ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
Which factor places the premature infant at greatest risk for retinopathy of prematurity?
Correct Answer: C
Rationale: The correct answer is C: A premature infant with bronchopulmonary dysplasia. Premature infants with bronchopulmonary dysplasia are at the greatest risk for retinopathy of prematurity due to the prolonged exposure to oxygen therapy, which can lead to abnormal blood vessel growth in the retina. This condition can cause vision problems or even blindness. Choices A and B are common risk factors for prematurity but do not specifically increase the risk of retinopathy. Choice D, not receiving erythromycin ointment at birth, is unrelated to retinopathy risk.
Question 2 of 5
Which maternal risk factor places the high-risk neonate at greatest risk for developing sepsis after delivery?
Correct Answer: C
Rationale: The correct answer is C, maternal fever. Maternal fever is a significant risk factor for neonatal sepsis as it indicates an ongoing infection in the mother which can be transmitted to the baby during delivery. Fever is a common sign of infection, and neonates are particularly vulnerable to sepsis due to their immature immune systems. Rupture of membranes at delivery (choice A) can increase the risk of infection but is not as direct a risk factor as maternal fever. The father having the flu (choice B) is not directly related to maternal risk factors. History of herpes simplex virus (HSV) treated with Valtrex (choice D) is a concern, but maternal fever has a more immediate impact on neonatal sepsis risk.
Question 3 of 5
A mother is taking methadone 85 mg. She has been told by her ob-gyn that her infant will not withdraw from this medication. At 3 days of life, the infant is jittery, inconsolable with poor feeding, and recent diarrhea. What is the most appropriate statement for the RN to make to the mother at this time?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. The infant's symptoms (jittery, inconsolable, poor feeding, diarrhea) are classic signs of withdrawal from methadone. 2. The mother's methadone use during pregnancy can lead to neonatal abstinence syndrome (NAS) in the infant. 3. NAS requires pharmacological intervention to manage withdrawal symptoms. 4. It is essential to inform the mother about the situation to seek appropriate medical care for the infant. Summary: A: Incorrect. The infant's symptoms are not just typical fussiness but indicative of withdrawal. C: Incorrect. The symptoms do not align with hypoglycemia, which would require different management. D: Incorrect. Colic and temperament issues do not explain the specific symptoms observed.
Question 4 of 5
The labor and delivery nurse is present for the delivery of a premature neonate. Which action by the nurse is most important?
Correct Answer: A
Rationale: The correct answer is A: Stabilize and transfer neonate to NICU. This is the most important action because premature neonates require immediate specialized care in the Neonatal Intensive Care Unit (NICU) to address their unique medical needs and increase their chances of survival. Stabilizing the neonate involves assessment, monitoring vital signs, providing respiratory support if needed, and ensuring a safe transition to the NICU. Reviewing pregnancy history (B) is important but not as urgent as immediate stabilization and transfer. Maintaining fluid and electrolyte balance (C) and providing a neutral temperature environment (D) are also important but secondary to the critical need for specialized care in the NICU.
Question 5 of 5
A mother of a premature neonate in NICU asks the nurse when her baby will begin getting oral feedings. The nurse is aware that multiple conditions are desired. Which condition is most essential?
Correct Answer: B
Rationale: Correct Answer: B Rationale: Cardiorespiratory regulation is the most essential condition for initiating oral feedings in a premature neonate. This is crucial to ensure the baby can safely coordinate breathing and swallowing during feeding, reducing the risk of aspiration and other complications. If the baby's cardiorespiratory system is not stable, oral feedings could pose a serious risk to their health. Proper feeding actions (Choice A) are important but depend on the baby's ability to regulate their breathing and heart rate. Hunger cues (Choice C) and maintaining a quiet alert state (Choice D) are secondary considerations to cardiorespiratory stability in this context.