Advanced Maternity and Pediatric Nursing
Test Questions
Course Introduction
Advanced Maternity and Pediatric Nursing builds upon foundational nursing concepts to equip students with specialized knowledge and skills necessary for the care of women, newborns, children, and their families in complex healthcare settings. The course covers advanced assessment techniques, evidence-based interventions, and the management of high-risk pregnancies and pediatric conditions. Emphasis is placed on collaborative care, ethical considerations, family-centered practice, and culturally competent communication. Students also analyze current research, explore strategies to promote maternal and child health, and address psychosocial needs across developmental stages, preparing them for leadership roles in maternal and pediatric nursing practice.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
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35 Chapters
1810 Verified Questions
1810 Flashcards
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Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A nurse is working in an urban clinic with a diverse population.What action by the nurse is most important?
A)Determine patients' definitions of health and desired outcomes of health care.
B)Explain policies such as appointment cancellations to ensure compliance.
C)Learn to speak one or two common languages of the patients in the clinic.
D)Read about different folk remedies common among the populations seen.
Answer: A
Q2) A patient and family have the nursing diagnosis of impaired verbal communication secondary to a language barrier.What action by the patient/family would best indicate that short-term goals for this diagnosis have been met?
A)Able to communicate long-term desires for health of the patient
B)Demonstrates comprehension by head nodding and saying "yes"
C)States understanding of condition and treatment via an interpreter
D)Understands how nonverbal communication varies between cultures
Answer: C
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Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A nurse is interested in providing tertiary prevention activities.Which of the following activities would this nurse choose to do?
A)Assist with low-cost swimming lessons at the YMCA.
B)Conduct monthly educational seminars at a church.
C)Join the county pandemic outbreak response team.
D)Provide glucose and cholesterol screening at the mall.
Answer: C
Q2) A nurse is caring for a patient near the end of life whose wishes regarding care are not known.The two sons disagreed with the two daughters about future medical plans for the patient during a recent family conference,and now the sons and daughters are not talking to one another.What action by the nurse would be best to help resolve this dilemma?
A)Call the facility's ethics committee and request a formal consultation.
B)Have social work coordinate another family meeting to discuss the issue.
C)Meet with the sons and daughters separately to discuss their wishes.
D)Request that the physician tell the family what is in the patient's best interests.
Answer: A
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Page 4
Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A family with a loud,disobedient child has been working with a nurse.Which action observed by the nurse indicates that goals for the diagnosis of impaired parenting have been met?
A)The father delivers consequence to the child calmly.
B)The father only asks the child twice not to do something.
C)The mother doesn't cry when disciplining her child.
D)The mother states that the child is still testing the limits.
Answer: A
Q2) A nurse is working with a family with the diagnosis of impaired family processes.Although both parties worked,one person worked part time and had the main responsibility for the household.The other spouse retired recently and has not taken on more of this role.Both people are angry and resentful.What goal would be best for this couple?
A)Adapt to role changes positively within 2 months.
B)Divide up household duties between spouses more evenly.
C)Express feelings using "I" statements within 1 month.
D)Learn to discuss anger and other negative emotions.
Answer: C
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Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A woman presents to the family practice clinic complaining of abdominal pain,pain during ovulation,and heavy periods.What action by the nurse is best?
A)Facilitate a vaginal ultrasound.
B)Obtain consent for a laparoscopy.
C)Prepare the woman for a pelvic exam.
D)Provide education on ibuprofen (Motrin).
Q2) A nurse is teaching a 24-year-old male about reproductive health.Which information should the nurse provide this patient about testicular cancer?
A)Annual screening is recommended for testicular cancer.
B)If the epididymis is tender to the touch,that is concerning.
C)Perform a testicular self examination after a warm shower.
D)Because testicular cancer is rare at this age,no action is needed.
Q3) A nurse is reviewing the results of several patients' cholesterol and lipid screenings.For which patient is the action appropriate?
