ATI RN
Respiratory Pediatric Nursing Questions
Question 1 of 5
After explaining the neonate's cranial molding, which of the following statements by the mother indicates a need for further instruction?
Correct Answer: D
Rationale: In this scenario, option D is the correct answer. The mother's statement about the fontanels being damaged if the molding does not resolve quickly indicates a need for further instruction. This is because cranial molding is a normal process in neonates due to the pressure exerted during birth, and it does not pose a threat to the fontanels. Fontanels are soft spots on a baby's head that allow for brain growth and will not be damaged by cranial molding. Option A is incorrect because cranial molding is not caused by an overriding of cranial bones but rather by the pressure exerted on the baby's head during labor and delivery. Option B is incorrect as the degree of molding is indeed related to the amount of pressure on the head, which is a normal physiological process. Option C is incorrect because while some molding can resolve in a few days, it can take a few weeks for complete resolution in some cases. From an educational perspective, this question highlights the importance of providing accurate and clear information to parents about common neonatal conditions. It emphasizes the role of healthcare providers in educating families to alleviate concerns and promote understanding of normal physiological processes in newborns.
Question 2 of 5
The mother tells the nurse that she is having problems toilet-training her 2-year-old child. The nurse would tell the mother that the number one reason that toilet training in toddlers fails is because...
Correct Answer: D
Rationale: In the context of pediatric nursing, understanding the developmental readiness of a child for toilet training is crucial. The correct answer, "D) The child is not developmentally ready to be trained," is supported by child development theories and milestones. At around 2 years of age, children may not have the necessary physical, cognitive, and emotional maturity to successfully engage in toilet training. This can lead to frustration, setbacks, and ultimately failure if pushed prematurely. Option A, "Rewards are too limited," is incorrect because while positive reinforcement is important in toilet training, the primary factor is the child's readiness. Option B, "Training equipment is inappropriate," is not the main reason for failure; it may affect comfort but not readiness. Option C, "Parents ignore 'accidents' that occur during training," is also not the primary reason; accidents are common during training and should be handled positively. Educationally, nurses must educate parents about recognizing signs of readiness in their child, such as showing interest, staying dry for longer periods, and following simple instructions. Understanding these aspects can help parents set realistic expectations and approach toilet training with patience and understanding, ultimately leading to more successful outcomes.
Question 3 of 5
The mother tells the nurse that her other child, a 4-year-old boy, has developed some 'strange eating habits', including not finishing meals and eating the same foods for several days in a row. She would like to develop a plan to correct this situation. In developing such a plan, the nurse and mother should consider...
Correct Answer: B
Rationale: The correct answer is B) Allowing him to make some decisions about the foods he eats. In pediatric nursing, it is crucial to consider a child's autonomy and preferences when addressing eating habits. Allowing the child to make some decisions empowers him, promotes a positive relationship with food, and reduces mealtime conflicts. This approach supports the child's development of healthy eating habits in the long term. Option A) Deciding on a good reward for finishing a meal, may encourage the child to eat for the reward rather than internal motivation for nourishment. This can lead to unhealthy eating behaviors and associations with food. Option C) Requiring him to eat the foods served at mealtimes can create a power struggle and negative mealtime environment, potentially exacerbating the child's aversion to certain foods. Option D) Not allowing him to play with friends until he eats all the food served, uses punishment as a motivator for eating, which can lead to further resistance and stress around mealtimes, impacting the child's relationship with food negatively. Educationally, understanding child development, psychology, and nutrition is essential in pediatric nursing to provide holistic care that considers not only physical health but also emotional and psychological well-being. Empowering children to make choices about their food fosters independence and a positive attitude towards nutrition.
Question 4 of 5
The nurse explained to the mother that according to Erikson's framework of psychosocial development, play is a vehicle for development and can help the school-age child develop a sense of...
Correct Answer: B
Rationale: In the context of Erikson's psychosocial development theory, the correct answer is B) Industry. Erikson proposed that during the stage of industry vs. inferiority (which typically occurs during the school-age years), children are eager to learn new skills and accomplish tasks. Engaging in play helps children develop a sense of industry by allowing them to practice and master new skills, fostering a sense of competence and accomplishment. Option A) Initiative is associated with the preschool years in Erikson's theory, where children begin to assert themselves and take the lead in activities. While play is important during this stage as well, it is more focused on exploration and trying out new roles. Option C) Identity is linked to adolescence in Erikson's model, where individuals are exploring and developing a sense of self and personal identity. Play during this stage may involve more complex social interactions and self-expression rather than skill-building. Option D) Intimacy is a stage that occurs in young adulthood according to Erikson, where individuals are forming close relationships with others. Play during this stage may involve more collaborative and emotionally intimate activities rather than the skill-building focus of the school-age years. Educationally, understanding Erikson's stages of development can help nurses and healthcare professionals better support children's growth and well-being. By recognizing the role of play in fostering industry during the school-age years, caregivers can encourage activities that promote skill development and a sense of competence in children.
Question 5 of 5
If the patient's white blood cell (WBC) count is 25,000/mm³ on her second postpartum day, which action should the nurse take?
Correct Answer: A
Rationale: An increase in WBC count to 25,000/mm³ during the postpartum period is considered normal and not a sign of infection. The nurse should document the finding. There is no reason to alert the health care provider. Antibiotics are not needed because the elevated WBCs are caused by the stress of labor and not an infectious process. There is no need for reassessment as it is expected for the WBCs to be elevated.