ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
The nurse is caring for a newborn whose mother is diabetic. Which clinical manifestations should the nurse expect to see?
Correct Answer: C
Rationale: Infants born to mothers with diabetes, especially uncontrolled diabetes, are at risk for hypoglycemia due to exposure to high glucose levels in utero. The infant's pancreas may have been producing high levels of insulin in response to the mother's high blood glucose levels, leading to hypoglycemia after birth. Additionally, these infants are typically smaller for gestational age (SGA) due to the effects of high blood sugar levels on fetal growth. Therefore, the nurse should expect the newborn of a mother with diabetes to exhibit signs of hypoglycemia and be small for gestational age.
Question 2 of 5
A nurse is counseling parents of a child beginning to show signs of being overweight. The nurse accurately relates which body mass index (BMI)-for-age percentile indicates a risk for being overweight?
Correct Answer: D
Rationale: The body mass index (BMI)-for-age percentile indicating a risk for being overweight is the 95th percentile. This means that if a child's BMI falls at or above the 95th percentile for their age group, they are classified as overweight. This percentile is used as a cutoff point to identify children at risk of being overweight and to guide intervention strategies such as lifestyle changes, increased physical activity, and dietary modifications. Parents should work with healthcare providers to address their child's weight status and implement appropriate measures to promote a healthy lifestyle.
Question 3 of 5
What is an appropriate screening test for hearing that can be administered by the nurse to a 5- year-old child?
Correct Answer: C
Rationale: Conventional audiometry is the appropriate screening test for hearing that can be administered by a nurse to a 5-year-old child. This test involves using specialized equipment to measure the child's ability to hear sounds at various frequencies and volumes. It is a comprehensive and reliable test that can accurately assess the child's hearing abilities across the auditory spectrum. The other options listed (A. Rinne test, B. Weber test, and D. Eliciting the startle reflex) are not suitable for screening the hearing of a 5-year-old child as they are either more applicable to adults or not as comprehensive and reliable as conventional audiometry when assessing hearing in children.
Question 4 of 5
A nurse is assessing a 6-month-old infant. The nurse recognizes the posterior fontanel usually closes at which age?
Correct Answer: D
Rationale: The posterior fontanel, located at the back of the infant's head, typically closes between 8 to 10 months of age. During infancy, it is normal for fontanels to gradually close as the bones of the skull develop and fuse together. The closure of fontanels is an important part of the infant's growth and development. It is crucial for healthcare providers to monitor fontanel closure as part of a routine physical assessment to ensure proper skull development and growth in infants.
Question 5 of 5
The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive, inflexible, high-top shoes. The nurse should explain that:
Correct Answer: A
Rationale: Soft and flexible shoes are generally better for infants who are learning to walk. Infants have soft and pliable bones in their feet that are still developing, so it is important for them to wear shoes that allow natural movement and flexibility. High-top shoes and inflexible shoes may restrict the natural movement of the foot and can hinder the infant's ability to develop balance and coordination while learning to walk. It is important for infants to wear shoes that are comfortable, lightweight, and provide some protection without restricting their foot movements.