ATI RN
ATI Pediatrics Final Exam Questions
Extract:
Newborn who is 4 hr old. Large ecchymotic caput succedaneum noted on occiput with molding of the skull. Anterior fontanel level and soft. Newborn's respirations are shallow and irregular. Newborn's skin color is consistent with their genetic background. Acrocyanosis noted. The newborn is active and moves all extremities except for left arm. Left arm remains at side during Moro reflex
Question 1 of 5
The newborn most likely has as evidenced by
Correct Answer: A
Rationale: The lack of movement in the left arm during the Moro reflex suggests a possible clavicle fracture, which can occur during birth, especially with difficult deliveries.
Extract:
A client in labor who has had epidural anesthesia for pain relief
Question 2 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common complication of epidural anesthesia due to vasodilation.
Extract:
Newborn who has just delivered and the nurse notes secretions bubbling out of the newborn's nose and mouth
Question 3 of 5
A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Suctioning the mouth with a bulb syringe is the priority to clear the airway and ensure adequate oxygenation.
Extract:
An adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection
Question 4 of 5
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This response acknowledges the client's feelings and opens up the opportunity for further discussion.
Extract:
Gravida 4 Para 3, 33 weeks of gestation, Allergies: Sulfa, Height 165 cm (66 in), Weight 82 kg (180 lb), BMI 30.6, 3.2 kg (7 lb) weight gain over the last 2 weeks
Question 5 of 5
Select the assessment findings the nurse should report to the provider.
Correct Answer: C,D,E
Rationale: Significant weight gain, blood pressure, and fetal heart rate are critical to report due to potential preeclampsia or other complications.