Questions 57

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ATI Nur209 Pediatrics Final Assessment 2025 Questions

Extract:

An infant post-myelomeningocele repair


Question 1 of 5

An infant has just undergone surgical repair of a myelomeningocele. What is the priority nursing intervention to perform immediately following the procedure?

Correct Answer: D

Rationale: Monitoring head circumference is critical to detect hydrocephalus, a common complication post-myelomeningocele repair, due to cerebrospinal fluid obstruction.

Extract:

A newborn's parent


Question 2 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: A sponge bath keeps the umbilical cord stump dry, preventing infection and promoting detachment. Petroleum jelly, soap, or covering with a diaper increases infection risk.

Extract:

A postpartum client with saturated perineal pad


Question 3 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: Asking when the last pad change occurred helps quantify the rate of bleeding, critical for assessing postpartum hemorrhage.

Extract:

A client who is 36 weeks' gestation


Question 4 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: Hypertension (>140/90 mmHg) at 36 weeks may indicate preeclampsia, requiring immediate reporting. Other findings are normal or non-urgent in pregnancy.

Extract:

A newborn at risk for physiological jaundice


Question 5 of 5

Which assessment finding in a newborn places them at risk for physiological jaundice?

Correct Answer: A

Rationale: Cephalohematoma causes increased RBC breakdown, elevating bilirubin and jaundice risk, unlike acrocyanosis, caput, or Mongolian spots.

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