Community Health Nursing Exam Solutions
Course Introduction
Community Health Nursing focuses on the principles and practices essential for promoting, maintaining, and restoring the health of communities and populations. This course explores the roles and responsibilities of nurses in public health settings, emphasizing health education, disease prevention, and the implementation of community-based interventions. It covers epidemiology, environmental health, health policy, and the assessment of community health needs, while fostering collaboration with diverse populations and interdisciplinary teams to address social determinants of health and improve the overall well-being of communities.
Recommended Textbook
Maternal and Child Nursing Care 5th Edition by Marcia L London
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57 Chapters
1275 Verified Questions
1275 Flashcards
Source URL: https://quizplus.com/study-set/3560
Page 2
Chapter 1: Contemporary Maternal, Newborn, and Child Health Nursing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70654
Sample Questions
Q1) The nurse is establishing criteria for a medical or healthcare home for children. What should the nurse include when planning this approach to care? Select all that apply.
A) Providers partner with the family.
B) Children are known by the provider.
C) Home visits are made when necessary.
D) Specialty care can be accessed if necessary.
E) Communication with family occurs routinely.
Answer: A,B,D,E
Q2) What is the major focus of the nurse practitioner (NP)?
A) Leadership
B) Tertiary prevention
C) Physical and psychosocial clinical assessment
D) Independent care of the high-risk, pregnant client
Answer: C
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Chapter 2: Culture and the Family
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse notes a general increase in clients' use of complementary and alternative therapies. What should the nurse identify as reasons for the increase in these therapies? Select all that apply.
A) Increased media attention
B) The advent of the Internet
C) Increased international travel
D) The use of traditional Western medicine for treatment
E) Increased consumer awareness of the limitations of conventional medicine
Answer: A,B,C,E
Q2) A client says that she is taking a preparation that enhances the symptoms of her illness. Which type of complementary and alternative therapy is this client using?
A) Naturopathy
B) Homeopathy
C) Herbal therapy
D) Chinese medicine
Answer: B
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Chapter 3: Genetic and Genomic Influences in Maternal, Newborn, and Child Health
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70656
Sample Questions
Q1) The nurse is reviewing the process of mitosis with a group of young adults attending a family planning seminar. What should the nurse include when explaining the role of mitosis? Select all that apply.
A) Replaces lost skin cells
B) Ensures rapid cell growth in early life
C) Results in the formation of sperm and ova
D) Maintains cells for respiratory functioning
E) Ensures continuity of cells in the gastrointestinal tract
Answer: A,B,D,E
Q2) Through genetic testing a patient is found to have a germline mutation of a specific gene. What information about this finding should be reviewed with the patient?
A) No children will have the mutation.
B) All future children will have the mutation.
C) Only male children will have the mutation.
D) Only female children will have the mutation.
Answer: B
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Chapter 4: Reproductive Anatomy and Physiology
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A client desiring to become pregnant is concerned because the opening of her spouse's penis is below the tip. How should the nurse respond to this client?
A) "This is epispadias and it will cause infertility."
B) "This is hypospadias and it will cause infertility."
C) "This is epispadias and is not likely to impact fertility."
D) "This is hypospadias and is not likely to impact fertility."
Q2) A pregnant client asks, "What's the difference between the true pelvis and the false pelvis?" How should the nurse respond?
A) "The false pelvis helps support the weight of the pregnant uterus."
B) "The false pelvis consists of the inlet, the pelvic cavity, and the outlet."
C) "The true pelvis does not affect fetal passage during labor and childbirth."
D) "The true pelvis helps direct the presenting fetal part into the false pelvis."
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Chapter 5: Health Promotion for Women
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What is the best indicator that the client is experiencing menopause?
A) Hot flashes and night sweats
B) No menses for 8 consecutive months
C) High serum follicle-stimulating hormone (FSH) with low serum estrogen
D) Diagnosis of osteoporosis 4 months ago
Q2) Which issues should the nurse consider when counseling a client on contraceptive methods? Select all that apply.
A) Age at menarche
B) Efficacy of the method
C) Future childbearing plans
D) Whether the client is a vegetarian
E) Cultural perspectives on menstruation and pregnancy
Q3) The emergency room nurse is caring for a victim of sexual assault. What pharmacologic intervention should the nurse prepare to discuss with the victim? Select all that apply.
A) Prophylactic analgesics
B) Postcoital contraceptive therapy
C) Prophylactic immunizations for tetanus
D) Postexposure prophylaxis with HIV antiviral medications
E) Prophylactic treatment for sexually transmitted infections (STIs)
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Chapter 6: Common Gynecologic Problems
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is explaining a client's abnormal Pap smear results. Which statement should the nurse include?
A) "Your cervix needs to be treated with cryotherapy."
B) "The Pap smear is used to diagnose cervical cancer."
C) "Colposcopy to further examine your cervix is the next step."
D) "A loop electrosurgical excision procedure (LEEP) is needed."
Q2) The nurse is discharging a client after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective? Select all that apply.
A) "Tubal pregnancy could occur after PID."
B) "My PID was caused by a yeast infection."
C) "It is important for me to finish my antibiotics."
D) "I might have infertility because of this infection."
E) "I am going to have an IUD placed for contraception."
Q3) Which client should be treated with ceftriaxone (Rocephin) IM and doxycycline (Vibramycin) by mouth?
A) A pregnant client with syphilis
B) A nonpregnant client with gonorrhea and chlamydial infection
C) A pregnant client with gonorrhea and a yeast infection
D) A nonpregnant client with chlamydial infection and trichomoniasis
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Page 8
Chapter 7: Conception and Fetal Development
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse instructs a patient about conception and fetal development. Which patient statement indicates understanding about transportation time of the zygote through the fallopian tube and into the cavity of the uterus?
A) "It will take 8 days for the egg to reach the uterus."
B) "It will take at least 3 days for the egg to reach the uterus."
C) "It will take 18 hours for the fertilized egg to implant in the uterus."
D) "It will only take 12 hours for the egg to go through the fallopian tube."
Q2) After teaching a class about the female reproductive system, the nurse asks the attendees to describe the process of meiosis. Which student response suggests successful comprehension of the material?
