ATI PEDIATRICS PROCTORED EXAM 2019 RETAKE GUIDE

  1. What is the correct amount of wet diapers a mature infant should produce each day?
    An infant should have 6 to 8 wet diapers/day.
  2. The nurse goes in to check on a new mother to see how breast-feeding is going with her new son.
    The nurse observes the infant is on the mother’s lap with the blanket unwrapped, and the mother is
    washing his face, and gently stroking the baby. The mother has trouble breastfeeding the last few
    times. What is the appropriate response from the nurse?
    “You are doing a wonderful job attempting to wake the baby.”
  3. The nurse is observing a 6-month-old boy for developmental progress. For which typical milestone
    should the nurse look?
    Puts down a little ball to pick up a stuffed toy
  4. The nurse is completing a developmental assessment on a 6-month-old infant. Which findings
    indicate the need for additional follow-up? Select all that apply.
    The infant has frequent episodes of crossed eyes.
    The infant does not pay attention to noises behind him.
    The infant seems disinterested in the surrounding environment.
  5. The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is meeting
    the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was 20 inches
    (50.8 cm) long, which measurements would the nurse prepare to document for this visit?
    24 pounds (10.8kg) and 30 inches (75 cm)
  6. Which developmental milestone would the nurse expect an 11-month-old infant to have achieved?
    Sitting independently
    7.The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes
    repeatedly during the night. Which parent comment might reveal a cause for the night waking?
    They put her to bed when she falls asleep.
  7. The nurse is educating the mother of a newborn about feeding practices. The nurse correctly
    advises the mother that:
    the newborn’s stomach can hold between one-half and 1 ounce.
  8. A mother of a 9-month-old 18-pound (8.2 kg) infant asks the nurse about choosing the best car
    seat. What should the nurse recommend?
    a rear-facing 5-point harness restraint
  9. The nurse is providing helpful feeding tips to the mother of a 2-week-old boy. Which
    recommendations will best help the child feed effectively?
    Maintain a feed-on-demand approach
  10. The nurse is assessing the oral cavity of a 4-month-old infant. Which finding is consistent with
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    a child of this age?
    No teeth
  11. The nurse is making a home visit and observes the 7-month-old pulling the family dog’s hair and
    ears.Which parenting skill does the nurse determine is most effective?
    The parent tells the child “no” with a stern voice and pulls the child’s hand away from the dog
  12. The mother of an infant is confused after being told by her dentist not to let her baby go to bed
    with a bottle of milk. She does not agree with that suggestion. Which response should the nurse
    prioritize when addressing this situation with the mother?
    “Bottles given at bedtime can cause erosion of the enamel on the teeth.”
  13. The nurse is educating a new parent regarding nutritional needs for the newborn. Which is
    accurate and should be taught about the nutritional needs of a newborn?
    Formula is designed to provide similar amounts of calories as breast milk would provide.
  14. The parent of a 3-month-old infant is concerned because the infant does not yet sit by oneself.
    Which statement best reflects average sitting ability?
    Most infants do not sit steadily until 8 months; this infant is normal.
  15. The best way for an infant’s parent to help the child complete the developmental task of the first
    year is to:
    respond to the infant consistently.
  16. Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be
    able to achieve which developmental milestone?
    be able to turn over onto the back
  17. An infant is breastfed. When assessing the stools,which findings would be typical?
    Less constipation than bottle-fed infants
  18. Which milestone would the nurse expect an infant to accomplish by 8 months of age?
    Sitting without support
  19. The nurse is promoting a healthy diet to the mother of a 6-month-old. What action would have
    the most effect on the infant’s neurologic development?
    Promoting continuation of breast-feeding
  20. The nurse is providing client education to the parent about bathing the infant. What would be
    important to instruct the parent?
    Bath time provides an opportunity for play
  21. The nurse conducting a 6-month well-baby check-up assesses for the presence/absence of the
    asymmetric tonic neck reflex. At this age the reflex:
    should have disappeared by 4 months
  22. The father of a 6-week-old infant voices concerns about his son’s stooling. He further shares that
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    his son grunts and cries when having a bowel movement.
    What response by the nurse is most appropriate?
    “What does his stool look like?”
  23. The infant weighs 6 lb 8 oz (2,912 g) at birth. If the infant is following a normal pattern of growth,
    what would be an expected weight for this child at the age of 4 months?
    13 lb (5900 g)
  24. A 3-month-old infant has a Moro reflex. Which statement is most true of this reflex?
    Most 3-month-old infants still have a Moro reflex.
  25. The mother of a 1-month-old infant voices concern about her baby’s respirations. She states they
    are rapid and irregular. Which information should the nurse provide?
    The respirations of a 1-month-old infant are normally irregular and periodically pause.
  26. The student nurse is caring for a 2 1/2-week-old in the newborn intensive care unit. Which term
    is most accurate when discussing this client?
    Newborn
  27. During the first visit to the pediatrician’s practice the nurse is performing an admission interview
    and assessment of a 4-week-old infant. The mother states,”I am sure my baby girl knows my smell
    because she is much more settled in my arms rather than my mother’s arms when she is upset.”
    What is an appropriate response by the nurse?
    “You may be right since infants can sense their mother’s smell as early as 7 days old.”
  28. The parents of an 8-month-old boy voice concern to the nurse that their child is not developing
    motor skills as he should. What question would be appropriate for the nurse to ask in determining if
    their fears are warranted?
    “Does he move a toy back and forth from one hand to the other when you give it to him?”
  29. The student nurse is reviewing the records of a pediatric client. Which statement about the
    client’s progress indicates the need for further instruction?
    “Maturation refers to the child’s increases in body size.”
  30. The nurse is reveiwing the diet of an 8-month-old infant with the mother who reveals she has
    been using evaporated milk to make the formula. Which additional ingredient should the nurse
    ensure she is including in the formula?
    Iron

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