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ATI RN · ATI Maternal Newborn · Nursing Care of the Newborn and Family

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What categories are in the Brazelton assessment? Select all that apply.

A. interactive process

B. organizational process

C. behavioral process

D. motoric process

Correct Answer: motoric process

Question 2 of 5

Which assessment indicates that the neonate is not transitioning to extrauterine life?

A. The infant is maintaining breathing patterns with brief periods of periodic breathing for no longer than 10 seconds.

B. Skin remains blue in color in hands and feet and pink centrally.

C. Respiratory rate is 50 breaths per minute at rest.

D. There are moderate retractions at rest.

Correct Answer: There are moderate retractions at rest.

Question 3 of 5

A new parent is concerned about a mass on the newborn's head. The nurse assesses this to be a cephalohematoma based on what characteristics?

A. The mass just appeared.

B. The mass is on one side of the head and does not cross suture lines.

C. The head is boggy and the crosses suture lines.

D. The mass increases when the infant cries.

Correct Answer: The mass is on one side of the head and does not cross suture lines.

Question 4 of 5

A newborn at 20 minutes of age has an axillary temperature of 36Ã‚Â° C (96.8Ã‚Â° F). What intervention should the nurse perform?

A. ensure skin-to-skin contact until temperature is 37Ã‚Â° C (98.6Ã‚Â° F)

B. give the baby a warm bath and then return to the birthing parent for skin-to-skin contact.

C. place the baby under the radiant warmer until skin temperature is 37.5Ã‚Â° C (99.5Ã‚Â° F)

D. check the baby's rectal temperature

Correct Answer: ensure skin-to-skin contact until temperature is 37Ã‚Â° C (98.6Ã‚Â° F)

Question 5 of 5

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

A. widely spaced nipples and a webbed neck

B. flattened bridge of the nose, a short neck, small ears, a large tongue that may protrude

C. small eyes, thin upper lip, and smooth skin between the nose and upper lip

D. acyanotic with a murmur a few weeks after birth

Correct Answer: small eyes, thin upper lip, and smooth skin between the nose and upper lip

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