Child Health Nursing Exam Solutions
Course Introduction
Child Health Nursing focuses on the comprehensive care of infants, children, and adolescents within the context of their family and community. The course covers concepts of growth and development, the promotion of health and prevention of illness, and the management of acute and chronic illnesses in pediatric populations. Emphasis is placed on nursing assessment, evidence-based interventions, communication, and family-centered care. Students learn to support the physical, emotional, and developmental needs of children at various stages, advocate for child health and safety, and collaborate with interdisciplinary healthcare teams to optimize pediatric outcomes.
Recommended Textbook
Maternal Child Nursing 5th Edition by McKinney
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55 Chapters
1615 Verified Questions
1615 Flashcards
Source URL: https://quizplus.com/study-set/470
Page 2
Chapter 1: Foundations of Maternity, Womens Health, and Child Health Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8504
Sample Questions
Q1) A nurse wishes to work to reduce infant mortality in the United States.Which activity would this nurse most likely participate in?
A) Creating pamphlets in several different languages using an interpreter.
B) Assisting women to enroll in Medicaid by their third trimester.
C) Volunteering to provide prenatal care at community centers.
D) Working as an intake counselor at a women's shelter.
Answer: C
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) The Women,Infants,and Children (WIC)program provides
A) well-child examinations for infants and children living at the poverty level.
B) immunizations for high-risk infants and children.
C) screening for infants with developmental disorders.
D) supplemental food supplies to low-income pregnant or breastfeeding women.
Answer: D
Page 3
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Chapter 2: The Nurses Role in Maternity, Womens Health, and Pediatric Nursing
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8505
Sample Questions
Q1) The step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis is called
A) assessment.
B) planning.
C) intervention.
D) evaluation.
Answer: B
Q2) A nurse wishes to incorporate the American Nurses Association Code of Ethics for Nurses in daily practice.Which of the following actions best demonstrates successful integration of the code into daily routines?
A) Strives to treat all patients equally and with caring kindness
B) Calls the provider when the patient's pain is not controlled with prescribed medications
C) Reads current literature related to practice area and brings ideas to unit management
D) Routinely stays overtime in order to visit and bond with new families
E) Decides to "play nicely" and not get involved in disputes about patient care
Answer: A,B,C
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Chapter 3: The Childbearing and Child-Rearing Family
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8506
Sample Questions
Q1) A traditional family structure in which married male and female partners and their children live as an independent unit is known as a(n)_____ family.
A) extended
B) binuclear
C) nuclear
D) blended
Answer: C
Q2) According to Friedman's classifications,providing such physical necessities as food,clothing,and shelter is the __________ family function.
A) economic
B) socialization
C) reproductive
D) health care
Answer: D
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Page 5
Chapter 4: Communicating with Children and Families
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/8507
Sample Questions
Q1) What is an appropriate preoperative teaching plan for a school-age child?
A) Begin preoperative teaching the morning of surgery.
B) Schedule a tour of the hospital a few weeks before surgery.
C) Show the child books and pictures 4 days before surgery.
D) Limit teaching to 5 minutes and use simple terminology.
Q2) An 8-year-old girl asks the nurse how the blood pressure apparatus works.The most appropriate nursing action is to
A) ask why the child wants to know.
B) determine why the child is so anxious.
C) explain in simple terms how it works.
D) tell the child he or she will see how it works as it is used.
Q3) Which is the most appropriate question to ask when interviewing an adolescent to encourage conversation?
A) "Are you in school?"
B) "Are you doing well in school?"
C) "How is school going for you?"
D) "How do your parents feel about your grades?"
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Chapter 5: Health Promotion for the Developing Child
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8508
Sample Questions
Q1) A 2-month-old child has not had any immunizations.Which ones should the nurse prepare to give? (Select all that apply.)
A) Hib
B) HepB
C) MCV
D) Varicella
E) HPV
Q2) A nurse is teaching parents to avoid environmental injury to their 2-year-old child.What information does the nurse include in teaching?
A) Avoiding sun exposure, secondhand smoke, and lead
B) Living in a middle-class neighborhood
C) Avoiding smoking and alcohol intake during pregnancy
D) Limiting breastfeeding to avoid toxins being passed through breast milk
Q3) A nurse wants to work to increase the number of immunized children.What action by the nurse would best meet this goal?
A) Present a workshop to the local home-schooling parent support group.
B) Volunteer for a mass "back to school" immunization clinic.
C) Prepare welcome and information packets to college freshmen.
D) Work with the health department to bring immunizations to day cares.
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Page 7
Chapter 6: Health Promotion for the Infant
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8509
Sample Questions
Q1) In terms of fine motor development,what should the 7-month-old infant be able to do?
A) Transfer objects from one hand to the other.
B) Use thumb and index finger in crude pincer grasp.
C) Hold crayon and make a mark on paper.
D) Release cubes into a cup.
Q2) The mother of a 10-month-old infant tells the nurse that her infant "really likes cow's milk." What is the nurse's best response to this mother?
A) "Milk is a nutritious choice at this time."
B) "Children should not get cow's milk until 1 year of age."
C) "Limit cow's milk to one bedtime bottle."
D) "Mix cereal with cow's milk and feed it in a bottle."
Q3) At what age is an infant first expected to locate an object hidden from view?
A) 4 months of age
B) 6 months of age
C) 9 months of age
D) 20 months of age
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Chapter 7: Health Promotion During Early Childhood
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8510
Sample Questions
Q1) A nurse has been teaching a parent of a toddler about effective discipline.Which statement by the parent indicates that goals for teaching have been met?
A) "I always include explanations and morals when I am disciplining my toddler."
B) "I always try to be immediate and consistent when disciplining the children."
C) "I believe that discipline should be done by only one family member."
D) "My rule of thumb is no more than one spanking a day."
Q2) A parent is very frustrated by the amount of time a toddle says "no" and asks the nurse about effective strategies to manage this negativism.The most appropriate recommendation is to
A) punish the child for the behavior.
B) provide more attention to the child.
C) ask the child to not always say "no."
D) reduce the opportunities for a "no" answer.
Q3) Which comments indicate that the mother of a toddler needs further teaching about dental care?
