ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
The mother is concerned about the child's compulsion for collecting things. The nurse explains that this behavior is related to the cognitive ability to perform...
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Concrete operations. This is because concrete operational thinking, according to Piaget's theory of cognitive development, typically occurs in children between the ages of 7 to 11 years. During this stage, children develop the ability to think logically about concrete events and objects. They can understand concepts like conservation, reversibility, and classification. In the context of the child's compulsion for collecting things, the nurse would explain to the mother that this behavior is a manifestation of the child's cognitive ability to perform concrete operations. The child is likely organizing and categorizing objects based on specific criteria that make sense to them at this stage of development. Now, let's discuss why the other options are incorrect: B) Formal operations: Formal operational thinking is the final stage in Piaget's theory, typically occurring in adolescence. This stage involves abstract and hypothetical thinking, which is beyond the cognitive abilities of a child who is compulsively collecting things. C) Coordination of secondary circular reactions: This option refers to a stage in Piaget's sensorimotor period, which is not relevant to the cognitive ability related to collecting behavior. D) Tertiary circular reactions: This option also belongs to Piaget's sensorimotor period and does not pertain to the cognitive ability to engage in collecting behavior. In an educational context, understanding Piaget's stages of cognitive development can help nurses and healthcare professionals better comprehend and communicate with pediatric patients and their families. By recognizing the cognitive abilities of children at different stages, healthcare providers can tailor their explanations and interventions to be developmentally appropriate and supportive.
Question 2 of 5
Which measure is optimal in order to prevent abdominal distention following a cesarean birth?
Correct Answer: C
Rationale: Activity can aid the movement of accumulated gas in the gastrointestinal tract. Rectal suppositories can be helpful after distention occurs; however, do not prevent it. Carbonated beverages may increase distention. Ambulation is the best prevention. Abdominal strengthening will not prevent distention.
Question 3 of 5
The nurse is providing care to a patient who delivered a 3525g infant 14 hours ago. The nurse palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's priority action related to this finding?
Correct Answer: D
Rationale: The location of the uterine fundus helps determine whether involution is progressing normally. Immediately after birth, the uterus is about the size of a large grapefruit or softball and weighs approximately 1000g (2.2 lb). The fundus can be palpated midway between the symphysis pubis and umbilicus in the midline of the abdomen. Within 12 hours, the fundus rises to approximately the level of the umbilicus. This finding is expected and can be followed with documentation. No further action is needed.
Question 4 of 5
A postpartum patient asks, Will these stretch marks ever go away? Which is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C) They will fade to silvery lines but won't disappear completely. This response is the best choice because it provides the patient with a realistic expectation regarding the fate of stretch marks postpartum. It acknowledges that the marks will not completely vanish but will likely fade over time. This response conveys empathy while also educating the patient about the natural course of postpartum changes in the body. Option A) No, never is incorrect because it gives a definitive and incorrect answer, which may cause unnecessary distress to the patient. Option B) Yes, eventually is not the best choice as it oversimplifies the process and does not provide a clear timeline. Option D) They will continue to fade and should be gone by your 6-week checkup is incorrect because it sets a specific timeline that may not be realistic for all individuals, potentially leading to false expectations or disappointment. In an educational context, it is important for nurses to provide accurate and realistic information to patients, especially regarding physical changes during and after pregnancy. By offering empathetic and honest responses, nurses can support patients in understanding and accepting the changes in their bodies, promoting positive self-image and body confidence.
Question 5 of 5
A multiparous patient is admitted to the postpartum unit after a rapid labor and birth of a 4000g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the patient void and massages her fundus; however, the fundus remains difficult to find and the rubra lochia remains heavy. Which action should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C because treatment of excessive bleeding requires collaboration with the healthcare provider, especially in cases of persistent heavy bleeding and boggy fundus. Choices A, B, and D are incorrect as they do not address the need for further medical intervention in this situation. It is crucial to involve the healthcare provider promptly to ensure appropriate management of the patient's condition.