ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
Which statement by the parents indicates the need for further education with regard to pacifier use?
Correct Answer: D
Rationale: The correct answer is D) "We will keep track of the pacifier by tying it to a string around the baby's neck." This statement indicates a safety hazard as tying a pacifier to a string around the baby's neck poses a risk of strangulation or choking. It is important to educate parents on safe sleep practices and the potential dangers of using strings or cords near infants. Option A) "We will discard the pacifier if it becomes torn" is a safe practice as torn pacifiers can pose a choking hazard, and replacing them is essential. Option B) "We will replace the pacifier every 1 to 2 months" is a good practice to prevent the pacifier from becoming a breeding ground for bacteria and to ensure the baby has a clean and safe pacifier. Option C) "We will be sure to cleanse the pacifier frequently" is also a good practice as maintaining cleanliness helps prevent infections and ensures the baby's health. In an educational context, it is crucial to emphasize safe practices regarding pacifier use, including regular replacement, proper cleaning, and avoiding any potential choking hazards like strings or cords. Educating parents on these practices can help ensure the safety and well-being of their infants.
Question 2 of 5
A mother conveys concern over the fact that she is not certain if her newborn is receiving enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What information can you provide that will help alleviate her fears regarding nutrient status for her newborn?
Correct Answer: A
Rationale: The correct answer is A because monitoring the infant's output, specifically the number of wet diapers changed in a 24-hour period, is a good indicator that the baby is receiving sufficient intake from breastfeeding. This can help alleviate the mother's fears about her newborn's nutrient status. It is important to provide practical and reassuring information to support the mother in her breastfeeding journey.
Question 3 of 5
post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n)
Correct Answer: D
Rationale: The correct answer is D because glucose is necessary to produce heat, the infant who is also hypoglycemic will not be able to produce enough body heat. A hematocrit level of 58% is within the expected range for newborns. WBC count may be as high as 30,000 cells/mm3. RBC count ranges from 3.9 to 5.5 million/mcL.
Question 4 of 5
The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of
Correct Answer: A
Rationale: Persistent pulmonary hypertension is a common complication associated with meconium aspiration syndrome. It can lead to hypoxemia and acidosis, making it crucial for the nurse to monitor for this complication in infants with meconium aspiration syndrome. The other options do not directly correlate with meconium aspiration syndrome and its complications.
Question 5 of 5
Which is the BEST indication for rigid bronchoscopy?
Correct Answer: B
Rationale: In pediatric respiratory distress, the BEST indication for rigid bronchoscopy is option B) extracting foreign bodies. This is because rigid bronchoscopy is the preferred method for removing foreign bodies from the airway in children due to its larger working channel, better visualization, and ability to manage complications effectively. Foreign body aspiration can lead to life-threatening airway obstruction, making prompt removal crucial. Option A) persistent wheeze is not a primary indication for rigid bronchoscopy. Wheezing can be caused by various respiratory conditions that may not require bronchoscopy for diagnosis or treatment. Option C) atelectasis can sometimes be managed conservatively or with other interventions before considering bronchoscopy. Option D) persistent bronchitis or bronchiolitis typically do not necessitate rigid bronchoscopy unless there is a specific indication, such as suspected airway obstruction or other complications. Educationally, understanding the appropriate indications for rigid bronchoscopy in pediatric patients is crucial for nurses caring for children with respiratory distress. It is essential to recognize when this intervention is warranted to ensure timely and effective management of potentially life-threatening situations like foreign body aspiration. Nurses must be knowledgeable about the different respiratory conditions and their respective management strategies to provide optimal care to pediatric patients.