Child and Adolescent Health Nursing Test Bank
Course Introduction
Child and Adolescent Health Nursing focuses on the unique health needs of infants, children, adolescents, and their families. The course covers the principles of growth and development, health assessment, common acute and chronic pediatric illnesses, and evidence-based nursing interventions. Emphasis is placed on holistic, family-centered care, health promotion, disease prevention, and the role of the nurse as an advocate and educator in diverse healthcare settings. Additionally, the course explores psychosocial, cultural, and ethical considerations, equipping students with the skills to provide compassionate and effective nursing care throughout the various stages of childhood and adolescence.
Recommended Textbook
Maternal Child Nursing Care 5th Edition by Perry
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49 Chapters
1995 Verified Questions
1995 Flashcards
Source URL: https://quizplus.com/study-set/1278
Page 2
Chapter 1: 21st Century Maternity Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/25287
Sample Questions
Q1) When managing health care for pregnant women at a prenatal clinic,the nurse should recognize that the most significant barrier to access to care is the pregnant woman's:
A)Age.
B)Minority status.
C)Educational level.
D)Inability to pay.
Answer: D
Q2) The level of practice a reasonably prudent nurse provides is called:
A)The standard of care.
B)Risk management.
C)A sentinel event.
D)Failure to rescue.
Answer: A
Q3) Recent trends in childbirth practice indicate that:
A)Delayed pushing is now discouraged in the second stage of labor.
B)Episiotomy rates are increasing.
C)Midwives perform more episiotomies than physicians.
D)Newborn infants remain with the mother and are encouraged to breastfeed.
Answer: D
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Chapter 2: Community Care: the Family and Culture
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25288
Sample Questions
Q1) A mother's household consists of her husband,his mother,and another child.She is living in a(n):
A)Extended family.
B)Single-parent family.
C)Married-blended family.
D)Nuclear family.
Answer: A
Q2) Step Two
A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"
Answer: D
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4
Chapter 3: Assessment and Health Promotion
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/25289
Sample Questions
Q1) When the nurse is alone with a battered patient,the patient seems extremely anxious and says,"It was all my fault.The house was so messy when he got home and I know he hates that." The best response by the nurse is:
A)"No one deserves to be hurt. It's not your fault. How can I help you?"
B)"What else do you do that makes him angry enough to hurt you?"
C)"He will never find out what we talk about. Don't worry. We're here to help you."
D)"You have to remember that he is frustrated and angry so he takes it out on you."
Answer: A
Q2) The uterus is a muscular,pear-shaped organ that is responsible for:
A)Cyclic menstruation.
B)Sex hormone production.
C)Fertilization.
D)Sexual arousal.
Answer: A
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5
Chapter 4: Reproductive System Concerns
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) Which symptom described by a patient is characteristic of premenstrual syndrome (PMS)?
A)"I feel irritable and moody a week before my period is supposed to start."
B)"I have lower abdominal pain beginning the third day of my menstrual period."
C)"I have nausea and headaches after my period starts, and they last 2 to 3 days."
D)"I have abdominal bloating and breast pain after a couple days of my period."
Q2) A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years.She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months.These symptoms are most likely related to: A)Endometriosis. B)PMS.
C)Primary dysmenorrhea.
D)Secondary dysmenorrhea.
Q3) Which patient is most at risk for fibroadenoma of the breast?
A)A 38-year-old woman
B)A 50-year-old woman
C)A 16-year-old girl
D)A 27-year-old woman
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Page 6
Chapter 5: Infertility,contraception,and Abortion
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25291
Sample Questions
Q1) A physician prescribes clomiphene citrate (Clomid,Serophene)for a woman experiencing infertility.She is very concerned about the risk of multiple births.The nurse's most appropriate response is:
A)"This is a legitimate concern. Would you like to discuss this further before your treatment begins?"
B)"No one has ever had more than triplets with Clomid."
C)"Ovulation will be monitored with ultrasound so that this will not happen."
D)"Ten percent is a very low risk, so you don't need to worry too much."
Q2) Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle?
A)Hysterosalpingogram
B)Endometrial biopsy
C)Laparoscopy
D)Follicle-stimulating hormone (FSH) level
Q3) Which contraceptive method has a failure rate of less than 25%?
A)Standard days
B)Periodic abstinence
C)Postovulation
D)Coitus interruptus
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Page 7
Chapter 6: Genetics, conception, and Fetal Development
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/25292
Sample Questions
Q1) You are a maternal-newborn nurse caring for a mother who just delivered a baby born with Down syndrome.What nursing diagnosis would be the most essential in caring for the mother of this infant?
A)Disturbed body image
B)Interrupted family processes
C)Anxiety
D)Risk for injury
Q2) Which congenital malformations result from multifactorial inheritance (Select all that apply)?
A)Cleft lip
B)Congenital heart disease
C)Cri du chat syndrome
D)Anencephaly
E)Pyloric stenosis
Q3) The nurse must be cognizant that an individual's genetic makeup is known as his or her:
A)Genotype.
B)Phenotype.
C)Karyotype.
D)Chromotype.
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Chapter 7: Anatomy and Physiology of Pregnancy
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/25293
Sample Questions
Q1) Human chorionic gonadotropin (hCG)is an important biochemical marker for pregnancy and the basis for many tests.A maternity nurse should be aware that:
A)hCG can be detected 2.5 weeks after conception.
