Community Health Nursing Test Bank
Course Introduction
Community Health Nursing focuses on the principles and practices of promoting and protecting the health of populations using knowledge from nursing, public health, and social sciences. This course covers topics such as health assessment, disease prevention, health education, epidemiology, and community-based interventions. Students learn to identify community health needs, plan and implement health programs, collaborate with interdisciplinary teams, and advocate for healthy environments. Emphasis is placed on culturally competent care, vulnerable populations, and strategies to address health disparities, with practical experiences in various community settings to apply theoretical concepts.
Recommended Textbook
Maternal and Child Nursing Care 5th Edition by Marcia L London
Available Study Resources on Quizplus
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
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70654
Sample Questions
Q1) The maternal-child nurse is caring for a teenager who is 16 weeks pregnant. What actions should the nurse perform when advocating for this client? Select all that apply.
A) Understand what the client needs.
B) Know the needs of the client's family.
C) Compile a list of community resources.
D) Coordinate services to meet quality measures.
E) Examine policies to ensure meeting the client's needs.
Answer: A,B,C,E
Q2) A female client is considering ovulation-inducing medications to achieve pregnancy. What should the nurse explain as potential adverse effects of this type of assisted reproductive technology (ART)? Select all that apply.
A) Miscarriage
B) Preterm birth
C) Neonatal morbidity
D) Multifetal pregnancy
E) Pelvic inflammatory disease
Answer: A,B,C,D
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Culture and the Family
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70655
Sample Questions
Q1) A pregnant client is interested in using herbs during her pregnancy. How should the nurse counsel this client? Select all that apply.
A) Do not take any herbs with other medication.
B) Refer to the list to learn which herbs to avoid during pregnancy.
C) Most herbs are harmless and can be safely taken while pregnant.
D) Refer to the list to learn which herbs to avoid during breastfeeding.
E) Consult with your healthcare provider before taking any herbs, even as teas.
Answer: A,B,D,E
Q2) The nurse is working in a clinic where children from several cultures are seen. What should the nurse do as a first step toward the goal of personal cultural competence?
A) Enhance cultural skills.
B) Gain cultural awareness.
C) Seek cultural encounters.
D) Acquire cultural knowledge.
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Genetic and Genomic Influences in Maternal, Newborn, and Child Health
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70656
Sample Questions
Q1) After genetic testing, a patient is suspected of having mitochondrial gene alteration. When reviewing the test result with the patient, which body systems are noted as being affected by this alteration? Select all that apply.
A) Brain
B) Renal
C) Cardiac
D) Genitourinary
E) Musculoskeletal
Answer: A,C,E
Q2) A genetic screening test completed on a newborn is found to be positive. What should the nurse anticipate the next action will be for this infant?
A) Scheduling for diagnostic testing
B) Discussing the need for major intervention
C) Nothing, since further action is not necessary
D) Instructing the parents on expression of the genetic disorder
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Reproductive Anatomy and Physiology
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70657
Sample Questions
Q1) In preparation for teaching a women's community center class about physiologic changes during menopause, the nurse is preparing a handout for students. Which information should the nurse include in this teaching?
A) Due to changes in estrogen levels, the labia minora increase in size after menopause.
B) The ovaries remain small after puberty, but they increase in size following menopause.
C) After menopause, the endometrium continues to undergo monthly degeneration and renewal.
D) Ovarian secretion of estrogen decreases between the ages of 45 and 55, after which point ovulatory activity ceases.
Q2) 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."
To view all questions and flashcards with answers, click on the resource link above. Page 6
Chapter 5: Health Promotion for Women
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70658
Sample Questions
Q1) During a group session of rape trauma survivors the nurse notes that one participant is in the reorganization phase of recovery. What did this participant demonstrate to cause the nurse to make this decision? Select all that apply.
A) Blames the assailant for the rape
B) Asks what she did to deserve the attack
C) Explains about constantly reliving the rape
D) Asks when the nightmares are going to stop
E) Talks about having one-night stands after bar hopping
Q2) During a health interview the nurse determines that a client contemplating pregnancy would benefit from teaching on preconception health measures. What information did the nurse use to make this clinical determination? Select all that apply.
A) Smokes one half of a pack per day of cigarettes
B) Works in an industrial plant
C) Drinks decaffeinated coffee
D) Drinks 4 ounces red wine every evening
E) Takes over-the-counter antacids as needed
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Common Gynecologic Problems
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/70659
Sample Questions
Q1) A client diagnosed with polycystic ovarian disease (PCOS) asks why spironolactone (Aldactone) has been prescribed. How should the nurse respond?
