ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
A mother of a term neonate asks what the thick, white, cheesy coating is on his skin. Which correctly describes this finding?
Correct Answer: D
Rationale: The thick, white, cheesy coating on the skin of a newborn baby is called vernix caseosa. It is a substance produced by the fetal sebaceous glands and is meant to protect the baby's skin while in the amniotic fluid. Vernix helps to maintain the skin's hydration, provides a barrier against infection, and aids in the transition from the wet intrauterine environment to the dry extrauterine world. It is usually found on the skin of term newborns but can be present in preterm babies as well. As the baby is exposed to air and dries off, the vernix will naturally diminish.
Question 2 of 5
A 2-month-old premature infant born at 30 weeks gestation is scheduled for an inguinal hernia repair. Which of the following preoperative findings would BEST predict an increased risk of postoperative apnea?
Correct Answer: A
Rationale: Low hemoglobin levels in a premature infant can increase the risk of postoperative apnea due to reduced oxygen-carrying capacity.
Question 3 of 5
Which term best describes the identification of the distribution and causes of disease, injury, or illness?
Correct Answer: B
Rationale: The term that best describes the identification of the distribution and causes of disease, injury, or illness is the epidemiologic process. Epidemiology is the study of the patterns, causes, and effects of health and disease conditions in populations. Through the epidemiologic process, health professionals can investigate and understand the distribution of diseases, determine risk factors, and develop strategies for prevention and control. Nursing process refers to the systematic method nurses use to provide patient-centered care. Community-based statistics are data collected from a specific community for various purposes. Mortality and morbidity statistics provide information on deaths and disease rates but do not encompass the comprehensive approach of the epidemiologic process in understanding the causes and distribution of diseases.
Question 4 of 5
In neuroblastoma, metastatic spread can occur via local invasion or distant hematogenous/lymphatic routes. The LEAST common site of metastases in neuroblastoma is
Correct Answer: D
Rationale: Skin metastases are rare in neuroblastoma compared to bone, bone marrow, and lung involvement.
Question 5 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.