ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
A multiparous patient is admitted to the postpartum unit after a rapid labor and birth of a 4000g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the patient void and massages her fundus; however, the fundus remains difficult to find and the rubra lochia remains heavy. Which action should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C because treatment of excessive bleeding requires collaboration with the healthcare provider, especially in cases of persistent heavy bleeding and boggy fundus. Choices A, B, and D are incorrect as they do not address the need for further medical intervention in this situation. It is crucial to involve the healthcare provider promptly to ensure appropriate management of the patient's condition.
Question 2 of 5
To determine an adverse response to carboprost tromethamine (Hemabate), the nurse should frequently assess
Correct Answer: D
Rationale: Carboprost tromethamine (Hemabate) can potentially cause pulmonary edema as an adverse effect. Therefore, frequent assessment of breath sounds is crucial to detect this complication. Monitoring temperature, lochial flow, and fundal height will not provide information about potential adverse effects of the medication.
Question 3 of 5
If a DVT (deep vein thrombosis) is suspected, the nurse should
Correct Answer: D
Rationale: The correct action if a DVT is suspected is to place the patient on bed rest with the affected leg elevated to decrease swelling and promote venous return. Performing a Homans sign, dorsiflexing the foot, and palpating the leg are contraindicated as they may dislodge the DVT and result in a pulmonary embolism.
Question 4 of 5
During fetal circulation the pressure is greatest in the
Correct Answer: B
Rationale: Pressure in fetal circulation is greatest in the right atrium, allowing right-to-left shunting to bypass the lungs during intrauterine life. The pressure increases in the left atrium after birth. The liver does not filter blood during fetal life until the end. Blood bypasses the pulmonary vein during fetal life.
Question 5 of 5
Which infant is at greater risk to develop cold stress?
Correct Answer: B
Rationale: In pediatric respiratory nursing, understanding the risk factors for cold stress in infants is crucial. The correct answer, option B, a 36-week infant with an Apgar score of 7 to 9, is at greater risk for cold stress. Preterm infants have less subcutaneous fat and limited glycogen stores, making them more vulnerable to temperature instability and cold stress. Option A, a full-term infant delivered vaginally without complications, is less likely to experience cold stress as full-term infants have better developed thermoregulation mechanisms and more subcutaneous fat stores. Option C, a 38-week female infant delivered via cesarean birth because of cephalopelvic disproportion, may face initial challenges with temperature regulation due to the surgical delivery but is not inherently at greater risk for cold stress compared to a preterm infant. Option D, a term infant delivered vaginally with epidural anesthesia, is not necessarily at higher risk for cold stress as the mode of delivery and anesthesia type do not directly impact the infant's risk of temperature instability. Educationally, this question highlights the importance of recognizing the vulnerability of preterm infants to cold stress and the need for vigilant monitoring and intervention to maintain their thermal stability in clinical practice. Understanding these risk factors is essential for pediatric nurses to provide optimal care and promote infant well-being.