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ATI PEDIATRICS FINAL EXAM
Total Questions : 68
Showing 10 questions, Sign in for moreA nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
- A nurse is caring for a newborn who is 30 min old.
Nurses' Notes
1030:
Newborn placed on the birth parent's abdomen immediately following birth. Mouth and nose suctioned with bulb syringe. Dried and stimulated. Strong cry noted. Moving all extremities. Flexed tone noted. Acrocyanosis present.
1100:
Newborn is alert and active. Respirations rapid and shallow with occasional expiratory grunting, Fine crackles auscultated throughout lung fields. Small amount of green-stained vernix present in skin folds. Fingernails stained green. Molding of skull and generalized soft occipital swelling noted. Vital Signs
1030:
Axillary temperature 36.9° C (98.4° F)
Heart rate 170/min Respiratory rate 72/min
1100:
Birth weight 4,025 gm (8 lb 14 oz) (Appropriate for Gestational Age) Axillary temperature 36.7° C (97.8° F)
Heart rate 162/min Respiratory rate 80/min
After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk? The condition that poses the
greatest risk to the newborn is meconium aspiration syndrome due to color of amniotic fluid.
Condition meconium aspiration syndrome meconium ileus
cold stress hypoglycemia jaundice Finding color of amniotic fluid birth weight acrocyanosis gestational age
Apgar scores
Explanation
MAS typically occurs when a baby experiences stress before or during birth, leading them to pass stool (meconium) into the amniotic fluid. The baby may then inhale this mixture into their lungs, obstructing airways and causing breathing problems. Common symptoms of MAS include difficulty breathing (grunting, rapid breathing, or flaring nostrils), bluish skin color (cyanosis), low heart rate, and limpness.
A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling "down" and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?
A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn's plan of care?
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?
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