ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A 4-month-old infant with high head circumference percentile, low weight percentile.
Question 1 of 5
The nurse is caring for a 4-month-old infant in the emergency department. The nurse reviews the infant's medical record and assessment findings. Which of the following conditions should the nurse suspect, and what actions should the nurse take to address that condition, and what parameters should the nurse monitor to assess the infant's progress? The nurse should suspect that the infant has
Correct Answer: C
Rationale: The correct answer is C: hydrocephalus. The nurse should suspect hydrocephalus in a 4-month-old infant due to abnormal head size and rapid head growth.
To address this, the nurse should monitor signs of increased intracranial pressure, such as bulging fontanelle, irritability, and vomiting. The nurse should also monitor the infant's head circumference to assess for worsening hydrocephalus. Hydrocephalus requires prompt medical intervention to relieve pressure on the brain, such as a shunt placement. Failure to thrive (choice
A) is characterized by inadequate weight gain and is not specific to head size. Microcephaly (choice
B) is a condition where the head is smaller than average, not larger. Macrocephaly (choice
D) is an abnormally large head size but is not typically associated with hydrocephalus in a 4-month-old infant.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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