ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus
Question 1 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lochia rubra with small clots and a firm, midline fundus are normal postpartum findings, requiring only documentation and continued monitoring.
Extract:
An adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection
Question 2 of 5
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This response acknowledges the client's feelings and opens up the opportunity for further discussion.
Extract:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome
Question 3 of 5
A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?
Correct Answer: A
Rationale: Elevated blood glucose levels in mothers with type 2 diabetes leads to increased levels of insulin in the blood. Hyperinsulinemia inhibits fetal lung maturation.
Extract:
A client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella
Question 4 of 5
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?
Correct Answer: B
Rationale: Rubella immunization is recommended before pregnancy to prevent congenital rubella syndrome, as live vaccines are not given during pregnancy.
Extract:
An 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow
Question 5 of 5
A nurse is admitting an 8-hour old, term newborn following a cesarean birth. The nurse observes that the newborn's skin is yellow. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: Jaundice within 24 hours of birth is pathological and may indicate maternal/newborn blood group incompatibility.