A) "We use well water so I give my toddler fluoride supplements."
B) "My toddler brushes his teeth with my help."
C) "My child will not need a dental checkup until his permanent teeth come in."
D) "I use a small nylon bristle brush for my toddler's teeth."
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Page 9
Chapter 8: Health Promotion for the School-Age Child
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8511
Sample Questions
Q1) Which demonstrates the school-age child's developing logic in the stage of concrete operations? (Select all that apply.)
A) Recognizes that 1 lb of feathers is equal to 1 lb of metal
B) Recognizes that he can be a son, brother, or nephew at the same time
C) Understands the principles of adding, subtracting, and reversibility
D) Has thinking that is characterized by egocentrism, animism, and centration
E) Often solves problems with random guessing instead of logic
Q2) The student nurse learns that which factors place children at risk for malocclusion? (Select all that apply.)
A) Sucking the thumb
B) Mouth breathing
C) Cleft palate
D) Early loss of "baby" teeth
E) Heredity
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Chapter 9: Health Promotion for the Adolescent
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8512
Sample Questions
Q1) A nurse is planning for a sports pre-participation physical exam day.What goals for this event does the nurse set? (Select all that apply.)
A) Comprehensive physical examination
B) Assess general health
C) Identify limiting conditions
D) Provide wellness counseling
E) Adhere to insurance requirements
Q2) What is the best response a nurse can make to a 15-year-old girl who has verbalized a desire to have a baby?
A) "Have you talked with your parents about this?"
B) "Do you have plans to continue school?"
C) "Will you be able to support the baby?"
D) "Can you tell me how your life will be if you have an infant?"
Q3) What does the nurse learn that predisposes the adolescent to feel an increased need for sleep?
A) An inadequate diet
B) Rapid physical growth
C) Decreased activity
D) Typical lack of ambition
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Chapter 10: Hereditary and Environmental Influences on Development
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8513
Sample Questions
Q1) Which statement is true of multifactorial disorders?
A) They may not be evident until later in life.
B) They are usually present and detectable at birth.
C) The disorders are characterized by multiple defects.
D) Secondary defects are rarely associated with multifactorial disease.
Q2) The nurse knows that which of the following chromosomal abnormalities are structural in nature? (Select all that apply.)
A) Part of a chromosome is missing.
B) The material within a chromosome is rearranged.
C) One or more sets of chromosomes are added.
D) An entire single chromosome is added.
E) Two chromosomes adhere to each other.
Q3) A baby is born with blood type AB.The father is type A,and the mother is type B.The father asks why the baby has a blood type different from those of his parents.The nurse's answer should be based on the knowledge that
A) both A and B blood types are dominant.
B) the baby has a mutation of the parents' blood types.
C) type A is recessive and links more easily with type B.
D) types A and B are recessive when linked together.
Page 12
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Chapter 11: Reproductive Anatomy and Physiology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/8514
Sample Questions
Q1) The function of the cremaster muscle in men is to A) aid in voluntary control of excretion of urine.
B) entrap blood in the penis to produce an erection.
C) assist with transporting sperm.
D) aid in temperature control of the testicles.
Q2) In describing the size and shape of the nonpregnant uterus to a patient,the nurse would say it is approximately the size and shape of a A) cantaloupe.
B) grapefruit.
C) pear.
D) large orange.
Q3) A nurse is teaching a woman about spinnbarkeit.The student nurse asks why the woman would need this information.What response by the nurse is most appropriate?
A) To assist in becoming pregnant or preventing pregnancy
B) To determine if she can breastfeed
C) To assess risk for genetic defects in the fetus
D) To find out if her ova are suitable for fertilization
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Chapter 12: Conception and Prenatal Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8515
Sample Questions
Q1) What does the student learn about recent trends in multiple births?
A) The rate of twin births has declined.
B) The rate of higher order pregnancies has increased.
C) Higher order pregnancies are now very rare.
D) Twinning is the most common form of multiple pregnancy.
Q2) Which part of the mature sperm contains the male chromosomes?
A) The head of the sperm
B) The middle portion of the sperm
C) X-bearing sperm
D) The tail of the sperm
Q3) The nursing faculty explains that the fetus can survive in a low-oxygen environment due to which of the following? (Select all that apply.)
A) Fetal hemoglobin carries more oxygen than an adult's.
B) The fetus has higher average hemoglobin and hematocrit.
C) Hemoglobin carries more oxygen at low partial pressures of carbon dioxide.
D) Fetal blood is more acidic than the maternal blood.
E) The fetus does not need gas exchange while in utero.
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Chapter 13: Adaptations to Pregnancy
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/8516
Sample Questions
Q1) What comment by a new mother exhibits understanding of her toddler's response to a new sibling?
A) "I can't believe he is sucking his thumb again."
B) "He is being difficult, and I don't have time to deal with him."
C) "My husband will stay with the baby so I can take our son to the park."
D) "When we brought the baby home, we made our son stop sleeping in the crib."
Q2) A nurse in labor and delivery is caring for a Muslim woman during the active phase of labor.You note that when you touch her,she quickly draws away.Which response by the nurse is best?
A) Continue to touch her as much as you need to while providing care.
B) Assume that she doesn't like you and decrease your time with her.
C) Limit touching to a minimum, as this may not be acceptable in her culture.
D) Ask the charge nurse to reassign you to another patient.
Q3) A patient in her first trimester complains of nausea and vomiting.She asks,"Why does this happen?" The nurse's best response is
A) "It is due to an increase in gastric motility."
B) "It may be due to changes in hormones."
C) "It is related to an increase in glucose levels."
D) "It is caused by a decrease in gastric secretions."
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Page 15
Chapter 14: Nutrition for Childbearing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The traditional diet of Asian women includes little meat or dairy products and may be low in calcium and iron.The nurse can help the woman increase her intake of these foods by
A) emphasizing the need for increased milk intake during pregnancy.
B) suggesting she eat more "hot" foods during pregnancy.
C) telling her husband that she must increase her intake of fruits and vegetables for the baby's sake.
D) suggesting she eat more tofu, bok choy, and broccoli.
