ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
A client asks nurse Carlos the rationale for giving multi-drug treatment for tuberculosis. Which is an appropriate response?
Correct Answer: D
Rationale: Giving multiple drugs for the treatment of tuberculosis is essential because it helps reduce the development of resistant strains of the bacteria. Tuberculosis is caused by Mycobacterium tuberculosis, which has the potential to develop resistance to single drug therapy through genetic mutations. The use of multiple drugs in combination therapy prevents the bacteria from developing resistance since they work through different mechanisms of action, making it harder for the bacteria to adapt and survive. This approach is known as Directly Observed Treatment, Short-course (DOTS), and it is an effective strategy recommended by the World Health Organization to combat the rising issue of drug-resistant tuberculosis.
Question 2 of 5
The nurse notes the first stool of a newborn is black and tarry. Which term is used to describe this type of stool?
Correct Answer: A
Rationale: Meconium is the term used to describe the first stool of a newborn. This stool is black and tarry in appearance. Meconium is made up of materials ingested by the fetus while in the uterus, such as mucus, amniotic fluid, and cells shed from the stomach and intestines. It is typically passed by a newborn within the first few days of life before transitioning to transitional stools, which are greenish-brown in color, and eventually to normal milk stools as the baby starts feeding on breast milk or formula.
Question 3 of 5
A mother requests that her child receive the varicella vaccine at the 9-month checkup. The nurse's best response is:
Correct Answer: B
Rationale: The varicella vaccine is typically not given until the child is 12 months or older.
Question 4 of 5
The nurse is preparing a parent of a newborn for home phototherapy. Which statement made by the parent would indicate a need for further teaching?
Correct Answer: D
Rationale: The correct statement should be that the patches need to remain on the baby's eyes at all times during phototherapy. Removing the eye patches can potentially allow harmful light exposure to the eyes, which can lead to complications such as eye damage. It is essential for the parent to understand the importance of keeping the eye patches on to protect the baby's eyes during phototherapy. Therefore, further teaching is needed to emphasize the importance of leaving the eye patches on at all times, even during feedings and caregiving activities.
Question 5 of 5
A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the following assessment findings would the nurse expect to note during the assessment of this newborn?
Correct Answer: C
Rationale: Newborn infants born to mothers who are addicted to drugs are at risk for neonatal abstinence syndrome (NAS) due to drug withdrawal. Lethargy is a common finding in newborns with NAS. This is characterized by excessive sleepiness, decreased responsiveness, and lack of energy or enthusiasm for activities. Lethargy is often seen as a result of the withdrawal symptoms experienced by the newborn due to exposure to drugs in utero. It is important for the nurse to monitor the newborn closely for signs of withdrawal and provide appropriate care and interventions to manage NAS symptoms.