ATI LPN
ATI Maternal Newborn Questions
Question 1 of 5
When reinforcing discharge teaching to the parents of a newborn regarding circumcision care, which statement made by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C. Cleaning the penis with each diaper change is crucial for proper circumcision care to prevent infection. This statement shows understanding of the teaching as it emphasizes the importance of keeping the area clean. A: The circumcision healing within a couple of days is incorrect as it usually takes about 1-2 weeks. B: Not removing the yellow mucus can lead to infection, so this is an incorrect statement. D: Giving a tub bath within a couple of days can increase the risk of infection, so this statement is incorrect.
Question 2 of 5
While assisting with the care of an infant with a high bilirubin level receiving phototherapy, which finding should the nurse prioritize for reporting to the charge nurse?
Correct Answer: C
Rationale: The correct answer is C: Sunken fontanels. This finding indicates dehydration in the infant, which can be a serious complication requiring immediate intervention. Dehydration can lead to further elevation of bilirubin levels and potential neurological complications. Reporting this to the charge nurse is crucial for prompt assessment and intervention. Incorrect choices: A: Conjunctivitis - Although important, it is not a priority over a sign of dehydration. B: Bronze skin discoloration - This may be a common side effect of phototherapy and does not indicate an urgent issue. D: Maculopapular skin rash - While it should be monitored, it does not take precedence over a sign of dehydration.
Question 3 of 5
When assessing a newborn with respiratory distress syndrome who received synthetic surfactant, which parameter should the nurse monitor to evaluate the newborn's condition?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation. Monitoring oxygen saturation is crucial in evaluating the newborn's respiratory status post-surfactant administration. It helps assess the effectiveness of surfactant therapy in improving oxygenation. Body temperature and serum bilirubin are not directly related to assessing respiratory distress syndrome. Heart rate may be affected by various factors and may not provide specific information on respiratory status.
Question 4 of 5
A nurse is assisting with an in-service for newly licensed nurses about neonatal abstinence syndrome in newborns. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: The newborn will have a continuous high-pitched cry. This is indicative of neonatal abstinence syndrome (NAS) due to maternal substance use during pregnancy. The high-pitched cry is a common symptom of NAS, reflecting the newborn's central nervous system irritability. The other choices are incorrect because decreased muscle tone (Choice A) is not a typical symptom of NAS, newborns with NAS tend to have increased muscle tone; sleeping for 2 to 3 hours after a feeding (Choice C) is a normal newborn behavior and not specific to NAS; mild tremors when disturbed (Choice D) may occur but are not as characteristic of NAS as the high-pitched cry.
Question 5 of 5
A nurse concludes that the parent of a newborn is not showing positive indications of parent-infant bonding. The parent appears very anxious and nervous when asked to bring the newborn to the other parent. Which of the following actions should the nurse use to promote parent-infant bonding?
Correct Answer: D
Rationale: The correct answer is D because providing reinforcement about infant care when the parent is present can help build the parent's confidence and competence in caring for the newborn, which can enhance parent-infant bonding. By offering support and guidance during interactions with the newborn, the parent can feel more comfortable and connected to the baby. A: Handing the parent the newborn and suggesting they change the diaper may increase their anxiety and not address the underlying issue of bonding. B: Asking the parent why they are anxious and nervous is important but may not directly promote bonding without providing concrete support. C: Telling the parent they will grow accustomed to the newborn does not actively support bonding or address the parent's current concerns. In summary, choice D is the best option as it provides practical assistance and positive reinforcement to help the parent feel more confident in caring for the newborn, ultimately fostering parent-infant bonding.