ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
Which condition of a newborn should the nurse further investigate?
Correct Answer: D
Rationale: The correct answer is D: Fontanels that feel soft and flat. This indicates dehydration or a problem with intracranial pressure. Soft and flat fontanels in a newborn are concerning as they should be slightly elevated and have a slight pulsation. The nurse should further investigate this by checking for signs of dehydration or increased intracranial pressure. A: A temperature of 97.5°F axillary is within the normal range for a newborn. B: Respirations of 60 breaths per minute while sleeping soundly are normal for a newborn. C: Acrocyanosis in a baby born 6 hours ago is a common finding in newborns and usually resolves on its own.
Question 2 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 3 of 5
Which situation places the infant at greatest risk for developing hypothermia?
Correct Answer: A
Rationale: The correct answer is A: Maternal fever. Maternal fever can lead to increased heat transfer to the infant, causing higher body temperature and increased risk of hypothermia. Fever in the mother can disrupt the infant's thermoregulation mechanisms, making them more susceptible to hypothermia. Neutral ambient environment (B) is not a risk factor for hypothermia unless it is too cold. Large for gestational age (C) infants may have more body fat which can help with heat retention. Jaundice (D) does not directly increase the risk of hypothermia.
Question 4 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 5 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.