B)The hCG level increases gradually and uniformly throughout pregnancy.
C)Much lower than normal increases in the level of hCG may indicate a postdate pregnancy.
D)A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.
Q2) Which finding in the urine analysis of a pregnant woman is considered a variation of normal?
A)Proteinuria
B)Glycosuria
C)Bacteria in the urine.
D)Ketones in the urine.
Q3) Physiologic anemia often occurs during pregnancy as a result of:
A)Inadequate intake of iron.
B)Dilution of hemoglobin concentration.
C)The fetus establishing iron stores.
D)Decreased production of erythrocytes.
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Page 9
Chapter 8: Nursing Care of the Family During Pregnancy
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/25294
Sample Questions
Q1) In her work with pregnant women of various cultures,a nurse practitioner has observed various practices that seemed strange or unusual.She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common.Which statement best describes that purpose?
A)To promote family unity
B)To ward off the "evil eye"
C)To appease the gods of fertility
D)To protect the mother and fetus during pregnancy
Q2) While teaching the expectant mother about personal hygiene during pregnancy,maternity nurses should be aware that:
A)Tub bathing is permitted even in late pregnancy unless membranes have ruptured.
B)The perineum should be wiped from back to front.
C)Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath.
D)Expectant mothers should use specially treated soap to cleanse the nipples.
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Chapter 9: Maternal and Fetal Nutrition
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25295
Sample Questions
Q1) A woman has come to the clinic for preconception counseling because she wants to start trying to get pregnant in 3 months.She can expect the following advice:
A)"Discontinue all contraception now."
B)"Lose weight so that you can gain more during pregnancy."
C)"You may take any medications you have been taking regularly."
D)"Make sure that you include adequate folic acid in your diet."
Q2) A pregnant woman's diet history indicates that she likes the following list of foods.The nurse would encourage this woman to consume more of which food to increase her calcium intake?
A)Fresh apricots
B)Canned clams
C)Spaghetti with meat sauce
D)Canned sardines
Q3) When providing care to the prenatal patient,the nurse understands that pica is defined as:
A)Intolerance of milk products
B)Iron deficiency anemia
C)Ingestion of nonfood substances
D)Episodes of anorexia and vomiting
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Page 11
Chapter 10: Assessment of High Risk Pregnancy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Advanced maternal age
A)Polyhydramnios
B)Intrauterine growth restriction (maternal cause)
C)Oligohydramnios
D)Chromosomal abnormalities
E)Intrauterine growth restriction (fetoplacental cause)
Q2) Nurses should be aware that the biophysical profile (BPP):
A)Is an accurate indicator of impending fetal death.
B)Is a compilation of health risk factors of the mother during the later stages of pregnancy.
C)Consists of a Doppler blood flow analysis and an amniotic fluid index.
D)Involves an invasive form of ultrasound examination.
Q3) Risk factors tend to be interrelated and cumulative in their effect.While planning the care for a laboring client with diabetes mellitus,the nurse is aware that she is at a greater risk for:
A)Oligohydramnios.
B)Polyhydramnios.
C)Postterm pregnancy.
D)Chromosomal abnormalities.
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Page 12
Chapter 11: Pregnancy at Risk: Preexisting Conditions
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/25297
Sample Questions
Q1) A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels.She shows the nurse her readings for the past few days.Which one should the nurse tell her indicates a need for adjustment (insulin or sugar)?
A)75 mg/dL before lunch. This is low; better eat now.
B)115 mg/dL 1 hour after lunch. This is a little high; maybe eat a little less next time.
C)115 mg/dL 2 hours after lunch; This is too high; it is time for insulin.
D)60 mg/dL just after waking up from a nap. This is too low; maybe eat a snack before going to sleep.
Q2) Which heart condition is not a contraindication for pregnancy?
A)Peripartum cardiomyopathy
B)Eisenmenger syndrome
C)Heart transplant
D)All of these contraindicate pregnancy.
Q3) The most common neurologic disorder accompanying pregnancy is:
A)Eclampsia.
B)Bell's palsy.
C)Epilepsy.
D)Multiple sclerosis.
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Chapter 12: Pregnancy at Risk: Gestational Conditions
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25298
Sample Questions
Q1) A woman arrives for evaluation of her symptoms,which include a missed period,adnexal fullness,tenderness,and dark red vaginal bleeding.On examination the nurse notices an ecchymotic blueness around the woman's umbilicus and recognizes this assessment finding as:
A)Normal integumentary changes associated with pregnancy.
B)Turner's sign associated with appendicitis.
C)Cullen's sign associated with a ruptured ectopic pregnancy.
D)Chadwick's sign associated with early pregnancy.
Q2) What laboratory marker is indicative of disseminated intravascular coagulation (DIC)?
A)Bleeding time of 10 minutes
B)Presence of fibrin split products
C)Thrombocytopenia
D)Hyperfibrinogenemia
Q3) Methotrexate is recommended as part of the treatment plan for which obstetric complication?
A)Complete hydatidiform mole
B)Missed abortion
C)Unruptured ectopic pregnancy
D)Abruptio placentae
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Chapter 13: Labor and Birth Processes
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/25299
Sample Questions
Q1) Which basic type of pelvis includes the correct description and percentage of occurrence in women?
