ATI PEDIATRICS PROCTORED EXAM 2019 RETAKE GUIDE DOWNLOAD TO SCORE OUTSTANDING GRADE A
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.
8. 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.
9. 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
10. 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
11. The nurse is assessing the oral cavity of a 4-month-old infant. Which finding is consistent with
a child of this age?
No teeth
12. 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
13. 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."
14. 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.
15. 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.
16. 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.
17. 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
18. An infant is breastfed. When assessing the stools,which findings would be typical?
Less constipation than bottle-fed infants
19. Which milestone would the nurse expect an infant to accomplish by 8 months of age?
Sitting without support
20. 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
21. 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
22. 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
23. The father of a 6-week-old infant voices concerns about his son's stooling. He further shares that
his son grunts and cries when having a bowel movement.
What response by the nurse is most appropriate?
"What does his stool look like?"
24. 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)
25. 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.
26. 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.
27. 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
28. 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."
29. 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?"
30. 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."
31. 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
32. The nurse comes into an infant's room on the pediatric floor. The nurse wants to try to feed the
infant for the first time since her surgery. How does the nurse know what infant state the child is in
by what the mother says and that it is okay to try and feed the infant?
"She has been a chatterbox and smiles just like her brother."
33. The nurse pulls the 5-month-old to sitting position from supine and notes head lag. The nurse's
response is to:
refer the infant for developmental and/or neurologic evaluation.
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