ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations
Question 1 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 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 2 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 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 3 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:
Newborn who is 72 hr old. Neonatal Abstinence Scoring System (NAS) score 20
Question 4 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.
Extract:
A client who is at 30 weeks of gestation and is in preterm labor
Question 5 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.