is typically performed between 24-72 hours after birth to assess the newborn's neurologic and behavioral responses. At 12 hours old, the newborn is still in the immediate postpartum period and may not exhibit stable and consistent behaviors necessary for an accurate assessment. Option A is incorrect because the decision to conduct a Brazelton assessment is not influenced by whether the newborn is being placed for adoption. Option B is incorrect as the mode of delivery (cesarean section) does not preclude the need for a Brazelton assessment. Option D is also incorrect because pathologic jaundice does not directly impact the appropriateness of conducting a Brazelton assessment on a newborn. Educationally, it is essential for nurses to understand the appropriate timing and indications for assessments like the Brazelton, as it ensures accurate evaluations of newborn well-being and helps guide early interventions if needed. Understanding the developmental stages of newborns and the rationale behind assessment timing is crucial for providing optimal care.
Question 3 of 5
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive an exceptionally good rating by reacting to what? Select all that apply.
Correct Answer: C
Rationale: In the context of the Brazelton assessment, where the nurse evaluates the newborn's interaction and responsiveness, focusing on an object is considered a positive sign. When a newborn can visually track and focus on an object, it indicates neurological maturity and healthy visual development. This ability to focus demonstrates the newborn's capacity for visual engagement and cognitive processing, which are essential aspects of newborn development. Regarding the other options: A) Turning their head toward a familiar voice is a common and expected behavior in newborns but does not specifically indicate an exceptionally good rating in the Brazelton assessment. B) Staying awake is a normal behavior for newborns and does not necessarily indicate an exceptionally good rating in the assessment. D) Crying inconsolably is a sign of distress and would not contribute to a positive rating in the Brazelton assessment, as it indicates difficulty in self-regulation and responsiveness. Understanding these nuances in newborn behavior is crucial for nurses caring for neonates as it helps in early identification of any potential developmental concerns and allows for appropriate interventions and support. By recognizing these behavioral cues, nurses can provide individualized care that supports optimal growth and development in newborns.
Question 4 of 5
The nurse knows that newborns that are high-risk for delayed attachment with their parents/caregivers are at risk for what? Select all that apply.
Correct Answer: B
Rationale: In the context of pharmacology, understanding the importance of newborn attachment with parents/caregivers is crucial for providing holistic nursing care. The correct answer, option B - not bonding with their parents, is right because delayed attachment can lead to emotional and behavioral issues in newborns. When infants do not form secure attachments with their caregivers, they may experience difficulties in forming relationships later in life, impacting their emotional well-being. Option A - poor breast-feeding initiation, is incorrect because while delayed attachment can affect breastfeeding, it is not the primary risk associated with it. Option C - hard to wake to feed, is incorrect as it relates more to newborns' sleep patterns rather than attachment issues. Option D - not feeling happy, is incorrect as it is a vague and subjective statement that does not directly correlate with the consequences of delayed attachment. Educationally, this question emphasizes the importance of early bonding between newborns and parents/caregivers for the overall well-being of the infant. It highlights the role of nurses in promoting attachment through early interventions and support strategies. Understanding these concepts is essential for nursing students to provide comprehensive care to newborns and their families.
Question 5 of 5
When teaching umbilical cord care to a new parent, the nurse would include which information?
Correct Answer: C
Rationale: In the context of pharmacology and nursing care of the newborn, teaching proper umbilical cord care is crucial to prevent infection and promote healing. The correct answer, option C, advising to keep the cord dry and open to air, aligns with evidence-based practice guidelines. Allowing air circulation helps the cord stump to dry and fall off naturally, reducing the risk of infection. Option A, suggesting the use of peroxide, is incorrect as peroxide can be too harsh and may delay healing by causing irritation to the delicate skin around the cord. Option B, covering the cord with petroleum jelly, is also incorrect as it can trap moisture, creating a favorable environment for bacterial growth. Option D, washing the cord with soap and water daily during a tub bath, is not recommended as it can introduce bacteria and interfere with the natural drying process. It is essential to educate new parents on the importance of gentle care to ensure optimal healing of the umbilical cord stump and reduce the risk of complications.