ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
Which is most important in the immediate care of the newborn?
Correct Answer: A
Rationale: Maintaining a patent airway is the most critical aspect in the immediate care of a newborn. An open airway is essential for the newborn to breathe effectively and receive adequate oxygen. Any obstruction in the airway can lead to respiratory distress and compromise the baby's oxygenation. Therefore, ensuring the airway is clear and the newborn can breathe properly is the top priority in providing immediate care. While other choices are important aspects of newborn care, ensuring a patent airway takes precedence in order to support the newborn's respiratory function and overall well-being.
Question 2 of 5
Acyclovir (Zovirax) is given to children with chickenpox to:
Correct Answer: B
Rationale: Acyclovir (Zovirax) is an antiviral medication commonly used to treat infections caused by the herpes virus, including chickenpox. When given to children with chickenpox, acyclovir helps decrease the number of lesions present on the skin by slowing down the replication of the virus. This not only helps alleviate the discomfort associated with the rash but also reduces the risk of potential complications and accelerates the healing process. While acyclovir does not completely eliminate the virus from the body, it can help control the symptoms and prevent severe manifestations.
Question 3 of 5
A nurse is preparing to administer an oral iron supplement to a hospitalized infant. Which should not be given simultaneously with the iron supplement?
Correct Answer: A
Rationale: Milk should not be given simultaneously with an oral iron supplement because calcium in milk can interfere with the absorption of iron. Calcium competes with iron for absorption in the digestive tract, thereby reducing the absorption of iron when both are taken together. It is advisable to wait at least 1-2 hours after giving the iron supplement before offering milk to ensure optimal absorption of iron. This is a common practice to improve iron absorption and prevent any potential decrease in the effectiveness of the iron supplement.
Question 4 of 5
A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a sudden infant death syndrome incident? (Select all that apply.)
Correct Answer: B
Rationale: In discussing sudden infant death syndrome (SIDS) risk factors with parents of infants, it is crucial to provide accurate and detailed information to promote understanding and awareness. Low Apgar scores are a significant risk factor for SIDS as they indicate potential complications during birth that may impact the infant's overall health and resilience. Infants with low Apgar scores may have underlying health issues that make them more vulnerable to SIDS incidents. Breastfeeding, on the other hand, is not a risk factor for SIDS; in fact, breastfeeding is associated with a reduced risk of SIDS due to the protective factors present in breast milk. Therefore, it is important to encourage and support breastfeeding in infants. Similarly, being male does not increase the risk of SIDS. While the exact causes of SIDS are not fully understood, sex is not considered a significant risk factor. Birth weight in the 50th or higher percentile is also not a known risk factor for SIDS. SIDS can occur in infants of varying birth weights, and percentile ranking alone does not determine the likelihood of SIDS. Educationally, it is important for the nurse to provide evidence-based information to parents to empower them in making informed decisions regarding their infant's care and safety. By addressing misconceptions and clarifying risk factors, the nurse can help parents reduce anxiety and take proactive steps to create a safe sleep environment for their infants.
Question 5 of 5
A healthy, stable, preterm newborn will soon be discharged. The nurse should recommend which position for sleep?
Correct Answer: B
Rationale: The nurse should recommend placing the healthy, stable, preterm newborn in the supine position for sleep. This is the current recommendation to reduce the risk of sudden infant death syndrome (SIDS) per the American Academy of Pediatrics. Placing the infant on their back to sleep helps ensure an open airway and reduces the risk of suffocation or SIDS. It is important to adhere to safe sleep practices to promote the infant's well-being and reduce the risk of sleep-related incidents.