ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 of 5
Which situation places the infant at greatest risk for developing hypothermia?
Correct Answer: A
Rationale: The correct answer is A: Maternal fever. Maternal fever can lead to increased heat transfer to the infant, causing higher body temperature and increased risk of hypothermia. Fever in the mother can disrupt the infant's thermoregulation mechanisms, making them more susceptible to hypothermia. Neutral ambient environment (B) is not a risk factor for hypothermia unless it is too cold. Large for gestational age (C) infants may have more body fat which can help with heat retention. Jaundice (D) does not directly increase the risk of hypothermia.
Question 2 of 5
What information should not be documented during the admission process to the newborn nursery following the delivery of the newborn?
Correct Answer: B
Rationale: The correct answer is B: City and state of birth location. This information is not necessary for the newborn's medical care. Time of birth (A), Apgar scores (C), and birth weight (D) are crucial for assessing the newborn's health status and guiding medical interventions. The location details are irrelevant in this context and could potentially compromise the newborn's privacy and security. Thus, omitting city and state information during the admission process is appropriate to maintain confidentiality and focus on essential medical data.
Question 3 of 5
A newborn was born over 3 days ago and has not passed any meconium stools. What should the nurse be most concerned about at this time?
Correct Answer: C
Rationale: The correct answer is C: Bowel obstruction. In a newborn, failure to pass meconium within the first 24-48 hours can indicate an underlying bowel obstruction, which is a serious condition requiring immediate medical attention. This could be due to various causes such as meconium ileus, Hirschsprung's disease, or anatomical defects. Jaundice (choice A) is common in newborns but not directly related to the absence of meconium. Constipation (choice B) typically occurs later in infancy and is not a concern in this immediate postnatal period. Gastrointestinal infection (choice D) is possible but less likely given the absence of meconium passage.
Question 4 of 5
As an effort to reduce cold stress and respiratory depression, which intervention is most important for the nurse to perform?
Correct Answer: D
Rationale: The correct answer is D. Rationale: 1. Drying the newborn with warm blankets helps prevent heat loss and reduce cold stress. 2. Placing the newborn under a radiant warmer helps maintain the baby's body temperature. 3. Maintaining a stable body temperature is crucial to prevent respiratory depression in newborns. 4. Immediate skin-to-skin contact like option B is beneficial but may not address cold stress as effectively as D. Summary: A: Keeping the room temperature low may lead to hypothermia in the newborn. B: Skin-to-skin contact is important but may not address cold stress as effectively as D. C: Bathing the newborn shortly after delivery may cause heat loss and worsen cold stress.
Question 5 of 5
Which statement indicates that learning has occurred in a new mother regarding iron storage in her newborn?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates an understanding that iron stores are passed from the mother to the newborn during pregnancy. This indicates learning has occurred as the mother recognizes that her newborn doesn't need additional iron if she had adequate stores. Choice B is incorrect because adding iron to breast milk after pumping may not be effective as the iron does not transfer well. Choice C is incorrect as iron is still necessary for a breastfed newborn, regardless of breastfeeding duration. Choice D is incorrect because adding iron to formula may not be necessary if the mother's iron stores were adequate.