ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is breastfeeding about managing breast engorgement
Question 1 of 5
A home health nurse is teaching a client who is breastfeeding about managing breast engorgement. Which of the following client statements indicates understanding of the teaching?
Correct Answer: C
Rationale: Allowing the baby to drain one breast at each feeding helps ensure effective milk removal, which can alleviate breast engorgement.
Extract:
A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios
Question 2 of 5
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Correct Answer: A
Rationale: Polyhydramnios refers to an excessive accumulation of amniotic fluid, which can occur for various reasons, including fetal anomalies, maternal diabetes, fetal anemia, or idiopathic causes.
Extract:
Newborn who has spinal bifida
Question 3 of 5
A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The newborn should be placed in prone position to prevent pressure to the lesion which may lead to damage to the contents of the sac.
Extract:
Newborn 8 hours of age. Newborn is alert and active. Oral mucosa pink. Respirations easy and unlabored. Extremities flexed. Good muscle tone. Breastfed vigorously x 2 for 30 to 40 min. Fontanel level and soft. Large ecchymotic caput succedaneum noted on posterior scalp. No stool or void noted since birth. 36 hours of age: Newborn is sleeping in their birth parent's arms. Awakens with stimulation, yellow discoloration noted of sclera and oral mucosa. Lung sounds clear bilaterally. Nasal flaring present. Fontanel level and soft with large ecchymotic caput succedaneum noted. Blood-tinged mucus noted at the vaginal opening. Has voided and stooled one time since birth. Uric acid crystals observed in urine. Breastfed x 1 in the past 6 hr for 10 min
Question 4 of 5
Which of the following assessment findings require follow-up by the nurse?
Correct Answer: A,C,E,F,G
Rationale: Low temperature, elevated respiratory rate, nasal flaring, blood-tinged mucus, uric acid crystals, and infrequent breastfeeding require follow-up for potential hypothermia, respiratory distress, trauma, dehydration, or sepsis.
Extract:
Gravida 4 Para 3, 33 weeks of gestation, Allergies: Sulfa, Height 165 cm (66 in), Weight 82 kg (180 lb), BMI 30.6, 3.2 kg (7 lb) weight gain over the last 2 weeks
Question 5 of 5
Select the assessment findings the nurse should report to the provider.
Correct Answer: C,D,E
Rationale: Significant weight gain, blood pressure, and fetal heart rate are critical to report due to potential preeclampsia or other complications.