ATI RN
Nursing Care of Children ATI Questions
Question 1 of 5
In teaching parents about appropriate pacifier selection, the nurse should recommend which characteristic?
Correct Answer: A
Rationale: In teaching parents about appropriate pacifier selection, recommending an easily grasped handle (Option A) is crucial for several reasons. An easily grasped handle allows for safe and secure handling by the baby, reducing the risk of choking or aspiration. It also enables the baby to independently put the pacifier in their mouth, promoting self-soothing and independence. Option B, a detachable shield for cleaning, is not as essential for pacifier selection as hygiene can be maintained through regular cleaning with soap and water. Option C, soft pliable material, is important for comfort but not as critical as the handle for safe use. Option D, a ribbon or string to secure to clothing, poses a significant choking hazard and should never be recommended due to the risk of strangulation. Educationally, this question highlights the importance of promoting safe practices when it comes to infant care items. Nurses play a crucial role in educating parents on selecting appropriate infant products to ensure the safety and well-being of their children. By understanding the rationale behind each option, nurses can effectively guide parents in making informed decisions regarding pacifier selection for their babies.
Question 2 of 5
At an 8-month-old well-baby visit, the parent tells the nurse that her infant falls asleep at night during the last bottle feeding but wakes up when moved to the infant's crib. What is the most appropriate response for the nurse to make?
Correct Answer: D
Rationale: The correct response for the nurse in this scenario is option D - "You could increase daytime feeding intervals to every 4 hours and put your baby in the crib while the baby is still awake." This response is appropriate because it promotes healthy sleep habits for infants by encouraging the baby to learn how to self-soothe and fall asleep independently. By placing the baby in the crib while still awake, the infant can develop the ability to settle themselves to sleep without needing external soothing techniques. Option A is incorrect because putting the baby to sleep 1 hour earlier without the nighttime feeding may disrupt the baby's feeding schedule and does not address the issue of the baby waking up when moved to the crib. Option B suggesting adding rice cereal to the bottle is inappropriate and not recommended for infants under 4-6 months of age as it can increase the risk of choking and does not address the underlying sleep issue. Option C is not the best choice as it does not provide a solution to the baby's sleep problem and merely suggests involving the partner in the feeding routine. Increasing daytime feeding intervals, as suggested in option D, helps ensure the baby is adequately fed during the day, which can promote longer stretches of sleep at night. This approach aligns with evidence-based practice in infant sleep hygiene and fosters a healthy sleep routine for the infant.
Question 3 of 5
The nurse is performing an assessment on a 12-month-old infant. Which fine or gross motor developmental skill demonstrates the proximodistal acquisition of skills?
Correct Answer: C
Rationale: In the developmental progression of fine and gross motor skills in infants, the proximodistal pattern refers to the principle that development starts from the center of the body and moves outward to the extremities. In this context, the fully developed pincer grasp, as indicated in option C, demonstrates proximodistal acquisition of skills. The pincer grasp involves using the thumb and forefinger to pick up small objects and is a fine motor skill that requires coordination and dexterity. Option A, standing, and option D, taking a few steps holding onto something, involve gross motor skills that are more related to the overall physical strength and balance of the infant. These skills typically develop later in the gross motor progression compared to fine motor skills like the pincer grasp. Option B, sitting without assistance, is an important milestone in gross motor development but does not specifically illustrate the proximodistal pattern of skill acquisition as seen in the pincer grasp. Understanding the sequential development of motor skills in infants is crucial for nurses caring for children as it helps in assessing developmental milestones and identifying any delays or concerns early on.
Question 4 of 5
An infant weighed 8 lb at birth and was 18 inches in length. What weight and length should the infant be at 5 months of age?
Correct Answer: C
Rationale: The correct answer is C) 16 lb, 23 inches. This can be determined by understanding typical growth patterns in infants. By 5 months of age, infants usually double their birth weight. In this case, the infant's birth weight was 8 lb, so at 5 months, the weight should be around 16 lb. Additionally, infants grow approximately 1 inch per month in the first 6 months, so starting at 18 inches at birth, the infant should be around 23 inches long at 5 months. Option A) 12 lb, 20 inches: This option underestimates the expected weight and length for a 5-month-old infant based on typical growth patterns. Option B) 14 lb, 21.5 inches: While closer to the correct answer, this option still falls short of the expected weight and length for a 5-month-old infant. Option D) 18 lb, 24.5 inches: This option overestimates the expected weight and length for a 5-month-old infant based on typical growth patterns. Understanding normal growth and development patterns in infants is crucial for nurses caring for children. Monitoring growth parameters allows healthcare providers to assess a child's overall health and well-being, identify potential issues early, and provide appropriate interventions when needed.
Question 5 of 5
The clinic nurse is teaching parents about physiologic anemia that occurs in infants. What statement should the nurse include about the cause of physiologic anemia?
Correct Answer: B
Rationale: The correct answer is B) Fetal hemoglobin results in a shortened survival of red blood cells. Physiologic anemia in infants is a normal, expected condition due to the natural decline in fetal hemoglobin levels after birth. Fetal hemoglobin has a shorter lifespan compared to adult hemoglobin, leading to a temporary decrease in red blood cell survival. This process helps the infant transition from the intrauterine to extrauterine environment. Option A is incorrect because maternally derived iron stores do not deplete in the first 2 months but are gradually utilized over time. Option C is incorrect as the production of adult hemoglobin actually increases in the first year of life. Option D is incorrect because low levels of fetal hemoglobin do not depress the production of erythropoietin; erythropoietin is a hormone that stimulates red blood cell production. Understanding the cause of physiologic anemia in infants is essential for nurses caring for pediatric patients. This knowledge helps nurses educate parents about normal variations in their infant's blood values, alleviating unnecessary anxiety and promoting confidence in their child's health.