ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse knows that during the motoric process, the newborn will be rated poorly if they do what?
Correct Answer: B
Rationale: The correct answer is B because hyper- or hypotonic movements indicate abnormal muscle tone, which can be a sign of neurological or developmental issues in newborns. This would lead to a poor rating during the motoric process as it reflects a lack of proper muscle control and coordination. Good reflexes (A) and good head control (C) are positive indicators of normal motor development in newborns. Moderate activity levels (D) are subjective and not directly related to motoric assessment.
Question 5 of 5
When the nurse determines they have a high-risk newborn and birthing person in their care, what can they do to mitigate the situation?
Correct Answer: C
Rationale: The correct answer is C: Refer the couplet to social work for early intervention. This is the best course of action as social work can provide support and resources to address the high-risk situation. Documenting in the chart (A) is important but not sufficient for immediate intervention. Reassuring the parent (B) may be helpful, but it doesn't address the risk factor. Referring to a pediatric provider (D) is important but social work intervention can provide more comprehensive support in this specific situation.