ATI RN
Growth and Development Exam
1. Regarding a baby’s adaptation to labor and delivery, stress hormones __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 21 Test Bank for Berk, Development Through the Lifespan, 7e
- A. endanger the newborn
- B. arouse the infant into alertness
- C. cause the cervix to thin and the uterine wall to contract
- D. cause the mother to breathe deeply, increasing the infant’s oxygen supply Answer: B Page Ref: 94 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate
Correct answer: B
Rationale: Stress hormones during labor and delivery actually help arouse the infant into alertness. These hormones can promote the infant's readiness to adapt to the new environment outside the womb.
2. A client with a new tracheostomy is being seen in the oncology clinic. What finding by the nurse best indicates that goals for the nursing diagnosis Impaired Self-Esteem are being met?
- A. The client demonstrates a good understanding of stoma care.
- B. The client has joined a book club that meets at the library.
- C. Family members take turns assisting with stoma care.
- D. Skin around the stoma is intact without signs of infection.
Correct answer: B
Rationale: The client joining a book club that meets outside the home and requires him or her to go out in public is the best indicator that goals for Impaired Self-Esteem are being met. This social activity indicates an improvement in self-confidence and willingness to engage with others, which are essential aspects of self-esteem. The other choices, while positive, do not directly address self-esteem concerns related to social interaction and confidence.
3. A client who is 14 weeks of gestation reports swelling of the face. What should the nurse do next?
- A. Administer an analgesic.
- B. Report this finding to the provider immediately.
- C. Administer an antiemetic.
- D. Monitor the client's vital signs.
Correct answer: B
Rationale: The correct answer is to report this finding to the provider immediately. Swelling of the face in pregnancy can be a sign of preeclampsia, a serious condition characterized by high blood pressure and signs of damage to another organ system, often the kidneys. Prompt reporting and intervention are crucial to prevent complications for both the client and the fetus. Administering an analgesic (choice A) is not appropriate for this situation as it does not address the underlying cause of the swelling. Administering an antiemetic (choice C) is used to treat nausea and vomiting, which are not the primary concerns associated with facial swelling in this scenario. Monitoring the client's vital signs (choice D) is important but should be done after reporting the finding to the provider to guide further assessment and management.
4. A client is receiving discharge instructions for a new prescription of Prednisone. Which of the following dietary instructions should be included?
- A. Increase your intake of potassium-rich foods.
- B. Increase your intake of dairy products.
- C. Avoid foods high in vitamin K.
- D. Decrease your intake of protein.
Correct answer: A
Rationale: When a client is prescribed Prednisone, there is a risk of potassium depletion due to the medication. Therefore, it is essential to increase the intake of potassium-rich foods such as bananas, oranges, and spinach to help maintain adequate potassium levels in the body and prevent complications associated with low potassium levels. Choice B and D are incorrect as there is no specific need to increase dairy products or decrease protein intake with Prednisone. Choice C is also incorrect as avoiding foods high in vitamin K is more relevant for clients taking anticoagulants like warfarin.
5. The nurse is caring for an infant after a cleft lip repair. Which of these measures should be included in the plan of care?
- A. Position prone
- B. Provide fluids from a cup
- C. Position supine
- D. Avoid elbow restraints
Correct answer: C
Rationale: The correct measure that should be included in the plan of care for an infant after a cleft lip repair is to position the infant supine. Placing the infant in a supine position helps protect the surgical site from injury and promotes proper healing. Choice A, 'Position prone,' is incorrect as placing the infant prone can put pressure on the surgical site and hinder healing. Choice B, 'Provide fluids from a cup,' is not directly related to the surgical care of a cleft lip repair. Choice D, 'Avoid elbow restraints,' is not specific to the postoperative care of a cleft lip repair.
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