A) "At the time of ovulation, the first meiotic division begins."
B) "At the time of puberty, the second meiotic division begins."
C) "Completion of the first meiotic division produces three polar bodies and one primary oocyte."
D) "Completion of the second meiotic division results in formation of three polar bodies and one ovum."
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Chapter 8: Physical and Psychologic Changes of Pregnancy
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A 28-year-old client who is pregnant with her first child reports increased dental caries (cavities) since becoming pregnant. How should the nurse explain the likely cause for this change?
A) "Each woman experiences changes that affect her teeth while she's pregnant."
B) "When a woman is pregnant, her teeth lose calcium and she is more susceptible to getting cavities."
C) "During pregnancy, tooth enamel softens and the woman is more susceptible to getting cavities."
D) "It may be necessary to pay extra attention to dental care while you're pregnant, especially if you're vomiting frequently."
Q2) A 20-year-old client who is at 10 weeks' gestation confides that the pregnancy was unplanned and is unsure about continuing it or sharing news about it with her partner. How should the nurse respond to this client?
A) "You should go to a pregnancy support group to be a good mother."
B) "It's common to feel ambiguous about pregnancy in the first trimester."
C) "These thoughts are because your mother died when you were 4 years old."
D) "It's really unusual for a pregnant woman to feel this way early in the pregnancy."
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Page 10
Chapter 9: Antepartum Nursing Assessment
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) During a prenatal examination the healthcare provider is going to estimate the adequacy of the client's pelvis for birth. Which measurement will the physician perform vaginally?
A) True conjugate
B) Diagonal conjugate
C) Obstetric conjugate
D) Transverse outlet diameter
Q2) The nurse is assessing a 25-year-old primigravida who is 20 weeks pregnant. Which vital signs finding should the nurse report immediately to the physician?
A) Pulse 88/min
B) Respirations 30/min
C) Blood pressure 134/82
D) Temperature 37.4°C (99.3°F)
Q3) The nurse is seeing prenatal clients in the clinic. Which client is exhibiting expected findings?
A) Primipara at 26 weeks with fundal height of 30 cm
B) Multipara at 12 weeks who reports bright red vaginal bleeding
C) Multipara at 22 weeks who reports no fetal movement felt yet
D) Primipara at 12 weeks with fetal heart tones heard by Doppler fetoscope
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Page 11
Chapter 10: The Expectant Family: Needs and Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A 23-year-old client who is at 10 weeks' gestation with a first pregnancy expresses worry over feeling no sexual desire for her spouse and asks if this is normal. How should the nurse respond?
A) "That's unusual. Throughout a healthy pregnancy, sexual desire usually increases with each trimester."
B) "That's unusual. Usually, there are minimal changes in sexual desire throughout a healthy pregnancy."
C) "That sounds normal. In many cases, sexual desire decreases in the first trimester, but it increases again during the second trimester."
D) "That sounds normal. During the first trimester, sexual desire often decreases; however, by the third trimester, sexual desire is usually greater than before pregnancy."
Q2) A client in the third trimester of pregnancy reports working 8 hours a day as a cashier and stands when at work. What response by the nurse is the most appropriate?
A) "No problem. Your baby will be fine."
B) "Do you get regular breaks for eating?"
C) "Your risk of preterm labor is higher."
D) "Standing might increase ankle swelling."
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Page 12
Chapter 11: Maternal Nutrition
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70664
Sample Questions
Q1) When preparing nutritional instruction, which pregnant client should the nurse consider the highest priority?
A) 40-year-old gravida 2
B) 35-year-old gravida 4
C) 15-year-old nulligravida
D) 22-year-old primigravida
Q2) The nurse is caring for a pregnant teen. What should the nurse do to accurately assess the teen's nutritional intake?
A) Assess laboratory values.
B) Ask about cooking facilities.
C) Observe for clinical signs of malnutrition.
D) Ask to complete a dietary recall to identify eating patterns.
Q3) The nurse reviews nutritional requirements with a breastfeeding mother who is concerned that her milk production has decreased. Which statement indicates that further teaching is required?
A) "I have started cutting back on my protein intake."
B) "At least 3 times a day, I drink a glass of milk."
C) "I am drinking a minimum of 8 to 10 glasses of liquid a day."
D) "I try to take a nap in the morning and afternoon when the baby is sleeping."
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Page 13
Chapter 12: Pregnancy in Selected Populations
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A 38-year-old pregnant client is reluctant to attend prenatal classes because the other participants will be much younger. What should the nurse do to encourage this client's attendance at classes? Select all that apply.
A) Support the client's strengths.
B) Find a class with participants that are older.
C) Encourage the client to read prenatal training material online.
D) Nothing, since the client most likely has already researched the birthing process.
E) Prepare a list of reasons for the late pregnancy to use as responses when others ask.
Q2) Which statement from the mother of a pregnant 13-year-old would be an expected response?
A) "We had such high hopes for you."
B) "I told you that boy was up to no good."
C) "But she was always an easygoing child."
D) "This is just one of those things that happen."
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Chapter 13: Assessment of Fetal Well-Being
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A woman at 28 weeks' gestation reports not feeling the baby move for over 30 minutes. How should the nurse respond first?
A) "When did you eat last?"
B) "Have you been smoking?"
C) "Your baby might be asleep."
D) "You need to go to the emergency room immediately for further evaluation."
Q2) At 32 weeks' gestation, a woman is scheduled for a second non-stress test. Which client response indicates an adequate understanding of this procedure?
A) "I'll have an IV started before the test."
B) "I need to have a full bladder for this test."
C) "I cannot get up and walk around during the test."
D) "I must avoid drinks containing caffeine for 24 hours before the test."
Q3) What should the nurse do when assisting a pregnant client who is having an abdominal ultrasound to determine fetal age?
A) Has the woman empty her bladder before the test begins
B) Assists the woman into a supine position on the examining table
C) Asks the woman to sign an operative consent form prior to the procedure
D) Instructs the woman to eat a fat-free meal 2 hours before the scheduled test time
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15
Chapter 14: Pregnancy at Risk: Pregestational Problems
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is concerned that a pregnant client is experiencing depression. Which potential health issues should the nurse include when planning care for this client? Select all that apply.
