ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
A mother states that she thinks her 9-month-old is 'developing slowly'. When evaluating the infant's development, the nurse would not expect a normal 9-month-old to be able to...
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Put an arm through a sleeve while being dressed. At 9 months old, infants typically do not have the fine motor skills and coordination required to perform this action. This skill usually develops around 12-18 months. It involves a level of dexterity and understanding of spatial awareness that is beyond the developmental stage of a 9-month-old. Option A) Creep and crawl is a gross motor skill that is expected in a 9-month-old. Infants usually start crawling between 6-10 months. Option B) Begin to use imitative verbal expressions is a social and language skill that can start emerging around 9 months as infants begin babbling and imitating sounds. Option D) Hold a bottle with good hand-mouth coordination is a skill that 9-month-olds can typically achieve as they develop hand-eye coordination and grasp reflexes. Understanding typical developmental milestones in infants is crucial for nurses working with pediatric patients. By recognizing age-appropriate behaviors, nurses can identify any potential developmental delays early and provide appropriate interventions and support. It is essential for nurses to educate parents on what to expect in their child's development and when to seek further evaluation if concerns arise.
Question 2 of 5
The mother tells the nurse that the child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain that this behavior is a sign of...
Correct Answer: B
Rationale: The correct answer is B) Mastery of language ambiguities. When a child engages in telling jokes and riddles excessively, it is often a sign of their developing language skills and cognitive abilities. This behavior demonstrates their understanding of wordplay, humor, and linguistic nuances. It is a positive sign of cognitive development and creativity, rather than a negative behavior. Option A) Inadequate parental attention is incorrect because the behavior described does not necessarily indicate a lack of parental attention. Option C) Inappropriate peer influence is incorrect as the behavior is more likely linked to individual cognitive development rather than peer influence. Option D) Excessive television watching is incorrect as it does not directly relate to the child's behavior of telling jokes and riddles. Educationally, understanding these nuances in child behavior helps nurses and healthcare professionals appreciate the different ways children express themselves and develop. It also highlights the importance of looking at behaviors within the context of child development rather than jumping to conclusions about negative influences or inadequate caregiving. This knowledge can guide nurses in providing appropriate support and guidance to both children and their families.
Question 3 of 5
A mother of a 2-year-old has just left the hospital to check on her other children. Which of the following would best help the 2-year-old who is now crying inconsolably?
Correct Answer: D
Rationale: In this scenario, the best option to help the 2-year-old who is crying inconsolably after the mother leaves would be option D) Favorite blanket. This choice is the most appropriate as it provides comfort and security to the child during the mother's absence. The favorite blanket is a familiar object that can offer a sense of familiarity and safety, helping to soothe the child's distress. For young children, attachment to comfort objects like a favorite blanket is a common and effective coping mechanism in stressful situations. It provides emotional support and can help reduce anxiety and promote a sense of security. In contrast, options A, B, and C are not as effective in providing immediate comfort to the child in this situation. Taking a nap may not be feasible or helpful when the child is upset and needs comfort. A peer play group may not address the child's immediate emotional needs for comfort and security, and introducing a large cuddly dog may not be appropriate or comforting for all children, especially in a hospital setting where the child may already be feeling overwhelmed. In an educational context, understanding the significance of comfort objects like a favorite blanket in providing emotional support to young children is crucial for healthcare providers, especially in pediatric settings. It is essential to consider the child's emotional well-being and individual coping mechanisms when managing distress in young patients. By recognizing the importance of familiar objects in pediatric care, healthcare providers can better support children during challenging and stressful situations.
Question 4 of 5
Which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Distended bladder. When the fundus is palpated on the right side of the abdomen above the expected level, it indicates that the bladder is full and pushing the uterus upwards and to the right. This finding is crucial to recognize in postpartum care as a distended bladder can lead to uterine displacement, increased risk of postpartum hemorrhage, and discomfort for the mother. Option B) Normal involution is incorrect because the fundus being palpated above the expected level is not indicative of the expected physiological process of the uterus returning to its pre-pregnancy size. Option C) Been lying on her right side too long is incorrect as it does not explain the physiological reason behind the fundus being palpated higher on the right side of the abdomen. Option D) Stretched ligaments that are unable to support the uterus is incorrect because this choice does not address the immediate concern of a distended bladder, which requires prompt intervention to prevent complications. For nursing students and healthcare professionals, understanding the assessment findings related to postpartum care, including fundal height and position, is essential for providing safe and effective care to postpartum mothers. Prompt recognition of a distended bladder can prevent complications and promote the well-being of both the mother and the newborn.
Question 5 of 5
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
Correct Answer: D
Rationale: Educating the patient to use pelvic floor exercises (Kegel exercises) will help strengthen pelvic floor muscles. Carbonated beverages will lead to increased gas and potential gastrointestinal discomfort. During the postpartum period, the patient is at greater risk for dehydration and thus should increase fluids. Limitation of fluids is not warranted during the postpartum period.