ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
Which is the most common cause of patent ductus arteriosus in the neonate?
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress syndrome. In neonates, the most common cause of patent ductus arteriosus is the respiratory distress syndrome. This is because the hypoxia and acidosis associated with respiratory distress syndrome lead to the persistence of the ductus arteriosus. Oxygen therapy (A) may be needed in neonates with respiratory distress syndrome but is not the direct cause of patent ductus arteriosus. Genetic predisposition (C) is not a primary cause of patent ductus arteriosus in neonates. Necrotizing enterocolitis (D) is a condition affecting the intestines and is not directly related to the development of patent ductus arteriosus.
Question 2 of 5
The neonate is placed on the radiant warmer in the delivery room. Which nursing intervention would take priority?
Correct Answer: D
Rationale: The correct answer is D: Place temperature probe on the infant. This is the priority intervention as it helps monitor the neonate's temperature and prevent hypothermia or hyperthermia. Monitoring the infant's temperature is crucial for maintaining thermal stability. Placing pulse oximetry (choice A) is important but not as immediate as monitoring temperature. Placing leads (choice B) is not necessary for immediate thermal stability. Placing the infant in a polyurethane bag (choice C) is not recommended as it can increase the risk of hyperthermia.
Question 3 of 5
Which maternal risk factor places the high-risk neonate at greatest risk for developing sepsis after delivery?
Correct Answer: C
Rationale: The correct answer is C, maternal fever. Maternal fever is a significant risk factor for neonatal sepsis as it indicates an ongoing infection in the mother which can be transmitted to the baby during delivery. Fever is a common sign of infection, and neonates are particularly vulnerable to sepsis due to their immature immune systems. Rupture of membranes at delivery (choice A) can increase the risk of infection but is not as direct a risk factor as maternal fever. The father having the flu (choice B) is not directly related to maternal risk factors. History of herpes simplex virus (HSV) treated with Valtrex (choice D) is a concern, but maternal fever has a more immediate impact on neonatal sepsis risk.
Question 4 of 5
A mother is taking methadone 85 mg. She has been told by her ob-gyn that her infant will not withdraw from this medication. At 3 days of life, the infant is jittery, inconsolable with poor feeding, and recent diarrhea. What is the most appropriate statement for the RN to make to the mother at this time?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. The infant's symptoms (jittery, inconsolable, poor feeding, diarrhea) are classic signs of withdrawal from methadone. 2. The mother's methadone use during pregnancy can lead to neonatal abstinence syndrome (NAS) in the infant. 3. NAS requires pharmacological intervention to manage withdrawal symptoms. 4. It is essential to inform the mother about the situation to seek appropriate medical care for the infant. Summary: A: Incorrect. The infant's symptoms are not just typical fussiness but indicative of withdrawal. C: Incorrect. The symptoms do not align with hypoglycemia, which would require different management. D: Incorrect. Colic and temperament issues do not explain the specific symptoms observed.
Question 5 of 5
The labor and delivery nurse is present for the delivery of a premature neonate. Which action by the nurse is most important?
Correct Answer: A
Rationale: The correct answer is A: Stabilize and transfer neonate to NICU. This is the most important action because premature neonates require immediate specialized care in the Neonatal Intensive Care Unit (NICU) to address their unique medical needs and increase their chances of survival. Stabilizing the neonate involves assessment, monitoring vital signs, providing respiratory support if needed, and ensuring a safe transition to the NICU. Reviewing pregnancy history (B) is important but not as urgent as immediate stabilization and transfer. Maintaining fluid and electrolyte balance (C) and providing a neutral temperature environment (D) are also important but secondary to the critical need for specialized care in the NICU.