ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
An antenatal client at 32 weeks' gestation with premature rupture of membranes
Question 1 of 5
An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?
Correct Answer: B
Rationale: The correct answer is B: Administer parental antibiotics. This is the priority nursing intervention because premature rupture of membranes (PROM) puts the client at risk for infection. Administering parental antibiotics helps prevent infection and potential complications for both the client and the baby. Assessing cervical dilation may not be indicated if the client is not in active labor. Providing emotional support is important but not the priority in this situation. Preparing for delivery would be premature without further assessment or signs of labor.
Extract:
A client who is 36 weeks' gestation
Question 2 of 5
The nurse identifies the following assessment findings in a client who is 36 weeks' gestation. Which should be immediately reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure 144/94 mm/Hg in left arm. This finding indicates hypertension in pregnancy, which can be a sign of preeclampsia, a serious complication. High blood pressure can lead to maternal and fetal complications, requiring immediate intervention.
Choice B, Positive rubella serum antibody titer, is not urgent and indicates immunity to rubella.
Choice C, Copious leukorrhea, is common in pregnancy and not a cause for immediate concern.
Choice D, O negative blood type, is important for blood compatibility but does not require immediate reporting. Reporting the high blood pressure finding is critical to prevent harm to the mother and baby.
Extract:
A newborn's parent
Question 3 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: B
Rationale: The correct answer is B, giving a sponge bath until the cord stump falls off. This is because keeping the cord stump dry and clean helps prevent infection. Applying petroleum jelly (choice
A) can trap moisture and bacteria, causing infection. Washing the cord daily with soap and water (choice
C) can also introduce bacteria and delay healing. Covering the cord with a diaper (choice
D) can keep it moist, leading to infection.
Therefore, the best practice is to keep the cord dry by giving a sponge bath until it falls off.
Extract:
A postpartum client with saturated perineal pad
Question 4 of 5
When caring for a postpartum client the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority question to ask the client?
Correct Answer: A
Rationale: The correct answer is A: When was the last time you changed your pad? This is the priority question because it helps assess the client's current bleeding status. If the pad is saturated with bright red blood, it indicates active bleeding, which could be a sign of postpartum hemorrhage. Asking when the pad was last changed helps determine the rate of bleeding and if it is excessive.
Choice B (Do you have to go to the bathroom?) is not the priority question as it does not directly address the issue of bleeding.
Choice C (Are you having any cramping?) is important but not the priority as it does not provide immediate information about the bleeding status.
Choice D (Have you passed any clots?) is also relevant but not as urgent as knowing the current bleeding rate.
Extract:
A client with obstetric history: 2010 spontaneous abortion, 2015 NSVD, 2018 NSVD, 2020 C-section twins (1 died), 2024 pregnant with twins
Question 5 of 5
A nursing student is asked to calculate the GTPAL for a client presenting to the OB clinic for a prenatal visit. Which of the following GTPAL calculations correctly reflects the client's obstetric history?
Correct Answer: A
Rationale: The correct answer is A: G5 T1 P2 A1 L4. GTPAL stands for Gravida, Term, Preterm, Abortions, Living children. In this case, the client has been pregnant 5 times (G5), had 1 full-term delivery (T1), 2 preterm deliveries (P2), 1 abortion/miscarriage (A1), and has 4 living children (L4). This calculation accurately reflects the client's obstetric history.
Choices B, C, and D have incorrect numbers for the term, preterm, and living children categories, making them incorrect.