ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics should be included in the plan of care?
Correct Answer: D
Rationale: People with sickle cell disease (SCD) are at a higher risk of infections due to their impaired immune system. Infections can trigger a sickle cell crisis, which can be life-threatening. Therefore, proper hand washing and infection avoidance are crucial components of the care plan for clients with SCD. This topic should be included in Nurse Katriz's client education program to help reduce the risk of infections and promote better health outcomes for individuals with SCD.
Question 2 of 5
Baby Melody is a neonate who has a very low-birth-weight. Nurse Josie carefully monitors inspiratory pressure and oxygen (O ) concentration to prevent which of the following?
Correct Answer: D
Rationale: A neonate with very low birth weight is at risk of developing respiratory distress syndrome (RDS), which is a common breathing disorder in premature infants. RDS occurs due to a lack of a substance in the lungs called surfactant, which helps keep the air sacs open and prevents them from collapsing. In neonates with very low birth weight, the lungs may not have produced enough surfactant, leading to breathing difficulties and respiratory distress.
Question 3 of 5
Increased intracranial pressure can cause which of the following?
Correct Answer: D
Rationale: Increased intracranial pressure (ICP) can cause a variety of symptoms, including seizures, nausea, and vomiting. When the pressure inside the skull rises, it can put pressure on the brain tissue, leading to changes in normal brain function. Seizures may occur as a result of the altered brain activity. Nausea and vomiting can also be triggered by increased ICP, as the body's natural response to the disturbance in the brain's normal functioning. Therefore, all of the listed options (seizure, nausea, vomiting) can be caused by increased intracranial pressure.
Question 4 of 5
Complete bed rest What is the most common congenital heart disease?
Correct Answer: C
Rationale: The most common congenital heart disease is Ventricular Septal Defect (VSD). VSD is a heart condition present at birth where there is a hole in the wall (septum) separating the lower chambers of the heart (ventricles). This hole allows oxygen-rich blood from the left ventricle to mix with oxygen-poor blood in the right ventricle, leading to increased pulmonary blood flow and potentially causing complications such as pulmonary hypertension and right ventricular hypertrophy. VSD can be classified as an acyanotic heart defect with a left to right shunt. Treatment options for VSD include monitoring, medications, and in some cases, surgical intervention.
Question 5 of 5
A nurse is educating a family whose child is newly diagnosed with scoliosis. The nurse explains that the goal of therapy is to:
Correct Answer: A
Rationale: The goal of therapy for scoliosis is to limit or stop the progression of the curvature. This can involve a combination of treatments such as bracing, physical therapy, and sometimes surgery. By addressing the curvature early and implementing appropriate interventions, healthcare providers aim to prevent further worsening of the spinal deformity and improve the long-term outcomes for the child. Minimizing the progression of scoliosis is crucial to prevent complications such as back pain, breathing difficulties, and cosmetic concerns. Therefore, educating the family on the importance of therapy in limiting or stopping the curvature progression is a key aspect of managing scoliosis in children.