ATI RN
Assessment and Management of Newborn Complications Quizlet Questions
Question 1 of 5
Which rationale is true regarding jaundice in newborns?
Correct Answer: B
Rationale: Step 1: Breast milk jaundice is a common cause of jaundice in newborns due to a substance in breast milk that can increase bilirubin levels. Step 2: Switching to formula temporarily can help resolve the issue as formula-fed babies have lower incidences of jaundice. Step 3: This is supported by medical guidelines recommending temporary cessation of breastfeeding in cases of severe jaundice. Summary: A: Blood type compatibility does not directly cause jaundice in newborns. C: Bilirubin levels need to be monitored and managed in newborns with jaundice to prevent brain damage. D: Maintaining a specific temperature is not the primary method of managing jaundice in newborns.
Question 2 of 5
Which diagnosis is most common in a newborn born at 35 + 3 gestational age?
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress syndrome. At 35 + 3 weeks gestational age, the newborn's lungs may not be fully developed, leading to respiratory distress. This condition is common in premature babies due to surfactant deficiency, resulting in difficulty breathing. Hyperglycemia, infection, and altered nutrition are less likely in this scenario as they are not typically associated with prematurity at this gestational age. Respiratory distress is the most common concern in premature infants and requires prompt medical intervention to support breathing and lung function.
Question 3 of 5
Which factor does not influence bilirubin levels in the infant?
Correct Answer: D
Rationale: The correct answer is D: Birth trauma. Birth trauma does not directly influence bilirubin levels in infants. Prematurity can lead to immature liver function affecting bilirubin metabolism. Maternal diabetes can lead to increased risk of neonatal jaundice. Exclusively breastfeeding can lead to breastfeeding jaundice due to inadequate milk intake. Therefore, birth trauma is the only option that does not directly impact bilirubin levels in infants.
Question 4 of 5
Which laboratory value is important to check on a newborn with excessive bruising following delivery?
Correct Answer: C
Rationale: The correct answer is C: Bilirubin. Excessive bruising in a newborn can indicate hemolysis, leading to elevated bilirubin levels and potential jaundice. Checking bilirubin levels is crucial to monitor for hyperbilirubinemia, which can lead to complications like kernicterus. White blood cells (A) are not typically associated with bruising. Glucose (B) levels are important in monitoring for hypoglycemia, not bruising. Potassium (D) levels are not directly related to bruising in a newborn.
Question 5 of 5
Whose baby is at highest risk of developing jaundice based on risk factors?
Correct Answer: C
Rationale: The correct answer is C because the newborn has both type A blood (from the mother) and O+ blood (from the father), leading to a higher risk of jaundice due to ABO incompatibility. The presence of nuchal cord x2 and the use of forceps during delivery also increase the risk of newborn jaundice. Choice A is incorrect because the mother's age and use of Pitocin do not inherently increase the risk of jaundice. Choice B is incorrect because the baby being born at home and the timing of the umbilical cord cutting are not directly related to jaundice risk. Choice D is incorrect because the method of delivery and the father's unknown blood type do not specifically indicate a high risk of jaundice compared to the scenario in Choice C.