ATI RN
Nursing Care of the Newborn Questions
Question 1 of 5
Which infant is not at risk for heat loss?
Correct Answer: D
Rationale: The correct answer is D because swaddling helps maintain the infant's body temperature by preventing heat loss. Swaddling creates a cocoon-like environment, reducing exposure to external factors. Choice A is incorrect because a baby scale does not provide warmth. Choice B is incorrect as the preterm infant is in an extended position, which increases heat loss. Choice C is incorrect as the term infant lying next to the door may experience drafts and heat loss.
Question 2 of 5
The nurse enters the room of a patient who just gave birth 2 days ago to a healthy newborn. The nurse asks her what her newborn's name is and she shrugs and says, 'I haven't thought about a name yet.' What priority is the nurse most concerned about with this patient?
Correct Answer: B
Rationale: The correct answer is B: Parent-to-newborn attachment may be a concern. The nurse is most concerned about the lack of bonding or attachment between the mother and her newborn, as indicated by the mother not having thought about a name yet. This lack of interest or engagement with the newborn could potentially impact the mother's ability to form a healthy attachment, which is crucial for the newborn's well-being. The nurse should prioritize assessing and supporting the mother in developing a bond with her baby. Choices A, C, and D are incorrect: A: The patient not naming the newborn does not indicate she has not transitioned from the fourth stage of labor. C: There is no evidence to suggest that the mother may be contemplating suicide based solely on her not naming the newborn. D: Different cultural practices do not seem to be the primary concern in this scenario compared to the potential lack of parent-to-newborn attachment.
Question 3 of 5
A mother brings her 4-week-old newborn into the clinic for a well-child check. She reports to the nurse that the newborn developed small white marks on her nose. What are these small white marks commonly called?
Correct Answer: A
Rationale: The correct answer is A: Milia. Milia are tiny, white, pearly bumps that commonly appear on a newborn's face, including the nose, due to blocked oil glands. They are harmless and typically disappear on their own. Explanation: 1. Milia are common in newborns, appearing as small white bumps on the nose and face. 2. They result from blocked oil glands and are not harmful. 3. Mongolian spots are bluish-gray birthmarks usually on the lower back or buttocks. 4. Erythema toxicum presents as red blotches on the skin shortly after birth. 5. Port-wine stain is a vascular birthmark that appears as a pink or red mark on the skin.
Question 4 of 5
Upon assessment, the RN notices that the newborn remains red at rest. Which laboratory value is most important for the nurse to evaluate?
Correct Answer: D
Rationale: The correct answer is D: Hematocrit. A red newborn at rest may indicate polycythemia, which increases the risk of hyperviscosity and complications. Hematocrit measures the percentage of red blood cells in the blood, so evaluating it can help determine if the newborn has polycythemia. Glucose (A) is important but not directly related to the newborn's redness. Bilirubin (B) is crucial for evaluating jaundice, not redness. Sodium (C) levels are not typically associated with a red newborn at rest.
Question 5 of 5
The nurse is preparing a new mother and newborn for discharge. Which statement indicates learning has occurred in the mother?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates understanding of the importance of exclusive breastfeeding every 2 to 3 hours. This statement shows the mother has learned about the recommended feeding schedule for newborns and the benefits of exclusive breastfeeding. Choice A is incorrect because feeding every 3 hours does not emphasize exclusive breastfeeding. Choice C is incorrect as supplementing with formula can interfere with establishing breastfeeding. Choice D is incorrect because iron-fortified formula is not typically needed if the baby is breastfed exclusively for the first 6 months.