ATI RN
Pediatric Respiratory Distress Nursing Interventions Questions
Question 1 of 5
Which clinical finding might indicate development of a DVT (deep vein thrombosis)?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
During the first few minutes after birth, which physiologic change occurs in the newborn as a response to vascular pressure changes in increased oxygen levels?
Correct Answer: D
Rationale: In response to increased oxygen levels, a physiologic change in the newborn is the dilation of pulmonary vessels. This response helps facilitate the transition to breathing air. The other options do not accurately reflect the physiologic change associated with increased oxygen levels in the newborn.
Question 3 of 5
A yellow crust has formed over the circumcision site. The mother calls the hotline at the local hospital 5 days after her son was circumcised. She is very concerned. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: The correct answer is A because crusting is a normal part of healing after circumcision. It is important not to remove the yellow crust, as it is a natural part of the healing process. It is essential to differentiate between normal yellowish exudate and purulent drainage of infection. Discontinuing the use of petroleum jelly is not necessary unless a specific device was used for circumcision. Keeping the diaper loose is important to prevent rubbing or pressure on the incision site.
Question 4 of 5
A glucose level of 40 mg/dL requires an action. The nurse should follow agency policy and health care provider orders regarding feeding infants with low glucose levels. A common practice is to feed the newborn breast milk or formula if the glucose screening reveals a level of 40 to 45 mg/dL or less to prevent further depletion of glucose. Infants with severe hypoglycemia may need intravenous feedings to provide glucose.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
An infant who eats very rapidly may experience problems with swallowing excessive air. What should the mother be instructed to do?
Correct Answer: D
Rationale: It is important to begin feeding the infant before they become too hungry to prevent them from eating rapidly and swallowing excessive air. This will help the infant eat at a slower rate and reduce the risk of problems. Using a nipple with a smaller hole will not address the underlying issue of rapid eating. Placing the infant on the abdomen after feeding is not recommended for safety reasons. Providing water between feedings is unnecessary for infants and can affect their hydration levels.