ATI RN
Nursing Care of Pediatrics Respiratory Disorders Quizlet Questions
Question 1 of 5
The nurse is performing the initial assessment of a newborn and notes retractions, nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment on which system?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Administration of medications after birth is the topic of discussion during a prenatal education class. Which statement indicates to the nurse that the pregnant patient understands the primary indication for the administration of vitamin K?
Correct Answer: B
Rationale: The primary indication for administering vitamin K to newborns is to prevent bleeding problems. Since neonates cannot synthesize vitamin K without bacterial flora, they are at risk for hemorrhagic disease of the newborn. Administering vitamin K intramuscularly after birth helps prevent these bleeding issues until the infant can produce enough vitamin K on their own. Administering vitamin K orally is not the standard practice, and the timing of administration is typically within the first hour after birth.
Question 3 of 5
Which intervention should be included in the home care of a high-risk infant?
Correct Answer: C
Rationale: High-risk infants may require continued respiratory support and oxygen even after discharge. Feeding on a strict schedule is not necessary, and positioning the infant on the side or back is more appropriate. Cleaning the umbilical cord with alcohol several times a day is not recommended as it can delay healing and increase infection risk.
Question 4 of 5
Which of the following is an important consideration in positioning a newborn for breastfeeding?
Correct Answer: A
Rationale: The correct answer is A - Placing the infant at nipple level facing the breast. This positioning helps prevent nipple trauma by avoiding downward pulling. Keeping the infant's head lower, using fingers to support the breast, and limiting areola intake are not important considerations and may actually hinder effective breastfeeding.
Question 5 of 5
A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and displays some audible swallowing, the maternal nipples are flat, and the breasts are soft. The nurse has attempted to teach the mother positioning on one side, and now the mother wants to place the infant to the breast on the other side. Based on LATCH scores, what score would the nurse assign to this feeding session?
Correct Answer: B
Rationale: The correct answer is B because based on the LATCH assessment tool, a score of 6 indicates that the mother will need additional assistance during breastfeeding at this time. It is important to provide further teaching and support to ensure successful breastfeeding for both the mother and the infant.