A) Alcohol use
B) Preterm birth
C) Poor appetite
D) Poor weight gain
E) Antenatal hemorrhage
Q2) The nurse suspects that a pregnant client is a substance user. Which approach should the nurse take during the health history?
A) Explaining how harmful drugs can be for her baby.
B) Asking the woman directly, "Do you use any street drugs?"
C) Asking the woman if she would like to talk to a counselor.
D) Asking some questions about over-the-counter medications and avoiding the mention of illicit drugs.
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Chapter 15: Pregnancy at Risk: Gestational Onset
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A postpartum client with blood type A, Rh-negative delivered a newborn with blood type AB, Rh-positive. Which statement indicates that teaching about this blood type inconsistency has been effective?
A) "Because my baby is Rh-positive, I do not need RhoGAM."
B) "Before my next pregnancy, I will need to have a RhoGAM shot."
C) "If my baby had the same blood type I do, it might cause complications."
D) "I need to get RhoGAM so I do not have problems with my next pregnancy."
Q2) A client is suspected of having a hydatidiform mole. What should the nurse expect to assess in this client? Select all that apply.
A) Elevated blood pressure
B) Absence of fetal heart tones
C) Frequent urination and thirst
D) Dark brown vaginal drainage
E) Larger than gestational age fundal height
Q3) Which maternal-child client should the nurse see first?
A) Blood type B, Rh-positive
B) Blood type O, Rh-negative
C) Direct Coombs test positive
D) Indirect Coombs test negative
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Page 17
Chapter 16: Processes and Stages of Labor and Birth
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is caring for laboring clients. Which women are experiencing problems related to a critical factor of labor? Select all that apply.
A) Multipara at 3 cm, fetus in longitudinal lie
B) Primipara at 7 cm, fetus in military attitude
C) Multipara at 6 cm, fetus at 2 station, mild contractions
D) Primipara at 5 cm, fetal presenting part is right shoulder
E) Primipara at 4 cm, fetus with macrocephaly due to hydrocephalus
Q2) Which client requires immediate intervention by the labor and delivery nurse?
A) Primipara in active labor with urine output of 100 mL/hour
B) Primipara that delivered 1 hour ago with white blood cells (WBCs) of 50,000
C) Multipara at 8 cm, systolic blood pressure has increased 35 mm Hg
D) Multipara at 5 cm with a respiratory rate of 22 between contractions
Q3) A client whose cervix is dilated 8 cm is restless and frequently changing position in an attempt to get comfortable. Which nursing action is most important?
A) Leave the client alone so she can rest.
B) Ask the family to take a coffee and snack break.
C) Reassure the client that she will not be left alone.
D) Encourage the client to have an epidural for pain.
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Chapter 17: Intrapartum Nursing Assessment
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A client's fetal heart rate has a sinusoidal pattern. What should the nurse consider as being the reason for this pattern? Select all that apply.
A) Fetal anemia
B) Chronic fetal bleed
C) Severe fetal hypoxia
D) Maternal hypotension
E) Umbilical cord compression
Q2) The nurse is preparing to assess a client who has just arrived in the labor and birth unit. Which statement indicates that additional education is needed?
A) "When you check my cervix, you will find out how thinned out it is."
B) "After you assess my pelvis, you will be able to tell when I will deliver."
C) "You are going to do a vaginal examination to see how far dilated my cervix is."
D) "The reason for a pelvic examination is to determine how low in the pelvis my baby is."
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Chapter 18: The Family in Childbirth: Needs and Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Upon delivery of the newborn, which action most promotes parental attachment?
A) Placing the newborn under the radiant warmer
B) Placing the newborn on the maternal abdomen
C) Taking the newborn to the nursery for the initial assessment
D) Allowing the mother a chance to rest immediately after delivery
Q2) One minute after delivery the following is assessed in a neonate: heart rate 120 beats per minute, vigorous cry, actively moving, resists attempts to straighten an arm, facial grimace with sole flicking, body pink, extremities blue. What Apgar score should the nurse assign to this infant?
A) 6
B) 7
C) 8
D) 9
Q3) The nurse is orienting a new graduate nurse to the labor and birth unit. Which statement indicates that teaching about a client admission has been effective?"
A) "A vaginal examination is performed if delivery appears to be imminent."
B) "Her prenatal record is reviewed for indications of domestic abuse."
C) "She will be positioned supine to facilitate a normal blood pressure."
D) "A urine specimen is obtained by catheter to check for protein and ketones."
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Page 20
Chapter 19: Pharmacologic Pain Management
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A client in labor wants to have a medication-free birth. What should the nurse include when discussing alternatives to pain medication with this client?
A) Emphasize that no medication will be given.
B) Review that the use of medications allows for rest and less fatigue.
C) Explain that pain relief will allow a more enjoyable birth experience.
D) Summarize how maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.
Q2) A client experiencing contractions every 8 to 20 minutes that last 20 to 30 seconds requests pain medication. What should the nurse state as the effect of analgesics given at this time?
A) Prolonged labor
B) Maternal hypotension
C) Fetal respiratory depression
D) Decreased analgesic effectiveness at the end of labor
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21
Chapter 20: Childbirth at Risk: Prelabor and Intrapartum
Complications
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is counseling a newly pregnant gravida 1 at 8 weeks' gestation with twins about the need for increased caloric intake. What should the nurse emphasize as being the minimum recommended intake?
A) 2500 kcal and 120 g protein
B) 3000 kcal and 150 g protein
C) 3500 kcal and 175 g protein
D) 4000 kcal and 190 g protein
Q2) A client at 30 weeks' gestation is experiencing painless late vaginal bleeding. What should the nurse expect in the management of this client?
A) Assessing blood pressure every 2 hours
B) Evaluating the fetal heart rate with an internal monitor
C) Limiting vaginal examinations to only one per 24-hour period
D) Monitoring for blood loss, pain, and uterine contractibility
Q3) A client with premature rupture of membranes received 4 g of magnesium sulfate at 1600 hours, followed by 2 g/hr beginning at 1700 hours. Birth occurred at 0130 hours. How many grams of magnesium sulfate did this client receive? Calculate to the nearest whole number.
