ATI RN
ATI Pediatrics Final Exam Questions
Extract:
Newborn's parent
Question 1 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Giving a sponge bath until the cord stump falls off prevents infection and promotes drying of the cord.
Extract:
Newborn who has spinal bifida
Question 2 of 5
A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The newborn should be placed in prone position to prevent pressure to the lesion which may lead to damage to the contents of the sac.
Extract:
Newborn who is small for gestational age (SGA)
Question 3 of 5
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
Correct Answer: D
Rationale: Small for gestational age (SG
A) newborns are at risk of hypoglycemia due to decreased glycogen stores and limited fat reserves.
Therefore, monitoring blood glucose levels is essential to detect and promptly intervene in case of hypoglycemia.
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 4 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:
A term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome
Question 5 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.