ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The nurse needs to obtain blood for ongoing assessment of a high-risk newborn's progress. Which tests should the nurse monitor? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse observes yellow staining in the sclera of eyes, soles of feet, and palms of hands. How should the nurse document these findings?
Correct Answer: C
Rationale: Jaundice is the yellow discoloration of the skin, sclera (white part of the eyes), soles of feet, and palms of hands that occurs due to elevated levels of bilirubin in the blood. Bilirubin is a yellow pigment produced during the breakdown of red blood cells and is normally processed by the liver and excreted in bile. When the liver is unable to process bilirubin effectively, it can accumulate in the blood and cause jaundice. Therefore, the nurse should document these findings as jaundice, which is a sign of liver dysfunction or other underlying health issues that need further assessment and management.
Question 3 of 5
During examination of a toddler's extremities, the nurse notes that the child is bowlegged. What should the nurse recognize regarding this finding?
Correct Answer: A
Rationale: Bowlegged appearance in a toddler is not considered normal and should prompt further investigation by a healthcare provider. Bowlegs, also known as genu varum, can be caused by various underlying conditions such as vitamin D deficiency, rickets, or genetic factors. It is important to determine the cause of bowleggedness in order to provide appropriate treatment or interventions to promote proper development of the child's legs. Bowleggedness on its own is not considered a normal variation in toddler development and warrants further assessment.
Question 4 of 5
A parent asks the nurse "at what age do most infants begin to fear strangers?" The nurse should give which response?
Correct Answer: C
Rationale: Most infants begin to exhibit fear or stranger anxiety around 6 months of age. This is a normal developmental stage where infants become more aware of their surroundings and become wary of unfamiliar people. Infants may become anxious or cry when approached by strangers, showing that they prefer familiar faces like parents or caregivers. This behavior typically peaks between 6 to 9 months and gradually decreases as the child grows older and gains more social experience.
Question 5 of 5
Which leading cause of death topic should the nurse emphasize to a group of African- American boys ranging in age from 15 to 19 years?
Correct Answer: C
Rationale: The nurse should emphasize the leading cause of death topic related to firearm homicide to a group of African-American boys ranging in age from 15 to 19 years. This population is at a higher risk of being victims of firearm violence due to various socio-economic factors and systemic issues. By addressing the issue of firearm homicide, the nurse can provide important information on violence prevention, conflict resolution strategies, and community resources to help keep these young males safe. This education can potentially help reduce the risk of injury or death from firearm-related incidents within this vulnerable population.