Q2) The woman in her third trimester asks the nurse how fast she will lose weight after giving birth.What information from the nurse is most accurate?
A) You will lose about 20 pounds immediately.
B) By the end of 2 weeks after birth you will have lost about 21 pounds.
C) You can go on a diet after your first postnatal checkup.
D) Most women do not lose all the weight they gain during pregnancy.
Q3) Which pregnant woman should have the least weight gain during pregnancy?
A) Woman pregnant with twins
B) Woman in early adolescence
C) Woman shorter than 62 inches or 157 cm
D) Woman who was obese before pregnancy
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Page 16
Chapter 15: Prenatal Diagnostic Tests
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8518
Sample Questions
Q1) The nurse teaches a student that indications for percutaneous umbilical cord sampling (PUBS)include which of the following? (Select all that apply.)
A) Rh disease
B) Fetal well-being
C) Infection
D) Lung maturity
E) Karyotyping
Q2) A nurse is teaching a woman how to do "kick counts." What information about this assessment is most appropriate?
A) Notify your provider if the baby's movement patterns change.
B) Count the number of fetal movements over 2 hours.
C) Call the OB triage area if there are fewer than 10 movements/hour.
D) Have your partner verify your count at the same time you perform it.
Q3) A pregnant woman's biophysical profile score is 8.She asks the nurse to explain the results.The nurse's best response is
A) "The test results are within normal limits."
B) "Immediate delivery by cesarean birth is needed."
C) "Further tests are needed to determine the meaning of this score."
D) "We will inform you of your options within the next week."
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Page 17
Chapter 16: Giving Birth
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8519
Sample Questions
Q1) The maternity nurse understands that as the uterus contracts during labor,maternal-fetal exchange of oxygen and waste products
A) continues except when placental functions are reduced.
B) increases as blood pressure decreases.
C) diminishes as the spiral arteries are compressed.
D) is not significantly affected.
Q2) Which maternal factor may inhibit fetal descent and require further nursing interventions?
A) Decreased peristalsis
B) A full bladder
C) Reduction in internal uterine size
D) Rupture of membranes
Q3) Leopold's maneuvers are used by practitioners to determine
A) the best location to assess the fetal heart rate (FHR).
B) cervical dilation and effacement.
C) whether the fetus is in the posterior position.
D) if the woman needs an amniotomy.
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Chapter 17: Intrapartum Fetal Surveillance
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8520
Sample Questions
Q1) A student nurse is preparing to administer misoprostol (Cytotec).What action by the student seen by the registered nurse demonstrates adequate knowledge about this medication?
A) Assesses maternal blood pressure 30 minutes after administration
B) Assesses fetal heart tones prior to administering the medication
C) Documents the drug administration in the woman's chart
D) Takes and records an apical pulse for 1 minute prior to administration
Q2) When the mother's membranes rupture during active labor,the fetal heart rate should be observed for the occurrence of which periodic pattern?
A) Increase in baseline variability
B) Nonperiodic accelerations
C) Early decelerations
D) Variable decelerations
Q3) The nurse notes a pattern of late decelerations on the fetal monitor.The most appropriate action is to
A) continue observation of this reassuring pattern.
B) notify the physician or nurse-midwife.
C) give the woman oxygen by face mask.
D) place the woman in a Trendelenburg position.
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Page 19
Chapter 18: Pain Management for Childbirth
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8521
Sample Questions
Q1) Which statement is true about the physiologic effects of pain in labor?
A) It usually results in a more rapid labor.
B) It is considered to be a normal occurrence.
C) It may result in decreased placental perfusion.
D) It has no effect on the outcome of labor.
Q2) A woman had spinal anesthesia for delivery.Now she complains of a pounding headache rated 7/10.What action by the nurse is most appropriate?
A) Prepare to assist with a blood patch procedure.
B) Give the woman IV opioid pain medications.
C) Increase the rate of her nonadditive IV fluids.
D) Place a cool cloth on her forehead and dim the room lights.
Q3) The nurse is caring for a laboring patient who develops a fever after she has had her epidural initiated.What actions by the nurse are appropriate? (Select all that apply.)
A) Palpate the woman's bladder distention.
B) Assess the woman's blood pressure.
C) Observe the woman for shivering.
D) Check the skin for color and warmth.
E) Prepare to assist with a blood patch.
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Chapter 19: Nursing Care during Obstetric Procedures
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8522
Sample Questions
Q1) Surgical,medical,or mechanical methods may be used for labor induction.Which technique is considered a mechanical method of induction?
A) Amniotomy
B) Intravenous Pitocin
C) Transcervical catheter
D) Vaginal insertion of prostaglandins
Q2) The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated.What is the correct rationale for this intervention?
A) Spontaneous release of urine might contaminate the sterile field.
B) An empty bladder provides more room in the pelvis.
C) A sterile urine specimen is needed preoperatively.
D) A Foley catheter prevents the membranes from spontaneously rupturing.
Q3) After a forceps-assisted birth,the mother is observed to have continuous bright red lochia but a firm fundus.What other finding is important to correlate with these data?
A) Mild, intermittent perineal pain
B) Edema and discoloration of the labia and perineum
C) Lack of an episiotomy
D) Lack of pain in the perineal area
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Chapter 20: Postpartum Adaptations
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8523
Sample Questions
Q1) The postpartum woman who continually repeats the story of her labor,delivery,and recovery experiences is
A) providing others with her knowledge of events.
B) making the birth experience "real."
C) taking hold of the events leading to her labor and delivery.
D) accepting her response to labor and delivery.
Q2) Nurses must be aware of the conditions that increase the risk of hemorrhage,one of the most common complications of the puerperium.What are these conditions? (Select all that apply.)
A) Primipara
B) Rapid or prolonged labor
C) Overdistention of the uterus
D) Uterine fibroids
E) Preeclampsia
Q3) Postpartal overdistention of the bladder and urinary retention can lead to which complication?
A) Postpartum hemorrhage and eclampsia
B) Fever and increased blood pressure
C) Postpartum hemorrhage and urinary tract infection
D) Urinary tract infection and uterine rupture
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Chapter 21: The Normal Newborn: Adaptation and Assessment
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/8524
Sample Questions
Q1) What are modes of heat loss in the newborn? (Select all that apply.)