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Page 22
Chapter 21: Childbirth at Risk: Labor-Related Complications
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The charge nurse is reviewing charting completed on clients in the maternal-child triage unit. Which entry requires immediate intervention?
A) Multipara at 32 weeks: "Oligohydramnios per ultrasound secondary to fetal renal agenesis."
B) Primipara at 41 weeks: "Client reports leaking clear fluid from her vagina for 7 hours."
C) Primipara at 24 weeks diagnosed with polyhydramnios: "Client reporting shortness of breath."
D) Multipara at 34 weeks diagnosed with oligohydramnios: "Cervix 6 cm, 2 station, up to walk in hallway."
Q2) What should the nurse anticipate the labor pattern for a fetal occiput posterior position to be?
A) Precipitous
B) Rapid during transition
C) Shorter than average during the latent phase
D) Prolonged with regard to the overall length of labor
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Chapter 22: Birth-Related Procedures
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Sample Questions
Q1) A client at 39 weeks' gestation being prepared for labor induction feels as though the baby has "flipped." What action should the nurse take?
A) Evaluate fetal maturity.
B) Administer dinoprostone (Cervidil) vaginal gel.
C) Implement continuous electronic fetal monitoring (EFM).
D) Notify the healthcare provider that the client feels as though the baby has changed position.
Q2) A client in the midst of labor and delivery of twins is being considered for a podalic version. What should the nurse assess in order for this version to be considered? Select all that apply.
A) Previous cesarean birth
B) Second fetus does not descend
C) Premature rupture of membranes
D) Presence of third-trimester bleeding
E) Second fetus heart rate nonreassuring
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Chapter 23: The Physiologic Responses of the Newborn to Birth
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Sample Questions
Q1) The newborn at 24 hours of age has a red blood cell (RBC) count of
A)4 million per milliliter. Which entry should the nurse expect to find in the newborn's chart to explain this laboratory value?
B) Cord clamping delayed until pulsation ceased.
C) Infant is breastfed 15 to 20 minutes every 3 hours.
D) CBC drawn from the anterior surface of the left hand.
E) Placental abruption noted to be 80% at time of delivery.
Q2) The nurse is planning the care of a 1-day-old infant. Which intervention would protect the newborn from heat loss by convection?
A) Drying the newborn thoroughly
B) Prewarming the examination table
C) Removing wet linens from the isolette
D) Placing the newborn away from air currents
Q3) The nurse is reviewing the medical records of several newborns. Which infant requires immediate intervention?
A) 24-hour-old term male with total bilirubin level of 2
B) 3-day-old term bottle-fed female with bilirubin of 11
C) 2-week-old postterm breastfed male with bilirubin of 10
D) 12-hour-old preterm female exhibiting icterus and lethargy
Page 25
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Chapter 24: Nursing Assessment of the Newborn
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20 Flashcards
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Sample Questions
Q1) The nurse notes that a newborn has tremor-like movements. For which health problems should this newborn be further assessed? Select all that apply.
A) Seizures
B) Bilirubinemia
C) Hypocalcemia
D) Hypoglycemia
E) Substance withdrawal
Q2) The nurse is planning to assess a newborn's neurologic status. Which behaviors should the nurse focus on during this assessment? Select all that apply.
A) Cry
B) Reflexes
C) Alertness
D) Motor activity
E) Resting posture
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Chapter 25: The Normal Newborn: Needs, Care, and Feeding
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22 Flashcards
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Sample Questions
Q1) The mother of a newborn with iron deficiency anemia asks if breastfeeding or using a formula high in iron is better for the baby. How should the nurse respond?
A) Breastfeeding, because breast milk has higher levels of iron compared to formula
B) Formula-feeding, because formula has higher levels of iron compared to breast milk
C) Breastfeeding, because although breast milk has lower levels of iron compared to formula, it is more easily absorbed by the infant
D) Formula-feeding, because although formula has lower levels of iron compared to breast milk, it is more easily absorbed by the infant
Q2) The nurse assesses a sleeping 1-hour-old, 39-weeks' gestation newborn. Which data should cause the nurse the most concern?
A) Respirations 68/min
B) Blood pressure 72/44 mmHg
C) Skin temperature
97)6°F
D) Heart rate 156 beats/min
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Chapter 26: The Newborn at Risk: Conditions Present at Birth
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Sample Questions
Q1) The nurse is caring for a newborn born to a client who abused drugs while pregnant. Which assessment findings would be common for this newborn? Select all that apply.
A) Hyperirritability
B) Transient tachypnea
C) Exaggerated reflexes
D) Decreased muscle tone
E) Depressed respiratory effort
Q2) A client pregnant at 41 weeks asks if labor induction is necessary. Which response is best for the nurse to make?
A) "The healthcare provider wants to be proactive in preventing any problems with your baby if the baby gets any bigger."
B) "Sometimes the placenta ages excessively, and we want to take care of that problem before it happens."
C) "When infants are born 2 or more weeks after their due date, they have meconium in the amniotic fluid."
D) "Babies can develop postmaturity syndrome, which increases their chances of having complications after birth."
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Chapter 27: The Newborn at Risk: Birth-Related Stressors
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20 Verified Questions
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Sample Questions
Q1) The nurse is caring for a newborn born to a client who experienced abruptio placentae. Which assessment findings suggest that the infant is experiencing anemia? Select all that apply.
A) Pallor
B) Tachypnea
C) Tachycardia
D) Elevated blood pressure
E) Capillary refill 6 seconds
Q2) An infant born to a client with type 2 diabetes mellitus is lethargic, has a high-pitched cry, and has an initial plasma glucose level of 19 mg/dL. What should the nurse do immediately?
A) Have the mother breastfeed the infant.
B) Start an IV with D<sub>5</sub>W dextrose solution.
C) Start an IV with D<sub>10</sub>W dextrose solution.
D) Wait 30 minutes and retest plasma glucose levels.
