ATI RN
Nursing Care of Children ATI
1. The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby’s formula faster. What should the nurse recommend?
- A. Heat only 8 oz or more.
- B. Do not heat a plastic bottle in a microwave oven.
- C. Leave the bottle top uncovered to allow heat to escape.
- D. Shake the bottle vigorously for at least 30 seconds after heating.
Correct answer: B
Rationale: Heating formula in a plastic bottle in the microwave can cause uneven heating and release harmful chemicals from the plastic.
2. The Denver II is a test used to assess children. What does it evaluate?
- A. Behavior problems
- B. Developmental status
- C. Body mass index
- D. Infection likelihood
Correct answer: B
Rationale: The Denver II Developmental Screening Test is used to assess a child's development in four areas: personal-social, fine motor-adaptive, language, and gross motor skills. It helps identify children who may need further evaluation. Choice A, behavior problems, is incorrect as the Denver II primarily focuses on developmental milestones rather than behavior. Choice C, body mass index, is unrelated to the assessment of child development. Choice D, infection likelihood, is also not evaluated by the Denver II test.
3. The nurse is teaching a group of new nursing graduates about identifiable qualities of strong families that help them function effectively. Which quality should be included in the teaching?
- A. Lack of congruence among family members
- B. Clear set of family values, rules, and beliefs
- C. Adoption of one coping strategy that always promotes positive functioning in dealing with life events
- D. Sense of commitment toward growth of individual family members as opposed to that of the family unit
Correct answer: B
Rationale: Strong families have a clear set of values, rules, and beliefs that guide their interactions and help them function effectively as a unit.
4. At what stage can infants raise their heads and gain control of their trunks before walking due to which directional pattern of development?
- A. Cephalocaudal
- B. Anterior to posterior
- C. Proximodistal
- D. Normal growth curve charts
Correct answer: A
Rationale: The correct answer is A: Cephalocaudal. The cephalocaudal pattern of development means that growth and motor control proceed from the head downward through the body. This explains why infants can raise their heads before they can sit and gain control of their trunks before walking. Choices B, C, and D are incorrect. Anterior to posterior refers to development from the front to the back, while proximodistal refers to development from the center of the body outward. Normal growth curve charts are used to track physical growth over time and are not directly related to the directional pattern of development in infants.
5. In what condition should the nurse be alert for altered fluid requirements in children? (Select all that apply.)
- A. Oliguric renal failure
- B. Increased intracranial pressure
- C. Mechanical ventilation
- D. All above
Correct answer: D
Rationale: Conditions like oliguric renal failure, increased intracranial pressure, and mechanical ventilation significantly alter fluid requirements in children. These conditions either restrict fluid output or require careful fluid management to avoid worsening the condition.
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