Practice Question
A nursery nurse is admitting a neonate and is performing the neonatal assessment. The apical pulse is auscultated with a rate of 124 bpm, after one full minute of listening. What is the next appropriate action should the nurse take?
Answer Choices:
Correct Answer:
Document the expected finding.
Rationale:
🫀 A newborn apical heart rate of 124 bpm is within the normal range (110–160 bpm).
🫀 No further intervention is needed—this is a routine, expected assessment finding.
🫀 Panic responses (NICU, emergency calls) are unnecessary and may alarm parents.
🫀 Always assess heart rate over a full minute for accuracy in neonates.
Want to practice more questions like this?
This question is from RN ATI Maternal& Newborn Care~Mso Exam which contains 79 questions.
More Questions from This Exam
A nurse is providing newborn nutrition education to new parents. The nurse will include which of the following as a sign (cue) of feeding readiness?
Answer Choices:
A. The infant stretches their arms out and then back in toward their body.
B. The infant turns their head toward their parents voice.
C. The infant grasps the parent's finger when placed in the infant's palm.
D. The infant brings their hand to their mouth.
Which of the following statements accurately describes a characteristic of the newborn immune system?
Answer Choices:
A. Newborns are born with fully developed immune responses capable of independently fighting infections from birth.
B. Newborns have a mature gut microbiome that supports their immune system immediately after birth.
C. Newborns rely solely on their innate immune system without any contribution from maternal antibodies.
D. Newborns receive passive immunity through the placenta and colostrum, but their own immune system is not fully functional until several months of age.
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Answer Choices:
A. Wipe the cord daily with alcohol prep pads.
B. Keep the cord moist.
C. Fold the top of the diaper underneath the cord.
D. Apply petroleum jelly to the cord stump.
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
Answer Choices:
A. Placing your child on her back when sleeping will decrease the risk of SIDS.
B. SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.
C. SIDS rates have been rising over the last 10 years.
D. Sleep apnea is the main cause of SIDS.
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Babinski reflex, the nurse should take which of the following actions?
Answer Choices:
A. Tickle the outer edge of the sole of the newborn's foot moving up toward the toes.
B. Turn the newborn's head quickly to one side.
C. Hold the newborn vertically allowing one foot to touch the table surface.
D. Clap near the crib and make a loud noise.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4