Q3) An infant weighing 1500 g is prescribed intravenous normal saline 10 mL/kg. How many milliliters of fluid should the nurse expect to provide this infant? (Calculate to the nearest whole number.)
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Chapter 28: Postpartum Adaptation and Nursing Assessment
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A new mother rarely interacts with the infant unless the infant begins to cry vigorously and she appears relieved when the nurse comes to check on the infant. What is the appropriate nursing intervention for this patient?
A) Contact Social Services with concerns of neglect.
B) Teach the client how to interact appropriately with the infant.
C) Take the infant to the nursery so the baby can receive more consistent care.
D) Provide the care the infant needs while continuing to evaluate the mother's actions.
Q2) On the first postpartum day, the nurse teaches a client about breastfeeding. Two hours later, the mother seems to remember very little of the teaching. What should the nurse identify as the reason for the client's memory lapse?
A) Epidural anesthesia
B) The taking-in phase
C) The taking-hold phase
D) Postpartum hemorrhage
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Chapter 29: The Postpartum Family: Early Care Needs and Home Care
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22 Verified Questions
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Sample Questions
Q1) The nurse is instructing a postpartum client on the use of perineal pads. Which statements should the nurse include in the teaching session? Select all that apply.
A) "Apply the pad from back to front."
B) "Change the pad after each perineal cleansing."
C) "Place the pad so that it applies pressure to the perineum."
D) "Change the pad each time you use the bathroom."
E) "Your pad should be loose to allow the perineum to 'breathe.' "
Q2) Which safety device is most appropriate for the nurse who conducts home care visits to postpartum mothers?
A) Cellular phone
B) Map of the area
C) Personal handgun
D) Can of Mace
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Chapter 30: The Postpartum Family at Risk
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20 Flashcards
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Sample Questions
Q1) A client is experiencing excessive bleeding immediately after the birth of her newborn. After increasing the IV fluids containing oxytocin, with no noticeable decrease in the bleeding, the nurse anticipates which prescriptions from the healthcare provider? Select all that apply.
A) methylergonovine maleate (Methergine)
B) butorphanol tartrate (Stadol)
C) misoprostol (Cytotec)
D) betamethasone (Diprolene)
E) fentanyl (Duragesic)
Q2) The nurse is conducting teaching for a postpartum client who is approaching discharge. Which topics will the nurse include in the educational session regarding the prevention of postpartum hemorrhage? Select all that apply.
A) Using the peri-bottle
B) Applying ice to the breasts
C) Wearing cotton underwear
D) Performing fundal massage
E) Inspecting the episiotomy site
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Chapter 31: Growth and Development
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Sample Questions
Q1) The clinic administrator has suggested that the nurse teach all children newly diagnosed with diabetes in a single class to save nursing time. The children recently diagnosed range in age from 6 to 15) Which is the rationale for the nursing staff to continue with more than one group session?
A) Freud's theory of psychosexual development, which states that the 6-year-old child's sexual energy is at rest while the adolescent has developed mature sexuality.
B) Erikson's psychosocial theory, which discusses how children learn to relate to others.
C) Piaget's cognitive development theory, which says the 6-year-old child learns by concrete examples, while the 15-year-old adolescent can think abstractly.
D) Kohlberg's theory, which says the young children are conventional in their thinking and will want to learn to please others, while older children can internalize values and will learn for their own principles.
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Chapter 32: Infant, Child, and Adolescent Nutrition
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Sample Questions
Q1) The mother of a 6-week-old male infant tells the nurse that her baby has had colic for several days, crying for up to 3 hours and drawing his legs up on his abdomen. The mother says she is at "wits end" and wonders what she can do. The nurse learns that the infant is being formula-fed and gaining weight satisfactorily. Which recommendations will the nurse make based on the current data? Select all that apply.
A) Breastfeeding the infant
B) Switching to a bottle that has a collapsible bag inside
C) Putting the infant in a baby swing after feeding
D) Burping the baby more frequently
E) Giving the baby a suppository once each morning
Q2) The nurse is teaching the parents of a 4-month-old infant about good feeding habits. Which is the rationale for not letting the baby go to sleep with the bottle?
A) To decrease the risk for aspiration
B) To decrease the risk for dental caries
C) To decrease the risk for malocclusion problems
D) To decrease the risk for sleeping disorders
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Page 34
Chapter 33: Pediatric Assessment
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Sample Questions
Q1) While assessing the blood pressure of a school-age child, the nurse notes the following: Systolic sound is heard at 98, but the sound continues until it reaches 0. There is a distinct sound softening at 48. How should the nurse record this finding?
A) 98/48
B) 98/48/0
C) 98/0
D) 48/0
Q2) Which would the nurse consider as normal during a newborn assessment? Select all that apply.
A) Swelling over the occiput that crosses suture lines
B) Tiny white papules located primarily on the nose and chin
C) Tiny red macules and pustules that come and go, primarily on the trunk and extremities
D) When the Moro reflex is elicited, the right arm extends and returns to the body. The left arm remains resting against the chest.
E) Greenish discoloration of skin over the entire body that is not removed by the initial bath
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Chapter 34: Health Promotion and Maintenance: General
Concepts, the Newborn, and the Infant
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Sample Questions
Q1) The mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. Which response by the nurse to the mother is appropriate?
A) "Let's ignore this behavior. It will stop sooner."
B) "What do you usually do or say during a temper tantrum?"
C) "This is definitely a temper tantrum. I know exactly what you are feeling right now."
D) "Pick up and cuddle your child now, please."
Q2) The nurse is preparing for a health maintenance visit for a 9-month-old infant. Which teaching topics are appropriate for the nurse to include during the scheduled visit? Select all that apply.
A) Using iron-fortified formula
B) Encouraging self-feeding of finger foods
C) Increasing the number of daily milk feedings
D) Encouraging cups for all feedings
E) Introducing burping techniques
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Chapter 35: Health Promotion and Maintenance: the
Toddler and the Preschooler
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Sample Questions
Q1) Parents of a preschool-age child report that they find it necessary to spank the child at least once a day. Which response by the nurse is appropriate based on this information?