A) "Spironolactone is often used to reduce complications associated with PCOS, including rectocele."
B) "Menstrual irregularities related to polycystic ovarian disease are treated using spironolactone."
C) "Condylomata acuminata, which are sometimes caused by polycystic ovarian disease, are treated with spironolactone."
D) "Spironolactone may be used to decrease symptoms associated with PCOS, such as excessive hair growth and acne."
Q2) A 31-year-old woman with normal ovaries, a normal prolactin level, and an intact pituitary gland is undergoing initial pharmacologic treatment of anovulation. Which medication should the nurse anticipate being prescribed for this client?
A) Bromocriptine (Parlodel)
B) Metformin (Glucophage)
C) Clomiphene citrate (Clomid or Serophene)
D) Human menopausal gonadotropins (hMGs)
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Conception and Fetal Development
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70660
Sample Questions
Q1) A pregnant client who restricted the intake of fat, protein, and sugar to prevent a large weight gain delivers a small-for-gestational-age fetus. What long-term health problems is this child at risk for developing as an adult? Select all that apply.
A) Arthritis
B) Diabetes
C) Hypertension
D) Cystic fibrosis
E) Coronary heart disease
Q2) The nurse is creating a teaching poster for pregnant mothers. Which description of fetal development should the nurse include?
A) Most organs are formed by 8 weeks after fertilization.
B) The embryonic stage is from fertilization until 5 months.
C) Four layers of cells form after the embryo is at the ball stage.
D) After fertilization, the cells only become larger for several weeks.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Physical and Psychologic Changes of Pregnancy
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70661
Sample Questions
Q1) 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."
Q2) An adolescent patient reports that her period is late but that her home pregnancy test is negative. Which response is most appropriate?
A) "This means you are not pregnant."
B) "We do not trust home tests. Come to the clinic for a blood test."
C) "Most people do not use the tests correctly. Did you read the instructions?"
D) "You might be pregnant, but it might be too early for your home test to be accurate."
To view all questions and flashcards with answers, click on the resource link above.
10
Chapter 9: Antepartum Nursing Assessment
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/70662
Sample Questions
Q1) The nurse explains to a pregnant woman that her antepartum assessment will include assessment of clinical pelvimetry. Which client response reflects understanding of the reason for this test?
A) "It will help me understand how big a baby I can have."
B) "It will be used to screen for gestational diabetes."
C) "It will be used to find out whether my baby has a chromosomal abnormality."
D) "It will help tell whether my pelvis is big enough to deliver my baby vaginally."
Q2) The nurse learns that a pregnant client's religion is Judaism. Why is this information important?
A) Religious and cultural background can impact what a client eats during pregnancy.
B) Knowing the client's beliefs and behaviors regarding pregnancy is important.
C) Clients sometimes encounter problems in their pregnancies based on what religion they practice.
D) It provides a baseline from which to ask questions about the client's religious and cultural background.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 10: The Expectant Family: Needs and Care
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/70663
Sample Questions
Q1) Upon arriving at the prenatal clinic in the morning, the nurse receives messages from four clients. Which client complaint should be addressed first?
A) Primipara at 24 weeks' gestation with ankle edema
B) Multipara at 35 weeks' gestation with new onset of hemorrhoids
C) Primipara at 9 weeks' gestation with increased fatigue and nocturia
D) Multipara at 30 weeks' gestation with vaginal bleeding after performing yoga
Q2) The spouse accompanies a pregnant client to a prenatal visit. Which question should the nurse use to determine the amount of anticipatory guidance the spouse will need?
A) "What kind of work do you do?"
B) "How moody has your wife been lately?"
C) "What furniture have you gotten for the baby?"
D) "How are you feeling about becoming a father?"
Q3) A client in the third trimester of pregnancy reports frequent leg cramps. What strategy would be most appropriate for the nurse to suggest?
A) Limit activity for several days.
B) Flex the foot to stretch the calf.
C) Point the toes of the affected leg.
D) Increase intake of protein-rich foods.
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Maternal Nutrition
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70664
Sample Questions
Q1) 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."
Q2) Being aware that several pregnant students have been diagnosed with iron-deficiency anemia, the school nurse plans a class about nutrition for pregnant teens. What should the nurse encourage the teens to consume to increase iron absorption?