A) Perspiration
B) Convection
C) Radiation
D) Conduction
E) Urination
Q2) The student nurse learns that in fetal circulation,the pressure is greatest in the
A) right atrium.
B) left atrium.
C) hepatic system.
D) pulmonary veins.
Q3) A newborn who is large for gestational age (LGA)is _________ percentile for weight.
A) below the 90th
B) less than the 10th
C) greater than the 90th
D) between the 10th and 90th
Q4) An infant was born weighing 7.2 pounds.Calculate this infant's oral intake needs._______
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Chapter 22: The Normal Newborn: Nursing Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8525
Sample Questions
Q1) The parents of a newborn are considering circumcision.What possible complications does the nurse teach them about? (Select all that apply.)
A) Urinary retention
B) Adhesions
C) Necrosis of the site
D) Kidney infection
E) Unsatisfactory cosmetic result
Q2) A nurse is observing a student nurse apply erythromycin ophthalmic ointment.What action by the student requires the nurse to intervene?
A) Applies ointment in thin ribbon
B) Applies ointment from outer canthus to inner canthus.
C) Holds the tube horizontally while applying ointment
D) Wipes excess ointment away after 1 minute.
Q3) In providing and teaching cord care,what is an important principle?
A) Cord care is done only to control bleeding.
B) Alcohol is the only agent used for cord care.
C) It takes a minimum of 24 days for the cord to separate.
D) The process of keeping the cord dry will decrease bacterial growth.
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24
Chapter 23: Newborn Feeding
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8526
Sample Questions
Q1) A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding.What signs and symptoms should the nurse include in her discussion?
(Select all that apply.)
A) Breast tenderness
B) Warmth in the breast
C) An area of redness on the breast often resembling the shape of a pie wedge
D) A small white blister on the tip of the nipple
E) Fever and flulike symptoms
Q2) The nurse should explain to new parents that the most serious consequence of propping an infant's bottle is
A) dental caries.
B) aspiration.
C) ear infections.
D) colic.
Q3) What is the first step in assisting the breastfeeding mother?
A) Provide instruction on the composition of breast milk.
B) Discuss the hormonal changes that trigger the milk ejection reflex.
C) Assess the woman's knowledge of and feelings toward breastfeeding.
D) Help her obtain a comfortable position and place the infant to the breast.
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Page 25
Chapter 24: The Childbearing Family with Special Needs
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8527
Sample Questions
Q1) Approximately 82% of teen pregnancies are unintended.Seventy percent of teens have had sex by their 19th birthday.Factors that contribute to an increased risk for teen pregnancy include which of the following? (Select all that apply.)
A) High self-esteem
B) Peer pressure
C) Limited access to contraception
D) Planning sexual activity
E) Lack of role models
Q2) In counseling a patient who has decided to relinquish her baby for adoption,the nurse should do which of the following?
A) Affirm her decision while acknowledging her maturity in making it.
B) Question her about her feelings regarding adoption.
C) Tell her she can always change her mind about adoption.
D) Ask her if anyone is coercing her into the decision to relinquish her baby.
Q3) What is most likely to be a concern for the older mother?
A) The importance of having enough rest and sleep
B) Information about effective contraceptive methods
C) Nutrition and diet planning
D) Information about exercise and fitness
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Page 26
Chapter 25: Pregnancy-Related Complications
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8528
Sample Questions
Q1) Rh incompatibility can occur if the woman is Rh negative and her A) fetus is Rh positive.
B) husband is Rh positive.
C) fetus is Rh negative.
D) husband and fetus are both Rh negative.
Q2) A woman with severe preeclampsia is being treated with bed rest and intravenous magnesium sulfate.The drug classification of this medication is A) tocolytic.
B) anticonvulsant.
C) antihypertensive.
D) diuretic.
Q3) The student nurse is assessing a woman with abruptio placentae.The student reports to the registered nurse "I can't really palpate her abdomen,it's as hard as a board." What action by the nurse is the priority?
A) Tell the student to document the findings.
B) Have the student teach the woman relaxation techniques.
C) Assess the woman's fundal height and vital signs.
D) Administer a dose of opioid pain medication.
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Chapter 26: Concurrent Disorders during Pregnancy
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8529
Sample Questions
Q1) When caring for a pregnant woman with suspected cardiomyopathy,the nurse must be alert for signs and symptoms of cardiac decompensation,which include (Select all that apply.)
A) A regular heart rate
B) Hypertension
C) Shortness of breath
D) Weakness
E) Crackles in the lung bases
Q2) A woman who delivered her third child yesterday has just learned that her two school-age children have contracted chickenpox.What action by the nurse is best?
A) Assess if the woman has had chickenpox or been vaccinated.
B) Tell her that the baby has immunity from her and is not susceptible.
C) Advise her if she is non-immune, she will get vaccinated at her 2-week postpartum checkup.
D) The infant will receive prophylactic acyclovir before discharge.
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Chapter 27: The Woman with an Intrapartum Complication
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8530
Sample Questions
Q1) The fetus in a breech presentation is often born by cesarean delivery because
A) the buttocks are much larger than the head.
B) postpartum hemorrhage is more likely if the woman delivers vaginally.
C) internal rotation cannot occur if the fetus is breech.
D) compression of the umbilical cord is more likely.
Q2) A woman in labor at 34 weeks of gestation is hospitalized and treated with intravenous magnesium sulfate for 18 to 20 hours.When the magnesium sulfate is discontinued,which oral drug will probably be prescribed for continuation of the tocolytic effect?
A) Ritodrine
B) Terbutaline
C) Calcium gluconate
D) Pitocin
Q3) Which factor is most likely to result in fetal hypoxia during a dysfunctional labor?
A) Incomplete uterine relaxation
B) Maternal fatigue and exhaustion
C) Maternal sedation with narcotics
D) Administration of tocolytic drugs
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Chapter 28: The Woman with a Postpartum Complication
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8531
Sample Questions
Q1) The nurse explain to the student that which of the following factors increase a woman's risk for thrombosis? (Select all that apply.)