A) "Can you try spanking the child only every other day for 1 week and see how that affects your child's behavior?"
B) "Spanking is one form of discipline; however, you want to be sure that you do not leave any marks on the child."
C) "I think you are not parenting properly, so let's talk about ways to improve your parenting skills."
D) "Let's talk about other forms of discipline that have a more positive effect on the child."
Q2) Which is the priority nursing action when performing a physical assessment on a toddler?
A) Leaving intrusive procedures such as eye and ear examinations until the end
B) Explaining each part of the examination to the child before performing it
C) Performing the assessment from head to toe
D) Asking the mother to tell the child not to be afraid
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Chapter 36: Health Promotion and Maintenance: the
School-Age Child and the Adolescent
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Sample Questions
Q1) The nurse is assessing an adolescent client to determine relationships with others. Which nursing action is appropriate?
A) Telling the parents that information from the assessment will be shared with them after the examination
B) Providing separate time to communicate with both the adolescent and the parents
C) Avoiding asking the parents their opinions of the adolescent's friends
D) Telling the parents they are not allowed to come into the examination room
Q2) The mother of a 12-year-old child informs the nurse that the child's father died from sudden cardiac death at 44 years old. Which laboratory tests does the nurse anticipate will be prescribed by the healthcare provider?
A) Chest x-ray
B) Complete blood count (CBC) with differential
C) Electroencephalogram (EEG)
D) Lipid profile
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Chapter 37: Family Assessment and Concepts of Nursing
Care in the Community
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Sample Questions
Q1) Which pediatric client will the community health nurse assess first?
A) A 6-year-old who is wheezing and short of breath.
B) A 2-year-old who has been pulling at his ear.
C) A 2-month-old with a 2-day history of diarrhea.
D) A 10-year-old with a sore throat and low-grade fever.
Q2) The nurse is preparing to collect data for a family assessment. Which nursing actions are appropriate? Select all that apply.
A) Conducting interviews
B) Observing interactions
C) Reviewing reports from the healthcare provider
D) Monitoring daily living patterns
E) Asking a family friend his or her opinion of the family
Q3) Which are resources that enable families to develop and adapt to stressors? Select all that apply.
A) Education
B) Communication
C) Prior experiences
D) Problem solving
E) Adequate finances
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Chapter 38: Nursing Considerations for the Child and
Family With a Chronic Condition
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Sample Questions
Q1) Which does the nurse include in the plan of care for an adolescent with a chronic condition?
A) Being more concerned for parents
B) Exhibiting less concern about appearance
C) Having an altered body image
D) Portraying a higher self-esteem
Q2) The nurse is conducting an educational program for parents of children with chronic conditions. Which parental statement indicates the need for further instruction?
A) "I know my child will get better and not have to take any more medication."
B) "I know my child will need assistance with activities of daily living."
C) "I know my child may need specialized education."
D) "I know my child will have to stay on a special diet."
Q3) The nurse observes that over time, the parents of a child with a chronic condition have experienced a pattern of periodic grieving alternating with denial. Which will the nurse include in the child's updated plan of care?
A) Pathologic Grieving
B) Compassion Fatigue
C) Chronic Sorrow
D) Dysfunctional Parenting
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Chapter 39: Nursing Considerations for the Hospitalized Child
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Sample Questions
Q1) The parents have requested to be present during their child's procedure. How should the nurse plan for this request?
A) Explain in detail, using medical terms, what will occur.
B) Explain to the family that it is not permitted for family members to be present.
C) Prepare family members for what they should anticipate and what is expected of them.
D) Prepare the family to speak with the healthcare provider.
Q2) The healthcare provider has prescribed the toddler an oral medication. The toddler has fought medication administration in the past. Which strategies may be helpful when administering the medication to this toddler? Select all that apply.
A) Request the medication in liquid form and draw the medication in an oral syringe.
B) Put the medication in a favorite drink in the child's sippy cup.
C) Allow the mother to administer the medication to the child.
D) Notify the healthcare provider to change the route to intravenous.
E) Hold the child down and squirt the medication in the corner of his mouth.
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Chapter 40: Pain Assessment and Management in Children
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Sample Questions
Q1) During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of
10) The child is lying quietly in bed watching television. Which nursing action is appropriate?
A) Reassess the child in 15 minutes to see if the pain rating has changed.
B) Administer the prescribed analgesic.
C) Do nothing, since the child appears to be resting.
D) Ask the child's parents if they think the child is hurting.
Q2) Which complementary pain management interventions should the nurse include in the plan of care for a pediatric client who is experiencing chronic pain? Select all that apply.
A) Hypnosis
B) Guided imagery
C) Patient-controlled analgesia (PCA)
D) Fentanyl patch
E) EMLA cream
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Chapter 41: The Child With a Life-Threatening Condition and
End-Of-Life Care
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Sample Questions
Q1) The nurse is having difficulty coping with the impending death of a child. Who is the best resource for the nurse to consult during this difficult situation?
A) Other staff nurses
B) Hospice nurses
C) Unit nurse manager
D) Nurse's spouse
Q2) The nurse is leading a recovery group of parents who have lost a child. As the opening topic for the night's discussion, the nurse reviews information about the grief process to the parents and talks about how different people grieve. Which parental statement indicates the need for more education regarding the grieving process?
A) "I understand that everyone grieves differently."
B) "Looking back, I realize why I became so angry when the doctors didn't cure my daughter."
C) "It's been 6 months since my son died, so why isn't my wife ready to move on with our lives?"
D) "I'm glad you described some common grief reactions. I thought I was going crazy for a while."
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Page 43
Chapter 42: Social and Environmental Influences on the Child
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Sample Questions
Q1) The nurse is providing care to a child who is admitted to the hospital due to environmental exposure to a toxic agent. Which questions should the nurse ask the child and the parent during the assessment process?
A) "Do you work around harmful substances that could have been brought to the home environment?"
B) "What year was your home built?"
C) "Does your child have a hobby that includes working with glue?"
D) "Does your home have a smoke detector?"
E) "Does your home have a carbon monoxide detector?"
Q2) Which adolescent behavior, reported by a parent, would cause the nurse to suspect possible substance abuse?
