Community Health Nursing Exam Solutions
Course Introduction
Community Health Nursing focuses on promoting and protecting the health of populations through education, advocacy, and the delivery of care in community settings. The course explores the role of nurses in assessing community health needs, developing and implementing intervention strategies, and collaborating with community members and organizations. Students learn about epidemiology, health promotion, disease prevention, environmental health, and policies affecting community well-being. Emphasis is placed on culturally competent care, addressing health disparities, and empowering individuals, families, and groups to achieve optimal health within their unique social contexts.
Recommended Textbook
Maternal Child Nursing Care 5th Edition by Perry
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49 Chapters
1995 Verified Questions
1995 Flashcards
Source URL: https://quizplus.com/study-set/1278
Page 2
Chapter 1: 21st Century Maternity Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/25287
Sample Questions
Q1) Recent trends in childbirth practice indicate that:
A)Delayed pushing is now discouraged in the second stage of labor.
B)Episiotomy rates are increasing.
C)Midwives perform more episiotomies than physicians.
D)Newborn infants remain with the mother and are encouraged to breastfeed.
Answer: D
Q2) The nurse caring for a pregnant client should be aware that the U.S.birth rate shows which trend?
A)Births to unmarried women are more likely to have less favorable outcomes.
B)Birth rates for women 40 to 44 years old are beginning to decline.
C)Cigarette smoking among pregnant women continues to increase.
D)The rates of maternal death owing to racial disparity are elevated in the United States.
Answer: A
Q3) What is the primary role of practicing nurses in the research process?
A)Designing research studies
B)Collecting data for other researchers
C)Identifying researchable problems
D)Seeking funding to support research studies
Answer: C
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Page 3
Chapter 2: Community Care: the Family and Culture
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25288
Sample Questions
Q1) To provide competent care to an Asian-American family,the nurse should include which of the following questions during the assessment interview?
A)"Do you prefer hot or cold beverages?"
B)"Do you want milk to drink?"
C)"Do you want music playing while you are in labor?"
D)"Do you have a name selected for the baby?"
Answer: A
Q2) The nurse should be aware that during the childbearing experience an African-American woman is most likely to:
A)Seek prenatal care early in her pregnancy.
B)Avoid self-treatment of pregnancy-related discomfort.
C)Request liver in the postpartum period to prevent anemia.
D)Arrive at the hospital in advanced labor.
Answer: D
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4
Chapter 3: Assessment and Health Promotion
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) Once and then a booster every 10 years.
A)Tetanus-diphtheria-pertussis (Tdap)
B)Measles, mumps, rubella
C)Herpes Zoster
D)Hepatitis B
E)Influenza
F)Human papillomavirus (HPV)
Answer: A
Q2) Many pregnant teens wait until the second or third trimester to seek prenatal care.The nurse should understand that the reasons behind this delay include:
A)Lack of realization that they are pregnant.
B)Uncertainty as to where to go for care.
C)Continuing to deny the pregnancy.
D)A desire to gain control over their situation.
E)Wanting to hide the pregnancy as long as possible.
Answer: A,B,C,E
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5
Chapter 4: Reproductive System Concerns
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) As relates to dysfunctional uterine bleeding (DUB),the nurse should be aware that:
A)It is most commonly caused by anovulation.
B)It most often occurs in middle age.
C)The diagnosis of DUB should be the first considered for abnormal menstrual bleeding.
D)The most effective medical treatment is steroids.
Q2) Which statement concerning cyclic perimenstrual pain and discomfort (CPPD)is accurate?
A)Premenstrual dysphoric disorder (PMDD) is a milder form of premenstrual syndrome (PMS) and more common in younger women.
B)Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea.
C)Premenstrual syndrome is a complex, poorly understood condition that may include any of a hundred symptoms.
D)The causes of PMS have been well established.
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Chapter 5: Infertility,contraception,and Abortion
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A woman will be taking oral contraceptives using a 28-day pack.The nurse should advise this woman to protect against pregnancy by:
A)Limiting sexual contact for one cycle after starting the pill.
B)Using condoms and foam instead of the pill for as long as she takes an antibiotic.
C)Taking one pill at the same time every day.
D)Throwing away the pack and using a backup method if she misses two pills during week 1 of her cycle.
Q2) Anorexia
A)Ovarian
B)Tubal/peritoneal
C)Uterine
D)Vaginal/cervical
E)Other factors
Q3) Which contraceptive method has a failure rate of less than 25%?
A)Standard days
B)Periodic abstinence
C)Postovulation
D)Coitus interruptus
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Chapter 6: Genetics, conception, and Fetal Development
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The measurement of lecithin in relation to sphingomyelin (L/S ratio)is used to determine fetal lung maturity.Which ratio reflects maturity of the lungs?
A)1.4:1
B)1.8:1
C)2:1
D)1:1
Q2) A man's wife is pregnant for the third time.One child was born with cystic fibrosis,and the other child is healthy.The man wonders what the chance is that this child will have cystic fibrosis.This type of testing is known as:
A)Occurrence risk.
B)Recurrence risk.
C)Predictive testing.
D)Predisposition testing.
Q3) The nurse must be cognizant that an individual's genetic makeup is known as his or her:
A)Genotype.
