ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
Which is the first step in assisting the breastfeeding mother to nurse her infant?
Correct Answer: A
Rationale: The correct answer is A because assessing the woman's knowledge of breastfeeding is crucial to understand her current understanding and skill level. By doing so, the tutor can identify any misconceptions or gaps in knowledge that need to be addressed. This step lays the foundation for providing tailored education and support to the mother. Choice B is incorrect because providing instruction on the composition of breast milk is informative but not the first step in assisting the breastfeeding mother. Choice C is incorrect as discussing hormonal changes is important but not the initial step. Choice D is incorrect because helping the mother obtain a comfortable position and placing the infant to the breast should come after assessing her knowledge to ensure effective nursing.
Question 2 of 5
Which technique should the nurse recommend to the postpartum patient in order to prevent nipple trauma?
Correct Answer: D
Rationale: The correct answer is D: Position the infant so the nipple is far back in the mouth. This technique helps prevent nipple trauma by ensuring that the baby latches onto the breast correctly, with a deep latch that prevents excessive pressure and friction on the nipple. By positioning the nipple far back in the baby's mouth, the baby can effectively suckle and draw milk without causing damage to the nipple. Choice A is incorrect because simply assessing the nipples before each feeding does not actively prevent trauma. Choice B is incorrect as limiting feeding time to less than 5 minutes can lead to inadequate milk transfer and potential nipple trauma due to improper latch. Choice C is incorrect as washing the nipples daily with soap and water can actually strip the skin of natural oils and increase the risk of dryness and cracking, leading to trauma.
Question 3 of 5
What is the most serious consequence of propping an infant's bottle?
Correct Answer: B
Rationale: The correct answer is B: Aspiration. Propping an infant's bottle can lead to the infant choking on the milk, formula, or saliva, causing aspiration into the lungs. This can result in severe respiratory issues, pneumonia, and other serious complications. Propping a bottle can also lead to overfeeding, ear infections (choice D) due to the improper positioning, but the most immediate and serious consequence is the risk of aspiration. Colic (choice A) and dental caries (choice C) are not directly related to propping a bottle.
Question 4 of 5
A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to
Correct Answer: B
Rationale: Step 1: Breast tenderness and fullness between feedings indicate engorgement, a common issue in breastfeeding mothers. Step 2: Putting the infant to the breast more frequently helps empty the breast and prevents engorgement. Step 3: Regular feeding stimulates milk production and prevents discomfort. Step 4: This approach is effective in addressing the underlying issue of engorgement. Summary: A: Wearing a bra at all times may not address the root cause of engorgement. C: Ice packs can provide temporary relief but do not prevent engorgement. D: Normalizing the issue without providing a solution does not address the discomfort.
Question 5 of 5
A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's most appropriate response?
Correct Answer: C
Rationale: The correct answer is C because breast milk is indeed low in vitamin D, and supplementation with 400 IU is recommended to ensure the baby's needs are met. Choice A is incorrect as it focuses on the mother's concerns rather than the baby's nutritional needs. Choice B is irrelevant to the specific question about vitamin supplementation. Choice D is incorrect as breast milk lacks sufficient vitamin D, necessitating supplementation.