ATI RN
Nursing Care of the Newborn Questions
Question 1 of 5
Whose theoretical model describes how clinical judgment evolves with experience?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which interventions should the nurse perform following the delivery of the newborn?
Correct Answer: B
Rationale: The correct answer is B because measuring the Apgar score at 5 and 10 minutes after delivery is a standard practice to assess the newborn's overall well-being. This helps to identify any immediate medical intervention needed and ensures the newborn's health is monitored closely. A is incorrect because placing the infant on the mother's chest is important for bonding, but not a critical intervention immediately following delivery. C is incorrect because removing vernix caseosa and stimulating crying can be done later and are not immediate priorities. D is incorrect because transferring the infant to the nursery without assessing the Apgar score can delay necessary medical interventions if needed.
Question 3 of 5
A new mother and father are inspecting their baby after the nurse brings the infant to them. The mother wants to know why her baby has bruises on the buttocks area. Which statement should be made by the nurse?
Correct Answer: B
Rationale: The correct answer is B because blue/gray macules, also known as Mongolian spots, are common in certain ethnic groups, especially in babies with darker skin tones. These marks typically appear on the buttocks and lower back and usually fade away by around 3 years of age. This explanation reassures the parents that the marks are not bruises from trauma but rather a normal and harmless skin pigmentation variation. Choices A, C, and D are incorrect because: A: This statement implies a traumatic delivery, which may cause unnecessary worry for the parents. It also deflects responsibility by suggesting involving the physician without providing a clear explanation. C: This statement misidentifies the marks as birthmarks, which are different from Mongolian spots. It also incorrectly suggests they are a permanent impairment, causing unnecessary concern. D: This statement is confrontational and shifts the focus away from addressing the parents' concerns. It does not provide any explanation or reassurance about the baby's condition.
Question 4 of 5
Which step is most appropriate following delivery of a healthy newborn?
Correct Answer: B
Rationale: Step 1: Placing the newborn skin to skin in the mother's arms helps with bonding, regulates the baby's temperature, and promotes breastfeeding initiation. Step 2: Skin-to-skin contact supports the baby in transitioning to the outside world comfortably. Step 3: Keeping the baby dry and close to the mother promotes a sense of security and comfort. Step 4: This approach aligns with evidence-based practices for newborn care. Summary: A: Assessing the newborn's temperature rectally is not the immediate priority after delivery. C: Placing the baby under the radiant warmer may disrupt bonding and delay skin-to-skin contact. D: Wrapping the baby in warm blankets without skin-to-skin contact may lead to heat loss and hinder maternal-infant bonding.
Question 5 of 5
The newborn nursery nurse walks into the mother's room and notices the patient next to the window. What is the nurse's next course of action?
Correct Answer: A
Rationale: The correct answer is A: Ask the mom to hold the infant using skin-to-skin contact. This is because skin-to-skin contact between the mother and newborn is important for bonding, regulating the baby's temperature, promoting breastfeeding, and comforting the baby. It also helps establish trust and promote attachment. Choice B is incorrect because newborns should not be exposed to direct sunlight for long periods due to the risk of sunburn and overheating. Choice C is incorrect because there is no specific benefit to placing the infant near the door, and it does not address the importance of skin-to-skin contact. Choice D is incorrect because obtaining the baby's weight is not the immediate priority when entering the room, especially when the opportunity for skin-to-skin contact is present.