ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
The child who can hop on one foot, copies circles, and brushes teeth without help has achieved the developmental age of
Correct Answer: B
Rationale: These skills are typically developed by age 3.
Question 2 of 5
The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is:
Correct Answer: B
Rationale: Placing the car seat rear facing in the back seat is the safest option for an infant. Rear-facing car seats provide the best protection for a baby's head, neck, and spine in the event of a crash. It is recommended to keep infants in a rear-facing position until they reach the maximum weight or height limit allowed by the car seat manufacturer. Placing the car seat in the front seat, especially with an active airbag, can be dangerous for an infant due to the force of deployment in case of an accident. It is important to follow the guidelines for safe car seat use to ensure the protection and well-being of the child.
Question 3 of 5
Halfway through the administration of a unit of blood, a client complains of lumbar pain. The nurse should:
Correct Answer: C
Rationale: Lumbar pain during a blood transfusion can be a sign of an adverse reaction, such as a transfusion reaction. Any complaints of pain during a transfusion should not be ignored. In this case, the nurse should first stop the transfusion to prevent any further complications. The client should be assessed promptly for other signs of a transfusion reaction, and appropriate actions should be taken as needed to ensure the client's safety and well-being.
Question 4 of 5
The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes that a risk exists of cerebrovascular accidents (strokes). Which is an important objective to decrease this risk?
Correct Answer: C
Rationale: In a child with persistent hypoxia secondary to a cardiac defect, promoting cardiac output is crucial to decreasing the risk of cerebrovascular accidents (strokes). Hypoxia resulting from the cardiac defect can lead to inadequate oxygen supply to the brain, increasing the risk of strokes. By optimizing cardiac output, the body can deliver sufficient oxygen to vital organs, including the brain, reducing the likelihood of cerebrovascular accidents. It is essential to focus on supporting cardiac function to improve overall perfusion and oxygenation levels, ultimately helping to mitigate the risk of strokes in this vulnerable population.
Question 5 of 5
What is an appropriate screening test for hearing that can be administered by the nurse to a 5- year-old child?
Correct Answer: C
Rationale: Conventional audiometry is the appropriate screening test for hearing that can be administered by a nurse to a 5-year-old child. This test involves using specialized equipment to measure the child's ability to hear sounds at various frequencies and volumes. It is a comprehensive and reliable test that can accurately assess the child's hearing abilities across the auditory spectrum. The other options listed (A. Rinne test, B. Weber test, and D. Eliciting the startle reflex) are not suitable for screening the hearing of a 5-year-old child as they are either more applicable to adults or not as comprehensive and reliable as conventional audiometry when assessing hearing in children.