ATI LPN
PN ATI Capstone Maternal Newborn
1. A newborn demonstrates respiratory distress, and routine suctioning with the bulb syringe is unsuccessful. What is the next nursing intervention?
- A. Initiate chest compressions
- B. Administer oxygen
- C. Suction with a mechanical device
- D. Notify the healthcare provider
Correct answer: C
Rationale: When routine suctioning with a bulb syringe is unsuccessful in a newborn demonstrating respiratory distress, the next appropriate nursing intervention is to suction with a mechanical device. This method ensures effective removal of any airway obstruction. Initiating chest compressions (Choice A) is not indicated in this scenario as the primary concern is airway clearance. Administering oxygen (Choice B) may be necessary, but addressing the airway obstruction should take precedence. Notifying the healthcare provider (Choice D) can be considered after attempting mechanical suction if the newborn's condition does not improve.
2. Which of the following is the most prominent feature of public health nursing?
- A. Providing home care to sick people who are not confined in the hospital
- B. Providing free services to people within the catchment area
- C. Functioning as part of a team to provide a public health nursing service
- D. Focusing on preventive, not curative services
Correct answer: D
Rationale: The most prominent feature of public health nursing is its focus on preventive services rather than curative ones. Public health nursing aims to prevent diseases and promote health within the community by implementing interventions that target the population as a whole. This focus distinguishes public health nursing from other types of nursing that primarily provide curative care to individuals. Preventive services play a significant role in improving the overall health outcomes of communities and reducing the burden of disease.
3. The healthcare provider is assessing a client with Raynaud's phenomenon. Which finding should the healthcare provider expect?
- A. Thickened and hardened skin.
- B. Painless ulcers on the fingertips.
- C. Episodes of cyanosis and pallor in the fingers.
- D. Red, scaly patches on the hands.
Correct answer: C
Rationale: Raynaud's phenomenon is characterized by vasospasm, leading to episodes of cyanosis (bluish discoloration) and pallor (pale color) in the fingers or toes, often triggered by cold temperatures or stress. This occurs due to the reduced blood flow during vasospastic episodes, causing the discoloration. Choices A, B, and D are incorrect findings associated with other conditions and are not typical of Raynaud's phenomenon.
4. A healthcare provider is reviewing the medical records of a group of older adults (OA). The provider should identify that which of the following is a risk factor that places OA at an increased risk for developing infections?
- A. Improved circulation
- B. Increased immune function
- C. Lowered immune system function
- D. Dehydration
Correct answer: C
Rationale: The correct answer is C: 'Lowered immune system function.' As individuals age, their immune system tends to weaken, making them more susceptible to infections. Choices A, B, and D are incorrect because improved circulation and increased immune function would typically reduce the risk of infections, while dehydration can impact overall health but is not directly related to immune system function in the context of infection risk.
5. It has been generally accepted that the percentage of total daily calories supplied by fats should be no more than:
- A. 10% to 15%.
- B. 10% to 35%.
- C. 20% to 35%.
- D. 40% to 55%.
Correct answer: C
Rationale: The recommended fat intake is between 20% to 35% of total daily calories. This range is considered optimal for maintaining a healthy diet. Choice A (10% to 15%) is too low and might not provide enough essential fats for the body. Choice B (10% to 35%) includes an upper limit that exceeds the generally accepted range. Choice D (40% to 55%) suggests a fat intake that is higher than what is recommended, which could lead to health issues if consumed regularly.
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