PROCTORED EXAM QUESTIONS
AND VERIFIED ANSWERS. A+
GRADE GUARANTEED
ATI MATERNAL NEWBORN 2
A nurse is assessing a 4 hr old newborn who is to breastfeed and notes
hands and feet that are cool and slightly blue What action should the
nurse take?
a. check the newborns temp using temporal thermometer
b. place the naked newborn on the mothers bare chest and cover both
with a blanket
c. apply an o2 hood over the newborns head and neck
d. give the newborn glucose water between feedings - CORRECT
ANSWER -b. place the naked newborn on the mothers bare chest
and cover both with a blanket
Exposure to a cool environment causes vasoconstriction, which
results in cool extremities with a bluish discoloration. Placing the
,newborn skin-to-skin with his mother helps stabilize his temperature
and promotes bonding.
Apply an oxygen hood over the newborn's head and neck.
Blue lips and mucus membranes can indicate central cyanosis and
respiratory distress, which might require supplemental oxygen.
Check the newborn's temperature using a temporal thermometer.
Temporal and intraauricular thermometers are not effective tools to
measure a newborn's temperature. The nurse should use an axillary
thermometer.
Place the naked newborn on the mother's bare chest and cover both
with a blanket.
MY ANSWER
Exposure to a cool environment causes vasoconstriction, which
results in cool extremities with a bluish discoloration. Placing the
newborn skin-to-skin with his mother helps stabilize his temperature
and promo
A nurse is caring for a newborn immediately following delivery. What
actions should the nurse take first?
,a. place the newborn directly on the client's chest
b. administer erythromycin ophthalmic ointment
c. give the newborn vit K IM
d. perform a detailed physical assessment - CORRECT ANSWER -a.
place the newborn directly on the client's chest
The nurse should apply the safety and risk reduction priority-setting
framework when caring for this client. This framework assigns
priority to the factor or situation posing the greatest safety risk to the
client. When there are several risks to client safety, the one posing the
greatest threat is the highest priority. The nurse should use Maslow's
Hierarchy of Needs, the ABC priority-setting framework, or nursing
knowledge to identify which risk poses the greatest threat to the
client. Therefore, the greatest risk to the newborn is cold stress, which
increases the need for oxygen and glucose. Placing the newborn
directly on the client's chest will help maintain the newborn's
temperature.
Perform a detailed physical assessment.
The nurse should perform a detailed physical assessment of the
newborn to detect birth anomalies or injuries within 12 to 18 hr.
, However, there is another action the nurse should take first. Give
the newbor
A nurse is planning care for a newborn who is receiving phototherapy
for an elevated bilirubin level. What action should the nurse take?
a. apply barrier ointment to the newborn's perianal region
b. offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings - CORRECT
ANSWER -c. use photometer to monitor the lamp's energy
the nurse should monitor the lamp's energy throughout the therapy to
ensure the newborn is receiving the appropriate amount to be
effective
Offer the newborn glucose water between feedings.
The nurse should provide breast milk or infant formula to maintain
the newborn's hydration, which promotes the excretion of bilirubin in
the stool. Supplemental feedings of glucose water or plain water can
increase circulation to the liver and impede bilirubin excretion.