A)HDL cholesterol 66 mg/dL: Evaluate patient for cardiovascular risk.
B)LDL cholesterol 98 mg/dL: Instruct patient to take fish oil 3 gm daily.
C)Total cholesterol 240 mg/dL: Teach heart-healthy lifestyle changes.
D)Triglycerides 132 mg/dL: Refer to dietician for comprehensive diet education.
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Chapter 5: Reproductive Anatomy and Physiology
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) A nurse is teaching a group of middle school students about the functions of the male reproductive tract.Which information should the nurse include?
A)Maturing sperm are stored in the epididymis.
B)Seminal fluid is secreted by the ductus deferens.
C)Spermatogenesis occurs in the bulbourethral glands.
D)The prostate,found only in men,has no known function.
Q2) A nurse is providing anticipatory guidance to a group of elementary school girls and their parents.What information is most accurate?
A)"Around age 10,girls will get interested in shaving their underarms."
B)"By age 12,both boys and girls are at their maximal height."
C)"Moms,you should buy feminine supplies for your daughter before she is 14."
D)"You won't need to worry about bras until at least age 14."
Q3) Oval shaped at the inlet but in the anterior-posterior plane
A)Gynecoid
B)Android
C)Anthropoid
D)Platypelloid
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Page 7
Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The nurse has educated a woman about bromocriptine mesylate (Parlodel).Which statement by the patient indicates that she needs more teaching about this drug?
A)"I may get a metallic taste in my mouth when using this drug."
B)"My endometriosis will regress with this medication."
C)"Some side effects include vomiting,headache,and dizziness."
D)"This medication normalizes follicle-stimulating hormone."
Q2) A woman is in the clinic for a checkup 4 weeks after elective surgical abortion and has the nursing diagnosis of spiritual distress related to discrepancy between religious beliefs and reproductive choices.Which statement by the patient indicates that goals for this diagnosis have been met?
A)"I don't ever want to go through anything like that again."
B)"I found out that my religion doesn't forbid birth control."
C)"I talked to my minister and feel better about my choice."
D)"I will be much more careful about contraception now."
Q3) Prior to a sterilization procedure,which action by the nurse takes priority?
A)Obtaining informed consent from the partner
B)Obtaining pre-approval for Medicaid patients
C)Obtaining pre-approval from the insurer
D)Obtaining the woman's informed consent
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Page 8
Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A pregnant woman is confused about the terms "embryo" and "fetus." How does the nurse explain the difference?
A)"The baby can't be called a fetus until the limbs and organs have formed."
B)"The baby is an embryo until 8 weeks' gestation;then it is called a fetus."
C)"There really isn't any difference between the terms;they are interchangeable."
D)"Your baby is a fetus until the kidneys are matured and he makes urine."
Q2) A male baby is born with undescended testes.After caring for the newborn,what question by the nurse is most important?
A)"Did your other children have this problem?"
B)"Do you have cats and litter boxes at home?"
C)"Have you been exposed to measles?"
D)"How old is the house in which you live?"
Q3) A woman in her 26th week of pregnancy is in preterm labor.What can the nurse conclude about this baby's ability to survive?
A)Cannot survive,as all organ systems are too immature
B)Might survive,as lungs can breathe air with rhythmic breathing
C)Probably will not survive,as all organ systems have not formed
D)Will survive,because all body systems are completely mature
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Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A pregnant woman had several urinary tract infections (UTIs)in her last pregnancy and wants to avoid them during this pregnancy.What advice by the nurse is best? (Select all that apply.)
A)Drink 8 to 10 glasses of water daily.
B)Drink a glass of apple juice daily.
C)Empty the bladder before intercourse.
D)Void every 1 to 2 hours while awake.
E)Void every 2 to 3 hours while awake.
Q2) A woman is in her second trimester of pregnancy.Which behaviors by the woman's family or friends would best indicate to the nurse that they are accepting the unborn child?
