ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 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.
Question 2 of 5
Which is the most common cause of anemia in preterm newborns?
Correct Answer: A
Rationale: The most common cause of anemia in preterm newborns is frequent blood sampling. Preterm infants are often subject to numerous blood tests for various reasons such as monitoring oxygen and blood gas levels, assessing bilirubin levels, infection screening, and more. These repeated blood withdrawals lead to a loss of red blood cells and can contribute to the development of anemia in preterm infants. Anemia in preterm newborns can have significant consequences, including impaired growth and development, delayed hospital discharge, and the potential need for blood transfusions. Therefore, minimizing unnecessary blood sampling and utilizing non-invasive monitoring methods whenever possible are key strategies in preventing and managing anemia in preterm newborns.
Question 3 of 5
A nurse is assessing a preterm newborn. Which assessment findings are consistent with prematurity? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?
Correct Answer: A
Rationale: The best way to determine whether an adolescent girl is sexually active is to ask her directly, "Are you sexually active?" This question is concise, clear, and non-judgmental, allowing the girl to provide a straightforward answer. It is important to create a safe and open environment for discussing sexual health, and using direct language helps ensure accurate communication. Asking about specific partners (options B and C) may lead to confusion or misinterpretation, and involving the parent (option D) without the girl's consent may violate her privacy and autonomy. Therefore, direct communication with the adolescent herself is the most appropriate approach to gather information about her sexual activity.
Question 5 of 5
Parents of a newborn are concerned because the infant's eyes often "look crossed" when the infant is looking at an object. The nurse's response is that this is normal based on the knowledge that binocularity is normally present by what age?
Correct Answer: C
Rationale: Binocularity refers to the ability of both eyes to focus on the same object and create a single, three-dimensional image. In infants, binocularity typically develops between the ages of 6 to 8 months. Prior to this age, it is common for infants to show occasional misalignment or "crossed" eyes when focusing on an object. This is usually a normal part of the visual development process and tends to resolve as binocular vision strengthens with age. Therefore, it is considered normal for newborns to show occasional crossed eyes until binocularity develops around 6 to 8 months of age.