A)Gynecoid: classic female; heart shaped; 75%
B)Android: resembling the male; wider oval; 15%
C)Anthropoid: resembling the ape; narrower; 10%
D)Platypelloid: flattened, wide, shallow; 3%
Q2) To care for a laboring woman adequately,the nurse understands that the __________ stage of labor varies the most in length?
A)First
B)Second
C)Third
D)Fourth
Q3) When assessing a woman in labor,the nurse is aware that the relationship of the fetal body parts to one another is called fetal:
A)Lie.
B)Presentation.
C)Attitude.
D)Position.
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15
Chapter 14: Pain Management
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/25300
Sample Questions
Q1) A woman in the active phase of the first stage of labor is using a shallow pattern of breathing,which is about twice the normal adult breathing rate.She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling.The nurse should:
A)Notify the woman's physician.
B)Tell the woman to slow the pace of her breathing.
C)Administer oxygen via a mask or nasal cannula.
D)Help her breathe into a paper bag
Q2) A first-time mother is concerned about the type of medications she will receive during labor.She is in a fair amount of pain and is nauseous.In addition,she appears to be very anxious.You explain that opioid analgesics often are used with sedatives because:
A)"The two together work the best for you and your baby."
B)"Sedatives help the opioid work better, and they also will assist you to relax and relieve your nausea."
C)"They work better together so you can sleep until you have the baby."
D)"This is what the doctor has ordered for you."
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Page 16
Chapter 15: Fetal Assessment During Labor
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/25301
Sample Questions
Q1) A nurse may be called on to stimulate the fetal scalp:
A)As part of fetal scalp blood sampling.
B)In response to tocolysis.
C)In preparation for fetal oxygen saturation monitoring.
D)To elicit an acceleration in the fetal heart rate (FHR).
Q2) The baseline fetal heart rate (FHR)is the average rate during a 10-minute segment.Changes in FHR are categorized as periodic or episodic.These patterns include both accelerations and decelerations.The labor nurse is evaluating the patient's most recent 10-minute segment on the monitor strip and notes a late deceleration.This is likely to be caused by which physiologic alteration (Select all that apply)?
A)Spontaneous fetal movement
B)Compression of the fetal head
C)Placental abruption
D)Cord around the baby's neck
E)Maternal supine hypotension
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Chapter 16: Nursing Care of the Family During Labor and Birth
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/25302
Sample Questions
Q1) For women who have a history of sexual abuse,a number of traumatic memories may be triggered during labor.The woman may fight the labor process and react with pain or anger.Alternately,she may become a passive player and emotionally absent herself from the process.The nurse is in a unique position of being able to assist the client to associate the sensations of labor with the process of childbirth and not the past abuse.The nurse can implement a number of care measures to help the client view the childbirth experience in a positive manner.Which intervention would be key for the nurse to use while providing care?
A)Telling the client to relax and that it won't hurt much
B)Limiting the number of procedures that invade her body
C)Reassuring the client that as the nurse you know what is best
D)Allowing unlimited care providers to be with the client
Q2) In documenting labor experiences,nurses should know that a uterine contraction is described according to all these characteristics except:
A)Frequency (how often contractions occur).
B)Intensity (the strength of the contraction at its peak).
C)Resting tone (the tension in the uterine muscle).
D)Appearance (shape and height).
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Chapter 17: Labor and Birth Complications
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/25303
Sample Questions
Q1) The priority nursing intervention after an amniotomy should be to:
A)Assess the color of the amniotic fluid.
B)Change the patient's gown.
C)Estimate the amount of amniotic fluid.
D)Assess the fetal heart rate.
Q2) As relates to the use of tocolytic therapy to suppress uterine activity,nurses should be aware that:
A)The drugs can be given efficaciously up to the designated beginning of term at 37 weeks.
B)There are no important maternal (as opposed to fetal) contraindications.
C)Its most important function is to afford the opportunity to administer antenatal glucocorticoids.
D)If the client develops pulmonary edema while receiving tocolytics, intravenous (IV) fluids should be given.
Q3) A maternal indication for the use of vacuum extraction is:
A)A wide pelvic outlet.
B)Maternal exhaustion.
C)A history of rapid deliveries.
D)Failure to progress past 0 station.
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Page 19
Chapter 18: Maternal Physiologic Changes
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/25304
Sample Questions
Q1) A woman gave birth to an infant boy 10 hours ago.Where would the nurse expect to locate this woman's fundus?
A)One centimeter above the umbilicus
B)Two centimeters below the umbilicus
C)Midway between the umbilicus and the symphysis pubis
D)Nonpalpable abdominally
Q2) A woman gave birth to a healthy infant boy 5 days ago.What type of lochia would the nurse expect to find when assessing this woman?
A)Lochia rubra
B)Lochia sangra
C)Lochia alba
D)Lochia serosa
Q3) Which maternal event is abnormal in the early postpartum period?
A)Diuresis and diaphoresis
B)Flatulence and constipation
C)Extreme hunger and thirst
D)Lochial color changes from rubra to alba
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Chapter 19: Nursing Care of the Family During the
Postpartum Period
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/25305
Sample Questions
Q1) When caring for a newly delivered woman,the nurse is aware that the best measure to prevent abdominal distention after a cesarean birth is:
A)Rectal suppositories.
B)Early and frequent ambulation.
C)Tightening and relaxing abdominal muscles.
