ATI Newborns 2 to 28 Days Assessment

A parent brings their 30-day-old infant to the office for a follow-up visit. Which observation(s) indicate improved bonding? Select all that apply.

- The parent is in a state of feeling exhausted

- The parent is making eye contact with the infant

- The parent is in a state of being overwhelmed

- The parent takes walks to relieve their anxiety

- The parent is holding the infant

- The parent is able to recognize which cry means the infant is hungry, tired, or has a wet diaper.

- The parent is making eye contact with the infant

- The parent is holding the infant

- The parent is able to recognize which cry means the infant is hungry, tired, or has a wet diaper

A nurse is providing eduction to a group of caregivers regarding the nutritional needs of newborns including the importance of a balanced intake of proteins, fats, carbohydrates, vitamins, and minerals. A caregiver asks what the primary source of energy is for a newborn's development. Which of the following should the nurse identify as the primary source of energy.

- Protein

- Carbohydrates

- Fats

- Vitamins

Fats

A nurse is educating the guardian of a 1-week-old newborn. The nurse asks the guardian, "During which timeframe do newborns typically exhibit increased crying?"

- The first 6 weeks of life

- One to 2 months of life

- Two to 4 months of life

- Four to 6 months of life

The first 6 weeks of life

A nurse is caring for multiple newborns. Which of the following newborns is at an increased risk for growth restriction?

- A postterm newborn

- A preterm newborn

- A female newborn

- A male newborn

A preterm newborn

A nurse is providing guidance to caregivers of a 2-week-old newborn who are expressing concerns about sleep disturbances. Which of the following interventions should the nurse recommend to the caregivers to correct the altered sleep patterns in their newborn? Select all that apply.

- Implementing a dark and quiet sleep environment

- Infant massage

- Skin-to-skin contact

- Establishing a consistent bedtime routine

- Co-sleeping with the infant

- Implementing a dark and quiet sleep environment

- Infant massage

- Skin-to-skin contact

- Establishing a consistent bedtime routine

A nurse is caring for a newborn who is having breastfeeding latching difficulties. Which of the following interventions represents a possible solution to address breastfeeding latching difficulties?

- Give the newborn formula

- Refer the client and newborn to a lactation consultant

- Give the newborn a pacifier

- Breastfeed every hour

Refer the client and newborn to a lactation consultant

A nurse is proving prenatal education to a soon-to-be parent. The nurse highlights that newborns with increased physical contact exhibit certain behaviors. Which of the following statements accurately describes the outcomes associated with increased physical contact in newborns? Select all that apply.

- Longer and calmer sleep

- Better temperature control

- Increased depression

- Better musculoskeletal health

- Inappropriate weight gain

- Longer and calmer sleep

- Better temperature control

- Better musculoskeletal health

A nurse is providing care for a newborn and assesses the newborn's weight gain. What is the optimal timeframe for the fastest rate of weight gain after birth?

- Two to 3 days after birth

- Six to 12 months of age

- Three to 6 months of age

- Zero to 3 months of age

Zero to 3 months of age

A nurse is educating a caregiver on their 1-month-old newborn. Which statement made by the caregiver would indicate a clear understanding of the education provided?

- "My baby loves to watch the dogs across the room."

- "My baby loves to look out the window."

- "My baby watches the TV when we sit on the couch."

- "My baby can see my face the best."

"My baby can see my face the best."

A nurse is caring for several newborns. Which newborn should be prioritized for evaluation by a provider?

- Three-week-old newborn with an oxygen saturation of 95%

- Two-week-old newborn with a heart rate of 114/min

- Twenty-day-old newborn with a temperature of 38.1 C (100.6 F)

- Three-week-old newborn with a respiratory rate of 52/min

Twenty-day-old newborn with a temperature of 38.1 C (100.6 F)

A nurse is educating a caregiver about their 1-week-old newborn. Which of the following should the nurse discuss when educating about the developmental benefits of regular tummy time?

- Building muscles

- Learning to crawl

- Getting more sleep

- Digesting food

Building muscles

A nurse is caring for a 4-day-old newborn who was born at 36 weeks gestation and diagnosed with patent ductus arteriosus. Which of the following factors could have potentially impacted the physical development of the newborn. Select all that apply.

- Gestational age

- Genetics

- Birth order

- Birth month

- Birth by cesarean section

- Gestational age

- Genetics

- Birth order

A nurse is educating new parents of a 3-day-old newborn regarding bonding. Which of the following statements demonstrates the parents' understanding of the education?

