ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The nurse should implement which prescribed treatment for a child with warts?
Correct Answer: B
Rationale: Warts are caused by viral infections, mainly the human papillomavirus (HPV). Local destruction methods, such as cryotherapy (freezing), laser therapy, or chemical treatment, are the preferred treatments for warts in children. These methods physically destroy the wart tissue, helping to eliminate the virus and promote healing. Vaccination, corticosteroids, and specific antibiotic therapy are not typically prescribed treatments for warts.
Question 2 of 5
A parent of an infant with colic tells the nurse, "All this baby does is scream at me; it is a constant worry." What is the nurse's best action?
Correct Answer: A
Rationale: The nurse's best action is to encourage the parent to verbalize their feelings. This allows the parent to express their emotions and concerns, which can be therapeutic and provide an opportunity for support and understanding. By acknowledging the parent's feelings and providing a listening ear, the nurse can help validate the parent's experiences and build a trusting relationship. Additionally, encouraging the parent to express their emotions can help them cope with the challenges of caring for a colicky infant and seek appropriate resources for support. It is important for the nurse to be empathetic and supportive towards the parent's feelings during this difficult time.
Question 3 of 5
Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?
Correct Answer: C
Rationale: A newborn with a clavicle fracture may present with swelling of the fingers on the affected side. This is due to the injury disrupting the nerves and blood vessels that supply the arm, leading to edema and swelling in the fingers. The other signs mentioned in the options are not typically associated with a clavicle fracture. A negative scarf sign relates to positioning of the arm and is not specific to a clavicle fracture. Asymmetric Moro reflex can be a normal finding in newborns and not indicative of a fracture. Paralysis of the affected extremity and muscles would be more suggestive of a nerve injury rather than a clavicle fracture.
Question 4 of 5
The nurse has been caring for a newborn who just died. The parents are present but say they are "afraid" to hold the dead newborn. Which is the most appropriate nursing intervention?
Correct Answer: D
Rationale: The most appropriate nursing intervention in this situation is to keep the newborn's body available for a few hours in case the parents change their minds. It is important to respect the parents' feelings and fears while also providing them with the opportunity to hold their child if they decide to do so later on. By keeping the newborn's body available, the parents can have the time and space they need to process their emotions and make a decision that feels right for them. This approach supports the parents' autonomy and allows them to grieve in a way that is meaningful to them.
Question 5 of 5
Which is the central factor responsible for respiratory distress syndrome?
Correct Answer: A
Rationale: Respiratory distress syndrome is primarily caused by deficient surfactant production in premature infants. Surfactant is a substance that coats the alveoli in the lungs and helps to reduce surface tension, preventing the collapse of the alveoli during exhalation. In premature infants, the lungs may not have produced enough surfactant, leading to difficulty in breathing and inadequate oxygen exchange. This results in respiratory distress syndrome, which is characterized by severe breathing problems in newborns. Overproduction of surfactant, overdeveloped alveoli, or absence of alveoli are not central factors in the development of respiratory distress syndrome.