D)Carbonated beverages.
Q2) A 25-year-old gravida 2,para 2-0-0-2 gave birth 4 hours ago to a 9-pound,7-ounce boy after augmentation of labor with Pitocin.She puts on her call light and asks for her nurse right away,stating,"I'm bleeding a lot." The most likely cause of postpartum hemorrhage in this woman is:
A)Retained placental fragments.
B)Unrepaired vaginal lacerations.
C)Uterine atony.
D)Puerperal infection.
Q3) Rh? immune globulin will be ordered postpartum if which situation occurs?
A)Mother Rh<sub>2</sub>-, baby Rh+
B)Mother Rh<sub>2</sub>-, baby Rh<sup>2</sup>-
C)Mother Rh+, baby Rh+
D)Mother Rh+, baby Rh2-
Page 21
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Chapter 20: Transition to Parenthood
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/25306
Sample Questions
Q1) The nurse notes that a Vietnamese woman does not cuddle or interact with her newborn other than to feed him,change his diapers or soiled clothes,and put him to bed.In evaluating the woman's behavior with her infant,the nurse realizes that:
A)What appears to be a lack of interest in the newborn is in fact the Vietnamese way of demonstrating intense love by attempting to ward off evil spirits.
B)The woman is inexperienced in caring for newborns.
C)The woman needs a referral to a social worker for further evaluation of her parenting behaviors once she goes home with the newborn.
D)Extra time needs to be planned for assisting the woman in bonding with her newborn.
Q2) On observing a woman on her first postpartum day sitting in bed while her newborn lies awake in the bassinet,the nurse should:
A)Realize that this situation is perfectly acceptable.
B)Offer to hand the baby to the woman.
C)Hand the baby to the woman.
D)Explain "taking in" to the woman.
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22
Chapter 21: Postpartum Complications
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/25307
Sample Questions
Q1) One of the first symptoms of puerperal infection to assess for in the postpartum woman is:
A)Fatigue continuing for longer than 1 week.
B)Pain with voiding.
C)Profuse vaginal bleeding with ambulation.
D)Temperature of 38° C (100.4° F) or higher on 2 successive days starting 24 hours after birth.
Q2) What infection is contracted mostly by first-time mothers who are breastfeeding?
A)Endometritis
B)Wound infections
C)Mastitis
D)Urinary tract infections
Q3) Arterial pulses
A)Palpation
B)Auscultation
C)Inspection
D)Observation
E)Measurement
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23
Chapter 22: Physiologic and Behavioral Adaptations of the Newborn
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25308
Sample Questions
Q1) With regard to the respiratory development of the newborn,nurses should be aware that:
A)The first gasping breath is an exaggerated respiratory reaction within 1 minute of birth.
B)Newborns must expel the fluid from the respiratory system within a few minutes of birth.
C)Newborns are instinctive mouth breathers.
D)Seesaw respirations are no cause for concern in the first hour after birth.
Q2) A nursing student is helping the nursery nurses with morning vital signs.A baby born 10 hours ago by cesarean section is found to have moist lung sounds.What is the best interpretation of these data?
A)The nurse should notify the pediatrician stat for this emergency situation.
B)The neonate must have aspirated surfactant.
C)If this baby was born vaginally, it could indicate a pneumothorax.
D)The lungs of a baby delivered by cesarean section may sound moist for 24 hours after birth.
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Page 24
Chapter 23: Nursing Care of the Newborn and Family
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The normal term infant has little difficulty clearing the airway after birth.Most secretions are brought up to the oropharynx by the cough reflex.However,if the infant has excess secretions,the mouth and nasal passages can be cleared easily with a bulb syringe.When instructing parents on the correct use of this piece of equipment,it is important that the nurse teach them to:
A)Avoid suctioning the nares.
B)Insert the compressed bulb into the center of the mouth.
C)Suction the mouth first.
D)Remove the bulb syringe from the crib when finished.
Q2) An Apgar score of 10 at 1 minute after birth would indicate a(n):
A)Infant having no difficulty adjusting to extrauterine life and needing no further testing.
B)Infant in severe distress who needs resuscitation.
C)Prediction of a future free of neurologic problems.
D)Infant having no difficulty adjusting to extrauterine life but who should be assessed again at 5 minutes after birth.
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25
Chapter 24: Newborn Nutrition and Feeding
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37 Flashcards
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Sample Questions
Q1) According to the recommendations of the American Academy of Pediatrics on infant nutrition:
A)Infants should be given only human milk for the first 6 months of life.
B)Infants fed on formula should be started on solid food sooner than breastfed infants.
C)If infants are weaned from breast milk before 12 months, they should receive cow's milk, not formula.
D)After 6 months mothers should shift from breast milk to cow's milk.
Q2) All parents are entitled to a birthing environment in which breastfeeding is promoted and supported.The Baby Friendly Hospital Initiative endorsed by WHO and UNICEF was founded to encourage institutions to offer optimal levels of care for lactating mothers.Which instruction is not included in the "Ten Steps to Successful Breastfeeding for Hospitals"?
A)Give newborns no food or drink other than breast milk.
B)Have a written breastfeeding policy that is communicated to all staff.
C)Help mothers initiate breastfeeding within one half hour of birth.
D)Give artificial teats or pacifiers as necessary.
