ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
Which baby is at highest risk of skin infection upon discharge?
Correct Answer: B
Rationale: The correct answer is B, a newborn with a new circumcision, as this procedure involves an incision, making the baby more susceptible to skin infections. Circumcision wounds need proper care to prevent infection. Choice A is incorrect because scabs forming over heels where blood has been drawn do not necessarily indicate a higher risk of skin infection. Choice C, a newborn with jaundice, is incorrect as jaundice affects the liver and does not directly increase the risk of skin infection. Choice D, a newborn with milia, is incorrect because milia are harmless and do not increase the risk of skin infection.
Question 2 of 5
Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?
Correct Answer: A
Rationale: The correct answer is A: Babinski reflex. This reflex is elicited by stroking the lateral sole of the infant's foot, causing the big toe to extend and the other toes to fan out. This response is normal in infants up to 2 years old. The other choices are incorrect because: B: Stepping reflex is the automatic movement of the legs when held upright with the feet touching a surface. C: Tonic neck reflex occurs when an infant turns their head to one side, the arm on that side extends while the opposite arm flexes. D: Plantar grasp reflex is when pressure is applied to the sole of the foot, causing the toes to curl.
Question 3 of 5
A maculopapular rash with a red base and a small white papule in the center is commonly known as
Correct Answer: C
Rationale: The correct answer is C: erythema toxicum. This rash is characterized by red macules with small white papules in the center. Erythema toxicum is a common benign rash in newborns, usually appearing in the first few days of life. Milia (A) are tiny white bumps on the skin, Mongolian spots (B) are blue-gray birthmarks, and Café-au-lait spots (D) are flat, light brown spots. In this case, the description of a maculopapular rash with a red base and a small white papule matches the characteristics of erythema toxicum, making it the correct choice.
Question 4 of 5
Which nursing action is designed to avoid unnecessary heat loss in the newborn?
Correct Answer: B
Rationale: The correct answer is B because placing a blanket over the scale before weighing the infant helps prevent unnecessary heat loss by keeping the baby warm during the process. This action maintains the baby's body temperature and reduces the risk of hypothermia. A: Maintaining room temperature at 21°C may not be sufficient to prevent heat loss during specific procedures. C: Taking rectal temperature every hour is not necessary and may expose the baby to unnecessary heat loss. D: Undressing the infant completely for assessments can lead to rapid heat loss and should be avoided to maintain the baby's body temperature.
Question 5 of 5
Which assessment finding of a newborn requires prompt action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Pause in breathing lasting 20 seconds. This finding indicates a potential apnea episode in the newborn, which requires immediate attention to prevent further complications like hypoxia. The pause in breathing lasting 20 seconds exceeds the normal range for apnea in newborns, typically defined as a pause lasting more than 15 seconds. Prompt action is necessary to assess and address the underlying cause of the apnea episode. Choice A (Respiratory rate of 50 breaths per minute) is within the normal range for newborns (30-60 breaths per minute) and does not require immediate action. Choice B (Cyanosis of the extremities) may indicate poor circulation but is not as urgent as a prolonged pause in breathing. Choice D (Pause in breathing for 15 seconds followed by rapid respirations) is incorrect as it does not meet the criteria for apnea in newborns and does not require immediate action.