A) Milk
B) Green tea
C) Gatorade
D) Orange juice
Q3) A newly pregnant client weighs 75.0 kg and has a body mass index of 28.5. What is the maximum amount of weight in pounds that this client should weigh during the pregnancy?
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: Pregnancy in Selected Populations
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70665
Sample Questions
Q1) Which statement, if made by a pregnant adolescent, indicates that she understands her increased risk of physiologic complications during pregnancy?
A) "Smoking and using crack cocaine won't harm my baby."
B) "My anemia and eating mostly fast food are not important."
C) "It's no big deal that I started prenatal care in my seventh month."
D) "I need to take good care of myself so my baby doesn't come early."
Q2) 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.
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Assessment of Fetal Well-Being
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70666
Sample Questions
Q1) The nurse is reviewing amniocentesis with a pregnant client. In which order should the nurse explain the steps that will occur during this procedure?
A) Conduct an ultrasound
B) Fetal heart rate assessed
C) Local anesthetic provided
D) Skin cleansed with antiseptic solution
E) Insertion site observed for fluid streaming
F) 22-gauge needle inserted to withdraw amniotic fluid
Q2) 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."
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Pregnancy at Risk: Pregestational Problems
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70667
Sample Questions
Q1) A client in labor is demonstrating acute manifestations of schizophrenia. What should the nurse identify as a priority for this client? Select all that apply.
A) Ensuring fetal well-being
B) Ensuring maternal well-being
C) Maintaining a safe environment
D) Medicating for pain as necessary
E) Considering pharmacologic intervention
Q2) A client at 24 weeks has a history of class II heart disease secondary to rheumatic fever. What should the nurse expect to see in the medical record?
A) Dyspnea and chest pain with mild exertion
B) Elective cesarean birth scheduled for 37 weeks
C) Discussed need for labor epidural and vacuum extraction
D) Respiratory rate 28, pulse 110, 3+ pre-tibial edema bilaterally
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: Pregnancy at Risk: Gestational Onset
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70668
Sample Questions
Q1) A pregnant client at 14 weeks' gestation is diagnosed with hyperemesis gravidarum. The most recent vital signs are: blood pressure 95/48, pulse 114, respirations
24) Which order should the nurse implement first?
A) Weigh the client.
B) Encourage clear liquids orally.
C) Give 1 L of lactated Ringer solution IV.
D) Administer 30 mL Maalox (magnesium hydroxide) orally.
Q2) A newly admitted client at 32 weeks' gestation is experiencing a sudden onset of intense nausea and a frontal headache for the past 2 days. The client's initial blood pressure is 158/98, and she reports scant urination over the past 24 hours. Which intervention should the nurse anticipate implementing?
A) Ordering a low-protein diet for the client
B) Conducting a urine dipstick test to assess for proteinuria
C) Placing a wedge under the client's left hip so that she is in a right lateral tilt position
D) Administering diuretics and facilitating a dietary regimen of strict sodium restriction
To view all questions and flashcards with answers, click on the resource link above. Page 17
Chapter 16: Processes and Stages of Labor and Birth
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70669
Sample Questions
Q1) The labor and delivery nurse is preparing a prenatal class about facilitating the progress of labor. Which pain response should the nurse identify as most likely to impede progress in labor?
A) Muscle tension
B) Increased pulse
C) Increased respirations
D) Elevated blood pressure
Q2) 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
Q3) 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
To view all questions and flashcards with answers, click on the resource link above.
Page 18
Chapter 17: Intrapartum Nursing Assessment
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70670
Sample Questions
Q1) Which pattern, if seen on an electronic fetal monitoring strip, should the nurse explain to a client in labor as being a change in the baseline fetal heart rate?
A) Tachycardia
B) Acceleration
C) Late deceleration
D) Sinusoidal pattern
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."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: The Family in Childbirth: Needs and Care
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70671
Sample Questions
Q1) The nurse is caring for a client in the second stage of labor. What assessment findings indicate that birth is imminent? Select all that apply.
A) Drop in blood pressure
B) Increased bloody show
C) Bulging of the perineum
D) Subjective feeling of faintness
E) Uncontrollable urge to bear down
Q2) What should be the nurse's priority when caring for an adolescent in labor?
A) Support persons
B) Developmental level
C) Cultural background
D) Plans for keeping the infant
Q3) A client scheduled for elective cesarean birth in 4 hours asks for a sip of coffee with creamer. How should the nurse respond?