B)Phenotype.
C)Karyotype.
D)Chromotype.
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Page 8
Chapter 7: Anatomy and Physiology of Pregnancy
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Human chorionic gonadotropin (hCG)is an important biochemical marker for pregnancy and the basis for many tests.A maternity nurse should be aware that:
A)hCG can be detected 2.5 weeks after conception.
B)The hCG level increases gradually and uniformly throughout pregnancy.
C)Much lower than normal increases in the level of hCG may indicate a postdate pregnancy.
D)A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.
Q2) The musculoskeletal system adapts to the changes that occur during pregnancy.A woman can expect to experience what change?
A)Her center of gravity will shift backward.
B)She will have increased lordosis.
C)She will have increased abdominal muscle tone.
D)She will notice decreased mobility of her pelvic joints.
Q3) The mucous plug that forms in the endocervical canal is called the:
A)Operculum.
B)Leukorrhea.
C)Funic souffle.
D)Ballottement.
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Page 9
Chapter 8: Nursing Care of the Family During Pregnancy
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Hyperemesis gravidarum
A)Severe vomiting in early pregnancy
B)Epigastric pain in late pregnancy
C)Severe backache and flank pain
D)Decreased fetal movement
E)Glycosuria
Q2) Which statement about multifetal pregnancy is inaccurate?
A)The expectant mother often develops anemia because the fetuses have a greater demand for iron.
B)Twin pregnancies come to term with the same frequency as single pregnancies.
C)The mother should be counseled to increase her nutritional intake and gain more weight.
D)Backache and varicose veins often are more pronounced.
Q3) During the first trimester,a woman can expect which of the following changes in her sexual desire?
A)An increase, because of enlarging breasts
B)A decrease, because of nausea and fatigue
C)No change
D)An increase, because of increased levels of female hormones
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Page 10
Chapter 9: Maternal and Fetal Nutrition
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A pregnant patient would like to know a good food source of calcium other than dairy products.Your best answer is:
A)Legumes
B)Yellow vegetables
C)Lean meat
D)Whole grains
Q2) With regard to protein in the diet of pregnant women,nurses should be aware that:
A)Many protein-rich foods are also good sources of calcium, iron, and B vitamins.
B)Many women need to increase their protein intake during pregnancy.
C)As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the diet.
D)High-protein supplements can be used without risk by women on macrobiotic diets.
Q3) Which meal would provide the most absorbable iron?
A)Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
B)Oatmeal, whole wheat toast, jelly, and low-fat milk
C)Black bean soup, wheat crackers, orange sections, and prunes
D)Red beans and rice, cornbread, mixed greens, and decaffeinated tea
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Chapter 10: Assessment of High Risk Pregnancy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Fetal congenital anomalies
A)Polyhydramnios
B)Intrauterine growth restriction (maternal cause)
C)Oligohydramnios
D)Chromosomal abnormalities
E)Intrauterine growth restriction (fetoplacental cause)
Q2) Which nursing intervention is necessary before a second-trimester transabdominal ultrasound?
A)Place the woman NPO for 12 hours.
B)Instruct the woman to drink 1 to 2 quarts of water.
C)Administer an enema.
D)Perform an abdominal preparation.
Q3) A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test indicated that her fetus could be experiencing some difficulties in utero.Which diagnostic tool would yield more detailed information about the fetus?
A)Ultrasound for fetal anomalies
B)Biophysical profile (BPP)
C)Maternal serum alpha-fetoprotein (MSAFP) screening
D)Percutaneous umbilical blood sampling (PUBS)
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Page 12
Chapter 11: Pregnancy at Risk: Preexisting Conditions
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) An 18-year-old client who has reached 16 weeks of gestation was recently diagnosed with pregestational diabetes.She attends her centering appointment accompanied by one of her girlfriends.This young woman appears more concerned about how her pregnancy will affect her social life than about her recent diagnosis of diabetes.Several nursing diagnoses are applicable to assist in planning adequate care.The most appropriate diagnosis at this time is:
A)Risk for injury to the fetus related to birth trauma.
B)Noncompliance related to lack of understanding of diabetes and pregnancy and requirements of the treatment plan.
C)Deficient knowledge related to insulin administration.
D)Risk for injury to the mother related to hypoglycemia or hyperglycemia.
Q2) Prophylaxis of subacute bacterial endocarditis is given before and after birth when a pregnant woman has:
A)Valvular disease.
B)Congestive heart disease.
C)Arrhythmias.
D)Postmyocardial infarction.
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Page 13
Chapter 12: Pregnancy at Risk: Gestational Conditions
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) Your patient is being induced because of her worsening preeclampsia.She is also receiving magnesium sulfate.It appears that her labor has not become active despite several hours of oxytocin administration.She asks the nurse,"Why is it taking so long?" The most appropriate response by the nurse would be:
A)"The magnesium is relaxing your uterus and competing with the oxytocin. It may increase the duration of your labor."
B)"I don't know why it is taking so long."
C)"The length of labor varies for different women."
D)"Your baby is just being stubborn."
Q2) A laboring woman with no known risk factors suddenly experiences spontaneous rupture of membranes (ROM).The fluid consists of bright red blood.Her contractions are consistent with her current stage of labor.There is no change in uterine resting tone.The fetal heart rate begins to decline rapidly after the ROM.The nurse should suspect the possibility of:
A)Placenta previa.
