ATI RN
Postpartum Body Changes Questions
Question 1 of 5
The nursery nurse is careful to wear gloves when admitting neonates into the nursery. Which of the following is the scientific rationale for this action?
Correct Answer: A
Rationale: The correct answer is A) Meconium is filled with enteric bacteria. Meconium is the baby's first stool, which is sterile before birth but becomes contaminated with bacteria once the baby is born. These bacteria are typically harmless but can be harmful if they enter the baby's body through mucous membranes. Wearing gloves helps prevent the transmission of these bacteria from the baby to the nursery nurse or other infants in the nursery. Option B) Amniotic fluid may contain harmful viruses is incorrect because amniotic fluid is typically sterile during pregnancy, and viruses are not a common component of amniotic fluid unless there is an infection present. Option C) The high alkalinity of fetal urine is caustic to the skin is incorrect because fetal urine is not typically acidic enough to cause harm to the skin of the nursery nurse. Option D) The baby is high risk for infection and must be protected is too general and does not provide a specific rationale for wearing gloves when handling neonates in the nursery. In an educational context, it is crucial for healthcare providers, especially those working with newborns, to understand the reasons behind infection control practices. By wearing gloves when handling neonates, nursery nurses help prevent the spread of potentially harmful bacteria and protect both themselves and the infants under their care from infections. This practice is essential in maintaining a safe and healthy environment in the nursery.
Question 2 of 5
A mother, 1 day postpartum from a 3-hour labor and a spontaneous vaginal delivery, questions the nurse because her baby's face is"purple." Upon examination, the nurse notes petechiae over the scalp, forehead, and cheeks of the baby. The nurse's response should be based on which of the following?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Rapid deliveries can injure the neonatal presenting part. Explanation: During a rapid delivery, especially in a short 3-hour labor, the baby may experience pressure and friction as it passes through the birth canal. This can lead to petechiae, which are tiny red or purple spots caused by bleeding under the skin. Petechiae in this context are typically benign and resolve on their own without causing harm to the baby. Why the other options are incorrect: A) Petechiae are not necessarily indicative of severe bacterial infections in this case. C) Petechiae are not characteristic of the normal newborn rash but rather a result of the rapid delivery process. D) There is no evidence or indication that the injuries are a sign of abuse in this scenario. Educational context: It is essential for healthcare providers to be knowledgeable about common postpartum body changes in both mothers and newborns to provide accurate and reassuring information to families. Understanding the physiological reasons behind certain observations can help alleviate parental concerns and promote positive communication between healthcare professionals and families.
Question 3 of 5
Four newborns are in the neonatal nursery, none of whom is crying or in distress. Which of the babies should the nurse report to the neonatologist?
Correct Answer: C
Rationale: The correct answer is C) 2-day-old baby who is breathing irregularly at 70 breaths per minute. This baby should be reported to the neonatologist because irregular breathing at a rate of 70 breaths per minute could indicate a potential respiratory issue or distress that needs immediate attention to ensure the baby's well-being and safety. Respiratory distress in newborns is a serious concern that requires prompt evaluation and intervention to prevent complications. Option A) 16-hour-old baby who has yet to pass meconium is incorrect because delayed passage of meconium is not necessarily an urgent issue unless it persists for an extended period, which could indicate a bowel obstruction. Option B) 16-hour-old baby whose blood glucose is 50 mg/dL is incorrect as this level is within the normal range for newborns. Hypoglycemia is a concern when blood glucose levels are significantly lower than this. Option D) 2-day-old baby who is excreting a milky discharge from both nipples is incorrect as this is likely due to hormonal effects of the mother's hormones on the baby and is considered a normal physiological response in newborns. Educationally, understanding the significance of vital signs and physiological changes in newborns is crucial for nurses to provide appropriate care and identify potential problems early. Regular assessment and prompt reporting of abnormal findings are essential to ensure the health and well-being of newborns in the neonatal nursery.
Question 4 of 5
A nurse is doing a newborn assessment on a new admission to the nursery. Which of the following actions should the nurse make when evaluating the baby for developmental dysplasia of the hip (DDH)? Select one that doesn't apply
Correct Answer: D
Rationale: Rationale: The correct answer is D) Place the baby in a fetal position. This option does not apply when evaluating a newborn for developmental dysplasia of the hip (DDH). Placing the baby in a fetal position can actually mask signs of hip dysplasia, as it may artificially reduce any apparent hip instability or asymmetry. Option A is incorrect because grasping the baby's legs with the thumbs on the inner thighs and forefingers on the outer thighs is a method used to check for Ortolani and Barlow signs, which are maneuvers specific to assessing for DDH. Option B is incorrect because gently adducting and abducting the baby's thighs is another technique used to evaluate for hip stability and detect any hip dysplasia. Option C is incorrect because palpating the trochanter during hip rotation is also a valid method in assessing for DDH, as it helps to identify any abnormalities or limitations in hip movement. Educational Context: When assessing newborns for DDH, it is crucial for nurses to perform a thorough and accurate examination to detect any potential hip abnormalities early. By understanding the correct techniques and maneuvers to assess for DDH, nurses can help in the early diagnosis and intervention for this condition, which can prevent long-term complications such as hip dysplasia or dislocation. Practicing correct assessment methods ensures that newborns receive appropriate care and follow-up if any issues are identified.
Question 5 of 5
A couple is asking the nurse whether or not their son should be circumcised. On which fact should the nurse's response be based?
Correct Answer: D
Rationale: The correct answer is D) A statement from the American Academy of Pediatrics asserts that circumcision is optional. This response is based on evidence-based recommendations from a reputable medical authority. The AAP emphasizes that the decision to circumcise should be made by parents in consultation with their healthcare providers based on individual circumstances, cultural, religious, and personal beliefs. Option A is incorrect as circumcision should not be performed solely for self-image reasons. This rationale lacks medical basis and does not consider the potential risks involved in the procedure. Option B is incorrect as there are certain medical benefits associated with circumcision, such as a reduced risk of urinary tract infections and sexually transmitted infections. While the decision is ultimately up to the parents, it is important to acknowledge both the potential benefits and risks. Option C is incorrect because although the CDC may have guidelines related to circumcision, the final decision should be based on individual factors and discussions with healthcare providers rather than solely on expert opinions. In an educational context, it is essential to highlight the importance of evidence-based decision-making in healthcare. Educators should emphasize the need for parents to make informed choices regarding circumcision based on a thorough understanding of the pros and cons, rather than relying on personal beliefs or external pressures. Providing accurate information and encouraging open dialogue can empower parents to make the best decision for their child's health and well-being.