A)An older sibling is talking about "my baby brother or sister."
B)Close friends throw a baby shower for the expectant mother.
C)Immediate family members express delight over the pregnancy.
D)The parents state that no matter what the gender,they will love the baby.
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Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) The nurse advocates for smoking cessation during pregnancy and teaches pregnant women about the effects of tobacco exposure.Which of the following are potential harmful effects of prenatal tobacco use that the nurse should plan to include in the teaching? (Select all that apply.)
A)Continued childhood respiratory problems
B)Congenital diabetes
C)Gestational hypertension
D)Preterm labor and birth
E)Small-for-gestational-age infant
Q2) A nurse is counseling a 40-year-old woman about her risks of giving birth to a child with Down syndrome.What information does the nurse provide?
A)The risk doesn't go up until you are over 45.
B)The risk is less than 1 in 1,000.
C)The risk is about 1 in 85.
D)The risk is about 1 in 20.
Q3) A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
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Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A 21-year-old pregnant woman smokes 8 to 10 cigarettes per day.The clinic nurse reviews the patient's diet with her and notes that she does not eat fruits or vegetables.Which action should the nurse recommend to this patient?
A)Cut down on smoking and eventually quit.
B)Eat non-produce sources of vitamin C
C)Take an over-the-counter vitamin C supplement.
D)Try to drink one glass of orange juice daily.
Q2) A woman in the perinatal clinic is upset that her impending childbirth will cause her to lose her job.What assessment question by the nurse would yield the most important information regarding this situation?
A)"After you give birth,you will probably want to quit your job anyway."
B)"Can you make an appointment with human resources to discuss this?"
C)"Where do you work and how long have you been there?"
D)"Why do you think you will be fired after your baby is born?"
Q3) An expectant couple complains of dyspareunia.Which action by the nurse is best?
A)Assess the woman's family history and genetic background.
B)Explain that this condition is a normal finding during pregnancy.
C)Instruct the couple that sex during pregnancy is not advised.
D)Suggest sexual positions that might be more comfortable.
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Page 12
Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A student in a perinatal clinic asks the clinic nurse what an incomplete abortion is.Which response by the nurse is best?
A)Complete loss of all products of conception before 20 weeks' gestation
B)Fetal death before 20 weeks with retention of all products of conception
C)Loss of some,but not all,products of conception before 20 weeks
D)When the patient initiates an abortion,but then stops the procedure
Q2) A woman who is in her third trimester and is at risk for preterm birth calls the clinic to get the results of her fetal fibronectin test (fFN).The nurse sees the result is negative.Which advice to the patient is most appropriate?
A)Come to the perinatal clinic for a screening ultrasound.
B)Continue the current management plan as directed.
C)Go to the hospital immediately for imminent delivery.
D)Plan to continue taking betamethasone (Celestone)for 1 week.
Q3) A woman pregnant with triplets is a patient in the high-risk OB unit.Which action by the nurse is most appropriate?
A)Document serial,individual fetal monitor strips.
B)Label the monitor lines in descending fetal order.
C)Monitor the fetuses simultaneously with a triplet monitor.
D)Obtain fetal monitor strips in presenting order.
Page 13
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Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) The perinatal nurse describes normal maternal signs and symptoms associated with lightening to the prenatal class attendants.These signs and symptoms include which of the following? (Select all that apply.)
A)Difficulty breathing
B)Increased urinary frequency
C)Increased vaginal secretions
D)Leg cramps
E)Nausea and vomiting
Q2) The nurse is assessing a woman in labor.What techniques are vital for the nurse to use during this assessment? (Select all that apply.)
A)Auscultation
B)Inspection
C)Interviewing
D)Percussion
E)Palpation
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14
Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A nursing faculty member is explaining potential complications from epidural anesthesia to a class of nursing students.Which information does the nurse include? (Select all that apply.)
