ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
Which of the following newborn assessment findings is the most concerning to the newborn nursery nurse?
Correct Answer: A
Rationale: The correct answer is A. A newborn not voiding in 24 hours is concerning as it may indicate a urinary tract issue. Failure to void can lead to complications like dehydration or renal dysfunction. Option B is normal as meconium is the first stool passed by newborns. Option C describes an umbilical hernia, which is common and usually resolves on its own. Option D describes polydactyly, an extra digit, which is a physical anomaly that may not necessarily pose immediate health risks.
Question 2 of 5
The hips of a newborn are examined for developmental dysplasia. Which clinical finding indicates an incomplete development of the acetabulum?
Correct Answer: D
Rationale: The correct answer is D because asymmetric thigh and gluteal creases suggest incomplete development of the acetabulum in developmental dysplasia of the hip. This finding indicates a potential instability or abnormality in the hip joint. The other choices are incorrect because a negative Barlow test (A) indicates no dislocation, equal knee heights (B) are not indicative of hip dysplasia, and a negative Ortolani sign (C) suggests no hip dislocation during abduction.
Question 3 of 5
Which statement best explains why a newborn with a congenital defect of the penis should not be circumcised?
Correct Answer: B
Rationale: The correct answer is B because in the case of a newborn with a congenital defect of the penis, the foreskin might be needed for future repairs to correct the defect. Removing the foreskin through circumcision could potentially limit surgical options and make it more challenging to address the underlying issue. It is essential to preserve as much tissue as possible to allow for optimal outcomes in any necessary corrective procedures. Choice A is incorrect as the risk of infection is not the primary reason for avoiding circumcision in this scenario. Choice C is incorrect as the visibility of the defect is not a determining factor in the decision. Choice D is also incorrect as there can be a valid medical rationale for circumcision in other cases, but in this specific situation, preserving the foreskin for potential future repairs is the most important consideration.
Question 4 of 5
A new patient asks, 'Why are you doing a gestational age assessment on my baby?' The nurse's best response is
Correct Answer: C
Rationale: The correct answer is C because gestational age assessment helps identify infants at risk for problems like prematurity-related complications. It aids in providing appropriate care and monitoring for high-risk infants. Choice A is not patient-centered. Choice B is inaccurate as gestational age assessment is for clinical purposes, not insurance. Choice D is incorrect as hospitalization duration is determined by clinical condition, not just gestational age.
Question 5 of 5
A new mother states, 'My baby is so thin and wrinkled. It looks like he has too much skin.' Which is the most therapeutic response by the nurse in response to the patient's statement?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the mother's feelings and offers empathy, showing understanding and validating her concerns. It encourages open communication and allows the mother to express her emotions. Incorrect choices: B: This response generalizes all mothers and does not address the specific concerns of the new mother. C: While this choice attempts to reassure the mother, it minimizes her feelings and may come across as dismissive. D: This response is accusatory, blaming the mother for the baby's appearance and could potentially cause guilt and defensiveness.