A) "You can drink black coffee."
B) "You may have coffee with creamer."
C) "You are only allowed to drink water right now."
D) "Since you are having surgery today, you're not allowed to have anything to eat or drink."
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Pharmacologic Pain Management
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70672
Sample Questions
Q1) Prior to receiving lumbar epidural anesthesia, in which position should the nurse place the client in labor?
A) Lying prone with a pillow under the chest
B) On the right side in the center of the bed with the back curved
C) On the left side with the bottom leg straight and the top leg slightly flexed
D) Sitting on the edge of the bed with the back slightly curved and feet on a stool
Q2) A client in labor who is requesting an epidural asks if the baby will be harmed. How should the nurse respond?
A) "Epidural anesthesia is very safe and there are no potential side effects that can affect your baby."
B) "We'll monitor your baby continuously so we can recognize and treat any changes that may be related to the epidural."
C) "We'll assess your blood pressure every 15 minutes to make sure the epidural is not having any negative effects on your baby."
D) "Before your epidural is placed, we'll administer IV fluid to you in order to prevent the epidural from causing you problems."
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Childbirth at Risk: Prelabor and Intrapartum
Complications
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70673
Sample Questions
Q1) For which reason should the nurse suspect hydramnios in a pregnant client?
A) The client is pregnant with twins.
B) The quadruple screen comes back positive.
C) There is less amniotic fluid than normal for gestation.
D) The fundal height increases disproportionately to the gestation.
Q2) The nurse is caring for the newborn of a client who received magnesium sulfate for preterm labor. Which fetal effects should the nurse attribute to the client's medication treatment? Select all that apply.
A) Flushing
B) Lethargy
C) Hypotonia
D) Poor sucking reflex
E) Respiratory depression
Q3) A client at 38 weeks' gestation is diagnosed with oligohydramnios. Which statement indicates that teaching has been effective?
A) "When I go into labor, I should come to the hospital right away."
B) "My gestational diabetes may have caused this problem to develop."
C) "Women with this condition usually go into labor after their due date."
D) "This problem is common and will likely occur with my next pregnancy."
Page 22
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Childbirth at Risk: Labor-Related Complications
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/70674
Sample Questions
Q1) The nurse is assisting in the preparation of a pregnant client in labor for intrauterine resuscitation. For which fetal finding is this intervention indicated? Select all that apply.
A) Prolonged decelerations
B) Persistent late decelerations
C) Last fetal movement 5 minutes ago
D) Fetal heart rate 140 beats per minute
E) Persistent and severe variable decelerations
Q2) A client with a suspected small pelvis is dilated at 6 cm. The fetus has an estimated weight of 4200 g (9 lb, 4 oz). What is the most important action for the client at this time?
A) Encourage oral fluids and carbohydrate intake.
B) Assess the cervix for change every 8 hours.
C) Inform the couple that labor might be prolonged.
D) Assist the client to squat during the second stage.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 22: Birth-Related Procedures
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70675
Sample Questions
Q1) The nurse is reviewing the medical history of a pregnant client being considered for cervical ripening. Which data indicate that the order for misoprostol (Cytotec) should be reconsidered? Select all that apply.
A) Current fetal heart rate is tachycardic.
B) Client had one cesarean live birth 3 years ago.
C) Uterine contractions are occurring every 2 minutes.
D) Client has 2+ pedal edema and elevated blood pressure.
E) There is a history of placenta previa with one previous pregnancy.
Q2) The nurse manager observes care being provided by a graduate nurse who is caring for a client undergoing a forceps delivery. Which action requires intervention?
A) Bladder is emptied using a straight catheter. 115)
B) The client is instructed to push between contractions.
C) Fetal heart tones are consistently between 110 and
D) Regional anesthesia is administered via pudendal block.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 23: The Physiologic Responses of the Newborn to Birth
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70676
Sample Questions
Q1) Nursing students describe actions while practicing physical assessment of a newborn using a model. Which nursing student's statement indicates the need for further teaching?
A) "I auscultated the infant's heart tones for 1 minute."
B) "I palpated peripheral pulses in all the newborn's extremities."
C) "I obtained a higher blood pressure on the legs than on the arms."
D) "I obtained the infant's heart rate by observing the cardiac monitor."
Q2) 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
Q3) A postpartum client calls the nursery to report that her 3-day-old newborn has passed a bright green stool. How should the nurse respond to the client?
