ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?
Correct Answer: C
Rationale: The correct answer is C because in asymmetric intrauterine growth restriction, the head appears large compared to the rest of the body due to preferential brain sparing. This is a result of inadequate nutrient supply to the fetus, leading to the brain receiving more nutrients at the expense of the body. Choice A is incorrect because in asymmetric growth restriction, body parts are not proportionate. Choice B is incorrect because extremities being disproportionate is not a characteristic of asymmetric growth restriction. Choice D is incorrect because the asymmetry in growth is primarily related to the head-body disproportion, not one side of the body being smaller.
Question 2 of 5
The nurse is observing a 38-week gestation newborn in the nursery. Data reveals periods of apnea lasting approximately 10 seconds followed by a period of rapid respirations. The infant’s color and heart rate remain unchanged. The nurse suspects that the infant
Correct Answer: C
Rationale: The correct answer is C because the infant is exhibiting periodic breathing, a common phenomenon in newborns where they have brief periods of apnea followed by rapid respirations. This is a normal finding in many healthy newborns and does not necessarily indicate a serious medical issue. Continuous monitoring is necessary to ensure the infant's respiratory pattern stabilizes over time. Choice A (RDS) is incorrect because the infant's color and heart rate are unchanged, which are not typical signs of respiratory distress syndrome. Choice B is incorrect because tactile stimulation is not needed for periodic breathing episodes in newborns unless there are additional concerning symptoms present. Choice D is incorrect because CPAP is not typically indicated for periodic breathing episodes in a healthy newborn without other respiratory issues.
Question 3 of 5
Following a traumatic birth of a 10-lb infant, the nurse should evaluate
Correct Answer: D
Rationale: The correct answer is D because a traumatic birth, especially with a large infant, increases the risk of hypoglycemia due to stress and metabolic demands. Monitoring blood sugar levels is crucial to detect hyperglycemia and prevent complications. Evaluating gestational age (A) is important for assessing developmental milestones but not immediately relevant post-trauma. Flexion of both upper extremities (B) may indicate neurological issues but is not specific to traumatic birth. Infant's percentile on growth chart (C) is important for overall growth assessment but not a priority in this scenario.
Question 4 of 5
Because late preterm infants are more stable than early preterm infants, they may receive care that is much like that of a full-term baby. The mother-baby or nursery nurse knows that these infants are at increased risk for which of the following? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Sepsis. Late preterm infants, born between 34-36 weeks, are at increased risk for sepsis due to their immature immune systems. Their immune response is not as developed as full-term infants, making them more vulnerable to infections. Sepsis can quickly become life-threatening in these infants. Other choices are incorrect: B: Hyperglycemia is not commonly associated with late preterm infants; they are more prone to hypoglycemia due to their immature liver function. C: Hyperbilirubinemia is common in late preterm infants, but it's not the highest priority risk compared to sepsis. D: Cardiac distress is not a typical risk for late preterm infants unless there are specific underlying cardiac conditions present.
Question 5 of 5
The nurse is caring for an infant with FAS. What symptoms would the nurse expect to see when assessing the infant?
Correct Answer: C
Rationale: The correct answer is C because these symptoms are characteristic of Fetal Alcohol Syndrome (FAS). Small eyes, thin upper lip, and smooth skin between the nose and upper lip are common physical features seen in infants with FAS. This is due to the exposure to alcohol in utero affecting the development of the facial features. A, B, and D do not align with the typical symptoms of FAS. Widely spaced nipples and a webbed neck (A) are not specific to FAS. Flattened bridge of the nose, short neck, small ears, large tongue (B) are more indicative of other conditions. Acyanotic with a murmur a few weeks after birth (D) indicates a different issue, not related to FAS.