A)Bizarre behavior
B)Increased need for oxytocin (Pitocin)
C)Lengthened duration of labor
D)Shiver response
E)Urinary incontinence
Q2) The perinatal nurse prepares to assess the labor of a patient who is in the triage area with her partner.She is contracting every 5 to 7 minutes and is very fearful about going home due to extreme fatigue and the distance to her house.The perinatal nurse determines that the patient is a fingertip dilated and50% effaced,and the cervix is anterior.The nurse might anticipate an order for what medication?
A)Diphenhydramine (Benadryl)
B)Lorazepam (Ativan)
C)Promethazine (Phenergan)
D)Secobarbitol sodium (Seconal)
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Page 15
Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A woman at 30 weeks' gestation is 80% effaced and 5 cm dilated.Which action by the nurse takes priority?
A)Arrange a palliative care consult for probable fetal demise.
B)Encourage the woman to attempt a trial of labor before undergoing a cesarean section.
C)Ensure that informed consent for a cesarean birth is on the chart.
D)Inform the woman that if the tocolytic therapy is successful,she will deliver.
Q2) The nurse is preparing to admit a diabetic woman who is in labor.The nurse plans care to assess carefully for which of the following conditions in this patient?
A)Diminishing uterine contractions
B)Need for an epidural block
C)Onset of intrapartum hypertension
D)Overly strong,painful contractions
Q3) A woman is about to undergo an external version.What action by the nurse takes priority?
A)Determine Rh status;give Rh immune globulin if needed.
B)Explain the procedure to the woman and obtain consent.
C)Offer emotional support to both the woman and her partner.
D)Prepare to administer oxytocin (Pitocin)as per protocol.
Page 16
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Chapter 15: Caring for the Postpartal Woman and Her Family
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Sample Questions
Q1) A new mother is concerned that her 3-year-old child is not adapting well to the birth of a new sibling 1 month ago.What suggestion can the nurse provide to best help this mother?
A)Explain to the child that she will always have a special bond with the new sibling.
B)Give the 3-year-old a special chore that only she does to help her mom.
C)Promise the 3-year-old that she can have a pet if she is good to her new sibling.
D)Tell the child she will need to get used to having a new baby in the house.
Q2) The perinatal nurse describes the need for an assessment for deep vein thrombosis (DVT)in the postpartum patient.Which of the following is one test that can be used as a screening measure for DVT?
A)Chadwick's sign
B)Homans' sign
C)Grey Turner's sign
D)McBurney's sign
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17
Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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Sample Questions
Q1) A postpartum woman who had a cesarean birth complains of warmth and pain in one of her calves.Which assessment should the nurse perform as the priority?
A)Bilateral calf circumference
B)Homans' sign on both legs
C)Lung sounds and oxygen saturation
D)Pedal and popliteal pulses
Q2) The nursing faculty member explains to a class of nursing students the risk factors for developing postpartum depression (PPD).Which of the following does the faculty include? (Select all that apply.)
A)Financial stress
B)Isolation
C)Low self-esteem
D)Stay-at-home mother
E)Unplanned pregnancy
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18
Chapter 17: Physiological Transition of the Newborn
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Sample Questions
Q1) The nursing professor is explaining to a class of students that which chemical factor in the blood directly leads to the initiation of respirations in the newborn?
A)Bilirubin
B)Carbon dioxide
C)High arterial pH
D)Low arterial pH
Q2) A perinatal nurse assesses a term newborn for respiratory functioning.The nurse will document which of the following findings as normal for a neonate? (Select all that apply.)
A)Breathing pattern that can be shallow,diaphragmatic,and irregular
B)Periodic episodes of apnea
C)Respiratory rate of 20-40 breaths/minute while sleeping
D)Respiratory rate of 60-80 breaths/minute
E)The neonate's lung sounds are moist during early auscultation
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19
Chapter 18: Caring for the Normal Newborn
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Sample Questions
Q1) An infant who was stable for a day after birth now demonstrates pallor,tachycardia,tachypnea,and circumoral cyanosis.The parent asks how the child might have a heart problem when he was stable yesterday.What information by the nurse is most accurate?
