ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
History and Physical
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
Nurses’ Notes
A male newborn weighing 4337 grams (9 lb 9 oz) was delivered via cesarean section approximately 1 hour ago at 39 weeks gestation due to cephalopelvic disproportion. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Vitamin K was administered in the left vastus lateralis shortly after birth. No known maternal infections or complications were noted during the pregnancy. The mother tested negative for Group B Streptococcus, syphilis, and HIV. The newborn's gestational age assessment is consistent with full-term development.
Question 1 of 5
A nurse is caring for a newborn in the neonatal unit. Complete the diagram by dragging from the choices below to specify what condition the newborn is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the newborn's progress.
| Condition: A. Neonatal Abstinence Syndrome (NAS) B. Hypoglycemia C. Neonatal Sepsis D. Hyperbilirubinemia |
| Actions: A. Administer intravenous dextrose as prescribed. B. Encourage breastfeeding to promote glucose stability. C. Administer phototherapy. D. Administer calcium gluconate. E. Perform gastric lavage for feeding intolerance. |
| Parameters: A. Blood glucose levels. B. Serum bilirubin levels. C. Oxygen saturation. D. Muscle tone and reflexes. E. Serum calcium levels. |
Correct Answer: B,A,D
Rationale: Hypoglycemia fits low glucose. Dextrose and breastfeeding correct it. Glucose levels and tone track recovery.
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