ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
A nurse is counseling parents of a child beginning to show signs of being overweight. The nurse accurately relates which body mass index (BMI)-for-age percentile indicates a risk for being overweight?
Correct Answer: D
Rationale: The body mass index (BMI)-for-age percentile indicating a risk for being overweight is the 95th percentile. This means that if a child's BMI falls at or above the 95th percentile for their age group, they are classified as overweight. This percentile is used as a cutoff point to identify children at risk of being overweight and to guide intervention strategies such as lifestyle changes, increased physical activity, and dietary modifications. Parents should work with healthcare providers to address their child's weight status and implement appropriate measures to promote a healthy lifestyle.
Question 2 of 5
A nurse is assessing a 6-month-old infant. The nurse recognizes the posterior fontanel usually closes at which age?
Correct Answer: D
Rationale: The posterior fontanel, located at the back of the infant's head, typically closes between 8 to 10 months of age. During infancy, it is normal for fontanels to gradually close as the bones of the skull develop and fuse together. The closure of fontanels is an important part of the infant's growth and development. It is crucial for healthcare providers to monitor fontanel closure as part of a routine physical assessment to ensure proper skull development and growth in infants.
Question 3 of 5
The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive, inflexible, high-top shoes. The nurse should explain that:
Correct Answer: A
Rationale: Soft and flexible shoes are generally better for infants who are learning to walk. Infants have soft and pliable bones in their feet that are still developing, so it is important for them to wear shoes that allow natural movement and flexibility. High-top shoes and inflexible shoes may restrict the natural movement of the foot and can hinder the infant's ability to develop balance and coordination while learning to walk. It is important for infants to wear shoes that are comfortable, lightweight, and provide some protection without restricting their foot movements.
Question 4 of 5
The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is:
Correct Answer: B
Rationale: Placing the car seat rear facing in the back seat is the safest option for an infant. Rear-facing car seats provide the best protection for a baby's head, neck, and spine in the event of a crash. It is recommended to keep infants in a rear-facing position until they reach the maximum weight or height limit allowed by the car seat manufacturer. Placing the car seat in the front seat, especially with an active airbag, can be dangerous for an infant due to the force of deployment in case of an accident. It is important to follow the guidelines for safe car seat use to ensure the protection and well-being of the child.
Question 5 of 5
A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent's lap. The parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child?
Correct Answer: A
Rationale: The appropriate nursing diagnosis for the toddler in this scenario would be "Risk for anxiety." The child is currently comfortable sitting on a parent's lap but may experience increased anxiety when the parents leave for a brief period. Since the parents' departure has not yet occurred and the child's reaction is uncertain, it is more appropriate to identify the potential risk of anxiety rather than stating the child is already experiencing anxiety. This diagnosis focuses on the potential for a negative emotion, providing an opportunity for nursing interventions to prevent or reduce anxiety in the child's upcoming situation.