ATI Nursing Care of Children

ATI Nursing Care of Children Related

Review ATI Nursing Care of Children related questions and content

The parents of a child with sickle cell anemia ask why their child did not have a sickle cell crisis until he was approximately 6 months old. How should the nurse respond?

  • A. Your child probably had a crisis, and you were unaware of the symptoms.
  • B. Are you sure your child has sickle cell anemia and not sickle cell trait?
  • C. Affected children can be asymptomatic in early infancy because of high levels of fetal hemoglobin that inhibit sickling.
  • D. Have you asked your doctor about this yet?
Correct Answer: C

Rationale: The correct answer is C. Fetal hemoglobin (HbF) is present in high levels during early infancy, inhibiting sickling unlike adult hemoglobin (HbS). As the levels of HbF decrease and HbS increases, the risk of sickling and crises becomes more pronounced, typically after 6 months of age. Choice A is incorrect because it assumes the crisis went unnoticed, which is not supported by medical knowledge. Choice B is incorrect as it questions the child's diagnosis rather than explaining the phenomenon of delayed crises. Choice D is incorrect as it does not provide the parents with the necessary information regarding their query.

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Baby M is 5 months old. You notice that she now has the ability to grasp objects between her fingers and opposing thumb. This is known as:

  • A. Parachute reflex
  • B. Grasp reflex
  • C. Pincer grasp
  • D. Prehension
Correct Answer: C

Rationale: The correct answer is C: Pincer grasp. The pincer grasp is the ability to hold objects between the thumb and another finger, typically developed around 9-12 months. At 5 months, it is early for a pincer grasp to fully develop, but the beginning of this skill can be seen as early as 5 months. Choices A and B are incorrect as the parachute reflex is a protective response to falling and the grasp reflex is an automatic response to touch. Choice D, prehension, is a general term for the act of grasping or holding objects, but it does not specifically refer to holding objects between the thumb and fingers like the pincer grasp does.

Which is the most frequently used test for measuring visual acuity?

  • A. Snellen letter chart
  • B. Ishihara vision test
  • C. Allen picture card test
  • D. Denver eye screening test
Correct Answer: A

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

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is which?

  • A. A normal finding
  • B. A sign of a possible visual defect and a need for vision screening
  • C. An abnormal finding requiring referral to an ophthalmologist
  • D. A sign of small hemorrhages, which usually resolve spontaneously
Correct Answer: A

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

Which data should be included in a health history?

  • A. Review of systems
  • B. Physical assessment
  • C. Growth measurements
  • D. Record of vital signs
Correct Answer: A

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

Which heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?

  • A. S1 and S2
  • B. S3 and S4
  • C. Murmur
  • D. Physiologic splitting
Correct Answer: C

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

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