ATI RN
Nursing Care of the Newborn Questions
Question 1 of 5
What assessment findings doesn't indicate abnormal transition in a neonate?
Correct Answer: C
Rationale: The correct answer is C: blue hands and feet oral secretions. This choice doesn't indicate an abnormal transition in a neonate because blue hands and feet and oral secretions are common normal findings in newborns due to immature circulatory and respiratory systems. Prolonged apneic episodes (A) can indicate respiratory distress, marked pallor (B) can indicate anemia or poor perfusion, and crackles upon auscultation (D) can indicate respiratory issues. Therefore, C is the correct answer as it is a normal finding in neonates.
Question 2 of 5
What characteristics are directly related to the newborn's decreased ability to maintain thermal stability?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Subcutaneous fat provides insulation, so decreased fat leads to heat loss. 2. A larger body surface-to-weight ratio means more heat loss through the skin. 3. Both factors contribute to the newborn's decreased ability to maintain thermal stability. 4. Blood vessels being farther from the skin (choice B) does not impact thermal stability directly. 5. Brown adipose tissue (choice C) is actually important for heat production in newborns. 6. Constant motion (choice D) may increase heat loss but is not a primary factor in thermal stability for newborns.
Question 3 of 5
The nurse is completing an initial assessment of the newborn. The newborn's ears appear to be parallel to the outer and inner canthus of the eye. How does the nurse document the ear placement?
Correct Answer: C
Rationale: Step 1: Observe the newborn's ears are parallel to the outer and inner canthus of the eye. Step 2: Compare the observed ear placement to the standard positioning. Step 3: If the ears align with the eye canthus, document as "a normal position" (Choice C). Rationale: Parallel ear position indicates normal development. Low set (Choice A) or high set (Choice B) ears suggest abnormalities. Facial paralysis (Choice D) is not related to ear placement in this context.
Question 4 of 5
During an assessment of a 12-hour-old newborn, the nurse notices pale pink spots on the nape of the neck. How does the nurse document this finding?
Correct Answer: D
Rationale: The correct answer is D: telangiectatic nevi. These are also known as "stork bites" or "angel kisses." The rationale for this choice is that telangiectatic nevi are pale pink spots commonly found on the nape of the neck in newborns, which typically fade over time. A: Nevus vasculosus is a different type of birthmark characterized by a red or purple color due to an overgrowth of blood vessels. B: Mongolian spots are bluish-gray birthmarks usually found on the lower back or buttocks. C: Nevus flammeus, also known as a port-wine stain, presents as a flat, pink, or red mark on the skin. In summary, the correct answer, telangiectatic nevi, is the most appropriate choice based on the description of the finding on the newborn's nape of the neck, while the other options describe different types of birthmarks with distinct characteristics.
Question 5 of 5
The nurse is completing a gestational assessment on a newborn whose parent was treated for preeclampsia during labor. The neonate is demonstrating 'frog-like' posturing. The nurse knows this is likely due to what medication during labor?
Correct Answer: C
Rationale: The correct answer is C: magnesium sulfate for treatment of preeclampsia. Magnesium sulfate is commonly used to manage preeclampsia in pregnant women. Neonates born to mothers who received magnesium sulfate may exhibit 'frog-like' posturing due to the effects of the medication crossing the placenta. The other choices, A: fentanyl in the epidural, B: penicillin for treatment of group B strep infection, and D: prenatal vitamins, are not associated with causing 'frog-like' posturing in newborns. Fentanyl in the epidural is a pain medication, penicillin is an antibiotic, and prenatal vitamins are supplements that do not typically cause this specific posturing.