B)Vasa previa.
C)Severe abruptio placentae.
D)Disseminated intravascular coagulation (DIC).
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Page 14
Chapter 13: Labor and Birth Processes
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Which statement is the best rationale for assessing maternal vital signs between contractions?
A)During a contraction, assessing fetal heart rates is the priority.
B)Maternal circulating blood volume increases temporarily during contractions.
C)Maternal blood flow to the heart is reduced during contractions.
D)Vital signs taken during contractions are not accurate.
Q2) Which presentation is described accurately in terms of both presenting part and frequency of occurrence?
A)Cephalic: occiput; at least 95%
B)Breech: sacrum; 10% to 15%
C)Shoulder: scapula; 10% to 15%
D)Cephalic: cranial; 80% to 85%
Q3) When assessing a woman in labor,the nurse is aware that the relationship of the fetal body parts to one another is called fetal:
A)Lie.
B)Presentation.
C)Attitude.
D)Position.
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15
Chapter 14: Pain Management
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/25300
Sample Questions
Q1) A laboring woman received an opioid agonist (meperidine)intravenously 90 minutes before she gave birth.Which medication should be available to reduce the postnatal effects of Demerol on the neonate?
A)Fentanyl (Sublimaze)
B)Promethazine (Phenergan)
C)Naloxone (Narcan)
D)Nalbuphine (Nubain)
Q2) The nurse should be aware that an effective plan to achieve adequate pain relief without maternal risk is most effective if:
A)The mother gives birth without any analgesic or anesthetic.
B)The mother and family's priorities and preferences are incorporated into the plan.
C)The primary health care provider decides the best pain relief for the mother and family.
D)The nurse informs the family of all alternative methods of pain relief available in the hospital setting.
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16
Chapter 15: Fetal Assessment During Labor
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/25301
Sample Questions
Q1) Fetal bradycardia is most common during:
A)Intraamniotic infection.
B)Fetal anemia.
C)Prolonged umbilical cord compression.
D)Tocolytic treatment using terbutaline.
Q2) When using intermittent auscultation (IA)to assess uterine activity,the nurse should be cognizant that:
A)The examiner's hand should be placed over the fundus before, during, and after contractions.
B)The frequency and duration of contractions is measured in seconds for consistency.
C)Contraction intensity is given a judgment number of 1 to 7 by the nurse and client together.
D)The resting tone between contractions is described as either placid or turbulent.
Q3) A nurse may be called on to stimulate the fetal scalp:
A)As part of fetal scalp blood sampling.
B)In response to tocolysis.
C)In preparation for fetal oxygen saturation monitoring.
D)To elicit an acceleration in the fetal heart rate (FHR).
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Chapter 16: Nursing Care of the Family During Labor and Birth
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/25302
Sample Questions
Q1) A laboring woman is lying in the supine position.The most appropriate nursing action at this time is to:
A)Ask her to turn to one side.
B)Elevate her feet and legs.
C)Take her blood pressure.
D)Determine whether fetal tachycardia is present.
Q2) For women who have a history of sexual abuse,a number of traumatic memories may be triggered during labor.The woman may fight the labor process and react with pain or anger.Alternately,she may become a passive player and emotionally absent herself from the process.The nurse is in a unique position of being able to assist the client to associate the sensations of labor with the process of childbirth and not the past abuse.The nurse can implement a number of care measures to help the client view the childbirth experience in a positive manner.Which intervention would be key for the nurse to use while providing care?
A)Telling the client to relax and that it won't hurt much
B)Limiting the number of procedures that invade her body
C)Reassuring the client that as the nurse you know what is best
D)Allowing unlimited care providers to be with the client
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Chapter 17: Labor and Birth Complications
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/25303
Sample Questions
Q1) Complications and risks associated with cesarean births include (Select all that apply):
A)Placental abruption.
B)Wound dehiscence.
C)Hemorrhage.
D)Urinary tract infections.
E)Fetal injuries.
Q2) The nurse providing care to a woman in labor should understand that cesarean birth:
A)Is declining in frequency in the twenty-first century in the United States.
B)Is more likely to be performed for poor women in public hospitals who do not receive the nurse counseling as do wealthier clients.
C)Is performed primarily for the benefit of the fetus.
D)Can be either elected or refused by women as their absolute legal right.
Q3) Before the physician performs an external version,the nurse should expect an order for a:
A)Tocolytic drug.
B)Contraction stress test (CST).
C)Local anesthetic.
D)Foley catheter.
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Chapter 18: Maternal Physiologic Changes
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which condition,not uncommon in pregnancy,is likely to require careful medical assessment during the puerperium?
A)Varicosities of the legs
B)Carpal tunnel syndrome
C)Periodic numbness and tingling of the fingers
D)Headaches
Q2) With regard to the postpartum changes and developments in a woman's cardiovascular system,nurses should be aware that:
A)Cardiac output, the pulse rate, and stroke volume all return to prepregnancy normal values within a few hours of childbirth.
B)Respiratory function returns to nonpregnant levels by 6 to 8 weeks after birth.
