ATI RN
ATI Custom Maternity Newborncare Questions
Extract:
Newborn who is 12 hours old with respiration rate 44/min, shallow, with 5-second apnea periods
Question 1 of 5
A nurse is collecting data from a newborn who is 12 hours old. His respiration rate is 44/min, shallow, with periods of apnea lasting up to 5 seconds. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Newborns often have irregular breathing with brief apnea; a rate of 44/min is normal, warranting routine monitoring unless other signs of distress appear.
Extract:
Newborn with swollen head area
Question 2 of 5
A nurse is collecting data from a newborn and notes a swollen area on the head that does not cross the suture line. The nurse should document this finding as which of the following?
Correct Answer: A
Rationale: Cephalhematoma is swelling confined by suture lines, distinguishing it from caput succedaneum, which crosses them.
Extract:
Newborn bottle-feeding
Question 3 of 5
What should be included in teaching for bottle-feeding parents? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Refrigeration, discarding used formula, avoiding propping, and explaining formula forms ensure safe feeding practices.
Extract:
Newborn with assessment findings
Question 4 of 5
The nurse is most concerned about which assessment finding?
Correct Answer: B
Rationale: A positive Ortolani's test indicates hip dysplasia, requiring intervention, unlike other benign findings.
Extract:
Newborn 4 hours old with lab results
Question 5 of 5
A nurse is reviewing the laboratory results of a newborn that is 4 hr old. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: A bilirubin of 18 mg/dL at 4 hours indicates severe hyperbilirubinemia, risking brain damage if untreated.