ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
The BEST implication of a 6-month-old baby's visuomotor coordination is
Correct Answer: A
Rationale: Voluntary release is a key milestone in visuomotor coordination at this age.
Question 2 of 5
Hepatitis C virus infection is a risk factor for which of the following malignancy?
Correct Answer: B
Rationale: Hepatitis C is a known risk factor for splenic lymphoma and other B-cell lymphoproliferative disorders.
Question 3 of 5
A client with hyperglycemia, which assessment finding best supports a nursing diagnosis of Deficient fluid volume?
Correct Answer: B
Rationale: Increased urine osmolarity would best support the nursing diagnosis of Deficient fluid volume in a client with hyperglycemia. Hyperglycemia can lead to osmotic diuresis, where the body excretes excessive amounts of water to help eliminate glucose. This results in concentrated urine with a higher osmolarity. A high urine osmolarity indicates that the kidneys are conserving water due to decreased fluid volume in the body, supporting the diagnosis of Deficient fluid volume. The other assessment findings (cool, clammy skin, distended neck veins, serum sodium level) are not specific to the diagnosis of Deficient fluid volume in this context.
Question 4 of 5
Which of the ff is the primary sign of breast cancer?
Correct Answer: D
Rationale: The primary sign of breast cancer is usually a painless mass or lump in the breast. This mass or lump may feel hard, irregularly shaped, and different from the surrounding breast tissue. It is important to note that not all breast lumps are cancerous, but it is crucial to seek medical evaluation if you notice any new or unusual changes in your breast tissue. Other signs such as a bloody discharge from the nipple, retraction of the nipple, or dimpling of the skin over the lesion can also be associated with breast cancer, but the presence of a painless mass in the breast is typically the most common initial indication of the disease.
Question 5 of 5
The nurse is caring for a newborn whose mother is diabetic. Which clinical manifestations should the nurse expect to see?
Correct Answer: C
Rationale: Infants born to mothers with diabetes, especially uncontrolled diabetes, are at risk for hypoglycemia due to exposure to high glucose levels in utero. The infant's pancreas may have been producing high levels of insulin in response to the mother's high blood glucose levels, leading to hypoglycemia after birth. Additionally, these infants are typically smaller for gestational age (SGA) due to the effects of high blood sugar levels on fetal growth. Therefore, the nurse should expect the newborn of a mother with diabetes to exhibit signs of hypoglycemia and be small for gestational age.