A)"Blood incompatibilities can cause this problem,so we will test the mother's blood."
B)"Symptoms may not appear until fetal circulation routes begin to close after birth."
C)"The extra blood from the umbilical cord may have kept the baby stable for a while."
D)"Your baby may have gotten an infection during birth that now is causing problems."
Q2) A faculty member is supervising a student who is preparing to administer vitamin K? phytonadione (AquaMEPHYTON)to an infant.What action by the student prompts the faculty member to intervene?
A)Chooses a 25-gauge needle
B)Draws up 0.5 mg/kg
C)Gently rubs the injection site
D)Uses a 1-mL syringe
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Page 20
Chapter 19: Caring for the Newborn at Risk
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Sample Questions
Q1) A nurse has given a premature hypoglycemic infant an IV glucose solution.How would the nurse best determine if the goals for this treatment have been met?
A)Blood glucose is 42 mg/dL.
B)Blood glucose is 58 mg/dL.
C)The baby has a normal-sounding cry.
D)The baby is sucking vigorously.
Q2) The pediatric nurse prepares a newborn for phototherapy.The nurse explains to the parents that certain organs need to be protected during treatment.Which organs are these?
A)Eyes and ears
B)Eyes and hands
C)Eyes and genitals
D)Genitals and hands
Q3) An infant is born with an encephalocele.Which action by the nurse takes priority?
A)Admit the baby to the NICU.
B)Consult the palliative care team.
C)Place warm sterile gauze on the defect.
D)Prepare the infant for surgery.
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Chapter 20: Caring for the Developing Child
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Sample Questions
Q1) A home health-care nurse sees several pediatric patients who have the nursing diagnosis of delayed growth and development.Which action by a child would indicate that outcomes have been met?
A)A 3-year-old child walks backward.
B)A 4-year-old child plays video games.
C)A 5-year-old child can unscrew items.
D)A 7-year-old child uses scissors to cut an outline figure.
Q2) A nurse educator is presenting developmental theories to a group of students.Which statement encompasses the impact that Carol Gilligan had on developmental theories?
A)Helped define moral development in women as unique from men
B)Described the seven stages of religious/faith development
C)Identified nine temperamental traits present at birth in all children
D)Viewed the status of the family's oldest child as the marker for transition
Q3) A student nurse asks a pediatric nurse what cephalocaudal development means.Which response by the nurse is most accurate?
A)Growth that occurs from bottom to top
B)Growth that occurs from midline outward
C)Growth that occurs from outside to midline
D)Growth that occurs from top to bottom
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Page 22
Community,and Across Care Settings
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Sample Questions
Q1) The pediatric nurse takes a comprehensive health history of a 10-year-old patient and asks the parents about their use of herbal products or home remedies.What information does the nurse know regarding herbal products?
A)Aloe vera can affect clotting time by decreasing platelets.
B)Bilberry can cause hypersensitivity in patients with allergies to plants.
C)Echinacea is contraindicated for patients with autoimmune disorders.
D)Fennel is contraindicated in patients with diabetes,hypertension,or liver disease.
Q2) A child has had eye testing.The nurse reads in the child's chart that the Hirschberg test demonstrated displacement of light reflection in one eye.What does this indicate to the nurse?
A)Color blindness
B)Normal ocular alignment
C)Presence of cataracts
D)Presence of strabismus
Q3) A 34-lb child needs acetaminophen (Tylenol).The correct dose range for this child is____________________ mg .
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Page 23
Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
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Sample Questions
Q1) A nurse is working with the family of a child who is overweight.What action by the nurse is most appropriate?
A)Help the family identify fun activities.
B)Instruct the child to exercise for an hour each day.
C)Place the child on a restricted-calorie diet.
D)Set a weight-loss goal for the child.
