ATI OB-PEDS NURSING EXAM STUDYGUIDE,PRACTICE EXAM
QUESTIONS ON KEY TOPICS ( PREGNANCY, CHILDBIRTH,
PEDIATRICS, AND CHILD DEVELOPMENT)
The nurse is preparing to assess a toddler during a routine health maintenance visit.
Which assessment will the nurse perform to determine the child's growth
milestone? - ANSWER: height and weight
The pediatric nurse is aware that chronic illness can affect which of the following for
a child? - ANSWER: physical development
psychosocial development
cognitive development.
The nursing instructor is teaching a class on the nutritional needs of the pregnant
client. The instructor determines the session is successful when the students
correctly choose which supplement as being known to prevent up to 70% of CNS
birth defects? - ANSWER: folic acid
A client in labor received an opioid close to the time of birth. At the time of the birth,
the nurse will assess for which effect? - ANSWER: respiratory depression in the
newborn.
Which condition is the most common cause of anemia in pregnancy? - ANSWER:
iron-deficiency anemia
The parent of a toddler observes the child play next to another child but not with the
child. What should the nurse explain to the parent about this type of play behavior? -
ANSWER: This is parallel play and is expected.
A mother tells the nurse that her toddler does not want to go to bed at night and
keeps getting back up when she is put to bed. What recommendations would the
nurse make to this mother to foster sleep in the toddler? - ANSWER: Read the child
a book in bed and take time to calm the child down before turning out the lights.
What statement by the mother of a preschooler indicates the need for further
education by the nurse? - ANSWER: "If food falls on the floor, my child should pick
it up quickly and wipe it off before eating it."
The nurse is working with a 12-year-old who is hospitalized with a chronic illness.
Which action by the nurse might help the chronically ill preteen thrive while
hospitalized? - ANSWER: Encourage the client to wear his or her own clothes, talk
to friends on the phone, and interact with other clients who have similar illnesses.
The nurse removed a client's indwelling urinary catheter 24 hours after the cesarean
birth. Four hours later, the client has not yet voided. The client reports 6/10
, incisional pain and no urge to void. The nurse can palpate a full bladder. What
action(s) will the nurse take? Select all that apply. - ANSWER: Provide analgesic for
incisional pain.
Run water while the client attempts to void.
A primigravida is 1 cm dilated, in early latent labor, and interested in avoiding
epidural anesthesia. After asking about which nonpharmacologic options for pain
relief she can use at this time, which option(s) should the nurse point out to the
client? Select all that apply. - ANSWER: Simple breathing exercises
Effleurage
Walking and then using a birthing ball
The nurse is planning care for a family whose 3-year-old child is in the final stages of
dying. Which outcome demonstrates that the interventions have been successful?
Select all that apply. - ANSWER: The parents identify coping measures that are
helping.
The family prepares a scrapbook with favorite photos.
The child remains free of pain during the end stage of life.
The parents identify a support group for their family.
The mother of a 4-year-old is concerned her child is not eating well. In addressing
the concerns of this mother, which foods should the nurse point out are high in
protein? Select all that apply. - ANSWER: 1. cheese and crackers
2.whole grain granola with yogurt
3. turkey sandwich
A postpartum woman is concerned about constipation following delivery. What
factor(s) contribute to this problem? Select all that apply. - ANSWER: 1. Perineal
pain
2. Hemorrhoidal discomfort
3. Iron supplements
A 6-year-old has been administered a hypnotic before going to surgery. The child
remains kicking and screaming. The nurse is considering whether restraints should
be used in this situation. Which guidelines should the nurse follow in this instance?
Select all that apply. - ANSWER: 1. Use the least amount of restraint necessary.
2. Obtain a primary care provider's prescription for restraint.
3. Explain to the parents the need to restrain their child.
A school-aged child is in isolation at the hospital and her family members ask what
they can do to help the child feel less lonely. What would the nurse suggest to this
family? Select all that apply. - ANSWER: 1. Have the child's classmates send cards to
the child.
