ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is at 30 weeks of gestation and is in preterm labor
Question 1 of 5
A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse should provide which of the following explanations?
Correct Answer: C
Rationale: Betamethasone is a corticosteroid used in the prepartum period to promote fetal lung maturity.
Extract:
A client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina
Question 2 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Inserting a gloved hand to relieve pressure on the cord prevents compression and compromised blood flow to the fetus.
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:
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 4 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.
Extract:
Newborn who is 72 hr old. Neonatal Abstinence Scoring System (NAS) score 20
Question 5 of 5
A nurse is caring for a newborn who is 72 hr old. The nurse is planning to contact the provider regarding the newborn's status. Which of the following prescriptions should the nurse anticipate?
Correct Answer: A,C,D,E
Rationale: Swaddling, continuing NAS scoring, encouraging breastfeeding, and administering oral morphine are appropriate interventions for managing neonatal abstinence syndrome (NAS) based on the high NAS score of 20.