Q2) A mother brings a child to the clinic with concerns about attention deficit-hyperactivity disorder (ADHD).Which behavioral assessment findings support this diagnosis? (Select all that apply.)
A)Compulsive "collecting"
B)Inability to stay in chair for a meal
C)Nonstop talking
D)Refusal to complete homework
E)Sleeping whenever possible
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24
Chapter 23: Caring for the Child With a Respiratory Condition
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Sample Questions
Q1) The mother of a 5-year-old child calls the clinic to ask if her child has a mild respiratory infection or needs to be seen.Which question by the nurse would elicit the most helpful information?
A)"Can your child swallow without pain?"
B)"Does the child have a sore throat?"
C)"Is your child coughing occasionally?"
D)"Was the onset gradual or sudden?"
Q2) A 10-year-old child is brought to the emergency department by the rescue squad from the scene of a house fire.The child is confused and agitated.Which action by the nurse is the priority for this child?
A)Assess the child for a head injury.
B)Give the child 100% oxygen.
C)Obtain a complete history of the fire.
D)Wait for the parents to obtain consent.
Q3) A child who weighs 32 lb (14.5 kg)is prescribed erythromycin (Sumycin)every 8 hours.Calculate the dose range for a single dose of this drug.(Round to the nearest hundredth).
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Page 25
Chapter 24: Caring for the Child With a Gastrointestinal Condition
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Sample Questions
Q1) In providing anticipatory guidance,what does the nurse teach parents about nutrition in their 4-year-old child?
A)Food jags are common in this age group.
B)Give the child a wide variety of foods.
C)Introduce foods slowly and carefully.
D)Provide 108 kcal/kg (50 kcal/lb).
Q2) A pediatric clinic nurse is educating parents about an important primary prevention measure for hepatitis A.Which topic does the nurse include in the teaching session?
A)Genetic counseling
B)Immune globulin
C)Immunization
D)Oatmeal baths
Q3) A new nurse is caring for a toddler with failure to thrive (FTT).Which action by the new nurse would cause the preceptor nurse to intervene?
A)Collaborating with laboratory to schedule blood draws well before mealtime
B)Hiding needed medication and supplements in child's favorite food
C)Teaching parents how a child's nutrition needs differ from an adult's
D)Weighing the child at the same time each day on the same scale
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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Sample Questions
Q1) A nurse is caring for a patient taking lamivudine (Epivir).Which laboratory test is most important for the nurse to assess?
A)CD4+ count
B)Hemoglobin
C)Platelet count
D)White blood cell count
Q2) A nurse is caring for an HIV-positive school-age child who is moderately malnourished.Which interventions are appropriate to include in this child's plan of care? (Select all that apply.)
A)Assess the oral cavity once a shift.
B)Determine the child's food preferences.
C)Encourage adequate fluid intake.
D)Provide oral hygiene after each meal.
E)Teach the parents about tube feedings.
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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Sample Questions
Q1) A 42-lb (19-kg)child is admitted for initial management of cardiomyopathy (CMP).The physician leaves orders for carvedilol (Coreg),15 mg orally twice a day.What action by the nurse is most appropriate?
A)Ask the provider to clarify the dose.
B)Consult pharmacy about the drug choice.
C)Give the medication as ordered.
D)Withhold any antacids in this patient.
Q2) A child has truncus arteriosus with hypotension and poor perfusion.Which medication does the nurse prepare to administer?
A)Amiodarone (Cordarone)
B)Clopidogrel (Plavix)
C)Dopamine (Intropin)
D)Isoproterenol (Isuprel)
Q3) A new nurse is taking a child's blood pressure.What action would cause an experienced nurse to intervene?
A)Allows the child to get familiar with equipment
B)Chooses a cuff that covers 65% of the child's arm
C)Has a parent stay with the child to calm him or her
D)Uses an automatic cuff if the heart rate is normal
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The nursing student knows that which glands control antidiuretic hormone (ADH)?
(Select all that apply.)