A) "Your newborn has diarrhea."
B) "This is a normal occurrence."
C) "There may be a possible food allergy."
D) "Take your newborn to the pediatrician."
To view all questions and flashcards with answers, click on the resource link above. Page 25
Chapter 24: Nursing Assessment of the Newborn
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70677
Sample Questions
Q1) While eliciting the Moro reflex in a newborn, the nurse notes that only the right arm moves. What should the nurse immediately assess based upon this finding?
A) The clavicle
B) Babinski reflex
C) The rooting reflex
D) Ortolani maneuver
Q2) The nurse notes that a newborn has a dry scalp. What should the nurse include when teaching the parents about the care of this newborn? Select all that apply.
A) Use mild soap.
B) Use baby shampoo.
C) Wash the scalp daily.
D) Apply oil every other day.
E) Rinse the scalp with hot water.
Q3) The nurse is making an initial assessment of a newborn. Which data would be considered normal? 1. Chest circumference 30 cm, head circumference 29 cm
A) Chest circumference 38 cm, head circumference 31.5 cm
B) Chest circumference 32.5 cm, head circumference 38 cm
C) Chest circumference 31.5 cm, head circumference 33.5 cm
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: The Normal Newborn: Needs, Care, and Feeding
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70678
Sample Questions
Q1) The nurse receives shift change reports on infants born within the last 4 hours. Which newborn should the nurse see first?
A) Term male, grunting respirations
B) 37-week male, respiratory rate 45
C) 8 lb, 1 oz female, pulse 150
D) 39-week female, temperature 97°F
Q2) The elderly grandmother of a newborn tells the client that rubbing alcohol should be applied to the cord stump to make it dry and fall off faster. What should the nurse instruct the client about cord care? Select all that apply.
A) Keep the umbilical cord stump clean.
B) Allow the umbilical cord stump to air dry.
C) Fold the diaper down under the cord stump.
D) Notify the healthcare provider if the cord stump appears dark in color.
E) Apply topical antibiotic ointment to the cord stump after each diaper change.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: The Newborn at Risk: Conditions Present at Birth
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70679
Sample Questions
Q1) A client with type 2 diabetes mellitus delivered a fetus weighing 7 lb, 14 oz 2 hours ago. The infant's blood glucose is currently 45 mg/dL. What should the nurse do?
A) Begin an IV of 10% dextrose.
B) Document the findings in the chart.
C) Feed the baby 1 oz of formula.
D) Recheck the blood sugar in 4 hours.
Q2) A small-for-gestational-age (SGA) newborn weighing 2000 g is prescribed to receive 130 kcal/kg/day of oral feeding to achieve a daily weight gain of 30 g.What should this newborn weigh after 2 weeks of receiving these feedings? (Calculate to the nearest whole number.)
Q3) A full-term infant weighing 8.8 lb is delivered by a client who is HIV positive. The newborn is prescribed zidovudine (AZT) 2 mg/kg/dose every 6 hours for 6 weeks.
Realizing that the newborn's weight is going to increase over the 6-week course of treatment, what is the total minimal amount of medication in milligrams that this infant will receive in 1 week? (Calculate to the nearest whole number.)
To view all questions and flashcards with answers, click on the resource link above.
28
Chapter 27: The Newborn at Risk: Birth-Related Stressors
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70680
Sample Questions
Q1) The nurse caring for a newborn on a ventilator for respiratory distress syndrome (RDS) informs the parents that the newborn is improving. Which of the following supports the nurse's assessment?
A) Increased PCO<sub>2</sub>
B) Increased urination
C) Decreased urine output
D) Increased pulmonary vascular resistance
Q2) 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
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.)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Postpartum Adaptation and Nursing Assessment
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70681
Sample Questions
Q1) 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
Q2) A postpartum client becomes concerned when a gush of blood occurs during the fundal assessment. What should the nurse explain about this occurrence?
A) "Do not worry. I will make sure everything is fine."
B) "We see this from time to time. It's not a big deal."
C) "Blood has pooled in the vagina while you were in bed."
D) "The gush is an indication that your fundus is not contracting."
Q3) A client weighing 80 kg lost 5 kg of body weight immediately after delivery. In 2 days, another 3 kg has been lost. During a 6-week postpartum examination the client was pleased to learn of returning to her prepregnancy weight of 143 lb. How many kilograms of weight did the client lose during the 6 weeks postpartum? (Calculate to the nearest whole number.)