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Chapter 25: The High Risk Newborn
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/25311
Sample Questions
Q1) An infant is being discharged from the neonatal intensive care unit after 70 days of hospitalization.The infant was born at 30 weeks of gestation with several conditions associated with prematurity,including respiratory distress syndrome,mild bronchopulmonary dysplasia,and retinopathy of prematurity requiring surgical treatment.During discharge teaching the infant's mother asks the nurse whether her baby will meet developmental milestones on time,as did her son who was born at term.The nurse's most appropriate response is:
A)"Your baby will develop exactly like your first child did."
B)"Your baby does not appear to have any problems at the present time."
C)"Your baby will need to be corrected for prematurity. Your baby is currently 40 weeks of postconceptional age and can be expected to be doing what a 40-week-old infant would be doing."
D)"Your baby will need to be followed very closely."
Q2) Because of the premature infant's decreased immune functioning,what nursing diagnosis should the nurse include in a plan of care for a premature infant?
A)Delayed growth and development
B)Ineffective thermoregulation
C)Ineffective infant feeding pattern
D)Risk for infection
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Page 27
Chapter 26: 21st Century Pediatric Nursing
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25312
Sample Questions
Q1) Which statement best describes the process of critical thinking?
A)It is a simple developmental process.
B)It is purposeful and goal directed.
C)It is based on deliberate and irrational thought.
D)It assists individuals in guessing what is most appropriate.
Q2) Which of the following is descriptive of deaths caused by unintentional injuries?
A)More deaths occur in males.
B)More deaths occur in females.
C)The pattern of deaths varies widely in Western societies.
D)The pattern of deaths does not vary according to age and sex.
Q3) In addition to injuries,the leading causes of death in adolescents ages 15 to 19 years are:
A)Suicide, cancer.
B)Homicide, suicide
C)Homicide, heart disease.
D)Drowning, cancer.
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28
Chapter 27: Family, social, cultural, and Religious Influences on Child Health Promotion
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Q1) In which cultural group is good health considered to be a balance between yin and yang?
A)Asians
B)Australian aborigines
C)Native Americans
D)African-Americans
Q2) The nurse is teaching a group of new parents about the experience of role transition.Which statement by a parent indicates a correct understanding of the teaching?
A)"My marital relationship can have a positive or negative effect on the role transition."
B)"If an infant has special care needs, the parents' sense of confidence in their new role is strengthened."
C)"Young parents can adjust to the new role more easily than older parents."
D)"A parent's previous experience with children makes the role transition more difficult."
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Chapter 28: Developmental and Genetic Influences on
Child Health Promotion
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Q1) Which function of play is a major component of play at all ages?
A)Creativity
B)Socialization
C)Intellectual development
D)Sensorimotor activity
Q2) Trauma to which site can result in a growth problem for children's long bones?
A)Matrix
B)Connective tissue
C)Calcified cartilage
D)Epiphyseal cartilage plate
Q3) An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year?
A)14
B)16
C)18
D)21
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Chapter 29: Communication, history, and Physical Assessment
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Q1) When introducing hospital equipment to a preschooler who seems afraid,the nurse's approach should be based on which principle?
A)The child may think the equipment is alive.
B)The child is too young to understand what the equipment does.
C)Explaining the equipment will only increase the child's fear.
D)One brief explanation is enough to reduce the child's fear.
Q2) A nurse is planning to use an interpreter during a health history interview of a non-English speaking patient and family.Which nursing care guidelines should the nurse include when using an interpreter (Select all that apply)?
A)Elicit one answer at a time.
B)Interrupt the interpreter if the response from the family is lengthy.
C)Comments to the interpreter about the family should be made in English.
D)Arrange for the family to speak with the same interpreter, if possible.
E)Introduce the interpreter to the family.
Q3) An appropriate approach to performing a physical assessment on a toddler is to:
A)Always proceed in a head-to-toe direction.
B)Perform traumatic procedures first.
C)Use minimal physical contact initially.
D)Demonstrate use of equipment.
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Chapter 30: Pain Assessment and Management in Children
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Q1) An appropriate tool to assess pain in a 3-year-old child is the (Select all that apply):
A)Visual Analog Scale (VAS)
B)Adolescent and pediatric pain tool
C)Oucher tool
D)Poker Chip Tool
E)FACES pain rating scale
Q2) Step 3
A)Place the patient on continuous pulse oximetry to assess SaO<sub>2</sub>.
B)Administer the prescribed naloxone (Narcan) dose by slow IV push.
C)Ensure oxygen is available.
D)Prepare to calm the child as analgesia is reversed.
Q3) Which assessment indicates to a nurse that a 2-year-old child is in need of pain medication?
A)The child is lying rigidly in bed and not moving.
B)The child's current vital signs are consistent with vital signs over the past 4 hours.
C)The child becomes quiet when held and cuddled.
D)The child has just returned from the recovery room.
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Chapter 31: The Infant and Family
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Q1) According to Piaget,the 6-month-old infant would be in what stage of the sensorimotor phase?
A)Use of reflexes
B)Primary circular reactions
C)Secondary circular reactions
D)Coordination of secondary schemata
Q2) A nurse is conducting education classes for parents of infants.The nurse plans to discuss sudden infant death syndrome (SIDS).Which risk factors should the nurse include as increasing an infant's risk of a SIDS incident (select all that apply)?
