ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
the following are signs and symptoms of congenital hip dysplasia except:
Correct Answer: D
Rationale: Trendelenburg's sign is not a typical sign of congenital hip dysplasia. Trendelenburg's sign indicates weakness of the hip abductor muscles and is seen when a person stands on one leg and the pelvis on the unsupported side drops. The other options are more commonly associated with congenital hip dysplasia:
Question 2 of 5
The nurse observes that a new mother avoids making eye contact with her newborn. The nurse should perform which action?
Correct Answer: B
Rationale: The nurse should assess for other attachment behaviors when a new mother avoids making eye contact with her newborn. This behavior may indicate difficulty forming an emotional bond with the newborn, which can impact the mother-infant relationship. By assessing for other attachment behaviors, the nurse can gather more information to understand the mother's response and provide appropriate support and interventions. Simply recognizing this as a common reaction or asking the mother why she won't look at the newborn may not address the underlying attachment issues that may be present. Examining the newborn's eyes for ability to focus is not relevant in this situation and does not address the mother's behavior.
Question 3 of 5
What should nursing interventions to maintain a patent airway in a newborn include?
Correct Answer: D
Rationale: Nursing interventions to maintain a patent airway in a newborn should prioritize safety and best practices. Positioning the neonate supine while sleeping is crucial to reduce the risk of sudden infant death syndrome (SIDS) and ensure proper airway alignment. Using a bulb syringe to suction as needed, with the correct technique of suctioning the nose first and then the pharynx, helps effectively remove secretions and keep the airway clear. This intervention promotes optimal respiratory function and reduces the risk of airway obstruction in newborns. Sleeping in the prone position is not recommended due to the increased risk of SIDS. Wrapping the neonate as snugly as possible can also pose risks of overheating and compromising the airway, making it an unsafe practice.
Question 4 of 5
The nurse is taking care of a child with scabies. Which primary clinical manifestation should the nurse expect to assess with this disease?
Correct Answer: C
Rationale: Scabies is a contagious skin infestation caused by the itch mite Sarcoptes scabiei. The primary clinical manifestation of scabies is intense itching, known as pruritus. The itching is often worse at night and can be severe, leading to scratching that can cause skin lesions. Edema (choice A) refers to swelling due to fluid retention and is not a primary clinical manifestation of scabies. Redness (choice B) may be present due to inflammation caused by the mites but is not the primary symptom. Maceration (choice D) is softening and breakdown of the skin due to prolonged moisture exposure and is not a typical presentation of scabies.
Question 5 of 5
The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis (head lice). Which should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.