C)The lowered white blood cell count after pregnancy can lead to false-positive results on tests for infections.
D)A hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean birth.
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Chapter 19: Nursing Care of the Family During the
Postpartum Period
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/25305
Sample Questions
Q1) Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus?
A)Notify the physician of an impending hemorrhage.
B)Assess the blood pressure and pulse.
C)Evaluate the lochia.
D)Assist the patient in emptying her bladder.
Q2) Korean or other South East Asian countries.
A)Prefer not to give babies colostrum
B)Eat only warm foods and hot drinks
C)Take the placenta home to bury
D)Will not eat pork or pork products
E)Have an IUD inserted after the first child
Q3) In a variation of rooming-in,called couplet care,the mother and infant share a room,and the mother shares the care of the infant with:
A)The father of the infant.
B)Her mother (the infant's grandmother).
C)Her eldest daughter (the infant's sister).
D)The nurse.
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Chapter 20: Transition to Parenthood
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/25306
Sample Questions
Q1) To promote bonding and attachment immediately after delivery,the most important nursing intervention is to:
A)Allow the mother quiet time with her infant.
B)Assist the mother in assuming an en face position with her newborn.
C)Teach the mother about the concepts of bonding and attachment.
D)Assist the mother in feeding her baby.
Q2) Of the many factors that influence parental responses,nurses should be conscious of negative stereotypes that apply to specific patient populations.Which response could be an inappropriate stereotype of adolescent mothers?
A)An adolescent mother's egocentricity and unmet developmental needs interfere with her ability to parent effectively.
B)An adolescent mother is likely to use less verbal instruction, be less responsive, and interact less positively than other mothers.
C)Adolescent mothers have a higher documented incidence of child abuse.
D)Mothers older than 35 often deal with more stress related to work and career issues and decreasing libido.
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Chapter 21: Postpartum Complications
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) A primary nursing responsibility when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:
A)Establish venous access.
B)Perform fundal massage.
C)Prepare the woman for surgical intervention.
D)Catheterize the bladder.
Q2) A mother in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems and sensations of bearing down and of something in her vagina.The nurse would realize that the client most likely is suffering from:
A)Pelvic relaxation.
B)Cystoceles and/or rectoceles.
C)Uterine displacement.
D)Genital fistulas.
Q3) Presence or absence of anxiety
A)Palpation
B)Auscultation
C)Inspection
D)Observation
E)Measurement
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Chapter 22: Physiologic and Behavioral Adaptations of the Newborn
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Which statement describing physiologic jaundice is incorrect?
A)Neonatal jaundice is common, but kernicterus is rare.
B)The appearance of jaundice during the first 24 hours or beyond day 7 indicates a pathologic process.
C)Because jaundice may not appear before discharge, parents need instruction on how to assess it and when to call for medical help.
D)Breastfed babies have a lower incidence of jaundice.
Q2) A first-time father is changing the diaper of his 1-day-old daughter.He asks the nurse,"What is this black,sticky stuff in her diaper?" The nurse's best response is:
A)"That's meconium, which is your baby's first stool. It's normal."
B)"That's transitional stool."
C)"That means your baby is bleeding internally."
D)"Oh, don't worry about that. It's okay."
Q3) Plantar creases should be evaluated within a few hours of birth because:
A)The newborn has to be footprinted.
B)As the skin dries, the creases will become more prominent.
C)Heel sticks may be required.
D)Creases will be less prominent after 24 hours.
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Chapter 23: Nursing Care of the Newborn and Family
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is performing a gestational age and physical assessment on the newborn.The infant appears to have an excessive amount of saliva.The nurse recognizes that this finding:
A)Is normal.
B)Indicates that the infant is hungry.
C)May indicate that the infant has a tracheoesophageal fistula or esophageal atresia.
D)May indicate that the infant has a diaphragmatic hernia.
Q2) A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage.There was a nuchal cord.After birth the infant is noted to have petechiae over the face and upper back.Information given to the infant's parents should be based on the knowledge that petechiae:
A)Are benign if they disappear within 48 hours of birth.
B)Result from increased blood volume.
C)Should always be further investigated.
D)Usually occur with forceps delivery.
Q3) At 1 minute after birth,the nurse assesses the infant and notes a heart rate of 80 beats/minute,some flexion of the extremities,a weak cry,grimacing,and a pink body with blue extremities.The nurse would calculate an Apgar score of: ________
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25
Chapter 24: Newborn Nutrition and Feeding
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37 Flashcards
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Sample Questions
Q1) The breastfeeding mother should be taught a safe method to remove the breast from the baby's mouth.Which suggestion by the nurse is most appropriate?
A)Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed.
B)Break the suction by inserting your finger into the corner of the infant's mouth.
C)A popping sound occurs when the breast is correctly removed from the infant's mouth.
D)Elicit the Moro reflex to wake the baby and remove the breast when the baby cries.
Q2) A pregnant woman wants to breastfeed her infant; however,her husband is not convinced that there are any scientific reasons to do so.The nurse can give the couple printed information comparing breastfeeding and bottle-feeding.Which statement is most accurate? Bottle-feeding using commercially prepared infant formulas:
A)Increases the risk that the infant will develop allergies.
