ATI RN
Nursing Care of the Newborn Questions
Question 1 of 5
When thinking about scoring an Apgar assessment, the nurse knows that grimace is an assessment of what in a newborn?
Correct Answer: D
Rationale: The correct answer is D because the grimace in an Apgar assessment refers to the newborn's response to stimulation, such as a gentle pinch or suctioning. This response indicates the baby's reflexes and neurological function, which are important indicators of overall health. Choices A and C are incorrect because the grimace is not specifically related to breathing or visual stimuli. Choice B is incorrect because it refers to a different aspect of the assessment (muscle tone).
Question 2 of 5
What assessment findings doesn't indicate abnormal transition in a neonate?
Correct Answer: C
Rationale: The correct answer is C: blue hands and feet oral secretions. This choice doesn't indicate an abnormal transition in a neonate because blue hands and feet and oral secretions are common normal findings in newborns due to immature circulatory and respiratory systems. Prolonged apneic episodes (A) can indicate respiratory distress, marked pallor (B) can indicate anemia or poor perfusion, and crackles upon auscultation (D) can indicate respiratory issues. Therefore, C is the correct answer as it is a normal finding in neonates.
Question 3 of 5
After birth, the nurse immediately dries a neonate's face and hair with a clean, prewarmed towel. After drying, the nurse covers the neonate's hair with a cap. What type of heat loss is the nurse preventing?
Correct Answer: C
Rationale: The correct answer is C: evaporation. After birth, drying the neonate's face and hair with a towel and covering the hair with a cap prevents heat loss through evaporation. Evaporation occurs when moisture on the skin evaporates into the air, leading to cooling of the body. By drying the neonate's hair and covering it with a cap, the nurse reduces the potential for heat loss through evaporation, helping to maintain the neonate's body temperature. Incorrect choices: A: Convection - Heat transfer through the movement of air or liquid. Drying and covering the hair do not directly impact convection heat loss. B: Conduction - Heat transfer through direct contact with a cooler surface. Drying and covering the hair with a cap do not address conduction heat loss. D: Radiation - Heat transfer through electromagnetic waves. Drying and covering the hair do not specifically target radiation heat loss.
Question 4 of 5
What characteristics are directly related to the newborn's decreased ability to maintain thermal stability?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Subcutaneous fat provides insulation, so decreased fat leads to heat loss. 2. A larger body surface-to-weight ratio means more heat loss through the skin. 3. Both factors contribute to the newborn's decreased ability to maintain thermal stability. 4. Blood vessels being farther from the skin (choice B) does not impact thermal stability directly. 5. Brown adipose tissue (choice C) is actually important for heat production in newborns. 6. Constant motion (choice D) may increase heat loss but is not a primary factor in thermal stability for newborns.
Question 5 of 5
The nurse is completing an initial assessment of the newborn. The newborn's ears appear to be parallel to the outer and inner canthus of the eye. How does the nurse document the ear placement?
Correct Answer: C
Rationale: Step 1: Observe the newborn's ears are parallel to the outer and inner canthus of the eye. Step 2: Compare the observed ear placement to the standard positioning. Step 3: If the ears align with the eye canthus, document as "a normal position" (Choice C). Rationale: Parallel ear position indicates normal development. Low set (Choice A) or high set (Choice B) ears suggest abnormalities. Facial paralysis (Choice D) is not related to ear placement in this context.