ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise
Question 1 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: C
Rationale: Insulin is the preferred medication for gestational diabetes as it is safe and does not cross the placenta.
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 2 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:
Newborn delivered via cesarean birth approximately 1 hour ago. Apgar scores: 8 and 9. Vitamin K administered. Weight: 4337 grams (9 lb 9 oz). Gestational age: 39 weeks. Condition: Large for gestational age. Observations: Newborn noted to be jittery and have decreased muscle tone
Question 3 of 5
Complete the diagram by specifying: 1. The potential condition the newborn is most likely experiencing. 2. Two actions the nurse should take to address that condition. 3. Two parameters the nurse should monitor to assess the newborn's progress.
Correct Answer: A
Rationale: Hypoglycemia is likely due to the newborn's large size and symptoms of jitteriness and decreased muscle tone. Actions include checking capillary blood glucose and placing under a radiant warmer. Parameters to monitor are temperature and seizure activity.
Extract:
A client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations
Question 4 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning the client onto her side can help improve uteroplacental perfusion by relieving pressure on the vena cava and increasing blood flow to the uterus.
Extract:
Gravida 1, Para 1, Spontaneous vaginal birth, 39 weeks of gestation, Breastfeeding
Question 5 of 5
Which of the following statements by the client indicates an understanding of the discharge teaching?
Correct Answer: B,D,F
Rationale: Frequent feeding, expecting yellow stools, and recognizing breast engorgement indicate understanding of discharge teaching.