ATI RN
Pediatric CCRN Practice Questions Questions
Question 1 of 5
Which is an important nursing consideration when caring for a child with herpetic gingivostomatitis (HGS)?
Correct Answer: C
Rationale: An important nursing consideration when caring for a child with herpetic gingivostomatitis (HGS) is to wait to brush teeth until lesions are sufficiently healed. This is because brushing teeth while the lesions are present can be painful and potentially disruptive to the healing process. It is important to ensure that the child is comfortable and that the healing of the lesions is not impeded by brushing too early. This consideration helps promote optimal healing and comfort for the child with this condition.
Question 2 of 5
A mother is upset because her newborn has erythema toxicum neonatorum. What information should the nurse base the response to the mother?
Correct Answer: B
Rationale: Erythema toxicum neonatorum is a common benign and transient rash that affects newborns. It typically appears in the first days of life and presents as red or pink blotches with small white or yellow papules in the center. The rash is not harmful, usually resolves on its own within a few days, and does not require treatment. Educating the mother that erythema toxicum neonatorum is a benign and transient condition can help alleviate her concerns and reassure her that it is a normal occurrence in newborns.
Question 3 of 5
A preterm newborn has been receiving orogastric feedings of breast milk. The nurse initiates nipple feedings, but the newborn tires easily and has weak sucking and swallowing reflexes. What is the most appropriate nursing intervention?
Correct Answer: C
Rationale: The most appropriate nursing intervention in this situation is to resume orogastric feedings of breast milk. The newborn is showing signs of fatigue and weak sucking and swallowing reflexes during nipple feedings, indicating that they may not be ready to tolerate full oral feedings yet. By resuming orogastric feedings of breast milk, the newborn can continue to receive nutrition while building strength and coordination for oral feedings. It is important to progress gradually and monitor the newborn's tolerance for oral feedings before attempting nipple feedings again.
Question 4 of 5
The nurse is caring for a preterm newborn who requires mechanical ventilation for the treatment of respiratory distress syndrome. What is the preterm newborn at increased risk of due to the mechanical ventilation?
Correct Answer: A
Rationale: Preterm newborns who require mechanical ventilation are at increased risk of developing alveolar rupture. The pressure from mechanical ventilation can lead to overdistension of the alveoli, causing damage to their delicate structure. This can result in the rupture of the alveolar walls, leading to a condition known as pulmonary interstitial emphysema. Alveolar rupture can contribute to the development of other complications such as pneumothorax and air leaks, which can further compromise the newborn's respiratory status. Therefore, close monitoring and adjustment of ventilation parameters are crucial in the care of preterm newborns on mechanical ventilation to minimize the risk of alveolar rupture and its associated complications.
Question 5 of 5
The nurse is preparing to care for a newborn receiving phototherapy. Which interventions are appropriate? (Select all that apply.)
Correct Answer: A
Rationale: In caring for a newborn receiving phototherapy, it is crucial to understand the rationale behind the interventions to ensure optimal outcomes for the infant. A) Avoid stimulation is an appropriate intervention because excessive handling or stimulation can increase the breakdown of bilirubin, which is what phototherapy aims to reduce. Minimizing stimulation helps to maximize the effectiveness of the treatment. B) Decreasing fluid intake is not appropriate in this situation. Maintaining adequate hydration is essential to help eliminate bilirubin from the body. Therefore, decreasing fluid intake could hinder the elimination process and potentially worsen the jaundice. C) Exposing all the newborn's skin is not necessary. The areas that need to be exposed to the phototherapy lights are typically the back and buttocks, as these areas have the highest surface area for effective light absorption. Exposing all the skin may lead to unnecessary heat loss and discomfort for the newborn. D) Monitoring skin temperature closely is not directly related to the care of a newborn receiving phototherapy. While monitoring the infant's overall temperature is important, the primary focus in phototherapy is to monitor bilirubin levels and the effectiveness of the treatment. In an educational context, understanding the rationale behind each intervention is vital for nurses caring for newborns receiving phototherapy. This knowledge ensures that appropriate and evidence-based care is provided to optimize the infant's health outcomes. It highlights the importance of individualized care and critical thinking in pediatric pharmacology practices.