ATI RN
Pediatric Respiratory Assessment Nursing Questions
Question 1 of 5
The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?
Correct Answer: A
Rationale: The best way to evaluate for jaundice in a newborn is by pressing the infant's skin over a firm surface, such as the end of the nose or the sternum. Jaundice is identified by the yellow color that remains when the skin is pressed and blanches. This method is effective in detecting jaundice, which becomes visible when the bilirubin level is greater than 5 mg/dL. The other choices are not appropriate methods for evaluating jaundice.
Question 2 of 5
Which intervention will be most helpful to parents in identifying problems with an infant car seat?
Correct Answer: C
Rationale: The correct answer is C because observing the parents demonstrate the use of the car seat is the best way to identify any problems or misunderstandings. This allows for a hands-on assessment of their understanding. Questioning the parents may not reveal actual issues, providing laws does not ensure understanding, and allowing questions without a demonstration may not address potential errors. A return demonstration ensures comprehension and application of car seat safety.
Question 3 of 5
The nurse is calling a new mother to schedule a routine home visit planned for 48 to 72 hours after discharge. What is the nurse's priority question to help determine the best time for the visit?
Correct Answer: C
Rationale: The priority question is to determine when the mother will be nursing the baby to observe a feeding session, especially if she is breastfeeding. This helps assess milk supply, adequacy of breastfeeding, and provide support. The other options are not as crucial for determining the best time for the visit.
Question 4 of 5
What should the new breastfeeding mother be instructed to do?
Correct Answer: D
Rationale: Engorgement occurs when the breasts are not adequately emptied at each feeding or if feedings are not frequent enough. Breast milk moves through the stomach within 1.5 to 2 hours, therefore waiting 4 hours to feed is too long. Frequent feedings are important to empty the breast and establish lactation. Fluid intake should not be limited with a breastfeeding mother; that would decrease the amount of breast milk produced. Warm packs should be applied to the breast before feedings.
Question 5 of 5
A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's most appropriate response?
Correct Answer: C
Rationale: The correct answer is C because recent studies have shown that breast milk is low in vitamin D, and supplementation with 400 IU is recommended. This is important for infants who are not exposed to the sun or have dark skin, as they are at risk for insufficient vitamin D. While a well-balanced diet is important for the mother's health, it does not address the need for vitamin D supplementation in breastfed infants. Asking about the mother's concerns or abilities does not provide the necessary information about vitamin D supplementation.