ATI RN
ATI Pediatrics Final Exam Questions
Extract:
Newborn who is 30 min old. Newborn placed on the birth parent's abdomen immediately following birth. Mouth and nose suctioned with bulb syringe. Dried and stimulated. Strong cry noted. Moving all extremities. Flexed tone noted. Acrocyanosis present. Newborn is alert and active. Respirations rapid and shallow with occasional expiratory grunting, Fine crackles auscultated throughout lung fields. Small amount of green-stained vernix present in skin folds. Fingernails stained green. Molding of skull and generalized soft occipital swelling noted. Vital Signs: Axillary temperature 36.9° C (98.4° F), Heart rate 170/min, Respiratory rate 72/min, Birth weight 4,025 gm (8 lb 14 oz) (Appropriate for Gestational Age), Axillary temperature 36.7° C (97.8° F), Heart rate 162/min, Respiratory rate 80/min
Question 1 of 5
After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk?
Correct Answer: A
Rationale: MAS typically occurs when a baby experiences stress before or during birth, leading them to pass stool (meconium) into the amniotic fluid. The baby may then inhale this mixture into their lungs, obstructing airways and causing breathing problems.
Extract:
Preterm newborn who is in an incubator
Question 2 of 5
A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment. The father of the newborn asks the nurse why this is necessary. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Preterm newborns have immature physiological mechanisms to regulate their body temperature effectively.
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 3 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 client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry
Question 4 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: B
Rationale: Asking the client if she has considered harming her newborn is important in further assessments to establish the mothers as it is a common feature of postpartum depression.
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.