A)Adrenal cortex
B)Anterior pituitary
C)Hypothalamus
D)Pineal body
E)Posterior pituitary
Q2) A child being treated for hyperthyroidism has been admitted following a seizure.Once the child has been stabilized,which action by the nurse is the most appropriate?
A)Assess the child for noncompliance.
B)Determine child's nutritional intake.
C)Refer the family to a social worker.
D)Teach the parents how to treat seizures.
Q3) A hospitalized child is receiving calcium via a peripheral IV site.Which action by the nurse is most important?
A)Assess the IV for blood return hourly.
B)Document the infusion and child's response.
C)Facilitate the next blood draw for calcium.
D)Teach parents and child about the drug.
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
60 Flashcards
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Q1) A student nurse is tutoring another student on anatomy and physiology.What does the tutor explain is the function of myelin sheaths on certain nerves?
A)Allow rapid transmission of nerve impulses
B)Assist in long-term storage of memories
C)Prevent "cross-communication" between nerves
D)Protect the nerves from temperature changes
Q2) The student nurse studying the neurological system learns that areas of gray matter are found deep in the brain.To determine damage to the basal ganglia,what will the nurse assess?
A)Blood pressure
B)Homeostasis
C)Movement
D)Sensory impulses
Q3) A child's chart indicates he has leukocoria and a hyphema in the right eye.Which teaching does the nurse implement for the child and parents?
A)Application of antibiotic ointment and eye patch
B)Possibility of other children having this genetic disorder
C)Surgery,possible enucleation,possible chemotherapy
D)Wearing appropriate eye protection during sports
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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Sample Questions
Q1) An infant hospitalized with multiple fractures has just been diagnosed with osteogenesis imperfecta.The nurse finds the parents crying.Which response by the nurse is the most appropriate?
A)"I know how you feel.I would be upset to find this out too."
B)"There is medicine that can allow her to live a normal life."
C)"Would you like me to help you with holding your baby?"
D)"You are actually lucky;many of these babies die at birth."
Q2) A mother brings her daughter to the clinic after noticing the child's new swimsuit fits baggily on one side of her bottom and the child's right thigh looks quite odd compared to the other one.Which assessment question would provide the nurse the most important information?
A)"Do her joints dislocate easily?"
B)"Does she fatigue easily?"
C)"Has your child been limping?"
D)"When did you see her in a swimsuit last?"
Q3) A nurse is completing a Pediatric Fall Risk Assessment on a child.The child has had no falls in the last 3 months,had surgery to repair a femur fracture on admission,is learning to use crutches,has a saline lock,is oriented to own ability,and is on narcotics.This child's fall risk score is ____________________.
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Chapter 30: Caring for the Child With a Integumentary Condition
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Q1) A child is in the emergency department (ED)with a dog bite.After cleansing the wound and attending to the child's comfort,which action should the nurse perform next?
A)Give a dose of antibiotic.
B)Offer the child a toy to play with.
C)Provide discharge teaching.
D)Report the bite to authorities.
Q2) A child weighing 110 lb (50 kg)was involved in a car fire at 3 p.m.She did not reach the emergency department until 5 p.m.She suffered burns over 45% of her body.How fast does the nurse program the IV pump in order to deliver the first 50% of her fluid requirements? Using the standard Parkland formula,the nurse should program the IV pump at ____________________ mL/hour.
Q3) A burned patient had an escharotomy on the right anterior thigh.Which assessment finding indicates that this procedure has been effective?
A)Absence of infection in the burn
B)Compartment pressure of 42 mm Hg
C)Decreased pain in the right leg
D)Pedal pulses 3+/4+ bilaterally
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Q1) The nurse is planning discharge teaching for a child who just had a kidney transplant.Which information does the nurse provide regarding signs of rejection?
(Select all that apply.)