B)Helps the infant sleep through the night.
C)Ensures that the infant is getting iron in a form that is easily absorbed.
D)Requires that multivitamin supplements be given to the infant.
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26
Chapter 25: The High Risk Newborn
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57 Verified Questions
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Sample Questions
Q1) As related to the eventual discharge of the high risk newborn or transfer to a different facility,nurses and families should be aware that:
A)Infants will stay in the neonatal intensive care unit (NICU) until they are ready to go home.
B)Once discharged to home, the high risk infant should be treated like any healthy term newborn.
C)Parents of high risk infants need special support and detailed contact information.
D)If a high risk infant and mother need transfer to a specialized regional center, it is better to wait until after birth and the infant is stabilized.
Q2) Which infant would be more likely to have Rh incompatibility?
A)Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor
B)Infant who is Rh negative and whose mother is Rh negative
C)Infant of an Rh-negative mother and a father who is Rh positive and heterozygous for the Rh factor
D)Infant who is Rh positive and whose mother is Rh positive
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Chapter 26: 21st Century Pediatric Nursing
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16 Flashcards
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Sample Questions
Q1) The major cause of death for children older than 1 year is:
A)Cancer.
B)Infection.
C)Unintentional injuries.
D)Congenital abnormalities.
Q2) The type of injury a child is especially susceptible to at a specific age is most closely related to:
A)Physical health of the child.
B)Developmental level of the child.
C)Educational level of the child.
D)Number of responsible adults in the home.
Q3) The leading cause of death from unintentional injuries in children is:
A)Poisoning.
B)Drowning.
C)Motor vehicle-related fatalities.
D)Fire- and burn-related fatalities.
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28
Chapter 27: Family, social, cultural, and Religious Influences on Child Health Promotion
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17 Verified Questions
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Q1) The nurse discovers welts on the back of a Vietnamese child during a home health visit.The child's mother says that she has rubbed the edge of a coin on her child's oiled skin.The nurse should recognize that this is:
A)Child abuse.
B)A cultural practice to rid the body of disease.
C)A cultural practice to treat enuresis or temper tantrums.
D)A child discipline measure common in the Vietnamese culture.
Q2) What type of family is one in which all members are related by blood?
A)Consanguineous
B)Affinal
C)Family of origin
D)Household
Q3) Which term best describes the emotional attitude that one's own ethnic group is superior to others?
A)Culture
B)Ethnicity
C)Superiority
D)Ethnocentrism
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Chapter 28: Developmental and Genetic Influences on
Child Health Promotion
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/25314
Sample Questions
Q1) By what age does birth length usually double?
A)1 year
B)2 years
C)4 years
D)6 years
Q2) The nurse observes some children in the playroom.Which play situation exhibits the characteristics of parallel play?
A)Kimberly and Amanda sharing clay to each make things
B)Brian playing with his truck next to Kristina playing with her truck
C)Adam playing a board game with Kyle, Steven, and Erich
D)Danielle playing with a music box on her mother's lap
Q3) The head-to-tail direction of growth is referred to as:
A)Cephalocaudal.
B)Proximodistal.
C)Mass to specific.
D)Sequential.
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Chapter 29: Communication, history, and Physical Assessment
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50 Verified Questions
50 Flashcards
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Q1) Which tool measures body fat most accurately?
A)Stadiometer
B)Calipers
C)Cloth tape measure
D)Paper or metal tape measure
Q2) Which parameter correlates best with measurements of the body's total protein stores?
A)Height
B)Weight
C)Skin-fold thickness
D)Upper arm circumference
Q3) The appropriate placement of a tongue blade for assessment of the mouth and throat is the:
A)The center back area of the tongue.
B)The side of the tongue.
C)Against the soft palate.
D)On the lower jaw.
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Page 31
Chapter 30: Pain Assessment and Management in Children
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which medications are the most effective choices for treating pain associated with inflammation in children (Select all that apply)?
A)Morphine
B)Acetaminophen (Tylenol)
C)Ibuprofen (Advil)
D)Ketorolac (Toradol)
E)Aspirin
Q2) Kyle,age 6 months,is brought to the clinic.His parent says,"I think he hurts.He cries and rolls his head from side to side a lot." This most likely suggests which feature of pain?
A)Type
B)Severity
C)Duration
D)Location
Q3) Step 2
A)Place the patient on continuous pulse oximetry to assess SaO<sub>2</sub>.
B)Administer the prescribed naloxone (Narcan) dose by slow IV push.
C)Ensure oxygen is available.
D)Prepare to calm the child as analgesia is reversed.
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Chapter 31: The Infant and Family
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Sample Questions
Q1) Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS)infant (select all that apply)?
A)Allow parents to say goodbye to their infant.
B)Once parents leave the hospital, no further follow-up is required.
C)Arrange for someone to take the parents home from the hospital.
D)Avoid requesting an autopsy of the deceased infant.
E)Conduct a debriefing session with the parents before they leave the hospital.
Q2) Parents tell the nurse that their 1-year-old son often sleeps with them.They seem unconcerned about this.The nurse's response should be based on the knowledge that:
A)Children should not sleep with their parents.
B)Separation from parents should be completed by this age.
C)Daytime attention should be increased.
