ATI PEDIATRICS PROCTORED EXAM 2019 RETAKE GUIDE

ATI PEDIATRICS PROCTORED EXAM 2019 RETAKE GUIDE 1. What is the correct amount of wet diapers a mature infant should produce each day? An infant should have 6 to 8 wet di apers/day. 2. The nurse goes in to check on a new mother to see how breast -feeding is going with her new son. The nurse observes the infant is on the mother's lap with the blanket unwrapped, and the mother is washing his face, and gently stroking the baby. The mother has trouble breastfeeding the last few times. What is the appropriate r esponse from the nurse? "You are doing a wonderful job at tempting to wake the baby." 3. The nurse is obs erving a 6 -month -old boy for de velopmental progress. For which typical milestone should the nurse look? Puts down a little ball to pick up a stuffed to y 4. The nurse is co mpleting a developmental assess ment on a 6 -month -old infant. Which findings indicate the need for additiona l follow -up? Select all that ap ply. The infant has fre quent episodes of crossed eyes. The infant does not pay attention to noises behind him. The infant seems disinterested in the surrounding environment. 5. The nurse is assessing a 1 -year-old at the well -child annual visit and notes the child is meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 k g) and length was 20 inches (50.8 cm) long, which measurements would the nurse prepare to document for this visit? 24 pounds (10.8kg) and 30 inches (75 cm) 6. Which development al milestone would the nurse ex pect an 11 -month -old infant to have achieved? Sitting indepen dently 7.The nurse is assessing the sleeping practices of the parents of a 4 -month -old girl who wakes repeatedly during the night. Which parent comment might reveal a cause for the night waking? They put her to bed when she falls asleep. 8. The nurse is educating the mother of a newborn about feeding practices. The nurse correctly advises the mother that: the newborn's stomach can hold between one -half and 1 ounce. 9. A mother of a 9 -month -old 18 -pound (8.2 kg) infant asks the nurse about choosing the best car seat. What should the nurse recommend? a rear -facing 5-point harness restraint 10. The nurse is providing helpful feeding tips to the mother of a 2 -week -old boy. Which recommendations will best help the child feed effectively? Mainta in a feed-on-demand approach 11. The nurse is assessing the oral cavity of a 4-month -old infant. Which finding is consistent with a child of this age? No teeth 12. The nurse is making a home visit and observes the 7-month -old pulling the family dog's hai r and ears.Which parenting skill does the nurse determine is most effective? The parent tells the child "no" with a stern voice and pulls the child's hand away from the dog 13. The mother of an infant is confused after being told by her dentist not to let her baby go to bed with a bottle of milk. S he does not agree with that sug gestion. Which response should the nurse prioritize when addressing this situation with the mother? "Bottles given at bedtime can cause erosion of the enamel on the teeth." 14. Th e nurse is educ ating a new parent regarding nu tritional needs for the newborn. Which is accurate and should be taught about the nutritional needs of a newborn? Formula is de signed to provide similar amounts of calories as breast milk would pro vide. 15. The parent of a 3 -month-old infant is concerned be cause the infant does not yet sit by oneself. Which statement best reflects average sitting ability? Most infants do not sit steadily un til 8 months; this infant is normal. 16. The best way for an infant's parent to help the child complete the developmental task of the first year is to: respond to the in fant consistently. 17. Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone? be able to turn over onto the back 18. An infant is breastfed. When assessing the stools,which findings would be typical? Less constipation than bottle -fed in fants 19. Which milestone would the nurse expect an infant to accomplis h by 8 months of age? Sitting without support 20. The nurse is promoting a healthy diet to the mother of a 6 -month -old. What action would have the most effect on the infant's neurologic development? Promoting con tinuation of breast -feeding 21. The nurse is providing client education to the parent about bathing the infant. What would be important to instruct the parent? Bath time provides an opportunity for play 22. The nurse conducting a 6 -month well -baby check -up assesses for the presence/absence of the asymmet ric tonic neck reflex. At this age the reflex: should have dis appeared by 4 months 23. The father of a 6 -week -old infant voices concerns about his son's stooling. He further shares that his son grunts and cries when having a bowel movement. What r esponse by the nurse is most appropriate? "What does his stool look like?" 24. The infant weighs 6 lb 8 oz (2,912 g) at birth. If the infant is following a normal pattern of growth, what would be an expected weight for this child at the age of 4 months? 13 lb (5900 g) 25. A 3 -month -old infant has a Moro reflex. Which state ment is most true of this reflex? Most 3 -month -old infants still have a Moro reflex. 26. The mother of a 1 -month -old infant voices concern about her baby's respirations. She states the y are rapid and irregular. Which information should the nurse provide? The respirations of a 1-month -old in fant are normally irregular and peri odically pause. 27. The student nurse is caring for a 2 1/2 -week -old in the newborn intensive care unit. Which term is most accurate when discussing this client? Newborn 28. During the first visit to the pediatrician's practice the nurse is performing an admission interview and assessment of a 4 -week -old infant. The mother states,"I am sure my baby girl knows my s mell because she is much more settled in my arms rather than my mother's arms when she is upset." What is an appropriate response by the nurse? "You may be right since infants can sense their moth er's smell as early as 7 days old." 29. The parents of an 8-month -old boy voice concern to the nurse that their child is not developing motor skills as he shoul d. What question would be appro priate for the nurse to ask in determining if their fears are warranted? "Does he move a toy back and forth from one hand t o the other when you give it to him?" 30. The student nurse is reviewing the records of a pediatric client. Which statement about the client's progress indicates the need for further instruction? "Maturation refers to the child's in creases in body size." 31. The nurse is reveiwing the diet of an 8 -month -old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula? Iron 32. The nurse comes into an infant's room on t he pedi atric floor. The nurse wants to try to feed the infant for the first time since her surgery. How does the nurse know what infant state the child is in by what the mother says and that it is okay to try and feed the infant? "She has been a chatterbox and smiles just like her brother." 33. The nurse pulls the 5 -month -old to sitting position from supine and notes head lag. The nurse's response is to: refer the infant for developmental and/or neurologic evaluation. 34. A nurse is talking to and making facial expressions at a 9-month -old baby girl during a routine office visit.What is the most advanced milestone of language development that the nurse should expect to see in this child? The infant says "da-da" when looking at her fa ther 35. When performing neurological reflexes on the infant,which primitive reflex will be present longest? Babinski - until 1 year is normal