PEDS NURSING CARE OF CHILDREN ATI PROCTORED
NEWEST ACTUAL EXAM COMPLETE 134 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
1. On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal
examination today." What is the nurse's best response? - "Have you ever had an
internal examination done before?"
2. During prenatal classes the nurse teaches the difference between true labor and
false labor. How does the nurse explain the difference? - Cervix effaces and dilates
during true labor.
3. A multipara is admitted to the birthing room in active labor. Her temperature is 98° F
(36.7° C), pulse 70 beats/min, respirations 18 breaths/min, and blood pressure
126/76 mm Hg. A vaginal examination reveals a cervix that is 90% effaced and 7 cm
dilated with the vertex presenting at 2+ station. The client is complaining of pain and
asks for medication. Which medication should be avoided because it may cause
respiratory depression in the newborn? - Meperidine (Demerol)
4. A woman has just received the news that she is pregnant. She is ambivalent about
the pregnancy because she had planned to go back to work when her youngest child
started school next year. What developmental task of pregnancy must the woman
accomplish in the first trimester of pregnancy? - Accept that she is pregnant
5. A nurse understands the stages of parental adjustment that follow the birth of an at-
risk infant who is in the neonatal intensive care unit. To better plan nursing care, the
nurse bases observations and assessments on the recognition that the: - Mother
should be reunited with her infant as soon as possible to enhance adjustment
6. A young sexually active client at the family planning clinic is advised to have a
Papanicolaou (Pap) smear. She has never had a Pap smear before. What should the
nurse include in the explanation of this procedure? - The Pap smear can detect
cancer of the cervix.
,PEDS NURSING CARE OF CHILDREN ATI PROCTORED
NEWEST ACTUAL EXAM COMPLETE 134 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
7. A nurse caring for a client who gave birth to a healthy neonate evaluates the client's
uterine tone 8 hours later. How does the nurse determine that the uterus is
demonstrating appropriate involution? - The amount of lochia rubra is moderate.
8. A client at 39 weeks' gestation arrives in the birthing suite reporting that she is
having regular contractions. A vaginal examination reveals that the presentation is a
double-footling breech. The practitioner decides to proceed to a cesarean birth
under regional anesthesia. What is an important intervention to help prevent
postoperative maternal complications? - Maintaining adequate hydration
9. A nurse is providing nutritional counseling to a low-income pregnant client who has
iron-deficiency anemia. What food should the nurse encourage the client to include
in her diet each day to best address this problem? - ½ cup of red kidney beans
10. What is the nurse's initial action immediately after assisting with a precipitous birth
in the triage area of the emergency department? - Warming the newborn
11. After being transported to the hospital by the ambulance, a pregnant woman is
brought into the emergency department on a stretcher. The nurse notes that the
fetus' head has emerged. How should the nurse assist the mother in the birth of the
fetus' anterior shoulder? - Gently guiding the head downward
12. A woman in active labor arrives at the birthing unit. She tells the nurse that she was
found to have a chlamydial infection the last time she visited the clinic but that she
stopped taking the antibiotic after 3 days because she "felt better." What would the
nurse anticipate as part of the plan of care, in light of this history? - Administration
of antibiotics before delivery
, PEDS NURSING CARE OF CHILDREN ATI PROCTORED
NEWEST ACTUAL EXAM COMPLETE 134 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
13. A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication? - An injury to the brachial plexus during
birth
14. A woman who was discharged recently from the hospital after undergoing a
hysterectomy calls the clinic and states that she has tenderness, redness, and
swelling in her right calf. What should the nurse instruct the client to do? - Call an
ambulance to go to the emergency department.
15. A client whose membranes have ruptured is admitted to the birthing unit. Her cervix
is dilated 3 cm and 50% effaced. The amniotic fluid is clear and the fetal heart rate is
stable. What does the nurse anticipate? - Birth of the fetus within a day
16. The mother of a neonate with Down syndrome visits the clinic 1 week after delivery.
She explains to the nurse that she is having problems feeding her baby. What is the
probable cause of these feeding difficulties? - Tongue thrust
17. A client is admitted to the high-risk prenatal unit with the diagnosis of placenta
previa. What should the nurse instruct the client to do? - Lie on her side to avoid
putting pressure on the vena cava
18. A client has a cesarean birth. What is the most important nursing intervention to
prevent thromboembolism on the client's first postpartum day? - Encouraging
frequent ambulation
19. At a client's first prenatal visit, the healthcare provider performs a pelvic
examination, stating that the client's cervix is bluish purple, which is known as the
Chadwick sign. The client becomes concerned and asks whether something is wrong.