A)Decreased urine output
B)Edema
C)Fever
D)Pain over the kidney
E)Weight loss
Q2) The pediatric clinic nurse calls a parent to report urinalysis findings for her child including microscopic hematuria.Which question by the nurse is most appropriate?
A)"Has your child recently had strep throat?"
B)"Has your child been in a bike or car crash?"
C)"Has your child started menstruating yet?"
D)"Has your child taken lots of bubble baths?"
Q3) A child weighs 32 kg (74.4 lb).This child's 24-hour fluid requirements would be calculated as ____________________.
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Chapter 32: Caring for the Child With a Hematological Condition
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Sample Questions
Q1) A 2-year-old child's hemoglobin is 8.2 g/dL.What action by the nurse is best?
A)Ask the parents about activity level.
B)Document findings in the chart.
C)Notify the provider immediately.
D)Schedule a re-draw of blood in 6 months.
Q2) A child with pancytopenia is getting a blood transfusion and it is time to administer her IV antibiotic.The child has only one IV line.What action by the nurse is most appropriate?
A)Administer the antibiotic with the blood.
B)Obtain an order for an oral antibiotic.
C)Start a new peripheral IV in another site.
D)Stop the blood to give the antibiotic.
Q3) A child presents to the emergency department with sickle cell crisis.Which intervention does the nurse perform first?
A)Administer oxygen.
B)Assess and treat pain.
C)Provide warm blankets.
D)Start IV fluids.
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Chapter 33: Caring for the Child With Cancer
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Q1) A nurse is explaining radiation side effects to the parents of a child for whom it has been ordered.Which side effects does the nurse include in the explanation? (Select all that apply.)
A)Hair loss
B)Leukocytosis
C)Nausea
D)Polycythemia
E)Skin desquamation
Q2) The student nurse studying childhood cancers understands that neoplasms are caused by which factors? (Select all that apply.)
A)Chromosomal/genetic abnormalities
B)External stimuli or environment
C)Maternal nutrition during gestation
D)Substance abuse during pregnancy
E)Viruses that alter the immune system
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Chapter 34: Caring for the Child With a Chronic Condition or the
Dying Child
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Q1) An experienced nurse is acting as preceptor to a new graduate and is discussing ways to develop a trusting relationship with the families of children who have chronic or terminal conditions.Which are helpful suggestions by the experienced nurse? (Select all that apply.)
A)Ask if and how the parents would like to participate in care.
B)Do not judge the parents' reactions to the child's condition.
C)Follow the child's home routine while hospitalized,if possible.
D)Treat each child as an individual and do not label the child.
E)Work predominantly with the parents;they will include siblings.
Q2) During a pediatric nursing orientation session to a new unit,the child-life specialist is introduced as an important member of the heath-care team.What is an important role of the child-life specialist?
A)Accompany children on their way to procedures
B)Assist with family counseling regarding hospitalization
C)Describe normal growth and development to families
D)Provide opportunities for therapeutic play
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Chapter 35: Caring for the Critically Ill Child
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Q1) The staff in the pediatric intensive care unit is preparing to intubate a 3-year-old child.To facilitate intubation by providing skeletal muscle paralysis,which drug does the nurse anticipate administering?
A)Fentanyl citrate (Sublimaze)
B)Lorazepam (Ativan)
C)Pentobarbital sodium (Nembutol)
D)Vecuronium bromide (Norcuron)
Q2) A child is being mechanically ventilated and is very agitated and fighting the ventilator despite receiving fentanyl citrate (Sublimaze)and midazolam (Versed).Which action by the nurse is the most appropriate?
A)Restrain the hands so child does not pull out the endotracheal tube.
B)Request an order for vecuronium bromide (Norcuron).
C)Slow the frequency and depth of mandatory ventilations.
D)Tell the family that someone must stay at the bedside.
Q3) A child who weighs 28 lb needs fluid resuscitation.The nurse plans to administer
Q4) A child's blood pressure is 92/64 mm Hg.Therefore,the mean arterial pressure is
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