a nurse provides medication instructions to a first time mother which statement made by the mother indicates a need for further instructions

ATI LPN

Pediatric ATI Proctored Test

1. A nurse provides medication instructions to a first-time mother. Which statement made by the mother indicates a need for further instructions?

A. I should mix the medication in the baby food and give it when I feed the child
B. I should administer the oral medication sitting in an upright position and with the head elevated
C. I will give my child a toy after giving the medication
D. I will offer my child a juice drink after swallowing the medication

Correct answer: A

Rationale: Mixing medication in baby food is not recommended as it can alter the taste and the child may refuse food.

2. Which of the following is NOT a function of hormones?

A. Producing new offspring
B. Promoting growth and beauty
C. Maintaining body temperature
D. Fighting infections

Correct answer: A

Rationale: Hormones play various roles in the body, such as promoting growth and beauty, maintaining body temperature, and fighting infections. However, producing new offspring is not a direct function of hormones. Reproduction is primarily regulated by other factors like the reproductive system. Choice B is incorrect because hormones can indeed influence growth but not specifically 'beauty.' Choice C is incorrect as hormones can help regulate body temperature indirectly. Choice D is incorrect as hormones like cytokines can be involved in the body's immune response to fight infections.

3. What is the term for a condition where there is a failure of the pituitary to produce sufficient growth hormone to sustain normal growth in children, with 80% of cases being idiopathic? It may present with familial patterns, affecting males more than females.

A. Cretinism
B. Growth hormone deficiency
C. Hypothyroidism
D. Precocious puberty

Correct answer: B

Rationale: Growth hormone deficiency refers to a condition where there is inadequate production of growth hormone by the pituitary gland. This results in impaired growth in children. While 80% of cases are of unknown cause (idiopathic), some may have familial patterns. It is more common in males than females. Cretinism is a condition of severe hypothyroidism during infancy, not related to growth hormone. Hypothyroidism is a disorder involving low thyroid hormone levels, and precocious puberty is the early onset of puberty. Therefore, the correct answer is 'Growth hormone deficiency.'

4. What is the purpose of the pediatric assessment triangle?

A. Detect immediate life threats through a quick hands-on assessment.
B. Identify if the child has a medical condition or a traumatic injury.
C. Determine if the child's problem is respiratory or circulatory in nature.
D. Form a general impression of the child without touching them.

Correct answer: D

Rationale: The pediatric assessment triangle is used to form a rapid, hands-off general impression of the child's condition without directly touching them. This visual assessment helps in identifying children who require immediate attention and further evaluation.

5. During the initial assessment of the newborn, which of the following data would be considered normal?

A. Chest circumference 31.5 cm, head circumference 33.5 cm
B. Chest circumference 30 cm, head circumference 29 cm
C. Chest circumference 38 cm, head circumference 31.5 cm
D. Chest circumference 32.5 cm, head circumference 36 cm

Correct answer: A

Rationale: The correct answer is A. During the initial assessment of a newborn, the average head circumference at birth is 32 to 37 cm, while the average chest circumference ranges from 30 to 35 cm. Normally, the head's circumference is about 2 cm greater than the chest circumference at birth. Choice A provides measurements of chest circumference 31.5 cm and head circumference 33.5 cm, both falling within the normal range in terms of actual size and relative size. Choices B, C, and D do not align with the typical measurements seen in a healthy newborn. Choice B has both circumferences below the average range, choice C has the chest circumference above the average, and choice D has the head circumference notably higher than the chest circumference, which is not typical for a newborn.