ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
The perinatal nurse teaches new parents that the best sleeping position for infants is which of the following?
Correct Answer: D
Rationale: The correct answer is D) Supine, which means placing the infant on their back to sleep. This sleeping position is recommended by the American Academy of Pediatrics (AAP) to reduce the risk of sudden infant death syndrome (SIDS). When infants sleep on their backs, it helps maintain an open airway, reduces the risk of suffocation, and allows for better regulation of body temperature. Option A) Prone (on stomach) is not recommended as it increases the risk of SIDS due to potential airway obstruction. Option B) Side-lying can also pose risks as the infant may roll onto their stomach unintentionally. Option C) Side-lying with a blanket roll behind the infant's back is not advised because the blanket roll can shift, potentially covering the baby's face and increasing the risk of suffocation. As perinatal nurses, it is crucial to educate parents on safe sleep practices to promote infant safety and reduce the risk of SIDS. By emphasizing the importance of placing infants on their backs to sleep, nurses can empower parents to create a safe sleep environment for their newborns. This education is essential in ensuring the well-being of the newborn and promoting healthy sleep habits from an early age.
Question 2 of 5
A new nurse is suctioning a neonate. What action by the new nurse would cause the preceptor to intervene?
Correct Answer: C
Rationale: In this scenario, the correct answer is option C) Positions the suction bulb at the back of the throat. This action would cause the preceptor to intervene because suctioning at the back of the throat can trigger the baby's gag reflex, leading to potential complications such as aspiration or airway obstruction. Option A) Assessing the infant for secretions in the airway is a correct step as it helps determine the need for suctioning. Option B) Placing the suction bulb into the baby's cheek is incorrect as it does not effectively clear secretions from the airway. Option D) Suctioning the baby's mouth first is also incorrect as the priority is to clear the airway before addressing the mouth. In an educational context, it is crucial for nurses to understand the correct technique for suctioning neonates to prevent potential harm and ensure effective airway clearance. Emphasizing proper positioning and technique during suctioning can help new nurses provide safe and competent care to newborns.
Question 3 of 5
A neonatal nurse is demonstrating the proper technique for assessing a newborns pulse. What technique does the nurse demonstrate?
Correct Answer: D
Rationale: The correct answer is D) and multiply by 2. This technique is correct because assessing a newborn's pulse involves palpating the pulse for 30 seconds and then multiplying by 2 to determine the beats per minute. This method is used in newborn assessments due to their rapid heart rates, making it more accurate than trying to count for a full minute. Option A) Assessing the point of maximal impulse and then auscultating the apical rate for 1 minute is more commonly used in adults rather than newborns. It is not the most appropriate technique for assessing a newborn's pulse. Option C) Palpating the brachial pulse with two fingers for 30 seconds is not the recommended method for assessing a newborn's pulse. Palpating the brachial pulse is more commonly done in older children and adults rather than newborns. In an educational context, understanding the correct technique for assessing a newborn's pulse is crucial for neonatal nurses to provide accurate and timely care to newborns. By mastering this skill, nurses can quickly assess a vital sign that can provide important information about the newborn's cardiovascular health.
Question 4 of 5
A nurse has been caring for a neonate with the nursing diagnosis of imbalanced body temperature. What assessment finding indicates to the nurse that goals for this diagnosis have been met?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Temperature of 99.2F (37.3C). Achieving a stable body temperature within the normal range is a crucial goal for a neonate with imbalanced body temperature. Monitoring the infant's temperature is a direct and objective way to assess this parameter. Option A) Hands and feet turn pink may indicate improved peripheral circulation but do not directly confirm the achievement of a stable body temperature. Option B) Infant stops shivering is a sign of the body's attempt to generate heat, but it does not confirm whether the body temperature has reached a normal range. Option C) Pink and warm skin is a positive sign, but it does not provide a specific measurement of the body temperature. Educationally, it is vital for nurses to understand the significance of monitoring body temperature accurately in neonates as they are more vulnerable to temperature imbalances. By selecting the option D as the correct answer, nurses can ensure the infant's well-being and make informed decisions regarding further interventions if needed.
Question 5 of 5
A new nurse is preparing to administer erythromycin (Eyemycin) to an infant. What action by the new nurse would lead the precepting nurse to intervene?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Prepares to administer the medication 4 hours after birth. The administration of erythromycin ointment to newborns is typically done within the first hour after birth to prevent neonatal conjunctivitis caused by chlamydia or gonorrhea. Delaying the administration by 4 hours increases the risk of infection transmission to the newborn. Option A is incorrect because applying the medication in a thin strip to each eye is the correct technique for administering erythromycin ointment. Option C is incorrect because starting to administer the medication at the inner canthus is the proper technique to ensure the ointment spreads over the eye. Option D is incorrect because it is important to inform parents that mild irritation can occur as a common side effect of the medication. In an educational context, understanding the correct timing and technique for medication administration in newborns is crucial for nursing care. This knowledge ensures the safety and well-being of the infant, highlighting the importance of adhering to evidence-based practices in pharmacology within the neonatal care setting.