HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 1 of 43
Surfactant administration causes which of the following?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 2 of 43
What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 3 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 4 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 5 of 43
The nurse is providing support for the parents of a neonate born with anencephaly. The parents repeatedly state, “I don’t believe this is happening to us. We were so careful during pregnancy.†The nurse associates the parents’ comments with which stage of grief?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 6 of 43
Following a traumatic birth of a 10-lb infant, the nurse should evaluate
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 7 of 43
Following the vaginal birth of a macrosomic infant, the nurse should evaluate the infant for
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 8 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 9 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 10 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 11 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 12 of 43
Decreased surfactant production in the preterm lung is a problem because
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 13 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 14 of 43
Which maternal risk factor places the high-risk neonate at greatest risk for developing sepsis after delivery?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 15 of 43
Which baby is most at risk for developing physiological jaundice?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 16 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 17 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 18 of 43
Which factor places the premature infant at greatest risk for retinopathy of prematurity?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 19 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 20 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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HESI 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 22 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 23 of 43
As the newborn nursery nurse, you are assessing your patients. Which assessment warrants further investigation?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 24 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 25 of 43
Which is the most common cause of patent ductus arteriosus in the neonate?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 26 of 43
Which are risk factors for a newborn developing hypoglycemia? Select all that apply.
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 27 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 28 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 29 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 30 of 43
Which preterm infant should receive gavage feedings instead of bottle feedings?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 31 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 32 of 43
You are the nurse educator of the newborn nursery. Which behavior indicates a need for further education?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 33 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 34 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 35 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 36 of 43
Which is the most useful factor in preventing premature birth?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 37 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 38 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 39 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 40 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 41 of 43
The neonate is placed on the radiant warmer in the delivery room. Which nursing intervention would take priority?
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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 42 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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HESI RN · Caring for a Newborn who is Experiencing Complications ATI
Question 43 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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