ATI RN
NCLEX Pediatric Respiratory Wong Nursing Questions Questions
Question 1 of 5
Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia. A vacuum extraction was necessary. Based on this information the nurse would
Correct Answer: C
Rationale: The nurse should suspect craniosynostosis (premature closing of sutures) and therefore should contact the pediatric provider immediately. The physical findings do not align with a strenuous birth process, and monitoring is not the appropriate initial action. It is important to note the presence of fontanels, but the immediate action should be to seek medical intervention.
Question 2 of 5
When an infant's temperature drops from (37 to 36.3°C) 98.7 to 97.4°F, the nurse should
Correct Answer: B
Rationale: When an infant's temperature drops, it may be caused by a decrease in blood glucose levels. Therefore, determining the time and amount of the last feeding is crucial to address the underlying issue. Instructing parents on cold stress and increasing room temperature are interventions to maintain a stable temperature but will not address the root problem. A blood sugar level higher than 50 mg/dL is actually a normal finding in infants.
Question 3 of 5
Which statement by a parent suggests that the nurse intervene with further teaching?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which is the first step in assisting the breastfeeding mother to nurse her infant?
Correct Answer: A
Rationale: The correct answer is A - Assess the woman's knowledge of breastfeeding. Assessment is the first step in determining the mother's learning needs and readiness to breastfeed. Only after assessing her knowledge can appropriate instruction and support be provided. The other options may be important steps in the process, but assessment comes first.
Question 5 of 5
A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to
Correct Answer: B
Rationale: The correct answer is B because the patient may be experiencing signs of engorgement, and placing the infant to feed more frequently may help prevent physical complaints of tenderness due to milk accumulation. Wearing a bra or using ice packs may provide comfort but will not resolve engorgement issues. It is important to address the root cause of the issue, which is milk accumulation.