NEWEST ACTUAL EXAM COMPLETE 134 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
1. On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal
examination today." What is the nurse's best response? - "Have you ever had an
internal examination done before?"
2. During prenatal classes the nurse teaches the difference between true labor and
false labor. How does the nurse explain the difference? - Cervix effaces and dilates
during true labor.
3. A multipara is admitted to the birthing room in active labor. Her temperature is 98° F
(36.7° C), pulse 70 beats/min, respirations 18 breaths/min, and blood pressure
126/76 mm Hg. A vaginal examination reveals a cervix that is 90% effaced and 7 cm
dilated with the vertex presenting at 2+ station. The client is complaining of pain and
asks for medication. Which medication should be avoided because it may cause
respiratory depression in the newborn? - Meperidine (Demerol)
4. A woman has just received the news that she is pregnant. She is ambivalent about
the pregnancy because she had planned to go back to work when her youngest child
started school next year. What developmental task of pregnancy must the woman
accomplish in the first trimester of pregnancy? - Accept that she is pregnant
5. A nurse understands the stages of parental adjustment that follow the birth of an at-
risk infant who is in the neonatal intensive care unit. To better plan nursing care, the
nurse bases observations and assessments on the recognition that the: - Mother
should be reunited with her infant as soon as possible to enhance adjustment
6. A young sexually active client at the family planning clinic is advised to have a
Papanicolaou (Pap) smear. She has never had a Pap smear before. What should the
nurse include in the explanation of this procedure? - The Pap smear can detect
cancer of the cervix.
,PEDS NURSING CARE OF CHILDREN ATI PROCTORED
NEWEST ACTUAL EXAM COMPLETE 134 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
7. A nurse caring for a client who gave birth to a healthy neonate evaluates the client's
uterine tone 8 hours later. How does the nurse determine that the uterus is
demonstrating appropriate involution? - The amount of lochia rubra is moderate.
8. A client at 39 weeks' gestation arrives in the birthing suite reporting that she is
having regular contractions. A vaginal examination reveals that the presentation is a
double-footling breech. The practitioner decides to proceed to a cesarean birth
under regional anesthesia. What is an important intervention to help prevent
postoperative maternal complications? - Maintaining adequate hydration
9. A nurse is providing nutritional counseling to a low-income pregnant client who has
iron-deficiency anemia. What food should the nurse encourage the client to include
in her diet each day to best address this problem? - ½ cup of red kidney beans
10. What is the nurse's initial action immediately after assisting with a precipitous birth
in the triage area of the emergency department? - Warming the newborn
11. After being transported to the hospital by the ambulance, a pregnant woman is
brought into the emergency department on a stretcher. The nurse notes that the
fetus' head has emerged. How should the nurse assist the mother in the birth of the
fetus' anterior shoulder? - Gently guiding the head downward
12. A woman in active labor arrives at the birthing unit. She tells the nurse that she was
found to have a chlamydial infection the last time she visited the clinic but that she
stopped taking the antibiotic after 3 days because she "felt better." What would the
nurse anticipate as part of the plan of care, in light of this history? - Administration
of antibiotics before delivery
, PEDS NURSING CARE OF CHILDREN ATI PROCTORED
NEWEST ACTUAL EXAM COMPLETE 134 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
13. A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse
identify as the cause of this complication? - An injury to the brachial plexus during
birth
14. A woman who was discharged recently from the hospital after undergoing a
hysterectomy calls the clinic and states that she has tenderness, redness, and
swelling in her right calf. What should the nurse instruct the client to do? - Call an
ambulance to go to the emergency department.
15. A client whose membranes have ruptured is admitted to the birthing unit. Her cervix
is dilated 3 cm and 50% effaced. The amniotic fluid is clear and the fetal heart rate is
stable. What does the nurse anticipate? - Birth of the fetus within a day
16. The mother of a neonate with Down syndrome visits the clinic 1 week after delivery.
She explains to the nurse that she is having problems feeding her baby. What is the
probable cause of these feeding difficulties? - Tongue thrust
17. A client is admitted to the high-risk prenatal unit with the diagnosis of placenta
previa. What should the nurse instruct the client to do? - Lie on her side to avoid
putting pressure on the vena cava
18. A client has a cesarean birth. What is the most important nursing intervention to
prevent thromboembolism on the client's first postpartum day? - Encouraging
frequent ambulation
19. At a client's first prenatal visit, the healthcare provider performs a pelvic
examination, stating that the client's cervix is bluish purple, which is known as the
Chadwick sign. The client becomes concerned and asks whether something is wrong.