A)Breastfeeding
B)Low Apgar scores
C)Male sex
D)Birth weight in the 50th or higher percentile
E)Recent viral illness
Q3) With the goal of preventing plagiocephaly,the nurse should teach new parents to:
A)Place the infant prone for 30 to 60 minutes per day.
B)Buy a soft mattress.
C)Allow the infant to nap in the car safety seat.
D)Have the infant sleep with the parents.
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Chapter 32: The Toddler and Family
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Q1) A parent asks the nurse about how to respond to negativism in toddlers.The most appropriate recommendation is to:
A)Punish the child.
B)Provide more attention.
C)Ask child not always to say "no."
D)Reduce the opportunities for a "no" answer.
Q2) Which should the nurse teach to parents of toddlers about accidental poison prevention (select all that apply)?
A)Keep toxic substances in the garage.
B)Discard empty poison containers.
C)Know the number of the nearest poison control center.
D)Remove colorful labels from containers of toxic substances.
E)Caution child against eating nonedible items, such as plants.
Q3) What is the primary purpose of a transitional object?
A)It helps the parents deal with the guilt they feel when they leave the child.
B)It keeps the child quiet at bedtime.
C)It is effective in decreasing anxiety in the toddler.
D)It decreases negativism and tantrums in the toddler.
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Chapter 33: The Preschooler and Family
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Q1) In terms of cognitive development,the 5-year-old child would be expected to:
A)Use magical thinking.
B)Think abstractly.
C)Understand conservation of matter.
D)Be able to comprehend another person's perspective.
Q2) What is descriptive of the preschooler's understanding of time?
A)Has no understanding of time
B)Associates time with events
C)Can tell time on a clock
D)Uses terms like "yesterday" appropriately
Q3) Imaginary playmates are beneficial to the preschool child because they:
A)Take the place of social interactions.
B)Take the place of pets and other toys.
C)Become friends in times of loneliness.
D)Accomplish what the child has already successfully accomplished.
Q4) Which is the causative agent of scarlet fever?
A)Enteroviruses
B)Corynebacterium organisms
C)Scarlet fever virus
D)Group A b-hemolytic streptococci (GABHS)
Page 35
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Chapter 34: The School-Age Child and Family
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Q1) A nurse teaches parents that team play is important for school-age children.Which can children develop by experiencing team play (select all that apply)?
A)Achieve personal goals over group goals.
B)Learn complex rules.
C)Experience competition.
D)Learn about division of labor.
Q2) Confidence exceeds physical capacity
A)Motor vehicle accidents
B)Drowning
C)Burns
D)Poisoning
E)Bodily damage
Q3) A nurse is assessing an older school-age child recently admitted to the hospital.Which assessment indicates that the child is in an appropriate stage of cognitive development?
A)The child's addition and subtraction ability
B)The child's ability to classify
C)The child's vocabulary
D)The child's play activity
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Chapter 35: The Adolescent and Family
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Q1) The psychologic effects of being obese during adolescence include:
A)Sexual promiscuity.
B)Poor body image.
C)Memory having no effect on eating behavior.
D)Accurate body image but self-deprecating attitude.
Q2) The nurse is completing a health history with a 16-year-old male.He informs the nurse that he has started using smokeless tobacco after he plays baseball.Which information regarding smokeless tobacco would be most correct for the nurse to provide to this teen?
A)Not addicting.
B)Proven to be carcinogenic.
C)Easy to stop using.
D)A safe alternative to cigarette smoking.
Q3) A teen asks a nurse,"What is physical dependence in substance abuse?" Which is the correct response by the nurse?
A)Problem that occurs in conjunction with addiction
B)Involuntary physiologic response to drug
C)Culturally defined use of drugs for purposes other than accepted medical purposes
D)Voluntary behavior based on psychosocial needs
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Chapter 36: Chronic Illness, disability, and End-Of-Life Care
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Q1) The parents of a child born with disabilities ask the nurse for advice about discipline.The nurse's response should be based on knowledge that discipline is:
A)Essential for the child.
B)Too difficult to implement with a special-needs child.
C)Not needed unless the child becomes problematic.
D)Best achieved with punishment for misbehavior.
Q2) At what developmental period do children have the most difficulty coping with death,particularly if it is their own?
A)Toddlerhood
B)Preschool
C)School-age
D)Adolescence
Q3) Which intervention will encourage a sense of autonomy in a toddler with disabilities?
A)Avoid separation from family during hospitalizations.
B)Encourage independence in as many areas as possible.
C)Expose child to pleasurable experiences as much as possible.
D)Help parents learn special care needs of their child.
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Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family
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Q1) The pediatric nurse understands that fragile X syndrome is:
A)A chromosome defect affecting only females.
B)A chromosome defect that follows the pattern of X-linked recessive disorders.
C)The second most common genetic cause of cognitive impairment.
D)The most common cause of noninherited cognitive impairment.
Q2) Which interventions should the nurse plan when caring for a child with a visual impairment (select all that apply)?
A)Touch the child upon entering the room before speaking.
B)Keep items in the room in the same location.
C)Describe the placement of the eating utensils on the meal tray.
D)Use color examples to describe something to a child who has been blind since birth.
E)Identify noises for the child.
Q3) Which statement by a parent about a child's conjunctivitis indicates that further teaching is needed?
A)"I'll have separate towels and washcloths for each family member."
