ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
What is an example of a nurse's question that is part of the Four Cs?
Correct Answer: B
Rationale: In the context of the Four Cs communication framework in nursing, the correct answer is B) "What are you concerned about today?" This question demonstrates the essential skill of Compassion, one of the Four Cs, by showing empathy and understanding towards the patient's feelings and emotions. Option A is incorrect because it focuses on blame or causality, which does not align with the principles of the Four Cs. Option C is incorrect as it may be perceived as judgmental towards the patient's traditions, lacking the necessary empathy and respect. Option D is incorrect as it does not address the patient's immediate concerns or emotions, failing to establish a therapeutic relationship. Educationally, understanding and applying communication frameworks like the Four Cs in nursing practice is crucial for building effective nurse-patient relationships, promoting patient-centered care, and enhancing overall patient outcomes. By asking open-ended, compassionate questions like the one in the correct answer, nurses can better assess and address the holistic needs of their patients.
Question 2 of 5
The nurse's initial action when caring for an infant with a slightly decreased temperature is to:
Correct Answer: B
Rationale: In caring for an infant with a slightly decreased temperature, the nurse's initial action should be to choose option B, which is to place a cap on the infant's head and have the mother perform kangaroo care. This is the correct response because infants lose heat rapidly through their heads, so placing a cap helps retain body heat. Kangaroo care, where the infant is held skin-to-skin with the mother, helps regulate the baby's temperature effectively. Option A is incorrect because notifying the physician immediately is not the initial action needed for a slightly decreased temperature. Option C is incorrect as keeping the infant in the nursery for observation without immediate intervention is not the best course of action. Option D is also incorrect as changing the formula is not necessary and could potentially be harmful without proper assessment. Educationally, it is crucial for nurses to understand the importance of thermoregulation in newborns and the appropriate interventions for managing temperature variations in infants. Providing kangaroo care and ensuring proper thermal protection are essential nursing interventions to maintain a newborn's body temperature within a normal range.
Question 3 of 5
Although circumcision continues to be a controversial procedure, many parents in the United States elect to have this surgery performed on their newborn sons. It is believed that newborns do not feel pain; therefore, this is the optimum time for the procedure to be done and no anesthesia is required.
Correct Answer: B
Rationale: The correct answer is B) FALSE. It is crucial to provide anesthesia during circumcision for newborns as they do experience pain. Infants have a well-developed nervous system and can feel pain even though they may not express it in the same way as adults. Failing to use anesthesia during circumcision can lead to significant physiological stress, behavioral changes, and long-term negative effects on pain perception and stress responses in the infant. Choosing option A) TRUE would be incorrect because newborns do feel pain, and it is unethical to perform a procedure like circumcision without providing adequate pain relief. This misconception highlights the importance of ongoing education and awareness among healthcare providers and parents regarding the need for pain management in newborn procedures. In the field of maternal newborn nursing, it is essential to prioritize the well-being and comfort of newborns. By ensuring that appropriate pain management practices are followed during procedures like circumcision, healthcare providers can promote positive outcomes and establish trust with families. Educating parents about the importance of pain management for their newborns can empower them to make informed decisions and advocate for their child's health and safety.
Question 4 of 5
If a newborn is born with acrocyanosis (blue/pale extremities and a pink body), they should be assigned which Apgar score for appearance?
Correct Answer: B
Rationale: In the context of newborn assessment, the Apgar score is a crucial tool used to quickly evaluate a newborn's overall condition at birth. The Apgar score consists of five components: Appearance, Pulse, Grimace, Activity, and Respiration. Each component is scored from 0 to 2, with a maximum total score of 10. In the case of a newborn born with acrocyanosis (blue/pale extremities and a pink body), they should be assigned an Apgar score of 1 for appearance. This is because acrocyanosis is a common and benign condition in newborns where the extremities appear blue or pale due to immature circulation. Despite the blueness of the extremities, the rest of the body being pink indicates good overall perfusion and oxygenation, warranting a score of 1 for appearance. Assigning a score of 0 for appearance (Option A) would not be appropriate in this scenario because the baby does have some pink color in the body, indicating adequate perfusion. A score of 2 (Option C) would not be given because acrocyanosis affects the extremities' color, not the entire body. Option D is not a valid Apgar score choice. Educationally, understanding the significance of Apgar scores and their interpretation is crucial for nurses working in maternal newborn care. By knowing how to accurately assess and assign Apgar scores, healthcare providers can quickly identify newborns who may need immediate interventions or further evaluation, ensuring the best possible outcomes for both the newborn and the mother.
Question 5 of 5
To meet the goal of promoting infant feeding in a breastfed baby, the nurse should teach the mother to do which of the following? Select all that apply.
Correct Answer: D
Rationale: In maternal newborn nursing, promoting infant feeding in a breastfed baby is crucial for the health and well-being of both the mother and the child. The correct answer is D) Maintain on-demand breastfeeding for the first 4 weeks. This is because on-demand breastfeeding helps establish a good milk supply, promotes bonding between mother and baby, and allows the baby to feed according to their hunger cues, promoting healthy weight gain. Option A) Feed the baby on a 3- to 4-hour schedule is incorrect because scheduled feedings can interfere with establishing a good milk supply and responding to the baby's hunger cues, leading to potential issues with weight gain and milk production. Option B) Alternate breast milk and formula for each feeding is incorrect as it can interfere with establishing exclusive breastfeeding, which is recommended for the first 6 months of life to provide optimal nutrition and health benefits to the baby. Option C) Stop breastfeeding if her nipples get sore is incorrect because sore nipples are common in the early stages of breastfeeding and can often be addressed with proper positioning and latching techniques, continuing to breastfeed is important for maintaining milk supply and promoting infant health. Educationally, it is important for nurses to provide evidence-based information to mothers to support successful breastfeeding, emphasizing the benefits of on-demand feeding, exclusive breastfeeding, and strategies to address common challenges like sore nipples. This empowers mothers to make informed decisions and promotes the best outcomes for both mother and baby.