Questions 57

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ATI Nur209 Pediatrics Final Assessment 2025 Questions

Extract:

A newborn at risk for physiological jaundice


Question 1 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.

Extract:

A postpartum client one day after delivery with a soft, spongy fundus


Question 2 of 5

A nurse is assessing the fundus of a postpartum client one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to preform?

Correct Answer: C

Rationale: Massaging the fundus stimulates uterine contractions, addressing a boggy uterus to prevent hemorrhage, and is the first intervention.

Extract:

A newborn 1 minute after delivery with heart rate 120/min, slow weak cry, some flexion, grimace, pink body with blue extremities


Question 3 of 5

A Higienurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate of 120/min; slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn's Apgar score.

Correct Answer: 6

Rationale: Heart rate (2), respiratory effort (1), muscle tone (1), reflex irritability (1), color (1) sum to an Apgar score of 6.

Extract:

Children at risk for abuse


Question 4 of 5

Which of the following factors would the nurse identify as risk factors for abuse in children? (Select All that Apply.)

Correct Answer: A,B,C,F

Rationale: High parental stress, prematurity, a parent's history of abuse, and child developmental disabilities increase abuse risk. Strong support systems and above-average school performance reduce risk.

Extract:

An infant with a tracheoesophageal fistula


Question 5 of 5

The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?

Correct Answer: A

Rationale: Elevating the head reduces the risk of aspiration, the most serious complication of tracheoesophageal fistula, by preventing gastric contents from entering the lungs.

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