A) Use of stirrups for a prolonged period of time
B) Prolonged bedrest during or after labor and delivery
C) Adherence to a strict vegetarian diet
D) Excessive sweating during labor
E) Maternal age greater than 30 years of age
Q2) If nonsurgical treatment for late postpartum hemorrhage is ineffective,which surgical procedure is appropriate to correct the cause of this condition?
A) Hysterectomy
B) Laparoscopy
C) Laparotomy
D) D&C
Q3) The maternity nurse knows that which disorder can be triggered by a birth the woman views as traumatic?
A) A phobia
B) Panic disorder
C) Posttraumatic stress disorder (PTSD)
D) Obsessive-compulsive disorder (OCD)
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Page 30
Chapter 29: The High-Risk Newborn: Problems Related to
Gestational Age and Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8532
Sample Questions
Q1) A nurse is caring for a late preterm infant.What action by the nurse is inconsistent with best practice to prevent cold stress?
A) Wean the infant directly to an open crib.
B) Check temperature every 3 to 4 hours.
C) Encourage kangaroo care.
D) Place infant on a radiant warmer.
Q2) Which data should alert the nurse that the neonate is postmature?
A) Cracked, peeling skin
B) Short, chubby arms and legs
C) Presence of vernix caseosa
D) Presence of lanugo
Q3) While caring for the postterm infant,the nurse recognizes that the fetus may have passed meconium prior to birth as a result of
A) hypoxia in utero.
B) NEC.
C) placental insufficiency.
D) rapid use of glycogen stores.
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Page 31
Chapter 30: The High-Risk Newborn: Acquired and Congenital Conditions
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8533
Sample Questions
Q1) Some infants develop hypoxic-ischemic encephalopathy after asphyxia.Therapeutic hypothermia has been used to improve neurologic outcomes for these infants.Criteria for the use of this modality include (Select all that apply.)
A) The infant must be 28 weeks gestation or greater.
B) Have evidence of an acute hypoxic event.
C) Be in a facility they can initiate treatment within 6 hours.
D) The infant must be 36 or more weeks' gestation.
E) The treatment must be initiated within the first 12 hours of life.
Q2) A nurse is participating in a neonatal resuscitation.What action by the nurse takes priority?
A) Suction the mouth and nose.
B) Stimulate the infant by rubbing the back.
C) Perform the Apgar test.
D) Place the infant in a preheated warmer.
Q3) Nursing care of the infant with neonatal abstinence syndrome should include
A) Positioning the infant's crib in a quiet corner of the nursery
B) Feeding the infant on a 2-hour schedule
C) Placing stuffed animals and mobiles in the crib to provide visual stimulation
D) Spending extra time holding and rocking the infant
Page 32
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Chapter 31: Management of Fertility and Infertility
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8534
Sample Questions
Q1) While instructing a couple regarding birth control,the nurse should be aware that the method called natural family planning
A) is the same as coitus interruptus, or "pulling out."
B) uses the calendar method to align the woman's cycle with sexual activity.
C) is used by 2% of Roman Catholics.
D) relies on barrier methods during fertility phases.
Q2) With regard to the use of intrauterine devices (IUDs),nurses should be aware that A) return to fertility can take several weeks after the device is removed.
B) IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse.
C) IUDs offer the same protection against sexually transmitted diseases as the diaphragm.
D) consent forms are not needed for IUD insertion.
Q3) Which woman is the safest candidate for the use of oral contraceptives?
A) 39-year-old with a history of thrombophlebitis
B) 16-year-old with a benign liver tumor
C) 20-year-old who suspects she may be pregnant
D) 43-year-old who does not smoke cigarettes
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33
Chapter 32: Womens HealthCare
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8535
Sample Questions
Q1) The nurse providing care in a women's health care setting must be aware that which sexually transmitted disease (STD)can be cured?
A) Herpes
B) Acquired immunodeficiency syndrome (AIDS)
C) Venereal warts
D) Chlamydia
Q2) Which woman is most likely to have osteoporosis?
A) A 50-year-old woman receiving estrogen therapy
B) A 60-year-old woman who takes supplemental calcium
C) A 55-year-old woman with a sedentary lifestyle
D) A 65-year-old woman who walks 2 miles each day
Q3) A woman with a history of a cystocele should contact the physician right away if she experiences
A) involuntary loss of urine when she coughs.
B) constipation.
C) backache.
D) urinary frequency and burning.
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Chapter 33: Physical Assessment of Children
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8536
Sample Questions
Q1) What term should be used in the nurse's documentation to describe auscultation of breath sounds that are short,popping,and discontinuous on inspiration?
A) Pleural friction rub
B) Sonorous rhonchi
C) Crackles
D) Wheeze
Q2) The nurse inspecting the skin of a dark-skinned child notices an area that is a dusky red or violet color.This skin coloration is associated with what?
A) Cyanosis
B) Erythema
C) Vitiligo
D) Nevi
Q3) Which chart should the nurse use to assess the visual acuity of an 8-year-old child?
A) Lea chart
B) Snellen chart
C) HOTV chart
D) Tumbling E chart
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Chapter 34: Emergency Care of the Child
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8537
Sample Questions
Q1) What is an appropriate nursing intervention for a 6-month-old infant in the emergency department?
A) Distract the infant with noise or bright lights.
B) Avoid warming the infant.
C) Remove any pacifiers from the baby.
D) Encourage the parent to hold the infant.
Q2) Which nursing action facilitates care being provided to a child in an emergency situation?
A) Encourage the family to remain in the waiting room.
B) Include parents as partners in providing care for the child.
C) Always reassure the child and family.
D) Give explanations using professional terminology.
Q3) What is the leading cause of unintentional death in children younger than 19 years of age in the United States?
A) Drowning
B) Airway obstruction
C) Pedestrian injury
D) Motor vehicle injuries
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Chapter 35: The Ill Child in the Hospital and Other Care Settings
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8538
Sample Questions
Q1) Based on concepts related to the normal growth and development of children,which child would have the most difficulty with separation from family during hospitalization?
