ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
Which finding would indicate a baby who may be considered preterm?
Correct Answer: A
Rationale: The correct answer is A because larger labia minora relative to labia majora is a characteristic of preterm babies due to incomplete development. Labia minora being larger is a sign of immaturity in female infants. Choices B, C, and D are incorrect because plantar creases covering two-thirds of the foot, mostly absent lanugo, and ears with instant recoil are normal characteristics seen in full-term newborns. These features are signs of maturity and development, not indicators of prematurity.
Question 2 of 5
Which finding should be most concerning immediately following delivery of a newborn?
Correct Answer: B
Rationale: The correct answer is B: Heart rate of 180 bpm. A high heart rate in a newborn is concerning as it could indicate distress or a medical condition. A heart rate of 180 bpm is significantly above the normal range for a newborn (120-160 bpm), requiring immediate attention to assess and address the underlying cause, such as infection or cardiac issues. A: Capillary refill time of 3 seconds is within the normal range (less than 3 seconds is normal). C: Respiratory rate of 65 breaths per minute is slightly elevated but not as critical as a high heart rate. D: Apgar score of 8 at 5 minutes is a good score, indicating the baby is in overall good condition, but it does not address the immediate concern of a high heart rate.
Question 3 of 5
Parents of a newborn are asking the nurse why their baby has to have a shot. Which is the nurse's best response?
Correct Answer: D
Rationale: The correct answer is D: Clotting problems can occur in infants because they don't receive food right away. This is the best response as it explains the importance of the shot in preventing clotting issues due to delayed feeding. Infants are at risk of developing clotting problems since they don't receive food immediately after birth. Incorrect choices: A: Incorrect because the shot is not primarily aimed at preventing eye infections. B: Incorrect because the umbilical cord is not the main concern for the shot. C: Incorrect because hospital policy is not the reason for administering the shot. In summary, choice D is correct as it addresses a critical issue related to infant health, while the other choices do not focus on the primary reason for the shot administration.
Question 4 of 5
A nurse is planning discharge needs to a family whose baby has just been born. Which statement is the most accurate regarding care of the umbilical cord?
Correct Answer: D
Rationale: The correct answer is D. Swabbing the umbilical cord with alcohol or water daily until it falls off is the recommended care to prevent infection. Alcohol helps dry out the cord stump, promoting faster healing. - A: Washing the newborn every day in water can introduce bacteria and moisture to the cord, increasing infection risk. - B: Using soap on the umbilical cord can irritate the skin and delay healing. - C: It's normal for the umbilical cord to fall off within 1-2 weeks, so there's no need to notify the practitioner unless there are signs of infection.
Question 5 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.