D)This is a common and accepted practice, especially in some cultural groups.
Q3) When is the best age for solid food to be introduced into the infant's diet?
A)2 to 3 months
B)4 to 6 months
C)When birth weight has tripled
D)When tooth eruption has started
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33
Chapter 32: The Toddler and Family
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Sample Questions
Q1) A parent asks the nurse about how to respond to negativism in toddlers.The most appropriate recommendation is to:
A)Punish the child.
B)Provide more attention.
C)Ask child not always to say "no."
D)Reduce the opportunities for a "no" answer.
Q2) A father tells the nurse that his daughter wants the same plate and cup used at every meal,even if they go to a restaurant.The nurse should explain that this is:
A)A sign that the child is spoiled.
B)A way to exert unhealthy control.
C)Regression, common at this age.
D)Ritualism, common at this age.
Q3) Which toy is the most developmentally appropriate for an 18- to 24-month-old child?
A)A push-pull toy
B)Nesting blocks
C)A bicycle with training wheels
D)A computer
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Chapter 33: The Preschooler and Family
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A useful skill that the nurse should expect a 5-year-old child to be able to master is to:
A)Tie shoelaces.
B)Use a knife to cut meat.
C)Hammer a nail.
D)Make change from a quarter.
Q2) A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides,and I don't want anyone taking them out." Which is the nurse's best interpretation of this?
A)Child is being overly dramatic.
B)Child has a disturbed body image.
C)Preschoolers have poorly defined body boundaries.
D)Preschoolers normally have a good understanding of their bodies.
Q3) Acyclovir (Zovirax)is given to children with chickenpox to:
A)Minimize scarring.
B)Decrease the number of lesions.
C)Prevent aplastic anemia.
D)Prevent spread of the disease.
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35
Chapter 34: The School-Age Child and Family
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/25320
Sample Questions
Q1) An important consideration for the school nurse who is planning a class on bicycle safety is:
A)Most bicycle injuries involve collision with an automobile.
B)Head injuries are the major causes of bicycle-related fatalities.
C)Children should wear bicycle helmets if they ride on paved streets.
D)Children should not ride double unless the bicycle has an extra-large seat.
Q2) Is apt to overdo
A)Motor vehicle accidents
B)Drowning
C)Burns
D)Poisoning
E)Bodily damage
Q3) A nurse is recommending strategies to a group of school-age children for prevention of obesity.Which should the nurse include (select all that apply)?
A)Eat breakfast daily.
B)Limit fruits and vegetables.
C)Have frequent family meals with parents present.
D)Eat frequently at restaurants.
E)Limit television viewing to 2 hours a day.
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Chapter 35: The Adolescent and Family
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) A nurse is reviewing hormone changes that occur during adolescence.The hormone that is responsible for the growth of beard,mustache,and body hair in the male is:
A)Estrogen.
B)Pituitary hormone.
C)Androgen.
D)Progesterone.
Q2) A nurse is teaching adolescent boys about pubertal changes.The first sign of pubertal change seen with boys is:
A)Testicular enlargement.
B)Facial hair.
C)Scrotal enlargement.
D)Voice deepens.
Q3) A 17-year-old tells the nurse that he is not having sex because it would make his parents very angry.This response indicates that the adolescent has a developmental lag in which area?
A)Cognitive development
B)Moral development
C)Psychosocial development
D)Psychosexual development
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Page 37
Chapter 36: Chronic Illness, disability, and End-Of-Life Care
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Which describe avoidance behaviors a parent may exhibit when learning that his or her child has a chronic condition (select all that apply)?
A)Refuses to agree to treatment
B)Shares burden of disorder with others
C)Verbalizes possible loss of child
D)Withdraws from outside world
E)Punishes self because of guilt and shame
Q2) What is the most appropriate response to a school-age child who asks if she can talk to her dying sister?
A)"You need to speak loudly so she can hear you."
B)"Holding her hand would be better because at this point she can't hear you."
C)"Although she can't hear you, she can feel your presence so sit close to her."
D)"Even though she will probably not answer you, she can still hear what you say to her."
Q3) What is most descriptive of a school-age child's reaction to death?
A)Is very interested in funerals and burials
B)Has little understanding of words such as forever
C)Imagines the deceased person to be still alive
D)Has an idealistic view of the world and criticizes funerals as barbaric
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38
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child
and Family
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Sample Questions
Q1) The nurse is discussing sexuality with the parents of an adolescent girl with moderate cognitive impairment.Which should the nurse consider when dealing with this issue?
A)Sterilization is recommended for any adolescent with cognitive impairment.
B)Sexual drive and interest are limited in individuals with cognitive impairment.
C)Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.
D)Sexual intercourse rarely occurs unless the individual with cognitive impairment is sexually abused.
Q2) A newborn assessment shows separated sagittal suture,oblique palpebral fissures,depressed nasal bridge,protruding tongue,and transverse palmar creases.These findings are most suggestive of:
A)Microcephaly.
B)Down syndrome.
C)Cerebral palsy.
D)Fragile X syndrome.
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39
Chapter 38: Family-Centered Care of the Child During
Illness and Hospitalization
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Sample Questions
Q1) The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident.Which statement by the adolescent would be expected about separation anxiety?