A) A 5-month-old infant
B) A 15-month-old toddler
C) A 4-year-old child
D) A 7-year-old child
Q2) Which play activity should the nurse implement to enhance deep breathing exercises for a toddler?
A) Blowing bubbles
B) Throwing a Nerf ball
C) Using a spirometer
D) Keeping a chart of deep breathing
Q3) A child with a serious,chronic illness is hospitalized frequently.The parents are worried about the child's growth and development.What action by the nurse is best?
A) Tell parents developmental delays are likely in this case.
B) Make a referral to the play therapist for therapeutic play.
C) Encourage the child to perform age-appropriate activities.
D) Ask the parents if they want a child psychology referral.
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Chapter 36: The Child with a Chronic Condition or Terminal Illness
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8539
Sample Questions
Q1) What corresponds to a 5-year-old child's understanding of death?
A) Loss of a caretaker
B) Reversible and temporary
C) Permanent
D) Inevitable
Q2) Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability.After the shock phase,a period of adjustment usually follows.This is often characterized by which response?
A) Denial
B) Anger
C) Social reintegration
D) Acceptance of child's limitations
Q3) The parents of a school-age child are told that their child is diagnosed with leukemia.As the nurse caring for this child,what is the expected first response of the parents to the diagnosis of chronic illness in their child?
A) Anger and resentment
B) Sorrow and depression
C) Shock and disbelief
D) Acceptance and adjustment
38
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Chapter 37: Principles and Procedures for Nursing Care of Children
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8540
Sample Questions
Q1) The nurse wore gloves during a dressing change.When the gloves are removed,the nurse should
A) wash hands thoroughly.
B) check the gloves for leaks.
C) use an alcohol-based hand rub.
D) apply new gloves before touching the next patient.
Q2) Which action is appropriate to promote a toddler's nutrition during hospitalization?
A) Allow the child to walk around during meals.
B) Require the child to empty his or her plate.
C) Ask the child's parents to bring a cup and utensils from home.
D) Select new foods for the child from the menu.
Q3) A parent wants to know why acetaminophen should only be given for 2 days for a fever without checking with the provider.What response by the nurse is best?
A) Acetaminophen is a dangerous drug with bad side effects.
B) Long-term acetaminophen use can cause liver damage.
C) There may be better fever relievers you could use.
D) What if there were something seriously wrong with your child?
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Page 39
Chapter 38: Medication Administration and Safety for
Infants and Children
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8541
Sample Questions
Q1) What is the best action for the nurse to take when giving medications to a 3-year-old child?
A) Tell the child to take the medication "right now."
B) Tell the child to take the medication or she will have to get a shot.
C) Allow the child to choose fruit punch or apple juice when giving the medication.
D) Tell the child that another child her age just took his medication like a "good girl."
Q2) What nursing actions are correct when administering subcutaneously? (Select all that apply.)
A) Insert the needle with the bevel up at a 15-degree angle.
B) Insert the needle at a 45- to 90-degree angle.
C) Insert the needle into the tissue on the upper back.
D) Insert the needle into the abdominal tissue.
E) Massage the injection site when the injection is complete.
Q3) Which food is appropriate to mix with medication?
A) Formula or milk
B) Applesauce
C) Baby food
D) Orange juice
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Chapter 39: Pain Management for Children
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8542
Sample Questions
Q1) A student nurse is preparing to administer fentanyl 2-mcg/kg IV push to a child who weighs 26.4 pounds.The pharmacy delivers a vial with 50 mcg/10 mL.How much fentanyl does the student draw up?
Q2) When assessing pain in any child,the nurse should consider that
A) any pain assessment tool can be used to assess pain in children.
B) children as young as 1 year old use words to express pain.
C) the child's behavioral, physiologic, and verbal responses are valuable when assessing pain.
D) pain assessment tools are minimally effective for communicating about pain.
Q3) What myth may interfere with the treatment of pain in infants and children?
A) Infants may have sleep difficulties after a painful event.
B) Children and infants are more susceptible to respiratory depression from narcotics.
C) Pain in children is multidimensional and subjective.
D) A child's cognitive level does not influence the pain experience.
Q4) When using the poker chip tool,it is important for the nurse to know that A) any number of chips can be used.
B) only a specified number of chips can be used.
C) the assessment tool is used with adolescents.
D) the assessment tool is most effectively used with 2-year-old children.
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Chapter 40: The Child with a Fluid and Electrolyte Alteration
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8543
Sample Questions
Q1) A nurse is teaching parents about diarrhea.Which statement by the parents indicates understanding of the teaching?
A) Diarrhea results from a fluid deficit in the small intestine.
B) Organisms destroy intestinal mucosal cells, resulting in an increased intestinal surface area.
C) Malabsorption results in metabolic alkalosis.
D) Increased motility results in impaired absorption of fluid and nutrients.
Q2) Which action is the primary concern in the treatment plan for a child with persistent vomiting?
A) Detecting the cause of vomiting
B) Preventing metabolic acidosis
C) Positioning the child to prevent further vomiting
D) Recording intake and output
Q3) Bodily fluids are composed of two elements: water and _____.
Q4) You are caring for a 44-lb child who is hospitalized with vomiting and severe dehydration.The physician has ordered parenteral rehydration therapy to restore circulation.The order is for sodium chloride (0.9%)solution in a 20-mL/kg bolus.How much will you give?
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Page 42
Chapter 41: The Child with an Infectious Disease
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8544
Sample Questions
Q1) What is the best response to a parent of a 2-month-old infant who asks when the infant should first receive the measles vaccine?
A) "Your baby can get the measles vaccine now."
B) "The first dose is given any time after the first birthday."
C) "She should be vaccinated between 4 and 6 years of age."
D) "This vaccine is administered when the child is 11 years old."
Q2) A nurse is conducting a health education class for a group of school-age children.Which statement made by the nurse is correct about the body's first line of defense against infection in the innate immune system?
A) Nutritional status
B) Skin integrity
C) Immunization status
D) Proper hygiene practices
Q3) Which statement made by a parent about intervention for a child's fever shows the need for further education?
A) "I should keep her covered lightly when she has a fever."
B) "I'll give her plenty of liquids to keep her hydrated."
