you should assist with the delivery of the babys head by

ATI LPN

ATI Pediatrics Proctored Test

1. How should you assist with the delivery of the baby's head?

A. Grasping each side of the baby's head and gently pulling to facilitate delivery.
B. Placing your fingers on the bony part of the skull and applying gentle pressure.
C. Carefully rotating the baby's head to face up during delivery.
D. Placing the palm of your hand firmly against the back of the baby's skull.

Correct answer: B

Rationale: To assist with the delivery of the baby's head, the correct technique involves placing your fingers on the bony part of the skull and applying gentle pressure. This method helps guide the baby's head through the birth canal safely and effectively. Choices A, C, and D are incorrect. Grasping and pulling the baby's head, rotating the head, or placing the palm of your hand against the back of the baby's skull can potentially cause harm or complications during delivery.

2. Which of the following statements regarding 2-rescuer child CPR is correct?

A. The chest should be compressed with one hand, and a compression-to-ventilation ratio of 30:2 should be used.
B. The chest should not be allowed to fully recoil in between compressions.
C. A compression-to-ventilation ratio of 15:2 should be used if an advanced airway is in place.
D. Compress the chest with one or two hands to a depth equal to one-third the diameter of the chest.

Correct answer: D

Rationale: During 2-rescuer child CPR, it is important to compress the chest with one or two hands to a depth equal to one-third the diameter of the chest. This technique ensures effective chest compressions are being delivered to help circulate blood and oxygenate the child's body. Choice A is incorrect because both hands should be used for chest compressions in 2-rescuer CPR. Choice B is incorrect as allowing the chest to fully recoil between compressions is essential to create negative pressure and facilitate blood flow back to the heart. Choice C is incorrect as the standard compression-to-ventilation ratio for child CPR is 30:2, regardless of whether an advanced airway is in place.

3. A 3-year-old female presents with respiratory distress. She is conscious, crying, and clinging to her mother. She has mild intercostal retractions and an oxygen saturation of 93%. The MOST effective way of delivering oxygen to her involves:

A. gently restraining her and assisting with ventilations.
B. ventilations with a flow-restricted, oxygen-powered device.
C. a non-rebreathing mask with the flow rate set at 6 to 8 L/min.
D. asking the mother to hold an oxygen mask near her face.

Correct answer: C

Rationale: In a pediatric patient with respiratory distress, a non-rebreathing mask with a flow rate set at 6 to 8 L/min is the most effective way to deliver oxygen. This method ensures a high concentration of oxygen is delivered to the child, aiding in improving oxygen saturation levels. In this scenario, the mother can assist in holding the mask to maintain comfort and cooperation in the child while ensuring proper oxygen delivery.

4. Which of the following injuries is MOST indicative of child abuse?

A. Multiple bruises to the shins
B. Burned hand with splash marks
C. Small laceration to the chin
D. Bruising to the upper back

Correct answer: D

Rationale: Bruising to the upper back is more suspicious for child abuse compared to the other listed injuries. In young children, injuries like bruises to the upper back are less likely to be accidental and may raise concerns about physical abuse. The upper back is an area less prone to accidental injuries during play or falls. Multiple bruises to the shins are common in active children. A burned hand with splash marks may suggest accidental burns. A small laceration to the chin is also a common injury from falls in children. Therefore, the bruising on the upper back is more concerning for possible child abuse.

5. One of the signs of CHF is shortness of breath. What is the term for shortness of breath when lying down?

A. Platypnea
B. Orthopnea
C. Apnea
D. Epistaxis

Correct answer: B

Rationale: Orthopnea is the specific term used to describe shortness of breath when lying down. This condition is commonly seen in patients with congestive heart failure (CHF) due to the redistribution of fluid in the body when changing positions. Platypnea refers to shortness of breath that worsens when sitting or standing, apnea is the cessation of breathing, and epistaxis is the medical term for a nosebleed. Therefore, the correct answer is B (Orthopnea).