ATI LPN
Fnp Pediatric Practice Questions Questions
Question 1 of 5
When using the Ballard gestational assessment tool on a newborn, which of the following tests should be performed after the first hour of birth, allowing the newborn to recover from the stress of birth?
Correct Answer: A
Rationale: The correct answer is Arm recoil. Arm recoil is slower in healthy but fatigued newborns after birth, making it best elicited after the first hour of birth when the baby has had time to recover from the stress of birth. This assessment helps evaluate neuromuscular maturity in newborns and is more accurate when performed after the initial recovery period. The other choices, Square window sign, Scarf sign, and Popliteal angle, are not specifically assessed using the Ballard gestational assessment tool and do not relate to the recovery period after birth.
Question 2 of 5
A new mother asks the nurse when she should begin to breastfeed her newborn. The nurse's best response is:
Correct Answer: A
Rationale: Initiating breastfeeding within the first half-hour after birth is crucial for successful breastfeeding and bonding, as recommended by the World Health Organization. This early initiation helps establish breastfeeding and supports the newborn's health by providing colostrum, the nutrient-rich first milk.
Choice B, 'After the newborn's first bath,' is incorrect because initiating breastfeeding should not be delayed after birth.
Choice C, 'When the newborn begins to cry,' is incorrect as it does not promote timely initiation of breastfeeding.
Choice D, 'After administering vitamin K,' is incorrect because breastfeeding initiation should not be delayed for this procedure.
Question 3 of 5
The provider is educating the parents of a newborn about circumcision care. Which of the following instructions should be included?
Correct Answer: D
Rationale: The correct instruction for circumcision care is to use warm water to gently clean the penis during diaper changes. Alcohol wipes should be avoided as they can cause irritation. Yellowish exudate around the head of the penis is a normal part of the healing process and does not require reporting unless accompanied by other concerning symptoms. Avoiding petroleum jelly on the circumcision site is important to prevent trapping moisture and bacteria, which can lead to infection.
Question 4 of 5
A new parent reports to the nurse that the baby looks cross-eyed several times a day. The nurse teaches the parents that this finding should resolve in how long?
Correct Answer: D
Rationale: Transient strabismus, causing the baby to look cross-eyed, is due to poor neuromuscular control of the eye muscles. This condition typically resolves on its own within 3 to 4 months as the infant's neuromuscular control improves. Parents should be reassured that this is a common and temporary issue in infants.
Choice A is incorrect as it is too long for the resolution of transient strabismus.
Choice B is incorrect as 2 weeks is too short for resolution.
Choice C is incorrect as 1 year is too long for transient strabismus to resolve.
Question 5 of 5
A mother reported to you that her 6-year-old child is suffering from diarrhea. Which of the following advice will you give to the mother?
Correct Answer: D
Rationale: When a child is suffering from diarrhea, it is essential to continue breastfeeding day and night to maintain hydration and provide necessary nutrients. Stopping formula milk for 6 hours (choice
B) is not the recommended approach as it may lead to a lack of essential nutrients during this critical time. Giving breast milk together with oral rehydration salts (choice
C) can help replenish lost fluids and electrolytes, making it a suitable recommendation.
Therefore, advising the mother to follow both options A and C is the most appropriate approach to manage the child's condition effectively.