ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Which statement best represents the first stage of the first period of reactivity in the newborn?
Correct Answer: A
Rationale: The first stage of the first period of reactivity in the newborn begins when the newborn awakes from a deep sleep. This stage is characterized by increased muscle tone, alertness, and interest in the environment. It typically starts about 30 minutes after birth and can last up to 2 hours. During this stage, the newborn may be restless, have an increased heart rate, and show increased vocalization. It is an important time for bonding and initial interactions with the parents, as the newborn is most alert and responsive during this period.
Question 2 of 5
Parents tell the nurse that their child keeps scratching the areas where he has poison ivy. The nurse's response should be based on which knowledge?
Correct Answer: D
Rationale: Scratching the lesions caused by poison ivy may result in them becoming secondarily infected. It is important to advise against scratching the affected areas to prevent the introduction of bacteria from under the fingernails or through broken skin, which can lead to infection. This can complicate the initial skin irritation caused by the poison ivy rash. Encouraging the child to avoid scratching and keeping the affected areas clean can help prevent secondary infections and promote healing.
Question 3 of 5
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
Correct Answer: D
Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.
Question 4 of 5
Which is an appropriate action when an infant becomes apneic?
Correct Answer: D
Rationale: When an infant becomes apneic (stops breathing), the appropriate action is to gently stimulate the trunk by patting or rubbing. This can help stimulate the infant to resume breathing. It is important to avoid any rough handling or shaking as this can cause harm to the infant. Rolling the head side to side or holding the infant by the feet upside down is not recommended in this situation and could potentially be dangerous. Gently stimulating the trunk is a safe and appropriate response to help the infant start breathing again.
Question 5 of 5
Which is a bright red, rubbery nodule with a rough surface and a well-defined margin that may be present at birth?
Correct Answer: D
Rationale: A strawberry hemangioma, also known as an infantile hemangioma, is a bright red, rubbery nodule with a rough surface and a well-defined margin that may be present at birth or appear shortly after. This common type of benign vascular tumor occurs on the skin and typically grows rapidly during the first few months of life before eventually shrinking and disappearing by early childhood. It is composed of an overgrowth of blood vessels and is considered a benign condition that generally does not require treatment unless it interferes with vision, breathing, or other essential functions.