A)"I wish my parents could spend the night with me while I am in the hospital."
B)"I think I would like for my siblings to visit me but not my friends."
C)"I hope my friends don't forget about visiting me."
D)"I will be embarrassed if my friends come to the hospital to visit."
Q2) Olivia,age 5 years,tells the nurse that she "needs a Band-Aid" where she had an injection.The best nursing action is to:
A)Apply a Band-Aid.
B)Ask her why she wants a Band-Aid.
C)Explain why a Band-Aid is not needed.
D)Show her that the bleeding has already stopped.
Q3) Which situation poses the greatest challenge to the nurse working with a child and family?
A)Twenty-four-hour observation
B)Emergency hospitalization
C)Outpatient admission
D)Rehabilitation admission
Page 40
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Chapter 39: Pediatric Variations of Nursing Interventions
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) Tepid water or sponge baths are indicated for hyperthermia in children.The nurse should:
A)Add isopropyl alcohol to the water.
B)Direct a fan on the child in the bath.
C)Stop the bath if the child begins to chill.
D)Continue the bath for 5 minutes.
Q2) Step two
A)Lubricate the nasogastric tube with water-soluble lubricant.
B)Tape the nasogastric tube securely to the child's face.
C)Check the placement of the tube by aspirating stomach contents.
D)Place the child in the supine position with head slightly hyperflexed.
E)Insert the nasogastric tube through the nares.
F)Measure the tube from the tip of the nose to the earlobe to the midpoint between the xiphoid process and the umbilicus.
Q3) An important nursing consideration when performing a bladder catheterization on a young boy is to:
A)Use clean technique, not Standard Precautions.
B)Insert 2% lidocaine lubricant into the urethra.
C)Lubricate catheter with water-soluble lubricant such as K-Y Jelly.
D)Delay catheterization for 20 minutes while anesthetic lubricant is absorbed.
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Chapter 40: Respiratory Dysfunction
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25326
Sample Questions
Q1) The nurse is caring for a child with carbon monoxide (CO<sub>2</sub>)poisoning associated with smoke inhalation.What is essential in this child's care?
A)Monitor pulse oximetry.
B)Monitor arterial blood gases.
C)Administer oxygen if respiratory distress develops.
D)Administer oxygen if child's lips become bright, cherry red.
Q2) An infant's parents ask the nurse about preventing otitis media (OM).What should the nurse recommend?
A)Avoid tobacco smoke.
B)Use nasal decongestant.
C)Avoid children with OM.
D)Bottle-feed or breastfeed in supine position.
Q3) Which consideration is the most important in managing tuberculosis (TB)in children?
A)Skin testing annually
B)Pharmacotherapy
C)Adequate nutrition
D)Adequate hydration
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Chapter 41: Gastrointestinal Dysfunction
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) Bismuth subsalicylate,clarithromycin,and metronidazole are prescribed for a child with a peptic ulcer to:
A)Eradicate Helicobacter pylori.
B)Coat gastric mucosa.
C)Treat epigastric pain.
D)Reduce gastric acid production.
Q2) Second priority
A)Call Jason's parents and notify them of the situation.
B)Call Jason's family practitioner to obtain further orders for medication.
C)Promptly administer an intramuscular (IM) dose of epinephrine.
D)Call 911 and wait for the emergency response personnel to arrive.
Q3) A parasite that causes acute diarrhea is:
A)Shigella organisms.
B)Salmonella organisms.
C)Giardia lamblia.
D)Escherichia coli.
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Chapter 42: Cardiovascular Dysfunction
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62 Verified Questions
62 Flashcards
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Sample Questions
Q1) A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery.The nurse instructs the parents to notify the physician if what conditions occur (Select all that apply)?
A)Respiratory rate of 36 at rest
B)Appetite slowly increasing
C)Temperature above 37.7° C (100° F)
D)New, frequent coughing
E)Turning blue or bluer than normal
Q2) The primary nursing intervention necessary to prevent bacterial endocarditis is to:
A)Institute measures to prevent dental procedures.
B)Counsel parents of high risk children about prophylactic antibiotics.
C)Observe children for complications such as embolism and heart failure.
D)Encourage restricted mobility in susceptible children.
Q3) An important nursing consideration when chest tubes will be removed from a child is to:
A)Explain that it is not painful.
B)Explain that only a Band-Aid will be needed.
C)Administer analgesics before the procedure.
D)Expect bright red drainage for several hours after removal.
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Page 44
Chapter 43: Hematologic and Immunologic Dysfunction
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Sample Questions
Q1) Third priority
A)Take the vital signs.
B)Stop the transfusion.
C)Notify the practitioner.
D)Maintain a patent intravenous (IV) line with normal saline.
Q2) Iron dextran is ordered for a young child with severe iron deficiency anemia.Nursing considerations include:
A)Administering with meals.
B)Administering between meals.
C)Injecting deeply into a large muscle.
D)Massaging injection site for 5 minutes after administration of drug.
Q3) An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain,dyspnea,distended neck veins,slight cyanosis,and a dry cough.These manifestations are most suggestive of:
A)Air embolism.
B)Allergic reaction.
C)Hemolytic reaction.
D)Circulatory overload.
