ATI MATERNAL NEWBORN, CHILD CARE 1 & CHILD CARE 2

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ATI. MATERNAL-NEWBORN 1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow? 2. A nurse monitors fetal well-being by means o... f an external monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is the rationale for this action? 3. Which preoperative nursing interventions should be included for a client who is scheduled to have an emergency cesarean birth? 4. Which nursing instruction should be given to the breastfeeding mother regarding care of the breasts after discharge? 5. A client in preterm labor is admitted to the hospital. Which classification of drugs should the nurse anticipate administering? 6. Which of the following are probable signs, strongly indicating pregnancy? 7. Two hours after delivery the nurse assesses the client and documents that the fundus is soft, boggy, above the level of the umbilicus, and displaced to the right side. The nurse encourages the client to void. Which is the rationale for this nursing action? 8. Which site is preferred for giving an IM injection to a newborn? 9. During the first twelve hours following a normal vaginal delivery, the client voids 2,000 mL of urine. How should the nurse interpret this finding? 10. If a pregnant client diagnosed with gestational diabetes cannot maintain control of her blood sugar by diet alone, which medication will she receive? 11. Which assessment finding indicates that placental separation has occurred during the third stage of labor? 12. The nurse midwife is concerned about a pregnant client who is suspected of having a TORCH infection. Which is the main reason TORCH infections are grouped together? They are: ATI. CHILD CARE 2.0 1 The parents of a 5-month-old infant state that their infant seems to eat very little. Most of the food comes out of the infant's mouth and onto his clothes. Which of the following explanations should the nurse give to the parents? 2 A nurse smells an odor identified as marijuana coming from a room. Which of the following client findings would confirm inhalation of the substance? 3 A nurse is checking children at an orthopedic outpatient setting. Which of the following should the nurse expect to see as manifestations of scoliosis? 4 A nurse is providing client/patient education to the mother of an 8-year-old child diagnosed with B-hemolytic streptococci infection (strep throat). The nurse emphasizes the importance of promptly starting and completing the entire course of antibiotics. The mother asks why this is important. The nurse states that the antibiotic will 5 A nurse is reinforcing teaching about accidental poisoning to a parent during a routine well-child visit. The nurse asks the parent, "What would be your first response if your child accidentally took an overdose of acetaminophen (Tylenol)?" Which of the following statements by the parent would indicate a correct understanding? 6 A nurse is caring for a 23-month-old child with iron-deficiency anemia. The parents indicate they have been taught about the diagnosis, but are concerned that they are not doing all that they need to do. Which of the following should the nurse include when reinforcing teaching? 7 A nurse is reviewing discharge teaching with the parents of a child who has pediculosis. Which of the following should the nurse include in the teaching? 8 A nurse is caring for a toddler who is in an oxygen tent. Which of the following actions should the nurse take in order to promote comfort while maintaining the child's safety? 9 A nurse is reinforcing teaching with the parent of a child with a urinary tract infection. Which of the following statements made by the parent indicates understanding of how to prevent future infections? 10 A nurse is reviewing discharge instructions with the parent of an infant who has acute laryngotracheobronchitis (croup). Which of the following statements made by the parent indicates a need for further teaching? 11 A 15-year-old client visits the clinic to get medical clearance to play a sport. The nurse reviews measures to prevent athlete's foot with the client. Which of the following statements by the client indicates that the instructions were understood? 12 A nurse is collecting data on a 3-year-old child with eczema in an outpatient center. The parent asks whether any changes can be made at home to prevent the recurrence of eczema. Which of the following is an appropriate response by the nurse? 13 A nurse is caring for a 7-year-old child who is admitted with an asthma exacerbation. This is the third admission since diagnosis 6 months ago. Which of the following topics should be reinforced with the parents and child in order to prevent future readmissions? 14 Which of the following physical manifestations of a client with anorexia nervosa best indicates compliance with the treatment plan of care? 15 An assistive personnel (AP) is caring for a child diagnosed with leukemia and undergoing chemotherapy. In which of the following clinical situations should a nurse intervene? ATI.CHILD CARE 1.0 1 A child diagnosed with asthma begins corticosteroid treatments. The nurse explains to the parents that the purpose of corticosteroid treatment is to produce which therapeutic effect? 2 Which is the recommended treatment for moderate to severe lead poisoning? 3 Which treatment is a nursing priority when providing care for an infant diagnosed with bacterial meningitis? 4 The dosage of a pediatric medication is 120mg/kg/day to be give t.i.d. The patient weighs 12 pounds. What is the correct dose for the nurse to administer? 5 In a child diagnosed with Tetralogy of Fallot, which of the following is a compensatory mechanism to decrease venous return to the heart? 6 A 1-year-old receives routine health maintenance care at the pediatric clinic. The child receives an MMR immunization. The mother asks the nurse, "When will my child get the next dose of MMR vaccine?" Which is the correct response by the nurse? 7 Which is a major difference in the clinical manifestation of adolescents with anorexia nervosa compared to bulimia? 8 Which is the most common factor associated with non-organic failure to thrive? 9 An adolescent recovering from substance abuse is diagnosed with hepatitis B. Which nursing instruction should be included when planning the client's care? 10 Changes in the growth and development of the preschooler are characterized by: 11 A teacher asks the school nurse to assess the behavior of a child with attention deficit-hyperactivity disorder (ADHD). Which situation best facilitates an effective nurse/child interaction? 13 A toddler is admitted to the hospital for treatment of acute gastroenteritis and dehydration. The mother states that she must go home to make arrangements for the care of her other children. To reduce the child's separation anxiety, which nursing intervention is most appropriate? 14 Which technique is most appropriate when assessing the circulation of a child's leg in traction? Incorrect: The movement of the toes is a neurological assessment and does not relate to circulation. 15 Initially, which solid food is generally recommended for an infant's diet? 16 A boy diagnosed with hemophilia falls while roller-blading and injures his knee. The nurse is most likely to assess which physical finding? [Show More]

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