ATI RN
Respiratory Pediatric Nursing Questions
Question 1 of 5
When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions?
Correct Answer: B
Rationale: In the postoperative care of a child with a cleft palate, positioning is crucial to prevent complications and promote healing. The correct answer is B) Prone position. Placing the child in a prone position helps to prevent trauma or pressure on the surgical site, especially in the case of cleft palate repair where the goal is to promote proper wound healing and prevent tension on the suture line. Option A) Supine position is not ideal because it can put pressure on the surgical site, potentially disrupting the sutures and affecting healing. Option C) In an infant seat may also exert pressure on the surgical area and is not recommended immediately postoperatively. Option D) On the side can also cause undue pressure on the surgical site and is thus not the best position for postoperative care. Educationally, understanding the rationale behind positioning in postoperative care for children with cleft palate is essential for nurses caring for these patients. Proper positioning can prevent complications, reduce discomfort, and promote optimal healing, leading to better outcomes for the child. Nurses must be knowledgeable about these specific care strategies to provide safe and effective care for pediatric patients undergoing cleft palate repair surgery.
Question 2 of 5
After explaining the neonate's cranial molding, which of the following statements by the mother indicates a need for further instruction?
Correct Answer: D
Rationale: In this scenario, option D is the correct answer. The mother's statement about the fontanels being damaged if the molding does not resolve quickly indicates a need for further instruction. This is because cranial molding is a normal process in neonates due to the pressure exerted during birth, and it does not pose a threat to the fontanels. Fontanels are soft spots on a baby's head that allow for brain growth and will not be damaged by cranial molding. Option A is incorrect because cranial molding is not caused by an overriding of cranial bones but rather by the pressure exerted on the baby's head during labor and delivery. Option B is incorrect as the degree of molding is indeed related to the amount of pressure on the head, which is a normal physiological process. Option C is incorrect because while some molding can resolve in a few days, it can take a few weeks for complete resolution in some cases. From an educational perspective, this question highlights the importance of providing accurate and clear information to parents about common neonatal conditions. It emphasizes the role of healthcare providers in educating families to alleviate concerns and promote understanding of normal physiological processes in newborns.
Question 3 of 5
A two-month-old infant is brought to the clinic for the first immunization against DPT. The nurse should administer the vaccine via what route?
Correct Answer: B
Rationale: In pediatric nursing, administering vaccines correctly is crucial for ensuring the child's safety and efficacy of the immunization. In this scenario, the correct route for administering the DPT vaccine to a two-month-old infant is intramuscular (Option B). The rationale behind this is that intramuscular injections are recommended for vaccines like DPT as they are more effective in eliciting the desired immune response. The muscle tissue allows for better absorption of the vaccine compared to subcutaneous or intradermal routes. Option A, oral administration, is not suitable for the DPT vaccine as it is not designed to be given orally. Option C, subcutaneous, is generally not recommended for DPT vaccine in infants due to potential issues with absorption and efficacy. Option D, intradermal, is also not the preferred route for DPT vaccine in infants. Educationally, understanding the rationale behind choosing the correct route of administration for vaccines is essential for pediatric nurses to ensure they provide safe and effective care to their young patients. It also underscores the importance of following evidence-based practices and recommendations from health authorities regarding vaccine administration in pediatric populations.
Question 4 of 5
The mother tells the nurse that she is having problems toilet-training her 2-year-old child. The nurse would tell the mother that the number one reason that toilet training in toddlers fails is because...
Correct Answer: D
Rationale: In the context of pediatric nursing, understanding the developmental readiness of a child for toilet training is crucial. The correct answer, "D) The child is not developmentally ready to be trained," is supported by child development theories and milestones. At around 2 years of age, children may not have the necessary physical, cognitive, and emotional maturity to successfully engage in toilet training. This can lead to frustration, setbacks, and ultimately failure if pushed prematurely. Option A, "Rewards are too limited," is incorrect because while positive reinforcement is important in toilet training, the primary factor is the child's readiness. Option B, "Training equipment is inappropriate," is not the main reason for failure; it may affect comfort but not readiness. Option C, "Parents ignore 'accidents' that occur during training," is also not the primary reason; accidents are common during training and should be handled positively. Educationally, nurses must educate parents about recognizing signs of readiness in their child, such as showing interest, staying dry for longer periods, and following simple instructions. Understanding these aspects can help parents set realistic expectations and approach toilet training with patience and understanding, ultimately leading to more successful outcomes.
Question 5 of 5
The mother tells the nurse that her other child, a 4-year-old boy, has developed some 'strange eating habits', including not finishing meals and eating the same foods for several days in a row. She would like to develop a plan to correct this situation. In developing such a plan, the nurse and mother should consider...
Correct Answer: B
Rationale: The correct answer is B) Allowing him to make some decisions about the foods he eats. In pediatric nursing, it is crucial to consider a child's autonomy and preferences when addressing eating habits. Allowing the child to make some decisions empowers him, promotes a positive relationship with food, and reduces mealtime conflicts. This approach supports the child's development of healthy eating habits in the long term. Option A) Deciding on a good reward for finishing a meal, may encourage the child to eat for the reward rather than internal motivation for nourishment. This can lead to unhealthy eating behaviors and associations with food. Option C) Requiring him to eat the foods served at mealtimes can create a power struggle and negative mealtime environment, potentially exacerbating the child's aversion to certain foods. Option D) Not allowing him to play with friends until he eats all the food served, uses punishment as a motivator for eating, which can lead to further resistance and stress around mealtimes, impacting the child's relationship with food negatively. Educationally, understanding child development, psychology, and nutrition is essential in pediatric nursing to provide holistic care that considers not only physical health but also emotional and psychological well-being. Empowering children to make choices about their food fosters independence and a positive attitude towards nutrition.