ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
Which are risk factors for a newborn developing hypoglycemia? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: Breastfeeding. Newborns exclusively breastfed are at risk of hypoglycemia due to delayed milk production, inadequate feeding, and poor latching. Prematurity (A) and being large for gestational age (B) can increase the risk, but they are not primary causes. Cold stress (C) can contribute, but it's not a direct risk factor for hypoglycemia in newborns. By process of elimination and understanding the physiological effects of breastfeeding on newborn glucose levels, choice D is the most relevant risk factor.
Question 2 of 5
The nurse is reviewing a chart in the newborn nursery. An RN was ordered to take blood glucose (BG) recordings on a newborn delivered that morning. BG readings are as follows: 50 mg/dL at 7:00 a.m.; 57 mg/dL at 10:00 a.m.; 62 mg/dL at 12:00 p.m.; 67 mg/dL at 2:00 p.m.; and 68 at 4:00 p.m. What action should the nurse perform with these recordings?
Correct Answer: D
Rationale: The correct answer is D: Review orders for the timing of next BG reading. This is the correct action because the nurse should follow the protocol and guidelines set by the healthcare provider regarding the frequency and timing of blood glucose monitoring in newborns. By reviewing the orders, the nurse ensures that the newborn's blood glucose levels are monitored appropriately and at the right intervals. This helps in maintaining the newborn's health and identifying any potential issues promptly. Other choices are incorrect: A: Notify the physician immediately that the BG readings on this newborn are low - Premature action without assessing the situation or following protocol. B: Immediately give the newborn glucose water - Inappropriate and potentially harmful intervention without proper evaluation. C: Confirm the readings with the laboratory - Unnecessary step as the nurse can follow the established protocol without involving the laboratory unnecessarily.
Question 3 of 5
Which baby is most at risk for developing physiological jaundice?
Correct Answer: B
Rationale: The correct answer is B because a 5-day-old term newborn with bilirubin levels of 13 mg/dL and exclusively breastfeeding is at higher risk for developing physiological jaundice. Breastfeeding jaundice occurs due to inadequate milk intake leading to limited bowel movements, causing reabsorption of bilirubin. The other choices are incorrect because: A has normal bilirubin levels and is bottle feeding, which is less likely to cause jaundice. C is a premature baby with low bilirubin levels and meconium passage. D is a term newborn with high bilirubin levels but is breastfed frequently, reducing the risk of jaundice.
Question 4 of 5
Which laboratory results might be expected if the mother’s Rh has type O blood and the newborn’s Apgar score is low?
Correct Answer: D
Rationale: The correct answer is D: Cord blood gas. When the mother has Rh type O blood and the newborn's Apgar score is low, it indicates potential oxygenation issues during birth. Cord blood gas analysis is crucial to assess the newborn's oxygenation status and acid-base balance. A low Apgar score suggests the need to evaluate the newborn's respiratory and metabolic functions, which can be done through cord blood gas analysis. A: Cardiac enzymes - Not relevant in this scenario as the focus is on oxygenation and respiratory function, not cardiac issues. B: Blood glucose - Not directly related to the situation described, as low Apgar score and Rh blood type are more indicative of oxygenation and potential Rh incompatibility. C: Electrolyte panel - While electrolyte imbalance is important, cord blood gas analysis provides more immediate information on oxygenation and acid-base balance, which are crucial in low Apgar score situations.
Question 5 of 5
You are the nurse educator of the newborn nursery. Which behavior indicates a need for further education?
Correct Answer: C
Rationale: The correct answer is C. Placing the infant directly on the scale for weight measurement is incorrect as it can lead to inaccurate results due to factors like clothing or diaper weight. The correct method is to weigh the infant without clothing and then subtract the weight of the diaper. A: Heel stick method for blood glucose is appropriate. B: Placing an infant on phototherapy after swaddling is acceptable practice. D: Performing Ortolani and Barlow maneuvers in the supine position is also correct.