2. Have parents bring the child's electronic game system.
3. Draw a smile on the nurse's mask before entering the room.
QUESTIONS ON KEY TOPICS ( PREGNANCY, CHILDBIRTH,
PEDIATRICS, AND CHILD DEVELOPMENT)
The nurse is preparing to assess a toddler during a routine health maintenance visit.
Which assessment will the nurse perform to determine the child's growth
milestone? - ANSWER: height and weight
The pediatric nurse is aware that chronic illness can affect which of the following for
a child? - ANSWER: physical development
psychosocial development
cognitive development.
The nursing instructor is teaching a class on the nutritional needs of the pregnant
client. The instructor determines the session is successful when the students
correctly choose which supplement as being known to prevent up to 70% of CNS
birth defects? - ANSWER: folic acid
A client in labor received an opioid close to the time of birth. At the time of the birth,
the nurse will assess for which effect? - ANSWER: respiratory depression in the
newborn.
Which condition is the most common cause of anemia in pregnancy? - ANSWER:
iron-deficiency anemia
The parent of a toddler observes the child play next to another child but not with the
child. What should the nurse explain to the parent about this type of play behavior? -
ANSWER: This is parallel play and is expected.
A mother tells the nurse that her toddler does not want to go to bed at night and
keeps getting back up when she is put to bed. What recommendations would the
nurse make to this mother to foster sleep in the toddler? - ANSWER: Read the child
a book in bed and take time to calm the child down before turning out the lights.
What statement by the mother of a preschooler indicates the need for further
education by the nurse? - ANSWER: "If food falls on the floor, my child should pick
it up quickly and wipe it off before eating it."
The nurse is working with a 12-year-old who is hospitalized with a chronic illness.
Which action by the nurse might help the chronically ill preteen thrive while
hospitalized? - ANSWER: Encourage the client to wear his or her own clothes, talk
to friends on the phone, and interact with other clients who have similar illnesses.
The nurse removed a client's indwelling urinary catheter 24 hours after the cesarean
birth. Four hours later, the client has not yet voided. The client reports 6/10
, incisional pain and no urge to void. The nurse can palpate a full bladder. What
action(s) will the nurse take? Select all that apply. - ANSWER: Provide analgesic for
incisional pain.
Run water while the client attempts to void.
A primigravida is 1 cm dilated, in early latent labor, and interested in avoiding
epidural anesthesia. After asking about which nonpharmacologic options for pain
relief she can use at this time, which option(s) should the nurse point out to the
client? Select all that apply. - ANSWER: Simple breathing exercises
Effleurage
Walking and then using a birthing ball
The nurse is planning care for a family whose 3-year-old child is in the final stages of
dying. Which outcome demonstrates that the interventions have been successful?
Select all that apply. - ANSWER: The parents identify coping measures that are
helping.
The family prepares a scrapbook with favorite photos.
The child remains free of pain during the end stage of life.
The parents identify a support group for their family.
The mother of a 4-year-old is concerned her child is not eating well. In addressing
the concerns of this mother, which foods should the nurse point out are high in
protein? Select all that apply. - ANSWER: 1. cheese and crackers
2.whole grain granola with yogurt
3. turkey sandwich
A postpartum woman is concerned about constipation following delivery. What
factor(s) contribute to this problem? Select all that apply. - ANSWER: 1. Perineal
pain
2. Hemorrhoidal discomfort
3. Iron supplements
A 6-year-old has been administered a hypnotic before going to surgery. The child
remains kicking and screaming. The nurse is considering whether restraints should
be used in this situation. Which guidelines should the nurse follow in this instance?
Select all that apply. - ANSWER: 1. Use the least amount of restraint necessary.
2. Obtain a primary care provider's prescription for restraint.
3. Explain to the parents the need to restrain their child.
A school-aged child is in isolation at the hospital and her family members ask what
they can do to help the child feel less lonely. What would the nurse suggest to this
family? Select all that apply. - ANSWER: 1. Have the child's classmates send cards to
the child.
2. Have parents bring the child's electronic game system.
3. Draw a smile on the nurse's mask before entering the room.
