ATI RN
Assessment and Management of Newborn Complications Quizlet Questions
Question 1 of 5
Which intervention should the nurse instruct the parents to do for their newborn who has acute diaper rash?
Correct Answer: A
Rationale: The correct answer is A: Apply the diaper loosely to infant, allowing for better air circulation. This is the best intervention for acute diaper rash as it helps reduce moisture and promotes healing. Tight diapers trap moisture, worsening the rash. Choice B is incorrect as changing every 2-3 hours is recommended to maintain a dry environment. Choice C is incorrect as antibacterial soap can be harsh and disrupt the skin's natural flora. Choice D is incorrect as wiping off diaper cream thoroughly can irritate the skin further.
Question 2 of 5
Which characteristics are typically found in a patient diagnosed with Down syndrome? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Round occiput. In Down syndrome, individuals often exhibit a round-shaped head at the back (occiput) due to the abnormal growth patterns of the skull bones. This characteristic is a common physical feature seen in individuals with Down syndrome. A: Low-set ears - While low-set ears can be a feature in some cases of Down syndrome, it is not a defining characteristic and not always present. B: Broad nasal bridge - Broad nasal bridge is a common feature in Down syndrome, but it is not specific enough to be a defining characteristic. D: Small tongue - While individuals with Down syndrome may have slightly smaller tongues compared to the general population, it is not a prominent characteristic and not typically used for diagnosis.
Question 3 of 5
Which diagnosis is most common in a newborn born at 35 + 3 gestational age?
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress syndrome. At 35 + 3 weeks gestational age, the newborn's lungs may not be fully developed, leading to respiratory distress. This condition is common in premature babies due to surfactant deficiency, resulting in difficulty breathing. Hyperglycemia, infection, and altered nutrition are less likely in this scenario as they are not typically associated with prematurity at this gestational age. Respiratory distress is the most common concern in premature infants and requires prompt medical intervention to support breathing and lung function.
Question 4 of 5
Which factor does not influence bilirubin levels in the infant?
Correct Answer: D
Rationale: The correct answer is D: Birth trauma. Birth trauma does not directly influence bilirubin levels in infants. Prematurity can lead to immature liver function affecting bilirubin metabolism. Maternal diabetes can lead to increased risk of neonatal jaundice. Exclusively breastfeeding can lead to breastfeeding jaundice due to inadequate milk intake. Therefore, birth trauma is the only option that does not directly impact bilirubin levels in infants.
Question 5 of 5
Which laboratory value is important to check on a newborn with excessive bruising following delivery?
Correct Answer: C
Rationale: The correct answer is C: Bilirubin. Excessive bruising in a newborn can indicate hemolysis, leading to elevated bilirubin levels and potential jaundice. Checking bilirubin levels is crucial to monitor for hyperbilirubinemia, which can lead to complications like kernicterus. White blood cells (A) are not typically associated with bruising. Glucose (B) levels are important in monitoring for hypoglycemia, not bruising. Potassium (D) levels are not directly related to bruising in a newborn.