ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The parents of a newborn plan to have him circumcised. They ask the nurse about pain associated with this procedure. What knowledge should the nurse's response be based on?
Correct Answer: B
Rationale: The response should be based on the fact that newborns do not experience pain with circumcision. This is because newborns do not have a fully developed neurological system to perceive pain in the same way that adults do. Studies have shown that the pain response in newborns is limited, and they are able to quickly recover from minor procedures like circumcision without experiencing long-lasting pain. Therefore, the nurse should inform the parents that newborns do not experience pain with circumcision. This is important for providing accurate information and alleviating the concerns of the parents.
Question 2 of 5
Which is the causative agent of scarlet fever?
Correct Answer: D
Rationale: Scarlet fever is caused by Group Aß-hemolytic streptococci (GABHS), particularly Streptococcus pyogenes. This bacteria produces erythrogenic exotoxins that cause the characteristic rash seen in scarlet fever. These toxins also contribute to the other symptoms associated with scarlet fever, such as high fever, sore throat, and a red, bumpy tongue (strawberry tongue). Therefore, the correct causative agent of scarlet fever is Group Aß-hemolytic streptococci (GABHS).
Question 3 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 4 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 5 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.