C) "I can give her acetaminophen for a fever."
D) "I'll look for over-the-counter aspirin or ibuprofen."
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Page 43
Chapter 42: The Child with an Immunologic Alteration
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8545
Sample Questions
Q1) What disorder is caused by a virus that primarily infects a specific subset of T lymphocytes,the CD4<sup>+</sup> T cells?
A) Raynaud phenomenon
B) Idiopathic thrombocytopenic purpura
C) Acquired immunodeficiency syndrome (AIDS)
D) Severe combined immunodeficiency disease
Q2) Which suggestion is appropriate to teach a mother who has a preschool child who refuses to take the medications for HIV infection?
A) Mix medications with chocolate syrup or pudding
B) Mix the medications with milk or an essential food.
C) Skip the dose of medication if the child protests too much.
D) Mix the medication in a syringe, hold the child down firmly, and administer the medication.
Q3) Which intervention is appropriate for a child receiving high doses of steroids?
A) Limit activity and receive home schooling.
B) Increase the amount of carbohydrates in the diet.
C) Substitute a killed virus vaccine for live virus vaccines.
D) Monitor for seizure activity.
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44
Chapter 43: The Child with a Gastrointestinal Alteration
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/8546
Sample Questions
Q1) A histamine-receptor antagonist such as cimetidine (Tagamet)or ranitidine (Zantac)is ordered for an infant with GER.What is the purpose of these drugs?
A) Prevent reflux
B) Prevent hematemesis
C) Reduce gastric acid production
D) Increase gastric acid production
Q2) A nurse has admitted a child to the hospital with a diagnosis of "rule out" peptic ulcer disease.Which test will the nurse expect to be ordered to confirm the diagnosis of a peptic ulcer?
A) A dietary history
B) A positive Hematest result on a stool sample
C) A fiberoptic upper endoscopy
D) An abdominal ultrasound
Q3) What is the most important action to prevent the spread of gastroenteritis in a daycare setting?
A) Administering prophylactic medications to children and staff
B) Frequent handwashing
C) Having parents bring food from home
D) Directing the staff to wear gloves at all times
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Page 45
Chapter 44: The Child with a Genitourinary Alteration
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/8547
Sample Questions
Q1) The primary clinical manifestations of acute kidney injury are which of the following?
A) Oliguria and hypertension
B) Hematuria and pallor
C) Proteinuria and muscle cramps
D) Bacteriuria and facial edema
Q2) 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) Which statement by a school-age girl indicates the need for further teaching about the prevention of urinary tract infections (UTIs)?
A) "I always wear cotton underwear."
B) "I really enjoy taking a bubble bath."
C) "I go to the bathroom every 3 to 4 hours."
D) "I drink four to six glasses of fluid every day."
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Chapter 45: The Child with a Respiratory Alteration
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/8548
Sample Questions
Q1) The nurse is caring for an infant with bronchopulmonary dysplasia (BPD)who has RSV.Which treatment measure does the nurse prepare to provide?
A) Pancreatic enzymes
B) Cool humidified oxygen
C) Erythromycin intravenously
D) Intermittent positive pressure ventilation
Q2) Which intervention for treating croup at home should be taught to parents as possibly helpful?
A) Have a decongestant available.
B) Have the child sleep in a dry room.
C) Take the child outside.
D) Give the child an antibiotic at bedtime.
Q3) A home health care nurse is doing a home assessment for a family whose child is oxygen dependent.What finding by the nurse requires intervention?
A) Tanks are stored only in an upright position.
B) Oxygen tank is placed 3 feet away from the heater.
C) Smoking is not allowed in the house.
D) Fire extinguisher expires at the end of the month.
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Chapter 46: The Child with a Cardiovascular Alteration
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/8549
Sample Questions
Q1) A nurse is conducting a class for nursing students about fetal circulation.Which statement is accurate about fetal circulation and should be included in the teaching session?
A) Oxygen is carried to the fetus by the umbilical arteries.
B) Blood from the inferior vena cava is shunted directly to the right ventricle through the foramen ovale.
C) Pulmonary vascular resistance is high because the lungs are filled with fluid.
D) Blood flows from the ductus arteriosus to the pulmonary artery.
Q2) 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.
Q3) Which defect results in increased pulmonary blood flow?
A) Pulmonic stenosis
B) Tricuspid atresia
C) Atrial septal defect
D) Transposition of the great arteries
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Page 48
Chapter 47: The Child with a Hematologic Alteration
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8550
Sample Questions
Q1) What should the discharge plan for a school-age child with sickle cell disease include?
A) Restricting the child's participation in outside activities
B) Administering aspirin for pain or fever
C) Limiting the child's interaction with peers
D) Administering penicillin daily as ordered
Q2) A nurse is teaching home care instructions to parents of a child with sickle cell disease.Which instructions should the nurse include? (Select all that apply.)
A) Limit fluid intake.
B) Administer aspirin for fever.
C) Administer penicillin as ordered.
D) Avoid cold and extreme heat.
E) Provide for adequate rest periods.
Q3) A child has beta-thalassemia and is receiving deferoxamine.The parent asks what the purpose of this medication is.Which response by the nurse is best?
A) "To improve the anemia"
B) "To decrease liver and spleen swelling"
C) "To eliminate excessive iron being stored in the organs"
D) "To prepare your child for a bone marrow transplant"
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Page 49
Chapter 48: The Child with Cancer
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8551
Sample Questions
Q1) What should the nurse recognize as symptoms of a brain tumor in a school-age child? (Select all that apply.)
A) Blurred vision
B) Increased head circumference
C) Vomiting when getting out of bed
D) Intermittent headache
E) Declining academic performance
Q2) A child has a brain tumor.What assessment finding leads the nurse to request a physical therapy consultation?
A) Dizziness
B) Ataxia
C) Slurred speech
D) Visual changes
Q3) While completing an assessment on a 6-month-old infant,which finding should the nurse recognize as a symptom of a brain tumor?
A) Blurred vision
B) Increased head circumference
C) Vomiting when getting out of bed
D) Headache
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Page 50
Chapter 49: The Child with an Alteration in Tissue Integrity
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8552
Sample Questions
Q1) 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 child quiet and coming to emergency department.
