ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
The nurse observes that a new mother avoids making eye contact with her newborn. The nurse should perform which action?
Correct Answer: B
Rationale: The nurse should assess for other attachment behaviors when a new mother avoids making eye contact with her newborn. This behavior may indicate difficulty forming an emotional bond with the newborn, which can impact the mother-infant relationship. By assessing for other attachment behaviors, the nurse can gather more information to understand the mother's response and provide appropriate support and interventions. Simply recognizing this as a common reaction or asking the mother why she won't look at the newborn may not address the underlying attachment issues that may be present. Examining the newborn's eyes for ability to focus is not relevant in this situation and does not address the mother's behavior.
Question 2 of 5
The nurse is taking care of a child with scabies. Which primary clinical manifestation should the nurse expect to assess with this disease?
Correct Answer: C
Rationale: Scabies is a contagious skin infestation caused by the itch mite Sarcoptes scabiei. The primary clinical manifestation of scabies is intense itching, known as pruritus. The itching is often worse at night and can be severe, leading to scratching that can cause skin lesions. Edema (choice A) refers to swelling due to fluid retention and is not a primary clinical manifestation of scabies. Redness (choice B) may be present due to inflammation caused by the mites but is not the primary symptom. Maceration (choice D) is softening and breakdown of the skin due to prolonged moisture exposure and is not a typical presentation of scabies.
Question 3 of 5
The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis (head lice). Which should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
To prevent plagiocephaly, the nurse should teach parents to:
Correct Answer: A
Rationale: Placing the infant prone (on their stomach) for 30 to 60 minutes per day while they are awake is an effective way to prevent plagiocephaly, which is the flattening of the back or side of an infant's head. This practice helps to alleviate pressure on one particular area of the skull and promotes balanced head growth. It is important for parents to follow safe sleep guidelines and avoid having infants sleep on their stomachs, as this position is associated with an increased risk of sudden infant death syndrome (SIDS). Therefore, the recommended practice of placing the infant prone for short periods during supervised awake time helps prevent plagiocephaly without compromising the infant's safety during sleep.
Question 5 of 5
The parents of a newborn with a strawberry hemangioma ask the nurse what the treatment will be. What information does the nurse need to include in the response?
Correct Answer: C
Rationale: The correct information the nurse should provide to the parents is that no treatment is usually necessary for a strawberry hemangioma because of the high rate of spontaneous involution. Strawberry hemangiomas are common vascular tumors in infants that typically appear in the first few weeks of life. They usually grow rapidly for the first several months and then begin to shrink and eventually disappear on their own. In most cases, the hemangioma resolves without the need for any intervention. Therefore, reassuring the parents that observation is the primary management approach is important, unless complications such as ulceration, bleeding, or obstruction occur.