ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
Which infant is at greater risk to develop cold stress?
Correct Answer: B
Rationale: In pediatric respiratory nursing, understanding the risk factors for cold stress in infants is crucial. The correct answer, option B, a 36-week infant with an Apgar score of 7 to 9, is at greater risk for cold stress. Preterm infants have less subcutaneous fat and limited glycogen stores, making them more vulnerable to temperature instability and cold stress. Option A, a full-term infant delivered vaginally without complications, is less likely to experience cold stress as full-term infants have better developed thermoregulation mechanisms and more subcutaneous fat stores. Option C, a 38-week female infant delivered via cesarean birth because of cephalopelvic disproportion, may face initial challenges with temperature regulation due to the surgical delivery but is not inherently at greater risk for cold stress compared to a preterm infant. Option D, a term infant delivered vaginally with epidural anesthesia, is not necessarily at higher risk for cold stress as the mode of delivery and anesthesia type do not directly impact the infant's risk of temperature instability. Educationally, this question highlights the importance of recognizing the vulnerability of preterm infants to cold stress and the need for vigilant monitoring and intervention to maintain their thermal stability in clinical practice. Understanding these risk factors is essential for pediatric nurses to provide optimal care and promote infant well-being.
Question 2 of 5
The nurse is evaluating a newborn's circumcision 30 minutes after the procedure. The nurse notes excessive bleeding coming from the circumcised area. Which priority intervention should the nurse implement at this time?
Correct Answer: A
Rationale: Excessive bleeding after a circumcision is a serious concern as infants have a small total blood volume. Applying pressure to the site is the correct intervention to stop the bleeding. Continuing to observe could lead to additional blood loss. Tightening the diaper or applying petroleum jelly will not address the bleeding issue effectively.
Question 3 of 5
Which statement is true regarding growth and development during the first 6 months?
Correct Answer: B
Rationale: The statement that the infant will gain about 2 lb per month is true regarding growth and development during the first 6 months. This rate of weight gain is normal and expected for infants. The other statements are incorrect as infants typically grow more than 1 cm in length per month, regain birth weight within 14 days, and have a 2 cm increase in head circumference per month.
Question 4 of 5
During a prenatal education class regarding infant home care, the nurse is reviewing the simulated setting created by new mothers for putting the baby to bed. Which observation indicates to the nurse that the new mothers understood the nurse's teaching about infant safety?
Correct Answer: C
Rationale: The correct answer is C because infants should be positioned on their back for sleep to reduce the risk of sudden infant death syndrome (SIDS). Placing soft items like bumper pads, blankets, and stuffed animals in the crib can pose a suffocation hazard. The supine position is the safest sleeping position for infants, as indicated by the baby mannequin being in that position. The handmade quilt covering the baby mannequin is not safe and could increase the risk of SIDS.
Question 5 of 5
How should the nurse explain milk supply and demand when responding to the question, Will I produce enough milk for my baby as she grows and needs more milk at each feeding?
Correct Answer: D
Rationale: The amount of milk produced depends on the amount of stimulation of the breast. Increased demand with more frequent and longer breastfeeding sessions results in more milk available for the infant. Solids should not be added until about 4 to 6 months, when the infant's immune system is more mature. This will decrease the chance of allergy formations. Mature breast milk will stay the same. The amounts will increase as the infant feeds for longer times. Supplementation will decrease the amount of stimulation of the breast and decrease the milk production.