Which data should alert the nurse that the neonate

ATI LPN

ATI LPN Test Bank

Which data should alert the nurse that the neonate is premature?

A. Presence of large amounts of vernix caseosa B. Weight of 7 lbs C. Full flexion of extremities D. Thick lanugo hair

Correct Answer: A

Rationale: Large amounts of vernix caseosa A suggest prematurity, per document 9.

An essential nursing action for a small child with severe diarrhea and vomiting is to

A. Check weight daily B. Encourage oral fluids intake C. Keep body temperature below 38°C D. Replace lost calories

Correct Answer: A

Rationale: Checking weight daily A assesses fluid loss severity, per document .

An 18-month-old with a severe asthma attack on prednisolone 15 mg b.i.d. requires the nurse to

A. Check eosinophil count daily B. Ensure maximum rest C. Keep child NPO except meds D. Prevent infection exposure

Correct Answer: D

Rationale: Preventing infection D is key due to steroid immunosuppression, per document 2.

A mother of a 6-month-old asks what foods to introduce first. The answer is

A. Cereal and soft-boiled egg B. Milled rice, cereal, mashed fruits C. Meat, fish, then fruits D. Sweets like fruits and vegetables

Correct Answer: B

Rationale: Milled rice, cereal, mashed fruits B are appropriate first foods, per document p9, 8.

Physiological jaundice usually occurs how long after birth?

A. 24 hours B. 48 hours C. 72 hours D. 1 week

Correct Answer: B

Rationale: 48 hours B is typical for physiologic jaundice, per document p13, 4.

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