ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
The nurse recommends skin-to-skin contact immediately following the birth of a newborn because it reduces what type of heat loss?
Correct Answer: D
Rationale: The correct answer is D: evaporation. Skin-to-skin contact reduces evaporative heat loss by preventing the newborn's skin from losing heat through evaporation of amniotic fluid. This is effective in helping the baby maintain a stable body temperature. Radiation (A), convection (B), and conduction (C) are other types of heat loss that are not specifically addressed by skin-to-skin contact immediately after birth.
Question 2 of 5
What condition can result from a long, difficult labor and is characterized by a localized, soft area on the newborn's head?
Correct Answer: A
Rationale: The correct answer is A: caput succedaneum. This condition occurs due to pressure on the baby's head during a long and difficult labor. It is characterized by a soft, localized swelling on the newborn's head. The other choices are incorrect. B: molding refers to the shaping of the baby's head during passage through the birth canal. C: depressed fontanelles indicate dehydration or malnutrition. D: cephalohematoma is a collection of blood between the baby's skull and periosteum, usually due to birth trauma.
Question 3 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: The correct answer is B: epispadias. In epispadias, the urethral opening is located on the dorsal side of the penis. This condition is a congenital anomaly where the urethra fails to fully close during fetal development. Hypospadias (choice A) is when the urethral opening is on the underside of the penis. Phimosis (choice C) is the inability to retract the foreskin. Unispadias (choice D) is not a recognized medical term. Therefore, the nurse correctly identifies the condition as epispadias due to the specific presentation of the urethral opening on the dorsal side of the penis in the 6-hour-old newborn patient.
Question 4 of 5
The nurse is assessing a newborn girl born at 40 weeks of gestation based on the parent's LMP. What assessment finding of the genitalia confirms this gestational age?
Correct Answer: A
Rationale: The correct answer is A because at 40 weeks of gestation, the labia majora should completely cover the clitoris and labia minora. This is known as the "laboratory majora sign" and is characteristic of full-term newborns. Choice B is incorrect because a prominent clitoris and enlarged labia minora indicate a younger gestational age, typically around 36-38 weeks. Choice C is incorrect as small labia minora and enlarged clitoris suggest a preterm newborn, around 32-34 weeks. Choice D is incorrect as enlarged labia majora and small labia minora are more indicative of a post-term newborn, around 42 weeks or more. Overall, the correct answer, choice A, aligns with the expected genitalia findings for a newborn born at 40 weeks of gestation based on the parent's LMP.
Question 5 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: The correct answer is C because performing a Brazelton assessment on a newborn who is only 12 hours old is not appropriate. The Brazelton assessment is typically done within the first 24-36 hours of life. Performing it too early may yield inaccurate results as the newborn is still transitioning and adapting to life outside the womb. Choice A is not relevant to the appropriateness of the assessment timing. Choice B also does not impact the timing of the assessment. Choice D is also irrelevant to the timing of the assessment and would not affect the decision to delay performing the Brazelton assessment.