ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
What information should not be documented during the admission process to the newborn nursery following the delivery of the newborn?
Correct Answer: B
Rationale: The correct answer is B: City and state of birth location. This information is not necessary for the newborn's medical care. Time of birth (A), Apgar scores (C), and birth weight (D) are crucial for assessing the newborn's health status and guiding medical interventions. The location details are irrelevant in this context and could potentially compromise the newborn's privacy and security. Thus, omitting city and state information during the admission process is appropriate to maintain confidentiality and focus on essential medical data.
Question 2 of 5
As an effort to reduce cold stress and respiratory depression, which intervention is most important for the nurse to perform?
Correct Answer: D
Rationale: The correct answer is D. Rationale: 1. Drying the newborn with warm blankets helps prevent heat loss and reduce cold stress. 2. Placing the newborn under a radiant warmer helps maintain the baby's body temperature. 3. Maintaining a stable body temperature is crucial to prevent respiratory depression in newborns. 4. Immediate skin-to-skin contact like option B is beneficial but may not address cold stress as effectively as D. Summary: A: Keeping the room temperature low may lead to hypothermia in the newborn. B: Skin-to-skin contact is important but may not address cold stress as effectively as D. C: Bathing the newborn shortly after delivery may cause heat loss and worsen cold stress.
Question 3 of 5
Which statement indicates that learning has occurred in a new mother regarding iron storage in her newborn?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates an understanding that iron stores are passed from the mother to the newborn during pregnancy. This indicates learning has occurred as the mother recognizes that her newborn doesn't need additional iron if she had adequate stores. Choice B is incorrect because adding iron to breast milk after pumping may not be effective as the iron does not transfer well. Choice C is incorrect as iron is still necessary for a breastfed newborn, regardless of breastfeeding duration. Choice D is incorrect because adding iron to formula may not be necessary if the mother's iron stores were adequate.
Question 4 of 5
Which of the following newborn assessment findings is the most concerning to the newborn nursery nurse?
Correct Answer: A
Rationale: The correct answer is A. A newborn not voiding in 24 hours is concerning as it may indicate a urinary tract issue. Failure to void can lead to complications like dehydration or renal dysfunction. Option B is normal as meconium is the first stool passed by newborns. Option C describes an umbilical hernia, which is common and usually resolves on its own. Option D describes polydactyly, an extra digit, which is a physical anomaly that may not necessarily pose immediate health risks.
Question 5 of 5
You are receiving report from the nightshift nurse. Which newborn should you assess first?
Correct Answer: B
Rationale: The correct answer is B. Bilateral breath sounds and nasal flaring indicate respiratory distress, which is a priority assessment in a newborn. Nasal flaring suggests increased work of breathing, requiring prompt evaluation to prevent respiratory compromise. Choice A is incorrect as acrocyanosis is a common finding in newborns and not an urgent concern. Choice C is incorrect as breastfeeding is a normal activity for newborns. Choice D is incorrect as failing a hearing screen test does not present an immediate threat to the newborn's health.