ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
The mother tells the nurse that the child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain that this behavior is a sign of...
Correct Answer: B
Rationale: The correct answer is B) Mastery of language ambiguities. When a child engages in telling jokes and riddles excessively, it is often a sign of their developing language skills and cognitive abilities. This behavior demonstrates their understanding of wordplay, humor, and linguistic nuances. It is a positive sign of cognitive development and creativity, rather than a negative behavior. Option A) Inadequate parental attention is incorrect because the behavior described does not necessarily indicate a lack of parental attention. Option C) Inappropriate peer influence is incorrect as the behavior is more likely linked to individual cognitive development rather than peer influence. Option D) Excessive television watching is incorrect as it does not directly relate to the child's behavior of telling jokes and riddles. Educationally, understanding these nuances in child behavior helps nurses and healthcare professionals appreciate the different ways children express themselves and develop. It also highlights the importance of looking at behaviors within the context of child development rather than jumping to conclusions about negative influences or inadequate caregiving. This knowledge can guide nurses in providing appropriate support and guidance to both children and their families.
Question 2 of 5
Which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Distended bladder. When the fundus is palpated on the right side of the abdomen above the expected level, it indicates that the bladder is full and pushing the uterus upwards and to the right. This finding is crucial to recognize in postpartum care as a distended bladder can lead to uterine displacement, increased risk of postpartum hemorrhage, and discomfort for the mother. Option B) Normal involution is incorrect because the fundus being palpated above the expected level is not indicative of the expected physiological process of the uterus returning to its pre-pregnancy size. Option C) Been lying on her right side too long is incorrect as it does not explain the physiological reason behind the fundus being palpated higher on the right side of the abdomen. Option D) Stretched ligaments that are unable to support the uterus is incorrect because this choice does not address the immediate concern of a distended bladder, which requires prompt intervention to prevent complications. For nursing students and healthcare professionals, understanding the assessment findings related to postpartum care, including fundal height and position, is essential for providing safe and effective care to postpartum mothers. Prompt recognition of a distended bladder can prevent complications and promote the well-being of both the mother and the newborn.
Question 3 of 5
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
Correct Answer: D
Rationale: Educating the patient to use pelvic floor exercises (Kegel exercises) will help strengthen pelvic floor muscles. Carbonated beverages will lead to increased gas and potential gastrointestinal discomfort. During the postpartum period, the patient is at greater risk for dehydration and thus should increase fluids. Limitation of fluids is not warranted during the postpartum period.
Question 4 of 5
During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?
Correct Answer: A
Rationale: A major task of the formal stage of role attainment is getting acquainted with the infant. The informal stage begins once the parents have learned appropriate responses to their infant's cues. The personal stage is attained when parents feel a sense of harmony in their role. The anticipatory stage begins during the pregnancy when the parents choose a physician and attend childbirth classes.
Question 5 of 5
A postpartum patient calls the clinic and reports to the nurse feelings of fatigue, tearfulness, and anxiety. What is the nurse's most appropriate response at this time?
Correct Answer: D
Rationale: The correct answer is D because the nurse needs to differentiate between postpartum blues and more serious conditions like postpartum depression. By asking if the patient is able to care for her baby, the nurse is assessing the severity of the symptoms and determining if the patient needs further evaluation or support. This response shows a proactive approach to addressing the patient's concerns and ensuring proper care.