ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 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 2 of 5
A 2-month-old premature infant born at 30 weeks gestation is scheduled for an inguinal hernia repair. Which of the following preoperative findings would BEST predict an increased risk of postoperative apnea?
Correct Answer: A
Rationale: Low hemoglobin levels in a premature infant can increase the risk of postoperative apnea due to reduced oxygen-carrying capacity.
Question 3 of 5
Which screening test for colorectal cancer should the nurse recommend?
Correct Answer: D
Rationale: The nurse should recommend a proctosigmoidoscopy for colorectal cancer screening in individuals over the age of 50. This procedure allows for the visualization of the lower part of the colon and rectum, which are common sites for precancerous and cancerous lesions to develop. Proctosigmoidoscopy can help identify abnormalities early on, allowing for prompt intervention and treatment. This screening method helps in detecting colorectal cancer or pre-cancerous polyps at an early stage when they are more easily treatable. Regular screening is essential for early detection and prevention of colorectal cancer. Other screening tests such as carcinoembryonic antigen (CEA) test, annual digital examination, and barium enema are not recommended as primary screening methods for colorectal cancer.
Question 4 of 5
What is the single most important factor to consider when communicating with children?
Correct Answer: C
Rationale: The single most important factor to consider when communicating with children is the child's developmental level. Understanding where a child is at in terms of cognitive, emotional, and social development is crucial for effective communication. By considering the child's developmental level, you can adjust your language, tone, and content to suit their abilities and needs. This ensures that the child can understand and engage with the communication effectively. Communication that aligns with a child's developmental stage promotes better comprehension, engagement, and relationship-building.
Question 5 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.