Questions 49

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ATI Custom Pediatrics Comprehensive Exam Questions

Extract:

2-day-old neonate weighing 8 pounds at birth, lost one-half pound


Question 1 of 5

The new mother of a 2-day-old neonate who weighed 8 pounds at birth is distressed that the baby has lost one-half pound. The home health nurse's response is one of:

Correct Answer: B

Rationale: A weight loss of up to 10% in the first few days is normal due to fluid loss and feeding adjustments, warranting reassurance.

Extract:

Child with nephrotic syndrome


Question 2 of 5

The nurse anticipates that there will be two classic hematologic characteristics in the blood chemistry of a child with nephrotic syndrome which are: (Select all that apply.)

Correct Answer: A,C,D

Rationale: Anemia, hyperlipidemia, and hypoproteinemia are classic findings in nephrotic syndrome due to protein loss, compensatory lipoprotein synthesis, and reduced erythropoiesis.

Extract:

Newborn with a cleft of the soft palate


Question 3 of 5

Which is the primary goal for a newborn with a cleft of the soft palate?

Correct Answer: B

Rationale: Establishing feeding and sucking is critical to ensure adequate nutrition in newborns with cleft palate, addressing immediate health needs.

Extract:

Child with a fracture of the femur near the epiphyseal plate


Question 4 of 5

A school-aged child with a fracture of the femur near the epiphyseal plate is admitted to the hospital. The parents ask if there will be any after effects when the bone heals. Which physiological characteristic of the femur should the nurse consider when preparing to respond?

Correct Answer: A

Rationale: A fracture near the epiphyseal plate may disrupt the growth plate, potentially affecting leg growth, unlike other listed concerns.

Extract:

Child with Thalassemia major


Question 5 of 5

A long-term complication seen in Thalassemia major is associated to which of the following?

Correct Answer: D

Rationale: Hemochromatosis/hemosiderosis, due to repeated transfusions, is a long-term complication of Thalassemia major, causing iron overload.

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