A) Becoming very involved with friends and in activities related to basketball
B) Becoming moody, crying, and weeping one minute and then cheerful and excited the next
C) Receiving numerous detentions for sleeping in class
D) Wearing baggy, oversized clothing and dyeing hair black
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Chapter 43: Immunizations and Communicable Diseases
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Sample Questions
Q1) The nurse is providing care to a child who is diagnosed with Lyme disease. The mother wants to know how to protect her other children from contracting this disease from the infected child. Which should the nurse include in the teaching session regarding the transmission of this disease process?
A) Lyme disease is passed from person to person.
B) Lyme disease is passed from animals to person.
C) Lyme disease is passed from adults to children.
D) Lyme disease is passed from person to insects.
Q2) Which common mode of infectious disease should the nurse include in a teaching session with parents within the community?
A) Playing with the same toy
B) Coughing without covering the mouth
C) Sitting together eating meals
D) Playing board games
Q3) Which should the nurse use when reconstituting vaccines?
A) The diluents provided
B) Normal saline
C) Any solution available
D) Sterile water
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Chapter 44: The Child With Alterations in Fluid, Electrolyte, and Acidbase Balance
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Sample Questions
Q1) Which is the priority nursing assessment when providing care for an infant at risk for dehydration?
A) Urine output
B) Urine specific gravity
C) Vital signs
D) Daily weight
Q2) Which rationale will the seasoned nurse share with the novice nurse regarding why the specific gravity for infants is lower than for older children?
A) The infant has a greater body surface area.
B) The infant has a higher basal metabolic rate.
C) The infant has a greater percentage of body weight that is water.
D) The infant's kidneys are less able to concentrate urine.
Q3) A nurse is planning care for a child with hyponatremia. The nurse, delegating care of this child to a licensed vocational nurse (LVN), cautions the LVN to immediately report which clinical manifestation?
A) Seizures
B) Respiratory distress
C) Hyperthermia
D) Bradycardia
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Chapter 45: The Child With Alterations in Eye, Ear, Nose, and Throat Function
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Sample Questions
Q1) Which nursing actions are appropriate when providing care to a 12-year-old client who has lost several teeth as a result of a facial injury? Select all that apply.
A) Not worrying about the tooth loss, as children this age still have their "baby" teeth
B) Only handling the lost tooth by the roots and avoiding touching the crown of the tooth
C) Rinsing the lost tooth with sterile saline
D) Placing the tooth back into its socket and taking the child to an emergency dental facility
E) Keeping the tooth clean and dry during transport to an emergency dental facility
Q2) Which nursing action is appropriate when providing care to a child with a mild hearing loss who reads lips to enhance adaptation during hospitalization?
A) Touching the child lightly before speaking
B) Using a picture board as the main means of communication
C) Speaking in a loud voice while facing the child
D) Speaking directly to the parents for communication
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Chapter 46: The Child With Alterations in Respiratory Function
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Sample Questions
Q1) Which nursing assessment data would indicate that a pediatric client sustained a large pulmonary contusion in a motor vehicle crash? Select all that apply.
A) Eupnea
B) Dyspnea
C) Hemoptysis
D) Fever
E) Crackles
Q2) Which nursing diagnosis should the nurse include in the plan of care for an infant diagnosed with acute bronchiolitis due to respiratory syncytial virus (RSV)?
A) Activity Intolerance
B) Ineffective Peripheral Tissue Perfusion
C) Acute Pain
D) Decreased Cardiac Output
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Chapter 47: The Child With Alterations in Cardiovascular Function
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Sample Questions
Q1) Which is an appropriate statement for the nurse to include in the discharge instructions to the parents of a child who is recovering from cardiac surgery?
A) "The child will have a fever for several weeks following the surgery."
B) "The child will be restricted from most play activities."
C) "The child will not receive routine immunizations."
D) "The child will receive prophylactic antibiotics prior to any dental procedures."
Q2) Which parental statement regarding the use of cyclosporin A after a heart transplant indicate correct understanding of the information presented by the nurse?
A) "This medication is used to treat hypertension."
B) "This medication is used to reduce serum cholesterol level."
C) "This medication is used to prevent rejection."
D) "This medication is used to treat infections."
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Chapter 48: The Child With Alterations in Immune Function
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Sample Questions
Q1) A school-age client diagnosed with rheumatoid arthritis (RA) wants to participate in the school sports programs. The client asks the nurse to recommend a sporting activity that is appropriate. Which activity would be the most appropriate for the nurse to recommend?
A) Baseball
B) Basketball
C) Football
D) Swimming
Q2) The nurse is providing care to a child who experienced an anaphylactic reaction to an unknown allergen. Which high-risk foods should the nurse question the family about regarding recent consumption?
A) Peanut butter
B) Shrimp
C) Eggs
D) Milk
E) Soda
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Chapter 49: The Child With Alterations in Hematologic Function
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Sample Questions
Q1) Which injury prevention topics should the nurse include in the plan of care for a pediatric client who has received hematopoietic stem cell transplantation (HSCT)? Select all that apply.
A) Medication storage strategies
B) Needle and syringe disposal
C) Immunization schedule
D) Yearly influenza vaccination
E) Routine dental appointments
Q2) Which concepts should the nurse include in the discharge instructions for a child who has undergone a hematopoietic stem cell transplantation (HSCT)? Select all that apply.
A) Keeping the child on a high-calcium diet
B) Practicing good hand washing
C) Avoiding live plants and fresh vegetables
D) Avoiding influenza vaccinations
E) Returning the child to school within 6 weeks
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Chapter 50: The Child With Cancer
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Sample Questions
Q1) The nurse is providing care to a pediatric client who will require surgery as a portion of the treatment regimen. Which topics should the nurse include in the teaching session related to long- term ramifications associated with this treatment option?
A) Scoliosis
B) Adhesions
C) Hypothyroidism
D) Visual impairment
E) Cardiotoxicity
Q2) The child is admitted to the hospital unit newly diagnosed with retinoblastoma. Which clinical manifestation does the nurse anticipate upon assessment?