B)"I'll notify my doctor if the eye gets redder or the drainage increases."
C)"When the eye drainage improves, we'll stop giving the antibiotic ointment."
D)"After taking the antibiotic for 24 hours, my child can return to school."
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Chapter 38: Family-Centered Care of the Child During
Illness and Hospitalization
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Q1) Emma,age 3 years,is being admitted for about 1 week of hospitalization.Her parents tell the nurse that they are going to buy her "a lot of new toys because she will be in the hospital." The nurse's reply should be based on an understanding that:
A)New toys make hospitalization easier.
B)New toys are usually better than older ones for children of this age.
C)At this age children often need the comfort and reassurance of familiar toys from home.
D)Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.
Q2) A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized.The nurse should reassure the parents that this is normal because:
A)Regression is seen during hospitalization.
B)Developmental delays occur because of the hospitalization.
C)The child is experiencing urinary urgency because of hospitalization.
D)The child was too young to be "potty-trained."
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Chapter 39: Pediatric Variations of Nursing Interventions
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Q1) Step six
A)Lubricate the nasogastric tube with water-soluble lubricant.
B)Tape the nasogastric tube securely to the child's face.
C)Check the placement of the tube by aspirating stomach contents.
D)Place the child in the supine position with head slightly hyperflexed.
E)Insert the nasogastric tube through the nares.
F)Measure the tube from the tip of the nose to the earlobe to the midpoint between the xiphoid process and the umbilicus.
Q2) Nursing considerations related to the administration of oxygen in an infant include to:
A)Humidify the oxygen if the infant can tolerate it.
B)Assess the infant to determine how much oxygen should be given.
C)Ensure uninterrupted delivery of the appropriate oxygen concentration.
D)Direct the oxygen flow so that it blows directly into the infant's face in a hood.
Q3) What nursing action is appropriate for specimen collection?
A)Follow sterile technique for specimen collection.
B)Sterile gloves are worn if the nurse plans to touch the specimen.
C)Use Standard Precautions when handling body fluids.
D)Avoid wearing gloves in front of the child and family.
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Chapter 40: Respiratory Dysfunction
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Q1) A nurse is interpreting the results of a tuberculin skin test (TST)on an adolescent who is human immunodeficiency virus (HIV)positive.Which induration size indicates a positive result for this child 48 to 72 hours after the test?
A)5 mm
B)10 mm
C)15 mm
D)20 mm
Q2) Which type of croup is always considered a medical emergency?
A)Laryngitis
B)Epiglottitis
C)Spasmodic croup
D)Laryngotracheobronchitis (LTB)
Q3) Which information should the nurse teach families about reducing exposure to pollens and dust (Select all that apply)?
A)Replace wall-to-wall carpeting with wood and tile floors.
B)Use an air conditioner.
C)Put dust-proof covers on pillows and mattresses.
D)Keep humidity in the house above 60%.
E)Keep pets outside.
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Page 42
Chapter 41: Gastrointestinal Dysfunction
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Q1) Caring for the newborn with a cleft lip and palate before surgical repair includes:
A)Gastrostomy feedings.
B)Keeping the infant in near-horizontal position during feedings.
C)Allowing little or no sucking.
D)Providing satisfaction of sucking needs.
Q2) Which statements regarding hepatitis B are correct (Select all that apply)?
A)Hepatitis B cannot exist in a carrier state.
B)Hepatitis B can be prevented by hepatitis B virus vaccine.
C)Hepatitis B can be transferred to an infant of a breastfeeding mother.
D)The onset of hepatitis B is insidious.
E)Immunity to hepatitis B occurs after one attack.
Q3) Therapeutic management of most children with Hirschsprung's disease is primarily:
A)Daily enemas.
B)Low-fiber diet.
C)Permanent colostomy.
D)Surgical removal of affected section of bowel.
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Chapter 42: Cardiovascular Dysfunction
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Q1) Which postoperative intervention should be questioned for a child after a cardiac catheterization?
A)Continue intravenous (IV) fluids until the infant is tolerating oral fluids.
B)Check the dressing for bleeding.
C)Assess peripheral circulation on the affected extremity.
D)Keep the affected leg flexed and elevated.
Q2) A major clinical manifestation of rheumatic fever is:
A)Polyarthritis.
B)Osler's nodes.
C)Janeway spots.
D)Splinter hemorrhages of distal third of nails.
Q3) The most common causative agent of bacterial endocarditis is:
A)Staphylococcus albus.
B)Streptococcus hemolyticus.
C)Staphylococcus albicans.
D)Streptococcus viridans.
Q4) Which is the acceptable mg/dl level,or below this level,low-density lipoprotein (LDL)cholesterol level for a child from a family with heart disease? _____ Record your answer as a whole number.
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Chapter 43: Hematologic and Immunologic Dysfunction
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Q1) The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction.The nurse should explain that narcotic analgesics:
A)Are often ordered but not usually needed.
B)Rarely cause addiction because they are medically indicated.
C)Are given as a last resort because of the threat of addiction.
D)Are used only if other measures such as ice packs are ineffective.
Q2) The nurse is caring for a child with aplastic anemia.Which nursing diagnoses are appropriate (Select all that apply)?