- "I yell at the baby when they cry. Then I feel better."

- "When I get overwhelmed, I go for a walk with the baby."

- "My baby cries more than my niece. There must be something wrong."

- If I start to feel depressed, I will go for more drives with the baby."

"When I get overwhelmed, I go for a walk with the baby."

A nurse is caring for a 3-day-old newborn. Which of the following is an example in which sensory mechanisms contribute to a newborn's exploration of their surroundings? Select all that apply.

- Hearing

- Sight

- Smell

- Touch

- Taste

- Hearing

- Sight

- Smell

- Touch

A nurse providing care for a newborn observes certain findings and identifies them as being within the expected range of normal development. Which of the following findings are expected in a newborn? Select all that apply.

- Mottling

- Salmon patches

- Milia

- Erythema toxicum

- Congenital dermal melanocytosis

- Salmon patches

- Milia

- Erythema toxicum

- Congenital dermal melanocytosis

A nurse is educating the guardians of a 4-week-old newborn. The nurse tells them that colic typically resolves by what age?

- 3 to 4 months

- 6 to 8 weeks

- 6 to 8 months

- 8 to 12 months

3 to 4 months

A nurse is caring for a newborn with a parent who smokes in the home. Which of the following health conditions can be caused by secondhand smoke? Select all that apply.

- Sudden infant death syndrome (SIDS)

- Ear infections

- Asthma

- Respiratory infections

- Head injury

- Sudden infant death syndrome (SIDS)

- Ear infections

- Asthma

- Respiratory infection

A nurse is caring for a 7-day-old newborn. The nurse recognizes the potential for signs of a milk allergy. Which of the following clinical manifestations should the nurse expect to find if the newborn has a milk protein allergy? Select all that apply.

- Wheezing

- Persistent cough

- Vomiting

- Constipation

- Hives

- Wheezing

- Vomiting

- Hives

A nurse is caring for the guardians of a 3-day-old newborn. Which of the following statements made by nurse exhibits therapeutic communication?

- "The blanket is too warm to put on the baby."

- "You cannot use baby blankets in the crib."

- "Your mom's beautiful blanket could be hung in the baby's room but avoid placing it in the crib."

- "Blankets can be dangerous."

"Your mom's beautiful blanket could be hung in the baby's room but avoid placing it in the crib."

A nurse is teaching caregivers about newborn behaviors. Which off the following reflexes is being demonstrated when the baby's cheek is stroked, resulting in the infant turning their head, opening their mouth, and initiating sucking motions?

- Rooting reflex

- Suck reflex

- Moro reflex

- Tonic neck reflex

Rooting reflex

A nurse is educating the guardians of a 4-day-old newborn. Which statement accurately identifies a reason why newborns are at greatest risk for injury or death in a motor vehicle accident?

- They can't communicate if they are hurt

- They are in the back seat of the car

- Their heads are small compared to their bodies

- Their spines are still developing

Their spines are still developing

A nurse is caring for a 6-day-old newborn in a provider's office. Select the 3 findings that require immediate follow-up.

- Wet/soiled diapers; about 4 per day

- Feeding every 2 hr

- Heart rate 134/min

- Weight: 1928 g (4 lb, 4oz)

- Visualized parent attempting to breastfeed newborn. Parent rocking when feeding. Newborn took time to latch, suckled, then fell asleep within 10 min on the first breast.

- Reflexes intact

- Wet/soiled diapers; about 4 per day

- Weight: 1928 g (4 lb, 4 oz)

- Visualized parent attempting to breastfeed...

A nurse is caring for a newborn who is 7 days old and is brought to the providers office for a well-child visit. For each of the listed findings, click to specify if the assessment findings are consistent with expected newborn behavior, colic, or altered sleep pattern. Each finding may support more than one area.

1: Newborn sleeps 8 hours during the day in 2 to 3 hr increments

2: While the newborn is crying there is hiccuping, sneezing, and yawning

3: Newborn does not sleep more than 5 total hr at night, and usually sleeps for about 2 hr, then wakes up for 2 hours

4: Cries continuously from 1800 to 2200, almost every night

5: The crying is louder, higher pitched, and more emergent in tone than regular crying

1: Normal

2: Normal

3: Normal and Altered Sleep

4: Colic

5: Colic