ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
Which assessment indicates that the neonate is not transitioning to extrauterine life?
Correct Answer: D
Rationale: The correct answer is D because moderate retractions at rest indicate increased work of breathing, which is a sign of respiratory distress in a neonate not transitioning well to extrauterine life. Retractions signify the body's effort to maintain adequate oxygen levels. A is incorrect because brief periods of periodic breathing are normal in neonates. B is incorrect as central pink coloring indicates adequate oxygenation despite blue extremities. C is incorrect because a respiratory rate of 50 breaths per minute is within the normal range for a neonate and does not necessarily indicate transition issues.
Question 2 of 5
A mother is concerned that her infant was very awake and alert immediately after birth for about 45 minutes but has now been asleep for 3 hours. Which statement by the nurse is most appropriate to address the mother's concerns?
Correct Answer: D
Rationale: The correct answer is D because it explains that babies often alternate between periods of activity and inactivity after birth, which is a normal behavior. This reassures the mother that her baby's behavior is typical and not a cause for concern. Option A is incorrect because it lacks specific information about post-birth baby behavior. Option B is incorrect as it suggests unnecessary medical intervention. Option C is incorrect as it focuses solely on feeding and does not address the mother's concerns about the baby's sleep pattern.
Question 3 of 5
What information should not be documented during the admission process to the newborn nursery following the delivery of the newborn?
Correct Answer: B
Rationale: The correct answer is B: City and state of birth location. This information is not necessary for the newborn's medical care. Time of birth (A), Apgar scores (C), and birth weight (D) are crucial for assessing the newborn's health status and guiding medical interventions. The location details are irrelevant in this context and could potentially compromise the newborn's privacy and security. Thus, omitting city and state information during the admission process is appropriate to maintain confidentiality and focus on essential medical data.
Question 4 of 5
A newborn was born over 3 days ago and has not passed any meconium stools. What should the nurse be most concerned about at this time?
Correct Answer: C
Rationale: The correct answer is C: Bowel obstruction. In a newborn, failure to pass meconium within the first 24-48 hours can indicate an underlying bowel obstruction, which is a serious condition requiring immediate medical attention. This could be due to various causes such as meconium ileus, Hirschsprung's disease, or anatomical defects. Jaundice (choice A) is common in newborns but not directly related to the absence of meconium. Constipation (choice B) typically occurs later in infancy and is not a concern in this immediate postnatal period. Gastrointestinal infection (choice D) is possible but less likely given the absence of meconium passage.
Question 5 of 5
As an effort to reduce cold stress and respiratory depression, which intervention is most important for the nurse to perform?
Correct Answer: D
Rationale: The correct answer is D. Rationale: 1. Drying the newborn with warm blankets helps prevent heat loss and reduce cold stress. 2. Placing the newborn under a radiant warmer helps maintain the baby's body temperature. 3. Maintaining a stable body temperature is crucial to prevent respiratory depression in newborns. 4. Immediate skin-to-skin contact like option B is beneficial but may not address cold stress as effectively as D. Summary: A: Keeping the room temperature low may lead to hypothermia in the newborn. B: Skin-to-skin contact is important but may not address cold stress as effectively as D. C: Bathing the newborn shortly after delivery may cause heat loss and worsen cold stress.