ATI RN
Nursing Care of the Newborn and Family Questions
Question 1 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.
Question 2 of 5
You are receiving report from the nightshift nurse. Which newborn should you assess first?
Correct Answer: B
Rationale: The correct answer is B. Bilateral breath sounds and nasal flaring indicate respiratory distress, which is a priority assessment in a newborn. Nasal flaring suggests increased work of breathing, requiring prompt evaluation to prevent respiratory compromise. Choice A is incorrect as acrocyanosis is a common finding in newborns and not an urgent concern. Choice C is incorrect as breastfeeding is a normal activity for newborns. Choice D is incorrect as failing a hearing screen test does not present an immediate threat to the newborn's health.
Question 3 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 4 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 5 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.