ATI Capstone Nursing Care of Children / Maternal Newborn Exam; All Correct & Verified

ATI Capstone Nursing Care of Children / Maternal Newborn Exam; All Correct & Verified

ATI Capstone Nursing Care of
Children / Maternal Newborn
Exam
A nurse is collecting data from an adolescent who is postoperative and is
receiving morphine for pain. Which of the following findings is the nurse’s
priority?

1. Respiratory rate 10/min
2. Bladder distention
3. BP 108/64 mm Hg
4. Nausea and vomiting
   Correct Answer:
   1
   A nurse is contributing to the plan of care for a client 48 hr following
   cesarean birth. Which of the following nonpharmacologic interventions
   should the nurse include to reduce pain from intestinal gas?
5. Provide the client with a carbonated beverage
6. Encourage the client to lie on their right side.
7. Encourage the client to ambulate.
8. Provide the client with straws for beverages.
   Correct Answer:
   3

A nurse is planning to collect data on the pain level of a 3-year-old child.
Which of the following pain rating scales should the nurse plan to use?

1. Visual analog scale
2. FACES
3. Word-graphic
4. Numeric
   Correct Answer:
   2
   A nurse is assisting with the care of a client who is receiving epidural
   anesthesia for pain management during labor. Which of the following actions
   should the nurse take?
5. Remind the client to void every 4 hr.
6. Encourage the client to alternate from side to side every 2 hr.
7. Raise the four side rails on the client’s bed.
8. Monitor the client’s blood pressure.
   Correct Answer:
   4
   A nurse is assisting with the care of a client who is at 36 weeks of gestation
   and experienced premature rupture of membranes. Which of the following
   actions should the nurse take?
9. Administer glucocorticoids
10. Monitor the client’s temperature.
11. Give calcium gluconate.
12. Prepare the client for an amniocentesis.
    Correct Answer:
    2

A nurse is preparing to administer immunizations to a 4-year-old child who is
up to date on current immunizations. Which of the following immunizations
should the nurse plan to administer?

1. Rotavirus
2. Hepatitis B (Hep B)
3. Varicella
4. Haemophilus influenza (Hib)
   Correct Answer:
   3
   A nurse is caring for a client who is in labor and tested positive for group B
   streptococcus -hemolytic. Which of the following actions should the nurse
   take?
5. Reinforce to the client that they should not breastfeed after delivery.
6. Maintain contact precautions for the client.
7. Obtain a pharyngeal culture from the client.
8. Reinforce to the client that they will receive IV antibiotic prophylaxis.
   Correct Answer:
   4
   A nurse is collecting data from a school-age child who has a newly diagnosed
   brain tumor. Which of following findings should the nurse expect?
9. Insomnia
10. Negative Babinski sign
11. Increased appetite
12. Incoordination
    Correct Answer:
    4