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Chapter 44: Genitourinary Dysfunction
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40 Verified Questions
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Q1) Therapeutic management of nephrosis includes:
A)Corticosteroids.
B)Antihypertensive agents.
C)Long-term diuretics.
D)Increased fluids to promote diuresis.
Q2) The diet of a child with chronic renal failure is usually characterized as:
A)High in protein.
B)Low in vitamin D.
C)Low in phosphorus.
D)Supplemented with vitamins A, E, and K.
Q3) A common side effect of corticosteroid therapy is:
A)Fever.
B)Hypertension.
C)Weight loss.
D)Increased appetite.
Q4) The primary clinical manifestations of acute renal failure are:
A)Oliguria and hypertension.
B)Hematuria and pallor.
C)Proteinuria and muscle cramps.
D)Bacteriuria and facial edema.
46
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Chapter 45: Cerebral Dysfunction
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Sample Questions
Q1) The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil.The nurse should interpret this as:
A)Eye trauma.
B)Neurosurgical emergency.
C)Severe brainstem damage.
D)Indication of brain death.
Q2) Which clinical manifestations would suggest hydrocephalus in a neonate?
A)Bulging fontanel and dilated scalp veins
B)Closed fontanel and high-pitched cry
C)Constant low-pitched cry and restlessness
D)Depressed fontanel and decreased blood pressure
Q3) A child is unconscious after a motor vehicle accident.The watery discharge from the nose tests positive for glucose.The nurse should recognize that this suggests:
A)Diabetic coma.
B)Brainstem injury.
C)Upper respiratory tract infection.
D)Leaking of cerebrospinal fluid (CSF).
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Chapter 46: Endocrine Dysfunction
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A child with hypoparathyroidism is receiving vitamin D therapy.The parents should be advised to watch for which sign of vitamin D toxicity?
A)Headache and seizures
B)Physical restlessness and voracious appetite without weight gain
C)Weakness and lassitude
D)Anorexia and insomnia
Q2) The nurse is discussing various sites used for insulin injections with a child and her family.Which site usually has the fastest rate of absorption?
A)Arm
B)Leg
C)Buttock
D)Abdomen
Q3) Chronic adrenocortical insufficiency is also referred to as:
A)Graves' disease.
B)Addison's disease.
C)Cushing's syndrome.
D)Hashimoto's disease.
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Chapter 47: Integumentary Dysfunction
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53 Verified Questions
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Sample Questions
Q1) The nurse is examining 12-month-old Amy,who was brought to the clinic for persistent diaper rash.The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds.This is most likely caused by:
A)Impetigo.
B)Candida albicans.
C)Urine and feces.
D)Infrequent diapering.
Q2) Tretinoin (Retin-A)is a topical agent commonly used to treat acne.Nursing considerations with this drug include:
A)Avoiding use of sunscreen agents.
B)Using cosmetics with lanolin and petrolatum.
C)Explaining that medication should not be applied until at least 20 to 30 minutes after washing.
D)Explaining that erythema and peeling are indications of toxicity.
Q3) Herpes zoster is caused by the varicella virus and has an affinity for:
A)Sympathetic nerve fibers.
B)Parasympathetic nerve fibers.
C)Posterior root ganglia and the posterior horn of the spinal cord.
D)Lateral and dorsal columns of the spinal cord.
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Page 49
Chapter 48: Musculoskeletal or Articular Dysfunction
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Q1) A 4-year-old child is newly diagnosed with Legg-Calvé-Perthes disease.Nursing considerations should include which action?
A)Encouraging normal activity for as long as is possible
B)Explaining the cause of the disease to the child and family
C)Preparing the child and family for long-term, permanent disabilities
D)Teaching the family the care and management of the corrective appliance
Q2) Which type of traction uses skin traction on the lower leg and a padded sling under the knee?
A)Dunlop
B)Bryant's
C)Russell
D)Buck's extension
Q3) The nurse is teaching the parents of a 7-year-old child who has just had a cast applied for a fractured arm with the wrist and elbow immobilized.Which instructions should be included in the teaching?
A)Swelling of the fingers is to be expected for the next 48 hours.
B)Immobilize the shoulder to decrease pain in the arm.
C)Allow the affected limb to hang down for 1 hour each day.
D)Elevate casted arm when resting and when sitting up.
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Page 50
Chapter 49: Neuromuscular or Muscular Dysfunction
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25335
Sample Questions
Q1) What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?
A)"One of the parents carries a defective gene that causes myelomeningocele."
B)"A deficiency in folic acid in the father is the most likely cause."
C)"Offspring of parents who have a spinal abnormality are at greater risk for myelomeningocele."
D)"There may be no definitive cause identified."
Q2) The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning.Which interventions should the nurse plan for the care of the myelomeningocele sac?
A)Open to air
B)Covered with a sterile, moist, nonadherent dressing
C)Reinforcement of the original dressing if drainage noted
D)A diaper secured over the dressing
Q3) Spastic cerebral palsy is characterized by:
A)Hypertonicity and poor control of posture, balance, and coordinated motion.
B)Athetosis and dystonic movements.
C)Wide-based gait and poor performance of rapid, repetitive movements.
D)Tremors and lack of active movement.
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Page 51