Questions 68

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ATI Pediatrics Final Exam Questions

Extract:

Newborn who has just delivered and the nurse notes secretions bubbling out of the newborn's nose and mouth


Question 1 of 5

A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth. Which of the following actions is the nurse's priority?

Correct Answer: B

Rationale: Suctioning the mouth with a bulb syringe is the priority to clear the airway and ensure adequate oxygenation.

Extract:

A client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push


Question 2 of 5

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Panting helps the client manage the urge to push and prevents premature pushing, which can cause cervical swelling or injury.

Extract:

Clients in an antepartum unit


Question 3 of 5

A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first?

Correct Answer: A

Rationale: Painless vaginal bleeding in the third trimester could be a sign of placenta previa or placental abruption, both of which are serious conditions requiring immediate medical attention.

Extract:

A client in labor who has had epidural anesthesia for pain relief


Question 4 of 5

A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

Correct Answer: A

Rationale: Hypotension is a common complication of epidural anesthesia due to vasodilation.

Extract:

Newborn who is 4 hr old. Large ecchymotic caput succedaneum noted on occiput with molding of the skull. Anterior fontanel level and soft. Newborn's respirations are shallow and irregular. Newborn's skin color is consistent with their genetic background. Acrocyanosis noted. The newborn is active and moves all extremities except for left arm. Left arm remains at side during Moro reflex


Question 5 of 5

The newborn most likely has as evidenced by

Correct Answer: A

Rationale: The lack of movement in the left arm during the Moro reflex suggests a possible clavicle fracture, which can occur during birth, especially with difficult deliveries.

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