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: The Postpartum Family: Early Care Needs and Home Care
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70682
Sample Questions
Q1) The nurse completes a postpartum assessment on a client who gave birth to her first child 12 hours ago. Assessment findings include: the client nauseated, but has not vomited in the last 2 hours; fundus was boggy but firmed with massage to 1 FB the uterus; client is experiencing moderately heavy lochia rubra and the perineum ecchymotic and edematous. The client's pain rating is 6 on scale of 1 to 10) Her partner is present and supportive. Breastfeeding has been successful 3 times. Which nursing diagnosis has the highest priority for this client?
A) Acute Pain related to perineal trauma
B) Risk for Deficient Fluid Volume related to uterine bleeding and nausea
C) Readiness for Enhanced Family Coping related to vaginal childbirth experience
D) Knowledge Deficit related to newborn care
Q2) The nurse is caring for a client who plans to relinquish her baby for adoption. Which nursing actions are appropriate based on this information? Select all that apply.
A) Encourage the client to see and hold her infant.
B) Encourage the client to express her emotions.
C) Respect any special requests for the birth.
D) Acknowledge the grieving process in the client.
E) Allow for access to the infant if the client requests it.
To view all questions and flashcards with answers, click on the resource link above. Page 31
Chapter 30: The Postpartum Family at Risk
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70683
Sample Questions
Q1) The nurse is assessing a postpartum client's risk for early postpartum hemorrhage. Which findings in the client's health history place this client at an increase risk for early postpartum hemorrhage? Select all that apply.
A) Microsomia
B) Grand multiparity
C) African American heritage
D) Oxytocin induction of labor
E) History of anorexia nervosa
Q2) The nurse is conducting discharge instruction for a postpartum client. Which client response indicates accurate understanding of when to notify the healthcare provider?
A) "If I am having trouble getting the baby to latch on, I should call my doctor."
B) "If I continue to have pain after taking my prescribed analgesic, I should call my doctor."
C) "If I saturate one pad every 8 hours, I should call my doctor."
D) "If I don't have a bowel movement within 24 hours of going home, I should call my doctor."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Growth and Development
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70684
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.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 32: Infant, Child, and Adolescent Nutrition
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70685
Sample Questions
Q1) Which assessment findings would cause the nurse to believe that a school-age child is not receiving enough vitamin C in the diet? Select all that apply.
A) Dermatitis
B) Bleeding gums
C) Scaling of the skin
D) Muscle weakness
E) Headaches
Q2) The nurse is providing care to a toddler-age client who is diagnosed with celiac disease. Which interventions will the nurse include in the toddler's plan of care? Select all that apply.
A) Temporary removal of wheat products from the diet
B) Permanent removal of oat products from the diet
C) Fat-soluble vitamin supplements
D) Avoidance of processed foods
E) Obtaining a dietary prescription
To view all questions and flashcards with answers, click on the resource link above.
34
Chapter 33: Pediatric Assessment
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70686
Sample Questions
Q1) Which question from the nurse during a health history and physical assessment for the school-age child would best determine cognitive development?
A) "What grade are you in?"
B) "What is your least favorite class?"
C) "What books have you read lately?"
D) "What classes are you taking, and what are your grades in them?"
Q2) 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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 34: Health Promotion and Maintenance: General
Concepts, the Newborn, and the Infant
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70687
Sample Questions
Q1) Which actions are appropriate when the nurse is performing general observations during the assessment process for an infant? Select all that apply.
A) Asking the family how they are adjusting to having the infant in the home
B) Monitoring the parents for clinical manifestations associated with fatigue
C) Assessing for behaviors that indicate appropriate bonding
D) Placing the infant on the scale for a weight and length assessment
E) Auscultating heart and lung sounds while the infant is asleep
Q2) 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."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Health Promotion and Maintenance: the
Toddler and the Preschooler
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70688
Sample Questions
Q1) Which assessment finding for a toddler-age child indicates an increased risk for an unhealthy self-concept?
A) A parent who praises the child for his or her accomplishments
B) A parent who is attempting potty training but who understands that accidents will happen
C) A parent who is observed spanking a child for taking a toy from another child in the waiting room
D) A parent who reads a book to the toddler-age child each night before bed to encourage cooperation
Q2) The parents of a 2-year-old girl inquire about information to help their child transition to bed each night. Which response by the nurse is appropriate?
