ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The MOST appropriate answer to why infants cry in response to another infant's cry is
Correct Answer: A
Rationale: The MOST appropriate answer to why infants cry in response to another infant's cry is option A) an early sign of empathy development. Infants are born with the capacity for empathy, which is the ability to understand and share the feelings of others. When one infant hears another crying, it triggers an emotional response due to their innate ability to connect with the emotions of others. This early display of empathy is a crucial aspect of social and emotional development in infants. Option B) a sign of good hearing reflex is incorrect because crying in response to another infant's cry is more about emotional empathy rather than just a reflex related to hearing sensitivity. Option C) a startle reflex is also incorrect as a startle reflex is typically a physical response to a sudden, loud noise or movement, not a specific reaction to another infant's cry. Option D) an early sign of fear development is incorrect as the act of crying in response to another infant's cry is more about mirroring emotions rather than expressing fear. In an educational context, understanding the reasons behind infants' behaviors, such as crying in response to another's cry, can help caregivers and educators support healthy emotional development in young children. Encouraging empathy and emotional awareness from a young age can lay a strong foundation for positive social interactions and relationships later in life.
Question 2 of 5
The child who draws a man with 2-4 parts, imitates construction of 2 lines longer, and helps with dressing has an age around
Correct Answer: B
Rationale: The correct answer is B) 30 months. At around 30 months of age, children typically exhibit the developmental milestones described in the question. Drawing a person with 2-4 parts shows the child's growing understanding of human figures. Imitating the construction of 2 longer lines demonstrates fine motor skills development and the ability to replicate simple shapes. Additionally, helping with dressing indicates increasing independence and self-care skills, which are typical for a child around 2.5 years old. Option A) 24 months is too young for the described abilities. Children at 24 months are still developing basic motor skills and may not be able to draw detailed human figures or imitate complex shapes accurately. Option C) 48 months and Option D) 54 months are older ages where these skills would be considered delayed if not yet present. By 4 years old (48 months) or 4.5 years old (54 months), children should be capable of more complex drawings and tasks like dressing themselves without assistance. Understanding typical developmental milestones in children is crucial for pediatric healthcare providers, educators, and caregivers. Recognizing when a child may be experiencing delays can lead to early intervention and support, promoting optimal growth and development.
Question 3 of 5
A 4 years old boy presents with low grade fever and malaise. Throat examination reveals a grayish white membrane which is tightly adherent and bleeds on an attempt to remove. The most likely diagnosis is:
Correct Answer: B
Rationale: The correct answer is B) Diphtheria. This is because the presentation of a low-grade fever, malaise, and the presence of a grayish white membrane in the throat that is tightly adherent and bleeds on attempting to remove it are classic signs of diphtheria. Diphtheria is a serious bacterial infection caused by Corynebacterium diphtheriae, which can lead to airway obstruction and systemic complications if not promptly treated with antitoxin and antibiotics. Option A) Acute Follicular tonsillitis typically presents with fever, sore throat, and swollen, pus-filled tonsils, but it does not exhibit the characteristic grayish white membrane seen in diphtheria. Option C) Herpetic infection usually presents with vesicular lesions on an erythematous base, not the grayish white membrane seen in diphtheria. Option D) Infectious mononucleosis typically presents with fever, sore throat, lymphadenopathy, and atypical lymphocytosis, but not the specific throat findings described in the question stem. Educationally, understanding the distinct clinical presentations of different pediatric infections is crucial for accurate diagnosis and appropriate management in pediatric practice. Recognizing the unique features of diphtheria, in this case, can help prevent delays in treatment and potentially serious complications in affected children.
Question 4 of 5
A 12-month-old boy weighed 8 lb 2 oz at birth. What weight should the nurse expect him to be now?
Correct Answer: C
Rationale: The correct answer is C) 24 lb 6 oz. In pediatrics, understanding growth patterns is crucial for monitoring a child's development. By the age of 12 months, a baby typically triples their birth weight. In this case, the baby's birth weight was 8 lb 2 oz. Tripling this weight would result in a weight of 24 lb 6 oz, which is the expected weight for a 12-month-old boy. Option A) 16 lb 4 oz is less than the expected weight because it does not account for the typical growth pattern seen in infants. Option B) 20 lb 5 oz is also less than the expected weight at 12 months and does not align with the typical growth trajectory. Option D) 32 lb 8 oz is more than triple the birth weight, which would be excessive for a 12-month-old and does not fit the expected growth pattern. This question highlights the importance of understanding growth and development in pediatrics. It serves as a reminder for healthcare providers to monitor growth parameters closely to ensure children are meeting their developmental milestones and are on track for healthy growth.
Question 5 of 5
A child with a Wilms tumor is scheduled for surgery. Which best describes the procedure?
Correct Answer: A
Rationale: In the case of a child with a Wilms tumor, the correct answer is A) Only the affected kidney will be removed. This is the standard surgical procedure for Wilms tumor, which is a type of kidney cancer that primarily affects children. Removing only the affected kidney is the preferred approach because Wilms tumor typically presents as a unilateral (affecting one side) tumor. Removing both kidneys (Option B) would result in the child requiring dialysis or a kidney transplant, significantly impacting their quality of life. Option C, excising only the tumor mass, is not sufficient as Wilms tumor requires removal of the entire affected kidney to prevent spread or recurrence. Option D, performing a biopsy of the unaffected kidney, is unnecessary as the focus of surgery is on removing the tumor and affected kidney. In an educational context, it is crucial for healthcare providers, especially pediatric practitioners, to have a clear understanding of the appropriate management of pediatric cancers like Wilms tumor. This knowledge ensures optimal care for pediatric patients and helps prevent unnecessary procedures that may harm the child's health and well-being.