A) A white reflex
B) Blue-tinged sclerae
C) A red reflex
D) Yellow-tinged sclerae
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Chapter 51: The Child With Alterations in Gastrointestinal Function
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Sample Questions
Q1) The nurse is unsuccessful in inserting a nasogastric tube for a newborn client. The nurse suspects the newborn has esophageal atresia/tracheoesophageal (EA/TE) fistula. Which nursing action is appropriate while waiting for the healthcare provider to further assess the neonate?
A) Position the newborn in semi-Fowler position.
B) Allow the newborn to be taken to the mother's room for bonding.
C) Offer the newborn formula feeding instead of breastfeeding.
D) Wrap the newborn in blankets and place in a crib by the viewing window.
Q2) A nasogastric tube to suction is ordered for a neonate diagnosed with a diaphragmatic hernia. Which complication related to gastric drainage is the priority when planning care for this neonate?
A) Weight loss
B) Metabolic alkalosis
C) Dehydration
D) Hyperbilirubinemia
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Chapter 52: The Child With Alterations in Genitourinary Function
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Sample Questions
Q1) Which clinical manifestations should the nurse anticipate when assessing a child who has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS)?
A) Massive proteinuria, hypoalbuminemia, and edema
B) Hematuria, bacteriuria, and weight gain
C) Urine specific gravity decreased and urinary output increased
D) Gross hematuria, albuminuria, and fever
Q2) Which clean-catch urinalysis finding should the nurse be most concerned for a child who is admitted to an urgent care center to rule out a urinary tract infection?
A) 2+ white blood cells
B) 1+ red blood cells
C) Urine appearance: cloudy
D) Specific gravity: 1009
Q3) Which is the priority nursing intervention when caring for a neonate who is born with bladder exstrophy?
A) Measuring intake and output
B) Inserting a Foley catheter
C) Covering the defect with sterile plastic wrap
D) Palpating the bladder mass to ensure urine is expelled
Page 54
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Chapter 53: The Child With Alterations in Endocrine Function
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Sample Questions
Q1) The nurse is providing care to a newborn female who is born with ambiguous genitalia. The follow-up investigation discovers adrenogenital syndrome (also called congenital adrenal hyperplasia [CAH]). The parents question why the baby's genitalia looks more male than female. Which response by the nurse is accurate?
A) "The disorder caused your baby to be a hermaphrodite with both male and female sex organs."
B) "The changes in the genitalia are due to increased androgens secondary to deficient cortisol."
C) "The excessive cortisol caused the enlargement of the female tissue, creating a male appearance."
D) "Your baby has only one sex chromosome resulting in an XO configuration."
Q2) Which changes should the school nurse implement to decrease the risk for the development of type 2 diabetes mellitus for a population who is identified as being at risk? Select all that apply.
A) Increase the amount of daily physical activity.
B) Meet with all parents and explain the risk that is associated with obesity.
C) Test each child's urine monthly.
D) Teach the parents to avoid administering aspirin to their children.
E) Work with the cafeteria to decrease the amount of fat in the foods served.
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Chapter 54: The Child With Alterations in Neurologic Function
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Sample Questions
Q1) Which should the nurse include in the plan of care for a hospitalized school-age child with myelodysplasia? Select all that apply.
A) Implementing interventions for a client of normal intelligence
B) Using latex precautions when providing client care
C) Allowing the client to self-catheterize
D) Ensuring that the client has a low-fiber diet
E) Encouraging the client to shift positions hourly when in the wheelchair
Q2) Which nursing diagnoses should the nurse include in the plan of care for a pediatric client diagnosed with hydrocephalus? Select all that apply.
A) Risk for Infection
B) Impaired Physical Mobility
C) Risk for Caregiver Role Strain
D) Risk for Injury
E) Risk for Constipation
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Chapter 55: The Child With Alterations in Mental Health and Cognitive Function
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Sample Questions
Q1) Which nursing action assists in the diagnosis of mental health and cognitive disorders that occur during childhood?
A) Monitoring vital signs
B) Administering prescribed medications
C) Conducting a developmental assessment
D) Documenting an accurate history and physical
Q2) Which interventions should the nurse include in the plan of care for a child who is diagnosed with an intellectual disability? Select all that apply.
A) Providing emotional support to the family
B) Maintaining a safe environment for the client
C) Educating the family that maintenance of activities of daily living (ADL) is impossible to achieve
D) Participating in the individualized education program (IEP) process
E) Recommending permanent institutionalization
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Chapter 56: The Child With Alterations in Musculoskeletal Function
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70709
Sample Questions
Q1) The nurse is providing care to a child who is diagnosed with Legg-Calvé-Perthes disease. Which parental statement regarding the child's care required further teaching from the nurse?
A) "We're glad this will only take about 6 weeks to correct."
B) "We understand abduction of the affected leg is important."
C) "We know to watch for areas on the skin that the brace might rub."
D) "We understand swimming is a good sport for Legg-Calvé-Perthes."
Q2) Which clinical manifestations should the nurse expect when assessing a pediatric client who is diagnosed with congenital hip dysplasia (CHD)? Select all that apply.
A) Limited adduction of the affected hip
B) Asymmetry of thigh fat folds
C) Telescoping of the thigh
D) Muscle weakness
E) Atrophy of the muscles
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Chapter 57: The Child With Alterations in Skin Integrity
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/70710
Sample Questions
Q1) Which interventions should the nurse include in the plan of care for a pediatric client who suffered a full-thickness burn injury to decrease the risk for infection? Select all that apply.
A) Using an age-appropriate assessment scale
B) Covering the affected skin as much as possible
C) Providing analgesics prior to wound care
D) Keeping the skin as clean and dry as possible
E) Clipping hair around the wound
Q2) Which preventative strategies for tinea pedis, a fungal infection, also known as athlete's foot, should the nurse include in a teaching session for an adolescent client? Select all that apply.
A) Wear 100% white cotton socks, changed twice a day.
B) Use talc on feet daily.
C) Use an over-the-counter corticosteroid cream to treat the area.
D) Wear foot covers such as flip flops in the locker room and shower.
E) Apply heat to the area twice a day.
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