D) removing stinger and applying cool compresses.
Q2) What best describes a full-thickness (third-degree)burn?
A) Erythema and pain
B) Skin showing erythema followed by blister formation
C) Destruction of all layers of skin evident with extension into subcutaneous tissue
D) Destruction injury involving underlying structures such as muscle, fascia, and bone
Q3) Which nursing assessment is applicable to the care of a child with herpetic gingivostomatitis?
A) Comparison of range of motion of the extremities
B) Urine output, mucous membranes, and skin turgor
C) Growth pattern since birth
D) Bowel elimination pattern
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Chapter 50: The Child with a Musculoskeletal Alteration
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8553
Sample Questions
Q1) Patient and parent education for the child who has a synthetic cast should include which of the following?
A) Applying a heating pad to the cast if the child has swelling in the affected extremity
B) Wrapping the outer surface of the cast with an Ace bandage
C) Splitting the cast if the child complains of numbness or pain
D) Covering the cast with plastic and waterproof tape to keep it dry while bathing or showering
Q2) What actions should the nurse perform while caring for a school-age child who sprained his ankle playing football? (Select all that apply.)
A) Turn the child every 1 to 2 hours.
B) Assist with range-of-motion exercises every 2 hours.
C) Apply ice to the affected ankle.
D) Wrap the ankle with an ACE bandage.
E) Elevate the affected extremity.
Q3) A nurse is preparing to administer naproxen to a toddler weighing 29 pounds.The pharmacy delivers a bottle containing 125 mg/5 mL.Based on knowledge of the safe dose,how much liquid does the nurse prepare to administer? Display your solve using a whole number.______ mL
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52
Chapter 51: The Child with an Endocrine or Metabolic Alteration
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/8554
Sample Questions
Q1) What is the best nursing action when a child with type 1 diabetes mellitus is sweating,trembling,and pale?
A) Offer the child a glass of water.
B) Give the child 5 units of regular insulin subcutaneously.
C) Give the child a glass of orange juice.
D) Give the child glucagon subcutaneously.
Q2) Diabetes insipidus is a disorder of the
A) anterior pituitary.
B) posterior pituitary.
C) adrenal cortex.
D) adrenal medulla.
Q3) A neonate born with ambiguous genitalia is diagnosed with congenital adrenal hyperplasia.Therapeutic management includes administration of A) vitamin D.
B) cortisone acetate.
C) stool softeners.
D) calcium carbonate.
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Page 53
Chapter 52: The Child with a Neurologic Alteration
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8555
Sample Questions
Q1) Which type of fracture describes traumatic separation of cranial sutures?
A) Basilar
B) Linear
C) Comminuted
D) Depressed
Q2) What is the priority nursing intervention for the child with ascending paralysis as a result of Guillain-Barré syndrome (GBS)?
A) Immunosuppressive medications
B) Respiratory assessment
C) Passive range-of-motion exercises
D) Anticoagulant therapy
Q3) A recommendation to prevent neural tube defects is the supplementation of A) vitamin A throughout pregnancy.
B) multivitamin preparations as soon as pregnancy is suspected.
C) folic acid for all women of childbearing age.
D) folic acid during the first and second trimesters of pregnancy.
Q4) A 62-pound child has a spinal cord injury and is to receive steroid therapy.How much medication does the nurse draw up for the bolus dose? Record your solve in a whole number.Administer _____ mg.
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Chapter 53: Psychosocial Problems in Children and Families
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20 Verified Questions
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Sample Questions
Q1) A parent of a child with an anxiety disorder states,"I don't know how my child developed this problem." On what information should the nurse base a response?
A) Genetic factors, hormonal imbalances, and societal influences all contribute to the development of anxiety disorders in children.
B) Like many conditions affecting children, the etiology of anxiety disorders is unknown.
C) The majority of anxiety disorders has a clear pattern of genetic inheritance.
D) Dysfunctional family patterns are usually identified as the cause of an anxiety disorder.
Q2) A home health care nurse is working with a child whose parents seem to be quite rigid in their rules and expectations and seem very distrustful of the nurse.What action by the nurse is most appropriate?
A) Ask the parents why they don't trust outsiders.
B) Interview the parents separately.
C) Monitor the child for signs of abuse.
D) Assess the parents for substance abuse.
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Chapter
54: The Child With an Intellectual Disability or Developmental Disability
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25 Verified Questions
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Sample Questions
Q1) The father of a child recently diagnosed with developmental delay is very rude and hostile toward the nurses.This father was cooperative during the child's evaluation a month ago.What is the best explanation for this change in parental behavior?
A) The father is exhibiting symptoms of a psychiatric illness.
B) The father may be abusing the child.
C) The father is resentful of the time he is missing from work for this appointment.
D) The father is experiencing a symptom of grief.
Q2) What should be the major consideration when selecting toys for a child with an intellectual or developmental disability?
A) Safety
B) Age appropriateness
C) Ability to provide exercise
D) Ability to teach useful skills
Q3) What action is contraindicated when a child with Down syndrome is hospitalized?
A) Determine the child's vocabulary for specific body functions.
B) Assess the child's hearing and visual capabilities.
C) Encourage parents to leave the child alone to encourage adaptation.
D) Have meals served at the child's usual meal times.
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Chapter 55: The Child with a Sensory Alteration
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32 Verified Questions
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Sample Questions
Q1) Which interventions should the nurse plan when caring for a child with a hearing loss? (Select all that apply.)
A) Speak loudly.
B) Speak slowly.
C) Have the child's full attention.
D) Use visual aids.
E) Eliminate background noise.
Q2) Initial care of the child with a chemical burn to the eye(s)is focused on which of the following?
A) Irrigation of the affected eye(s)
B) Application of topical steroids
C) Administration of an analgesic
D) Administration of medication to constrict the pupils
Q3) A nurse is providing anticipatory guidance to parents of a 2 1/2-year-old.What instruction is best to help the child's language development?
A) Have the child's hearing tested at 3 years.
B) Use clear speech and avoid baby talk.
C) Speak with different voice inflections.
D) Insist the child listen when you are talking.
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