ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
Which behaviors should be alarming to the newborn nursery nurse and reported to the practitioner for further assessment?
Correct Answer: B
Rationale: The correct answer is B because active movement on one side of the body can indicate a neurological issue that needs further assessment. This asymmetrical movement could suggest a potential problem with the baby's motor function or nerve development. Choice A is a normal behavior known as the "Moro reflex" where the arms are flexed towards the face in response to a startle. Choice C is also a normal behavior as babies often cry during baths due to being exposed to a new sensation. Choice D describes meconium, which is a normal stool for newborns in the first few days of life.
Question 2 of 5
Which method is correct for obtaining a blood glucose reading on a newborn?
Correct Answer: C
Rationale: The correct method is C because newborns have delicate blood vessels in their feet, making it easier to obtain a blood sample. Step-by-step rationale: 1. Warm the foot to increase blood flow. 2. Clean with an alcohol pad to prevent infection. 3. Puncture the side of the heel as it has a good blood supply and less painful. Other choices are incorrect: A is invasive and not suitable for newborns. B is not recommended as thumb samples may be inaccurate. D does not specify the heel's side, which is crucial for newborns' safety.
Question 3 of 5
A mother asks the newborn nursery RN why her newborn's eyes are yellow. Which offers the mother the most accurate explanation?
Correct Answer: C
Rationale: The correct answer is C because jaundice in newborns is often due to increased bilirubin levels. Bilirubin is a byproduct of the breakdown of red blood cells and can cause yellowing of the skin and eyes. The RN suggests laboratory work to confirm the diagnosis and determine the severity. Choice A is incorrect as kernicterus is a serious condition resulting from untreated severe jaundice, not a likely immediate concern without confirming the diagnosis first. Choice B is incorrect because while a newborn's liver is indeed immature, jaundice still needs to be monitored and managed appropriately. Choice D is incorrect as prematurity does increase the risk of jaundice, but it doesn't explain why the baby's eyes are yellow.
Question 4 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 5 of 5
Upon discharge, parents of a newborn reveal their plans to take their newborn to the beach with them on a vacation when the newborn is 3 months old. Which statement by the nurse is the most appropriate?
Correct Answer: D
Rationale: The correct answer is D because newborns have delicate skin that is highly susceptible to sunburn and heat-related issues. Placing the newborn in lightweight clothing and in the shade helps protect their sensitive skin from harmful UV rays. This approach minimizes the risk of sunburn and overheating. A is incorrect because newborns should not be exposed to direct sunlight for prolonged periods. B is inappropriate as it is important for newborns to be with their parents for bonding and care. C is incorrect as sunscreen is not recommended for infants under 6 months of age due to potential skin irritation and absorption concerns.