ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
The nurse is teaching the parents of a child with developmental dysplasia of the hip (DDH) regarding the application of the Pavlik harness. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct information that the nurse should include in the teaching is that clothing should always fit loosely over the harness. This is important to prevent restriction of movement and ensure comfort for the child wearing the Pavlik harness. Tight clothing can cause discomfort, skin irritation, and interfere with the effectiveness of the harness in positioning the hip properly. Parents should be advised to choose clothing that is loose-fitting and does not put pressure on the harness or the child's skin.
Question 2 of 5
when a female carrier of hemophilia marries a male who is free of the disease, the risk to their off spring for each pregnancy is what:
Correct Answer: B
Rationale: Hemophilia is an X-linked recessive genetic disorder, meaning it is carried on the X chromosome. Females have two X chromosomes, while males have one X and one Y chromosome. In this scenario, the female carrier has one X chromosome with the hemophilia gene and one normal X chromosome. When she has children, she has a 50% chance of passing on the X chromosome with the hemophilia gene to her sons. Therefore, half the male children will inherit hemophilia, while half will not. Daughters, on the other hand, have a 50% chance of inheriting the X chromosome with the hemophilia gene but since it is a recessive disorder, they will be carriers of hemophilia rather than having the disease itself.
Question 3 of 5
all the following written below are accepted treatment for heart insufficiency except:
Correct Answer: A
Rationale: Corticosteroids are not typically used in the treatment of heart insufficiency. The mainstay of treatment for heart insufficiency includes medications like oxygen, digoxin, diuretics, and sometimes blood transfusions of packed red blood cells. Corticosteroids are more commonly used to reduce inflammation and immune responses in conditions like asthma, arthritis, and certain autoimmune diseases.
Question 4 of 5
The nurse should expect the apical heart rate of a stabilized newborn to be in which range?
Correct Answer: B
Rationale: A stabilized newborn generally has an apical heart rate in the range of 80 to 100 beats per minute. This range is considered normal for a healthy newborn. It is important for the nurse to monitor the newborn's heart rate closely to ensure that it remains within this expected range. Any significant deviation from this range may indicate an underlying health issue that needs to be addressed promptly. Monitoring heart rate is a critical aspect of newborn care, especially in the immediate postnatal period.
Question 5 of 5
A newborn is being discharged at age 48 hours. The parents ask how the newborn should be bathed this first week home. How should the nurse recommend to bathe the newborn?
Correct Answer: C
Rationale: It is recommended to bathe a newborn only a few times during the first week with plain water to avoid drying out the baby's delicate skin. Newborns do not need to be bathed daily, as excessive bathing can strip their skin of natural oils and lead to dryness or irritation. Plain water is gentle and sufficient for cleaning a newborn's skin without causing any harm. After the first week, parents can gradually introduce mild soap if needed for cleaning, but it is still not necessary to bathe the baby daily.