ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
The child refusing to go to bed and remaining active is likely due to
Correct Answer: D
Rationale: Limit-setting insomnia involves resistance to bedtime routines.
Question 2 of 5
A client with group AB blood whose husband has group O has just given birth. The major sign of ABO blood incompatibility in the neonate is which complication or test result?
Correct Answer: D
Rationale: A neonate born to a mother with blood type AB and a father with blood type O is at risk for ABO blood incompatibility, particularly if the neonate is blood type A or B. The major sign of ABO blood incompatibility in the neonate is the development of jaundice within the first 24 hours of life. This occurs due to the mismatch in blood types between the mother and the neonate, leading to the destruction of the neonate's red blood cells. This destruction releases bilirubin, causing jaundice. It is important to note that unlike Rh incompatibility, ABO incompatibility usually does not lead to severe complications requiring treatment. A positive Coombs test result is not typically seen in ABO blood incompatibility.
Question 3 of 5
The nurse encourages a client with an immunologic disorder to eat a nutritionally balanced diet to promote optimal immunologic function. Autoimmunity has been linked to excessive ingestion of:
Correct Answer: C
Rationale: Excessive ingestion of fat has been linked to autoimmunity. A diet high in saturated and trans fats can lead to chronic inflammation and disrupt the balance of immune cells, potentially triggering autoimmune responses in the body. Conversely, a nutritionally balanced diet that includes healthy fats like omega-3 fatty acids from sources such as fish, nuts, and seeds can help support optimal immunologic function and reduce the risk of autoimmune disorders.
Question 4 of 5
By the age of 7 months, the infant is able to do all the following EXCEPT
Correct Answer: D
Rationale: Rolling over is usually achieved earlier, by 4-6 months, while other skills are typical for 7 months.
Question 5 of 5
Which is the leading cause of death after heart transplantation?
Correct Answer: A
Rationale: Infection is the leading cause of death after heart transplantation. Following transplantation, patients are at a higher risk of infections due to the immunosuppressive medications they must take to prevent organ rejection. These medications suppress the immune system's responses, leaving the patient susceptible to various infections such as bacterial, viral, and fungal infections. Without timely diagnosis and treatment, these infections can lead to serious complications and even death in heart transplant recipients. Therefore, the careful monitoring and management of infections are crucial in post-transplant care to improve outcomes and prevent mortality.