ATI Maternal Newborn

ATI Maternal Newborn Related

Review ATI Maternal Newborn related questions and content

A nurse concludes that the parent of a newborn is not showing positive indications of parent-infant bonding. The parent appears very anxious and nervous when asked to bring the newborn to the other parent. Which of the following actions should the nurse use to promote parent-infant bonding?

  • A. Hand the parent the newborn and suggest that they change the diaper.
  • B. Ask the parent why they are so anxious and nervous.
  • C. Tell the parent that they will grow accustomed to the newborn.
  • D. Provide reinforcement about infant care when the parent is present.
Correct Answer: D

Rationale: The correct answer is D because providing reinforcement about infant care when the parent is present can help build the parent's confidence and competence in caring for the newborn, which can enhance parent-infant bonding. By offering support and guidance during interactions with the newborn, the parent can feel more comfortable and connected to the baby.

A: Handing the parent the newborn and suggesting they change the diaper may increase their anxiety and not address the underlying issue of bonding.
B: Asking the parent why they are anxious and nervous is important but may not directly promote bonding without providing concrete support.
C: Telling the parent they will grow accustomed to the newborn does not actively support bonding or address the parent's current concerns.

In summary, choice D is the best option as it provides practical assistance and positive reinforcement to help the parent feel more confident in caring for the newborn, ultimately fostering parent-infant bonding.

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A healthcare professional is discussing risk factors for urinary tract infections with a newly licensed nurse. Which of the following conditions should the healthcare professional include in the teaching? (Select all that apply)

  • A. Epidural anesthesia
  • B. Urinary bladder catheterization
  • C. Frequent pelvic examinations
  • D. All of the Above
Correct Answer: D

Rationale: The correct answer is D (All of the Above). Epidural anesthesia can increase the risk of urinary retention leading to UTIs. Urinary bladder catheterization can introduce pathogens into the urinary tract. Frequent pelvic examinations can disrupt the natural flora and introduce bacteria. Therefore, all the conditions listed can contribute to an increased risk of urinary tract infections. The other choices (A, B, C) are incorrect because each of them individually presents a risk factor for UTIs, and selecting only one or two choices would not encompass the full range of risk factors that the healthcare professional should include in the teaching.

When checking for the Moro reflex in a newborn, what action should the nurse take?

  • A. Hold the newborn vertically under arms and allow one foot to touch the table.
  • B. Stimulate the pads of the newborn's hands with stroking or massage.
  • C. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot.
  • D. Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk to fall backward.
Correct Answer: D

Rationale: The correct answer is D because the Moro reflex is elicited by sudden head movement or loud noise, causing the infant to extend their arms, then bring them back in a hugging motion. By holding the newborn in a semi-sitting position and allowing their head and trunk to fall backward, the nurse can observe the Moro reflex. Choices A, B, and C do not correctly elicit the Moro reflex as they involve different stimuli or movements that do not trigger the characteristic response of arm extension followed by flexion.

A client has a new prescription for chlamydia. Which of the following statements should the nurse provide?

  • A. This infection is treated with one dose of azithromycin.
  • B. If your sexual partner has no symptoms, no medication is needed.
  • C. You should avoid sexual relations for 3 days.
  • D. You need to return in 6 months for retesting.
Correct Answer: A

Rationale: The correct answer is A because chlamydia is commonly treated with a single dose of azithromycin to ensure complete eradication of the infection. This antibiotic is highly effective against chlamydia. Option B is incorrect because both partners need treatment regardless of symptoms. Option C is incorrect as sexual abstinence for 7 days is recommended post-treatment. Option D is incorrect as retesting should be done after 3 months, not 6 months.

When reinforcing teaching with new parents on bathing a newborn, a nurse observes a bluish-brown marking across the newborn's lower back. Which of the following statements should the nurse make concerning the variation?

  • A. This is more commonly seen in newborns who have dark skin.
  • B. This is a finding indicating hyperbilirubinemia.
  • C. This is a forceps mark from an operative delivery.
  • D. This is related to prolonged birth or trauma during delivery.
Correct Answer: A

Rationale: The correct answer is A: This is more commonly seen in newborns who have dark skin. The bluish-brown marking described is likely a Mongolian spot, a common birthmark in darker-skinned infants. It is not related to hyperbilirubinemia (jaundice), forceps marks, or birth trauma. Mongolian spots are benign and typically fade over time. This statement is correct as it addresses the specific characteristic of the marking and its association with dark skin pigmentation in newborns.

A nurse is assisting with an in-service for newly licensed nurses about neonatal abstinence syndrome in newborns. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

  • A. The newborn will have decreased muscle tone.
  • B. The newborn will have a continuous high-pitched cry.
  • C. The newborn will sleep for 2 to 3 hours after a feeding.
  • D. The newborn will have mild tremors when disturbed.
Correct Answer: B

Rationale: The correct answer is B: The newborn will have a continuous high-pitched cry. This is indicative of neonatal abstinence syndrome (NAS) due to maternal substance use during pregnancy. The high-pitched cry is a common symptom of NAS, reflecting the newborn's central nervous system irritability. The other choices are incorrect because decreased muscle tone (Choice A) is not a typical symptom of NAS, newborns with NAS tend to have increased muscle tone; sleeping for 2 to 3 hours after a feeding (Choice C) is a normal newborn behavior and not specific to NAS; mild tremors when disturbed (Choice D) may occur but are not as characteristic of NAS as the high-pitched cry.

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