ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
when a female carrier of hemophilia marries a male who is free of the disease, the risk to their off spring for each pregnancy is what:
Correct Answer: B
Rationale: Hemophilia is an X-linked recessive genetic disorder, meaning it is carried on the X chromosome. Females have two X chromosomes, while males have one X and one Y chromosome. In this scenario, the female carrier has one X chromosome with the hemophilia gene and one normal X chromosome. When she has children, she has a 50% chance of passing on the X chromosome with the hemophilia gene to her sons. Therefore, half the male children will inherit hemophilia, while half will not. Daughters, on the other hand, have a 50% chance of inheriting the X chromosome with the hemophilia gene but since it is a recessive disorder, they will be carriers of hemophilia rather than having the disease itself.
Question 2 of 5
The nurse should expect the apical heart rate of a stabilized newborn to be in which range?
Correct Answer: B
Rationale: A stabilized newborn generally has an apical heart rate in the range of 80 to 100 beats per minute. This range is considered normal for a healthy newborn. It is important for the nurse to monitor the newborn's heart rate closely to ensure that it remains within this expected range. Any significant deviation from this range may indicate an underlying health issue that needs to be addressed promptly. Monitoring heart rate is a critical aspect of newborn care, especially in the immediate postnatal period.
Question 3 of 5
A newborn is being discharged at age 48 hours. The parents ask how the newborn should be bathed this first week home. How should the nurse recommend to bathe the newborn?
Correct Answer: C
Rationale: It is recommended to bathe a newborn only a few times during the first week with plain water to avoid drying out the baby's delicate skin. Newborns do not need to be bathed daily, as excessive bathing can strip their skin of natural oils and lead to dryness or irritation. Plain water is gentle and sufficient for cleaning a newborn's skin without causing any harm. After the first week, parents can gradually introduce mild soap if needed for cleaning, but it is still not necessary to bathe the baby daily.
Question 4 of 5
The nurse is conducting a staff in-service on appearance of childhood skin conditions. Lymphangitis ("streaking") is frequently seen in which condition?
Correct Answer: A
Rationale: Lymphangitis, characterized by "streaking" of red lines extending from the site of infection, is frequently seen in cellulitis. Cellulitis is a bacterial skin infection that affects the deeper layers of the skin and subcutaneous tissues. The red streaking in lymphangitis indicates an infection and inflammation of the lymphatic vessels, which are responsible for removing waste and fluids from the tissues. In cellulitis, bacteria enter the skin through a crack or break, leading to infection, inflammation, and the characteristic presentation of lymphangitis. This condition requires prompt medical attention and treatment with antibiotics to prevent further complications.
Question 5 of 5
A nurse is assessing a child and notes Koplik spots. In which of these communicable diseases are Koplik spots present?
Correct Answer: B
Rationale: Koplik spots are small white spots with a bluish-white center on the buccal mucosa (inside the cheeks). They are a characteristic finding in measles (rubeola) and are considered an early sign of the disease. Measles is a highly contagious viral infection that primarily affects children. In addition to Koplik spots, other symptoms of measles include fever, cough, runny nose, and a characteristic rash that typically starts on the face and spreads to the rest of the body. Vaccination is an effective way to prevent measles and its complications.