ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
Which is an important consideration regarding the storage of breast milk?
Correct Answer: D
Rationale: The correct answer is D because breast milk can be kept refrigerated for up to 72 hours. This is important to ensure the milk stays fresh and safe for the baby. Thawing and refreezing breast milk (Choice A) can lead to nutrient loss and contamination. Freezing breast milk for up to 6 months (Choice B) is not recommended as it can affect the quality of the milk. Storing breast milk only in glass bottles (Choice C) is not necessary as breast milk can be stored in BPA-free plastic bottles or storage bags specifically designed for breast milk.
Question 2 of 5
A mother conveys concern over the fact that she is not certain if her newborn is receiving enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What information can you provide that will help alleviate her fears regarding nutrient status for her newborn?
Correct Answer: A
Rationale: Step 1: Monitoring the infant's output through diaper changes is a reliable indicator of sufficient nutrient intake. Step 2: Six or more diapers changed in a 24-hour period signifies that the baby is getting enough nutrients from breastfeeding. Step 3: This method is practical and easy for the mother to observe and track regularly. Step 4: It reassures the mother that her newborn is receiving adequate nutrition, addressing her concerns effectively. Summary: - Choice A is correct as it provides a tangible and practical method for assessing the baby's nutrient intake. - Choice B is incorrect as satisfaction with feeding does not directly correlate with nutrient intake. - Choice C is incorrect as it oversimplifies the situation and does not offer a practical solution. - Choice D is incorrect as providing pamphlets may not address the mother's immediate concerns about the baby's nutrient status.
Question 3 of 5
The nurse is teaching a postpartum patient different holds for breastfeeding. Which of the following figures depicts the football hold frequently used for patients who have had a cesarean birth?
Correct Answer: B
Rationale: The correct answer is B because the football hold is a breastfeeding position where the baby is positioned at the side of the mother, with the baby's legs tucked under the mother's arm. This position is beneficial for mothers who have had a cesarean birth as it keeps the baby away from the incision site. Choice A does not show the baby tucked under the arm, choices C and D show the baby positioned differently than in the football hold. Therefore, B is the correct choice for the football hold commonly used for postpartum patients who have had a cesarean birth.
Question 4 of 5
What kind of muscle tone does a preterm newborn have compared to a full-term newborn?
Correct Answer: D
Rationale: The correct answer is D: flaccid. Preterm newborns typically have lower muscle tone compared to full-term newborns due to their immature nervous system. This results in a lack of firmness or strength in their muscles, leading to a flaccid appearance. Choice A is incorrect because preterm newborns do not have firm muscle tone. Choice B is incorrect as it is too general and does not specify the type of abnormality. Choice C is incorrect because preterm newborns do not have normal muscle tone like full-term newborns.
Question 5 of 5
Of the three fetal shunts, which one moves fetal blood from the lungs through the right atrium to the left atrium?
Correct Answer: B
Rationale: The correct answer is B: foramen ovale. The foramen ovale is a shunt that allows blood to bypass the fetal lungs by connecting the right atrium to the left atrium. This is important in utero to ensure oxygenated blood goes directly to the body. The other options are incorrect because: A: Ductus venosus - connects the umbilical vein to the inferior vena cava, bypassing the liver. C: Ductus arteriosus - connects the pulmonary artery to the aorta, bypassing the fetal lungs. D: Foramen venosus - does not exist; it is not a fetal shunt.