ATI Nursing Care of Children

ATI Nursing Care of Children Related

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A thorough systemic physical assessment is necessary in the extremely low-birth-weight (ELBW) infant to detect what?

  • A. Weight gain reflective of fluid retention
  • B. Difficulties in maternal-child attachment
  • C. Subtle changes that may be indicative of an underlying problem
  • D. Changes in Apgar score over the first 24 hours of life
Correct Answer: C

Rationale: In extremely low-birth-weight (ELBW) infants, a thorough systemic physical assessment is crucial to detect subtle changes that may indicate an underlying problem. These infants are highly vulnerable and may show signs of stress through changes in feeding behavior, activity, color, oxygen saturation, or vital signs. Monitoring weight in ELBW infants primarily reflects genitourinary function rather than fluid retention. Difficulties in maternal-child attachment are important but are usually assessed during parental visits and are not the primary focus of a systemic physical assessment. Changes in the Apgar score are used immediately after birth to assess the transition to extrauterine life and are not as relevant in the following 24 hours to detect ongoing subtle issues.

You may also like to solve these questions

The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as abnormal?

  • A. Pedals tricycle without assistance
  • B. Unscrews a bolt on a toy
  • C. Falls when bending over to touch toes
  • D. Builds a tower of 10 cubes
Correct Answer: C

Rationale: The correct answer is C. Falling when bending over to touch toes could indicate a developmental delay or a balance issue that may need further assessment. Choices A, B, and D are typical developmental milestones for a 3-year-old child. Pedaling a tricycle without assistance, unscrewing a bolt on a toy, and building a tower of 10 cubes are all age-appropriate activities for a child of this age.

All of the following statements are true regarding the value of play except:

  • A. Play helps preschoolers develop moral values
  • B. Play helps develop muscle coordination, uses energy, and develops self-confidence
  • C. Play is the work of children
  • D. Play is not an effective way for the nurse to establish rapport with the child
Correct Answer: D

Rationale: Play is an effective way to establish rapport with children as it helps build trust, communication, and a positive relationship. Choices A, B, and C are true statements about the value of play: A) Play helps preschoolers develop moral values by promoting social skills, cooperation, and empathy. B) Play aids in developing muscle coordination, utilizing energy, and fostering self-confidence through physical activities. C) 'Play is the work of children' emphasizes the importance of play in a child's development, learning, and creativity. Therefore, D is the correct answer as it incorrectly suggests that play is not an effective way for the nurse to establish rapport with the child.

With the National Center for Health Statistics criteria, which body mass index (BMI)-for-age percentiles should indicate the patient is at risk for being overweight?

  • A. 10th percentile
  • B. 75th percentile
  • C. 85th percentile
  • D. 95th percentile
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first?

  • A. Introduce him- or herself
  • B. Make the family comfortable
  • C. Give assurance of privacy
  • D. Explain the purpose of the interview
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which is the single most important factor to consider when communicating with children?

  • A. Presence of the child's parent
  • B. Child's physical condition
  • C. Child's developmental level
  • D. Child's nonverbal behaviors
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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