ATI RN
Nursing Care of the Newborn Quizlet Questions
Question 1 of 5
Which nursing action is designed to avoid unnecessary heat loss in the newborn?
Correct Answer: B
Rationale: The correct answer is B because placing a blanket over the scale before weighing the infant helps prevent unnecessary heat loss by keeping the baby warm during the process. This action maintains the baby's body temperature and reduces the risk of hypothermia. A: Maintaining room temperature at 21°C may not be sufficient to prevent heat loss during specific procedures. C: Taking rectal temperature every hour is not necessary and may expose the baby to unnecessary heat loss. D: Undressing the infant completely for assessments can lead to rapid heat loss and should be avoided to maintain the baby's body temperature.
Question 2 of 5
The nurse is performing the initial assessment of a newborn and notes retractions, nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment on which system?
Correct Answer: A
Rationale: The correct answer is A: Respiratory. Retractions, nasal flaring, and tachypnea are signs of respiratory distress in a newborn. The nurse should focus on the respiratory system to assess the baby's breathing, lung sounds, oxygen saturation, and overall respiratory status. This is crucial for identifying any potential respiratory issues and providing prompt interventions. Choices B, C, and D are incorrect because the symptoms described are specific to respiratory distress and do not indicate cardiovascular, gastrointestinal, or musculoskeletal issues. Focusing on these systems would not address the immediate concern of respiratory distress in the newborn.
Question 3 of 5
An infant at term was born at 0105 hours. The nurse is developing a plan of care for the newborn. During which time range will the nurse plan on performing the assessment to determine a Ballard score?
Correct Answer: B
Rationale: The correct answer is B (0200 to 0600) because the Ballard score is typically assessed within the first 12-24 hours of life. Given that the infant was born at 0105 hours, the nurse should plan on performing the assessment between 0200 to 0600. This time frame falls within the recommended window for assessing the Ballard score accurately. Choices A, C, and D are incorrect because they fall outside the optimal time range for conducting the assessment. Option A (0115 to 0130) is too soon after birth, and options C (1400 to 1800) and D (2000 to 2300) are too late for the initial assessment as per standard practice.
Question 4 of 5
The labor and delivery nurse understands that some neonates spontaneously take a breath once the head and chest is delivered. Which understanding does the nurse have for the neonate that requires chemical stimuli to breathe?
Correct Answer: C
Rationale: Step 1: Mild hypoxia and decreased pH stimulate the brain to initiate breathing in neonates. Step 2: This chemical stimuli trigger the respiratory centers in the brainstem. Step 3: Oxygen administration may not be necessary as the neonate's own respiratory drive is initiated by chemical stimuli. Step 4: Carbon dioxide administration is not needed as high levels can be harmful. Step 5: Suctioning is not used to stimulate breathing but to clear airways if necessary. Summary: Choice C is correct as it aligns with the physiological response of neonates to chemical stimuli for breathing, while the other choices are not relevant or could be potentially harmful.
Question 5 of 5
The nurse works in a postnatal nursery and is required by hospital policy to perform a gestational age assessment on specified neonates. On which neonate is the nurse most likely to perform this assessment?
Correct Answer: A
Rationale: The correct answer is A: The neonate with a birth weight of 4,100 g. Gestational age assessment is typically done based on birth weight, as it is a more accurate indicator than other factors like labor duration or exposure to medications. A birth weight of 4,100 g is considered to be indicative of a full-term baby, which is usually around 37-42 weeks gestation. Other choices like B (neonate born at 37 weeks) could be a premature or post-term baby, C (born after 18-hour labor) doesn't directly indicate gestational age, and D (exposed to oxytocin) is not a reliable indicator of gestational age. Weight is a key factor in determining gestational age, making choice A the most appropriate for the nurse to perform the assessment.