ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
In children with asthma, which of the following preoperative preparations is LEAST likely to be necessary?
Correct Answer: D
Rationale: In stable asthmatic patients, additional interventions like systemic steroids or increased beta-agonist doses are not always necessary unless there are signs of exacerbation.
Question 2 of 5
Discharge care planning has begun for a seriously injured patient who is Asian. The patient's parents have refused routine home health visits. The pediatric nurse understands the family may:
Correct Answer: C
Rationale: In some cultures, families may prefer to handle health matters internally, viewing outside assistance as a last resort.
Question 3 of 5
Prenatal screening is recommended for all pregnant women to detect neural tube defect. If a neural tube defect is present, one of the following is often elevated
Correct Answer: B
Rationale: Alpha-fetoprotein (AFP) levels are elevated in maternal serum when a neural tube defect is present due to fetal leakage of AFP into the amniotic fluid and maternal circulation.
Question 4 of 5
The nurse is preparing a parent of a newborn for home phototherapy. Which statement made by the parent would indicate a need for further teaching?
Correct Answer: D
Rationale: The correct statement should be that the patches need to remain on the baby's eyes at all times during phototherapy. Removing the eye patches can potentially allow harmful light exposure to the eyes, which can lead to complications such as eye damage. It is essential for the parent to understand the importance of keeping the eye patches on to protect the baby's eyes during phototherapy. Therefore, further teaching is needed to emphasize the importance of leaving the eye patches on at all times, even during feedings and caregiving activities.
Question 5 of 5
Bennett was rushed to the emergency department with possible increased intracranial pressure (ICP); which of the following is an early clinical manifestation of increased ICP in older children? (Select all that apply.)
Correct Answer: C
Rationale: Papilledema is a common early clinical manifestation of increased intracranial pressure (ICP) in older children. Papilledema is defined as optic disc swelling due to increased ICP transmitted to the optic nerve sheath. This can be visualized during a fundoscopic examination. It is important to identify papilledema promptly as it may signify increased ICP, which requires urgent evaluation and management to prevent potential complications. While other signs like Macewen's sign, Setting sun sign, and Diplopia can also indicate increased ICP, papilledema is a more specific sign seen in older children.