A)Acute Pain related to vaso-occlusion
B)Risk for Infection related to inadequate secondary defenses or immunosuppression
C)Ineffective Protection related to thrombocytopenia
D)Ineffective Tissue Perfusion related to anemia
E)Ineffective Protection related to abnormal clotting
Q3) Fourth priority
A)Take the vital signs.
B)Stop the transfusion.
C)Notify the practitioner.
D)Maintain a patent intravenous (IV) line with normal saline.
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Chapter 44: Genitourinary Dysfunction
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Q1) The most common cause of acute renal failure in children is:
A)Pyelonephritis.
B)Tubular destruction.
C)Urinary tract obstruction.
D)Severe dehydration.
Q2) The nurse is assisting the pediatric provider with a newborn examination.The provider notes that the infant has hypospadias.The nurse understands that hypospadias refers to:
A)Absence of a urethral opening.
B)Penis shorter than usual for age.
C)Urethral opening along dorsal surface of penis.
D)Urethral opening along ventral surface of penis.
Q3) The diet of a child with nephrosis usually includes:
A)High protein.
B)Salt restriction.
C)Low fat.
D)High carbohydrate.
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Chapter 45: Cerebral Dysfunction
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Q1) Which type of seizure involves both hemispheres of the brain?
A)Focal
B)Partial
C)Generalized
D)Acquired
Q2) Fourth priority
A)Take vital signs.
B)Ease child to the floor.
C)Allow child to rest.
D)Turn child to the side.
E)Integrate child back into the school environment.
Q3) A child is brought to the emergency department after experiencing a seizure at school.There is no previous history of seizures.The father tells the nurse that he cannot believe the child has epilepsy.The nurse's best response is:
A)"Epilepsy is easily treated."
B)"Very few children have actual epilepsy."
C)"The seizure may or may not mean that your child has epilepsy."
D)"Your child has had only one convulsion; it probably won't happen again."
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Chapter 46: Endocrine Dysfunction
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Q1) What is the priority nursing goal for a 14-year-old with Graves' disease?
A)Relieving constipation
B)Allowing the adolescent to make decisions about whether or not to take medication
C)Verbalizing the importance of adherence to the medication regimen
D)Developing alternative educational goals
Q2) What is characteristic of the immune-mediated type 1 diabetes mellitus?
A)Ketoacidosis is infrequent.
B)Onset is gradual.
C)Age at onset is usually younger than 18 years.
D)Oral agents are often effective for treatment.
Q3) The nurse is caring for an 11-year-old boy who has recently been diagnosed with diabetes.What should be included in the teaching plan for daily injections?
A)The parents do not need to learn the procedure.
B)He is old enough to give most of his own injections.
C)Self-injections will be possible when he is closer to adolescence.
D)He can learn about self-injections when he is able to reach all injection sites.
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Chapter 47: Integumentary Dysfunction
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Q1) A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider.The nurse should advise the father to:
A)Apply warm compresses.
B)Carefully scrape off the stinger.
C)Take the child to emergency department.
D)Apply a thin layer of corticosteroid cream.
Q2) The nurse should understand that Lyme disease is:
A)Difficult to prevent.
B)Easily treated with oral antibiotics in stages 1, 2, and 3.
C)Caused by a spirochete that enters the skin through a tick bite.
D)Common in geographic areas where the soil contains the mycotic spores that cause the disease.
Q3) A mother calls the emergency department nurse because her child was stung by a scorpion.The nurse should recommend:
A)Administering antihistamine.
B)Cleansing with soap and water.
C)Keeping the child quiet and coming to emergency department.
D)Removing the stinger and applying cool compresses.
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Chapter 48: Musculoskeletal or Articular Dysfunction
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Q1) An advantage to using a fiberglass cast instead of a plaster cast is that a fiberglass cast:
A)Is less expensive.
B)Dries rapidly.
C)Molds closely to body parts.
D)Has a smooth exterior.
Q2) The nurse is teaching a family how to care for their infant in a Pavlik harness to treat developmental dysplasia of the hip.What should be included?
A)Apply lotion or powder to minimize skin irritation.
B)Remove the harness several times a day to prevent contractures.
C)Return to the clinic every 1 to 2 weeks.
D)Place a diaper over harness, preferably using a superabsorbent disposable diaper that is relatively thin.
Q3) The primary method of treating osteomyelitis is:
A)Joint replacement.
B)Bracing and casting.
C)Intravenous antibiotic therapy.
D)Long-term corticosteroid therapy.
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Chapter 49: Neuromuscular or Muscular Dysfunction
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Q1) Therapeutic management of a child with tetanus includes the administration of:
A)Nonsteroidal antiinflammatory drugs (NSAIDs) to reduce inflammation.
B)Muscle stimulants to counteract muscle weakness.
C)Bronchodilators to prevent respiratory complications.
D)Antibiotics to control bacterial proliferation at the site of injury.
Q2) The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning.Which interventions should the nurse plan for the care of the myelomeningocele sac?
A)Open to air
B)Covered with a sterile, moist, nonadherent dressing
C)Reinforcement of the original dressing if drainage noted
D)A diaper secured over the dressing
Q3) A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago.Which nursing care interventions are needed for this child (Select all that apply)?
A)Monitoring and maintaining systemic blood pressure.
B)Administering corticosteroids.
C)Minimizing environmental stimuli.
D)Discussing long-term care issues with the family.
E)Monitoring for respiratory complications.
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