Caring for a Newborn who is Experiencing Complications ATI

ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 1 of 43

Which is the most useful factor in preventing premature birth?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 2 of 43

The premature neonate is more susceptible to skin breakdown than a term neonate. Which skin care interventions will the nurse implement for the premature neonate? Select all that apply.

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 3 of 43

A newborn's blood glucose level is recorded at 42 mg/dL. What is the next step the nurse should take?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 4 of 43

The nurse is providing care for a neonate born to a mother with preexisting diabetes mellitus. Which neonatal assessment findings do the nurse expect? Select all that apply.

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 5 of 43

The nurse is observing a 38-week gestation newborn in the nursery. Data reveals periods of apnea lasting approximately 10 seconds followed by a period of rapid respirations. The infant's color and heart rate remain unchanged. The nurse suspects that the infant

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 6 of 43

Following the vaginal birth of a macrosomic infant, the nurse should evaluate the infant for

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 7 of 43

Which are risk factors for a newborn developing hypoglycemia? Select all that apply.

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 8 of 43

The nurse is preparing for the discharge of a neonate diagnosed with a congenital breathing disorder. Which health team members does the nurse include in discharge planning? Select all that apply.

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 9 of 43

Surfactant administration causes which of the following?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 10 of 43

Which baby is most at risk for developing physiological jaundice?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 11 of 43

The nurse is providing care for a premature neonate born at 28 weeks gestation who is experiencing respiratory distress syndrome (RDS). Which assessment finding indicates to the nurse that the neonate's respiratory status is deteriorating?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 12 of 43

Which of the following is the newborn at risk for during delivery due to green-stained amniotic fluid aspiration causing inflammation and respiratory distress?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 13 of 43

A patient who is at 41 weeks gestation is concerned when the primary care provider decides to induce labor. Which reason does the nurse explain as the most important need for this procedure?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 14 of 43

Which factor places the premature infant at greatest risk for retinopathy of prematurity?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 15 of 43

Decreased surfactant production in the preterm lung is a problem because

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 16 of 43

You are the nurse educator of the newborn nursery. Which behavior indicates a need for further education?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 17 of 43

Which is the most common cause of patent ductus arteriosus in the neonate?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 18 of 43

As the newborn nursery nurse, you are assessing your patients. Which assessment warrants further investigation?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 19 of 43

The RN in the newborn nursery is reviewing the newborn's chart and notices that the bilirubin levels are elevated. What intervention should the nurse perform next?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 20 of 43

The parents of an infant have just been told that their infant has physiological anemia of infancy. Which serves as an important rationale to support why this occurred?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 21 of 43

The nurse is preparing for the discharge of a premature neonate to home with the parents. The nurse explains the neonate must be able to pass the infant car seat challenge before discharge. For which reason would the neonate be considered unsafe in a car seat?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 22 of 43

An infant with a congenital cardiac disorder is receiving postsurgical palliation and nearing time for discharge. What findings would be indicators that the infant is ready for discharge?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 23 of 43

Which laboratory results might be expected if the mother's Rh has type O blood and the newborn's Apgar score is low?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 24 of 43

The neonate is placed on the radiant warmer in the delivery room. Which nursing intervention would take priority?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 25 of 43

A newborn was prenatally diagnosed with trisomy 13 along with an unrepairable cardiac anomaly. Genetic testing and cardiac imaging after birth have confirmed both findings. What discharge planning should be included for this infant?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 26 of 43

Following a traumatic birth of a 10-lb infant, the nurse should evaluate

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 27 of 43

A mother of a premature neonate in NICU asks the nurse when her baby will begin getting oral feedings. The nurse is aware that multiple conditions are desired. Which condition is most essential?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 28 of 43

The family with a newborn diagnosed with cleft lip and palate is concerned about what will happen in the future. The birthing parent asks if they will be able to breast-feed the infant. What is the best response from the nurse?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 29 of 43

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 30 of 43

A mother is taking methadone 85 mg. She has been told by her ob-gyn that her infant will not withdraw from this medication. At 3 days of life, the infant is jittery, inconsolable with poor feeding, and recent diarrhea. What is the most appropriate statement for the RN to make to the mother at this time?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 31 of 43

The labor and delivery nurse is present for the delivery of a premature neonate. Which action by the nurse is most important?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 32 of 43

Because late preterm infants are more stable than early preterm infants, they may receive care that is much like that of a full-term baby. The mother-baby or nursery nurse knows that these infants are at increased risk for which of the following? (Select all that apply.)

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 33 of 43

The nurse is reviewing a chart in the newborn nursery. An RN was ordered to take blood glucose (BG) recordings on a newborn delivered that morning. BG readings are as follows: 50 mg/dL at 7:00 a.m.; 57 mg/dL at 10:00 a.m.; 62 mg/dL at 12:00 p.m.; 67 mg/dL at 2:00 p.m.; and 68 at 4:00 p.m. What action should the nurse perform with these recordings?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 34 of 43

A characteristic of a post-term infant who weighs 7 lb, 12 oz, and who lost weight in utero, is

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 35 of 43

A premature newborn requires assistance with ventilation and oxygenation. What method of respiratory support is most likely to be utilized if the newborn requires PPV at birth and continues to need assistance?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 36 of 43

The nurse is caring for an infant with FAS. What symptoms would the nurse expect to see when assessing the infant?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 37 of 43

The nurse is providing support for the parents of a neonate born with anencephaly. The parents repeatedly state, â€œI don't believe this is happening to us. We were so careful during pregnancy.â€ The nurse associates the parents' comments with which stage of grief?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 38 of 43

Which preterm infant should receive gavage feedings instead of bottle feedings?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 39 of 43

The birthing parent has been watched closely by their health-care team because of their risk factors for delivering prematurely. What items in this patient's medical history and current diagnosis increase their risk for delivering prematurely? Select all that apply.

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 40 of 43

A newborn born 72 hours ago was diagnosed with jaundice, requiring phototherapy. Which is most important to educate the family on at this time?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 41 of 43

Which maternal risk factor places the high-risk neonate at greatest risk for developing sepsis after delivery?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 42 of 43

Which tool provides the best assessment of neuromuscular and physical maturity correlating with gestational age of the newborn that the nurse can perform after birth?

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ATI RN · Caring for a Newborn who is Experiencing Complications ATI

Question 43 of 43

In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n)

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