ATI RN
ATI Pediatrics Final Exam Questions
Extract:
An 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow
Question 1 of 5
A nurse is admitting an 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: The correct answer is B: Maternal/newborn blood group incompatibility. The yellow skin color in the newborn indicates hyperbilirubinemia, which can be caused by maternal/newborn blood group incompatibility. In this condition, the mother and baby have different blood types, leading to the mother's antibodies attacking the baby's red blood cells, causing hemolysis and increased bilirubin levels. Physiologic jaundice (choice
A) is common in newborns due to immature liver function; however, it typically appears after 24 hours of life. Maternal cocaine abuse (choice
C) does not directly cause neonatal jaundice. Absence of vitamin K (choice
D) leads to bleeding issues but not jaundice.
Extract:
A mother and baby in postpartum. The baby is approximately 2 hours old
Question 2 of 5
A nurse receives a mother and baby in postpartum. The baby is approximately 2 hours old. During the assessment of the baby the nurse recognizes the following symptoms of transient tachypnea of the newborn except for-
Correct Answer: A
Rationale: The correct answer is A: Heart rate of 170. Transient tachypnea of the newborn is characterized by rapid, shallow breathing due to retained lung fluid. A heart rate of 170 is within the normal range for a newborn. Grunting, nasal flaring, and respiratory rate of 72 are all symptoms of transient tachypnea. In summary, a heart rate of 170 is not a typical symptom of transient tachypnea, making it the correct answer.
Extract:
A client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not'
Question 3 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: The correct answer is B: Changes in the cervix. In true labor, the cervix undergoes changes such as effacement (thinning) and dilation (opening). This is a definitive sign of labor progress. Patterns of contractions (choice
A) can vary, and rupture of membranes (choice
C) can happen in early or false labor. The station of the presenting part (choice
D) is important for delivery but not a sign of true labor. Other choices are not relevant to confirming true labor.
Extract:
A client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry
Question 4 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if she has considered harming her newborn. This is the priority action because the client is displaying symptoms of postpartum depression, which can lead to harmful thoughts or actions towards the newborn. By asking this question, the nurse can assess the client's risk for harm and provide necessary interventions to ensure the safety of both the client and the newborn. Anticipating antidepressant prescription (
A) is not the priority at this moment as immediate safety concerns need to be addressed first. Reinforcing postpartum and newborn care teaching (
C) and assisting the family to identify positive coping skills (
D) are important but not as urgent as addressing potential harm.
Extract:
Newborn who is 72 hr old. Neonatal Abstinence Scoring System (NAS) score 20
Question 5 of 5
A nurse is caring for a newborn who is 72 hr old. The nurse is planning to contact the provider regarding the newborn's status. Which of the following prescriptions should the nurse anticipate?
Correct Answer: A,C,D,E
Rationale: The correct answers are A, C, D, and E. Swaddling the newborn (
A) promotes comfort and security. Continuing NAS scoring (
C) is essential for monitoring withdrawal symptoms. Encouraging breastfeeding (
D) provides nutrition and promotes bonding. Administering oral morphine (E) helps manage withdrawal symptoms. Administering naloxone (
B) is incorrect as it is not indicated for NAS. No information is provided for F and G.