a newborn is considered to be premature if it

ATI LPN

ATI Pediatrics Proctored Test

1. When is a newborn considered premature?

A. Weighs less than 6.5 pounds.
B. Is born to a heroin-addicted mother.
C. Is born before 37 weeks gestation.
D. Has meconium in or around its mouth.

Correct answer: C

Rationale: A newborn is considered premature if it is born before 37 weeks gestation. Premature birth increases the risk of various health problems as the baby may not be fully developed. Choice A is incorrect because the weight alone does not determine prematurity. Choice B is incorrect as it refers to a specific situation but not a direct indicator of prematurity. Choice D is incorrect as the presence of meconium does not solely indicate prematurity.

2. Which position is MOST appropriate for a mother in labor with a prolapsed umbilical cord?

A. Supine with legs elevated
B. Supine with hips elevated
C. Left lateral recumbent
D. Left side with legs elevated

Correct answer: B

Rationale: The most appropriate position for a mother in labor with a prolapsed umbilical cord is supine with hips elevated. This position helps reduce pressure on the cord, preventing further complications and ensuring optimal blood flow to the fetus.

3. Mrs. Byers tells the nurse that she is very worried because her 2-year-old child does not finish his meals. What should the nurse advise the mother?

A. Make the child seat with the family in the dining room until he finishes his meal
B. Provide quiet environment for the child before meals
C. Do not give snacks to the child before meals
D. Put the child on a chair and feed him

Correct answer: C

Rationale: Providing a quiet environment can help the child focus on eating.

4. The caregiver is teaching a new mother about infant safety. Which statement indicates that further teaching is needed?

A. I will place my baby on their back to sleep.
B. I will keep soft toys and pillows out of the crib.
C. I will use a car seat for every car ride.
D. I will allow my baby to sleep in my bed.

Correct answer: D

Rationale: Allowing a baby to sleep in an adult bed increases the risk of suffocation and Sudden Infant Death Syndrome (SIDS). It is safer for infants to sleep on a firm, flat surface in their own crib or bassinet to reduce the risk of accidental suffocation or strangulation. Therefore, the caregiver should be advised against co-sleeping with the infant to ensure the baby's safety.

5. When is it MOST appropriate to clamp and cut the umbilical cord?

A. Before the newborn has taken its first breath
B. After the placenta has completely delivered
C. As soon as the cord has stopped pulsating
D. Immediately following delivery of the newborn

Correct answer: C

Rationale: The ideal time to clamp and cut the umbilical cord is when it has stopped pulsating. This allows for the transfer of remaining blood from the placenta to the newborn, which can be beneficial for the baby's health and iron stores. Clamping the cord too early can deprive the newborn of this essential blood volume. Waiting for the pulsations to cease ensures that the baby receives the maximum benefits from delayed cord clamping.