ATI RN
Respiratory Pediatric Nursing Questions
Question 1 of 5
The nurse explained to the mother that according to Erikson's framework of psychosocial development, play is a vehicle for development and can help the school-age child develop a sense of...
Correct Answer: B
Rationale: In the context of Erikson's psychosocial development theory, the correct answer is B) Industry. Erikson proposed that during the stage of industry vs. inferiority (which typically occurs during the school-age years), children are eager to learn new skills and accomplish tasks. Engaging in play helps children develop a sense of industry by allowing them to practice and master new skills, fostering a sense of competence and accomplishment. Option A) Initiative is associated with the preschool years in Erikson's theory, where children begin to assert themselves and take the lead in activities. While play is important during this stage as well, it is more focused on exploration and trying out new roles. Option C) Identity is linked to adolescence in Erikson's model, where individuals are exploring and developing a sense of self and personal identity. Play during this stage may involve more complex social interactions and self-expression rather than skill-building. Option D) Intimacy is a stage that occurs in young adulthood according to Erikson, where individuals are forming close relationships with others. Play during this stage may involve more collaborative and emotionally intimate activities rather than the skill-building focus of the school-age years. Educationally, understanding Erikson's stages of development can help nurses and healthcare professionals better support children's growth and well-being. By recognizing the role of play in fostering industry during the school-age years, caregivers can encourage activities that promote skill development and a sense of competence in children.
Question 2 of 5
To assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?
Correct Answer: D
Rationale: The correct answer is option D, which involves gently palpating the fundus using the same technique as for vaginal deliveries. This technique is appropriate because after a cesarean birth, the fundus should be assessed for firmness and position to ensure adequate contraction of the uterus, which helps prevent postpartum hemorrhage. Gently palpating allows the nurse to assess the fundus without causing discomfort or disrupting any healing incisions from the cesarean procedure. Option A is incorrect because assessing lochial flow does not provide direct information about fundal contraction. Lochial flow assessment is important but does not replace the need to palpate the fundus. Option B is incorrect as palpating forcefully through the abdominal dressing can be painful for the mother, disturb any wound healing, and may not accurately assess the fundal contraction. Option C is incorrect as pressing downward on both sides of the abdomen does not specifically target the fundus for assessment. This method may not provide an accurate evaluation of fundal tone and position. In an educational context, it is crucial for nurses to understand the correct techniques for assessing postpartum fundal contraction, especially after cesarean births. Proper assessment helps in early identification of uterine atony or other postpartum complications, allowing for timely interventions and preventing adverse outcomes for both the mother and the baby. Nurses should be trained in gentle palpation techniques and understand the significance of fundal assessment in postpartum care.
Question 3 of 5
The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse's priority action with this finding?
Correct Answer: C
Rationale: The lochia of the cesarean birth mother will go through the same phases as that of the woman who had a vaginal birth; however, the amount will be reduced. The finding of a saturated pad is abnormal, even after breastfeeding, and an indication of hemorrhage. The health care provider needs to be notified immediately. Weighing the peripad will give an estimation of the blood loss; but, this assessment can result in a delay of care. Replacing the peripad and documentation of the findings are appropriate when the data are within normal limits.
Question 4 of 5
The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse's priority action with this finding?
Correct Answer: C
Rationale: Saturated peripad with lochia rubra after cesarean birth indicates abnormal bleeding and potential hemorrhage. The nurse's priority action should be to contact the health care provider immediately for further assessment and intervention. Weighing the peripad can provide an estimation of blood loss but may cause a delay in care. Replacing the peripad and documenting the finding are appropriate actions but not the priority when facing potential hemorrhage.
Question 5 of 5
A postpartum patient would be at increased risk for postpartum hemorrhage if she delivered a(n)
Correct Answer: B
Rationale: The correct answer is B because a rapid labor and birth may cause exhaustion of the uterine muscle and prevent contraction, increasing the risk of postpartum hemorrhage. Delivering a 5lb, 2oz infant with outlet forceps would put the patient at risk for lacerations due to forceps use. A 7lb infant after an 8 hour labor is a normal progression, and an 8lb infant after a 12 hour labor is also a normal progression.