ATI RN
ATI Pediatrics Final Exam Questions
Extract:
Newborn 1 hr following birth. 39-week gestation, Emergency cesarean birth for abruptio placenta and non-reassuring fetal heart rate, Apgar 5 at 1 min 8 at 5 min, Positive pressure ventilation given for 1 min followed by free flow oxygen
Question 1 of 5
Select the 5 findings the nurse should report to the provider.
Correct Answer: A,B,C,D,F
Rationale: Due to the emergency cesarean and initial low Apgar score, monitoring hemoglobin, hematocrit, heart rate, serum glucose, and respiratory assessment is critical.
Extract:
Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10 lb), Family history of type one diabetes mellitus (maternal), Fetal heart tones 140/min via doppler
Question 2 of 5
Which of the following provider prescriptions should the nurse plan to implement?
Correct Answer: A,C,D
Rationale: Limiting carbohydrate intake, prescribing metformin, and conducting non-stress tests are appropriate for managing the risk of gestational diabetes in this high-risk client.
Extract:
A client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy
Question 3 of 5
A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: D
Rationale: Cullen's sign is characterized by superficial edema and bruising around the umbilicus, indicative of intra-abdominal bleeding.
Extract:
A client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not'
Question 4 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: B
Rationale: True labor is characterized by characteristic lower abdominal pain that in frequency and intensity and radiate to the back with progressive changes in the cervix, including effacement and dilation.
Extract:
A client who is at 22 weeks of gestation
Question 5 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks of gestation, the fundal height is typically around the level of the umbilicus or slightly above it.