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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A home health nurse visits a 2-week-old infant and observes the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. Given these assessment findings, what instruction should the nurse give the parent?

A. cover the umbilicus with a band-aid
B. continue to clean the stump with alcohol for 1 week
C. apply an antibiotic ointment to the stump
D. give the baby a bath in an infant tub now

Expert Explanatory Rationale

Correct Answer: give the baby a bath in an infant tub now

Question 2 of 5

The nurse is preparing a new mother and newborn for discharge. Which statement indicates learning has occurred in the mother?

A. I will feed my newborn every 3 hours while awake.'
B. I will exclusively breastfeed my newborn every 2 to 3 hours.'
C. I will supplement feedings with formula until my breast milk comes in.'
D. Iron-fortified formula will be needed after my newborn is 6 months of age.'

Expert Explanatory Rationale

Correct Answer: I will exclusively breastfeed my newborn every 2 to 3 hours.'

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?

A. Bruises are common after a traumatic delivery. I will ask the physician to come discuss the delivery.'
B. These areas are called blue/gray macules and are common in certain ethnic groups, but will disappear around 3 years of age.'
C. These are not bruises; these spots are birthmarks and are usually a permanent impairment.'
D. The previous nurse did not report these findings. Who else has been in the room with the baby?'

Expert Explanatory Rationale

Correct Answer: These areas are called blue/gray macules and are common in certain ethnic groups, but will disappear around 3 years of age.'

Question 4 of 5

The postpartum nurse notices that a new mother has her neonate unwrapped and undressed 'to check out the baby.' For which reason does the nurse conclude the neonate is at risk for cold stress?

A. The neonate has an increased metabolic rate.
B. The neonate's respiratory rate has dropped.
C. The neonate is moving extremities about.
D. The neonate's skin is cool and clammy.

Expert Explanatory Rationale

Correct Answer: The neonate's skin is cool and clammy.

Question 5 of 5

The nurse provides discharge instructions to a parent about umbilical cord care. What statement by the parent indicates effective health teaching?

A. My child can have a tub bath every day.'
B. I will clean the stump with antiseptics daily.'
C. Water and soap can be used if the stump is dirty.'
D. I need to apply an antibiotic ointment every day.'

Expert Explanatory Rationale

Correct Answer: Water and soap can be used if the stump is dirty.'

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