ATI RN
Nursing Care of Children ATI Questions
Question 1 of 5
The parent of a 2-week-old infant asks the nurse if fluoride supplements are necessary because the infant is exclusively breastfed. What is the nurse's best response?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) The infant may need to begin taking them at age 6 months. Fluoride supplements are recommended for infants who are exclusively breastfed beyond 6 months of age and who live in areas where the water supply is not fluoridated. This is because breast milk is low in fluoride, and without a supplemental source, the infant may be at risk for developing dental caries due to insufficient fluoride intake. Option A is incorrect because starting fluoride supplements at 2 weeks is too early and not necessary. Option B is incorrect because it assumes the infant's fluoride intake is solely dependent on the mother's water source, which may not provide enough fluoride. Option D is incorrect as giving infant cereal mixed with fluoridated water is not a recommended alternative to fluoride supplements due to the risk of early introduction of solid foods and the potential for excess water intake in infants. Educationally, understanding the role of fluoride in dental health and its supplementation in infants is crucial for nurses caring for pediatric patients. It is essential to be aware of the specific guidelines regarding fluoride supplementation in exclusively breastfed infants to provide accurate and appropriate information to parents.
Question 2 of 5
The parents of a 12-month-old child ask the nurse if the child can eat hot dogs as do their other children. The nurse's reply should be based on what?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Hot dogs must be cut into small, irregular pieces to prevent aspiration. The educational rationale behind this is rooted in the principles of pediatric safety and preventing choking hazards. Hot dogs, when not cut into small, irregular pieces, can pose a significant risk of aspiration and choking for young children, especially those under the age of 3 due to their cylindrical shape and texture. Option A is incorrect because it does not address the specific safety issue related to hot dogs. Option B is also incorrect as it does not provide a practical solution to mitigate the risk associated with hot dog consumption. Option C is partially correct in highlighting the need for slicing hot dogs but lacks specificity in terms of the size and shape required to prevent aspiration effectively. Educationally, this question emphasizes the importance of understanding age-appropriate feeding practices and food safety measures in pediatric nursing. Nurses play a crucial role in educating parents about safe feeding practices to prevent choking incidents and ensure the well-being of children. It highlights the practical application of knowledge in promoting child safety and health in everyday situations.
Question 3 of 5
In teaching parents about appropriate pacifier selection, the nurse should recommend which characteristic?
Correct Answer: A
Rationale: In teaching parents about appropriate pacifier selection, recommending an easily grasped handle (Option A) is crucial for several reasons. An easily grasped handle allows for safe and secure handling by the baby, reducing the risk of choking or aspiration. It also enables the baby to independently put the pacifier in their mouth, promoting self-soothing and independence. Option B, a detachable shield for cleaning, is not as essential for pacifier selection as hygiene can be maintained through regular cleaning with soap and water. Option C, soft pliable material, is important for comfort but not as critical as the handle for safe use. Option D, a ribbon or string to secure to clothing, poses a significant choking hazard and should never be recommended due to the risk of strangulation. Educationally, this question highlights the importance of promoting safe practices when it comes to infant care items. Nurses play a crucial role in educating parents on selecting appropriate infant products to ensure the safety and well-being of their children. By understanding the rationale behind each option, nurses can effectively guide parents in making informed decisions regarding pacifier selection for their babies.
Question 4 of 5
The parent of an 8.2-kg (18-lb) 9-month-old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put in the car seat is what?
Correct Answer: B
Rationale: The correct answer is B) Rear facing in the back seat. This is the safest way to position an infant in a car seat because rear-facing seats provide better support for the head, neck, and spine in the event of a sudden stop or crash. Infants have relatively large heads and fragile necks, so rear-facing seats distribute the force of a crash more evenly, reducing the risk of injury. Option A) Front facing in the back seat is incorrect because forward-facing seats are not recommended for infants under 2 years old due to their underdeveloped neck muscles. Option C) Front facing in the front seat with an airbag on the passenger side is dangerous because airbags can cause serious injury or death to a child due to their force upon deployment. Option D) Rear facing in the front seat if an airbag is on the passenger side is also incorrect as placing a child in the front seat exposes them to the highest risk of injury in the event of a crash. Educationally, it's crucial for nurses to educate parents on proper car seat installation to ensure the safety of their infants. Understanding the rationale behind rear-facing seats and the risks associated with other options empowers parents to make informed decisions to protect their children in vehicles.
Question 5 of 5
At an 8-month-old well-baby visit, the parent tells the nurse that her infant falls asleep at night during the last bottle feeding but wakes up when moved to the infant's crib. What is the most appropriate response for the nurse to make?
Correct Answer: D
Rationale: The correct response for the nurse in this scenario is option D - "You could increase daytime feeding intervals to every 4 hours and put your baby in the crib while the baby is still awake." This response is appropriate because it promotes healthy sleep habits for infants by encouraging the baby to learn how to self-soothe and fall asleep independently. By placing the baby in the crib while still awake, the infant can develop the ability to settle themselves to sleep without needing external soothing techniques. Option A is incorrect because putting the baby to sleep 1 hour earlier without the nighttime feeding may disrupt the baby's feeding schedule and does not address the issue of the baby waking up when moved to the crib. Option B suggesting adding rice cereal to the bottle is inappropriate and not recommended for infants under 4-6 months of age as it can increase the risk of choking and does not address the underlying sleep issue. Option C is not the best choice as it does not provide a solution to the baby's sleep problem and merely suggests involving the partner in the feeding routine. Increasing daytime feeding intervals, as suggested in option D, helps ensure the baby is adequately fed during the day, which can promote longer stretches of sleep at night. This approach aligns with evidence-based practice in infant sleep hygiene and fosters a healthy sleep routine for the infant.