A) Let the child cry self to sleep a few nights to adjust to the transition.
B) Play a favorite video at bedtime on a television in the child's room to enhance relaxation.
C) Read a book to the child just before bedtime each night.
D) Let the child fall asleep while playing and then put the child in bed.
To view all questions and flashcards with answers, click on the resource link above.
37
Chapter 36: Health Promotion and Maintenance: the
School-Age Child and the Adolescent
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70689
Sample Questions
Q1) During a health maintenance visit an adolescent states, "I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too." Which is the priority nursing action?
A) Stressing the importance of remaining in a close parent-child relationship during these stressful times
B) Promoting healthy mental health outcomes
C) Acknowledging the fact that it takes several months to make new friends at a new school due to adolescent exclusion behaviors
D) Helping the adolescent realize the value of postsecondary education
Q2) The nurse develops and implements a health promotion plan for an adolescent client. What should the nurse include in the evaluation of the plan?
A) Methods to expand and sustain successful approaches
B) Instruction to the client on what is considered healthy behavior
C) Advice for promoting health behaviors that will maintain a healthy lifestyle
D) Information on the client's attitude toward health
To view all questions and flashcards with answers, click on the resource link above.
Chapter 37: Family Assessment and Concepts of Nursing
Care in the Community
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70690
Sample Questions
Q1) A child who is dependent on a ventilator is being discharged from the hospital. Which will the nurse recommend for the emergency plan of care for this family during the discharge instruction process?
A) Designating an emergency shelter site
B) Notifying the power company that the child is on life support
C) Acquiring a backup generator
D) Having an alternate heating source if power is lost
Q2) Which actions are expected for a nurse who works in the school environment? Select all that apply.
A) Developing a plan for emergency care of injured children
B) Teaching a class on wellness to teachers and staff
C) Prescribing antibiotics for streptococcal pharyngitis
D) Diagnosing an ear infection
E) Screening for head lice
Q3) 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.
Page 39
To view all questions and flashcards with answers, click on the resource link above.
Chapter 38: Nursing Considerations for the Child and
Family With a Chronic Condition
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70691
Sample Questions
Q1) The nurse of the family who is assuming the role of care coordinator is providing education regarding the use of a healthcare log. Which will the nurse encourage the family to include on this log? Select all that apply.
A) Role of each provider
B) Date of each appointment
C) Prescribed interventions
D) Future treatments
E) Out-of-pocket cost
Q2) An adolescent diagnosed with type 1 diabetes mellitus (DM) is prescribed dietary restrictions and daily insulin injections. Which behavior does the nurse anticipate from the adolescent upon return to school?
A) Administering medication in front of peers
B) Teaching peers about the diagnosis
C) Acknowledging the condition to classmates
D) Exhibiting poor adherence to the prescribed treatment plan
To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Nursing Considerations for the Hospitalized Child
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70692
Sample Questions
Q1) A 6-year-old child is hospitalized for a surgical procedure. The parents ask if the child's four siblings can visit. Which response by the nurse is the most appropriate?
A) "Let's plan their visit for a time when the child has received pain medication."
B) "Only those siblings over 16 will be allowed to visit."
C) "I don't think the other children should visit because it might scare them to see their sibling so sick."
D) "Very young children shouldn't visit as they may carry germs."
Q2) Which is a common fear, in addition to separation anxiety, for the hospitalized pediatric client between the ages of 6 and 18 months?
A) Disfigurement
B) Death
C) Stranger anxiety
D) Bodily injury
To view all questions and flashcards with answers, click on the resource link above.
Chapter 40: Pain Assessment and Management in Children
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/70693
Sample Questions
Q1) During shift report, the night nurse reports that a terminally ill child has developed tolerance to the prescribed morphine. Which concept should the nurse use when planning care for this child?
A) The child is physically dependent on morphine.
B) The child is addicted to morphine.
C) The child is showing physical signs of withdrawal.
D) The child will need more medication to achieve the same effect.
Q2) The 17-month-old toddler, diagnosed with terminal cancer, is experiencing constant pain. Which prescription does the nurse anticipate from the healthcare provider for this toddler?
A) Patient-controlled analgesia (PCA) with the parents controlling the button that administers the dosage
B) Intravenously administered opioids on a scheduled basis
C) Intravenously administered opioids on a prn basis
D) Orally administered opioids on a prn basis
To view all questions and flashcards with answers, click on the resource link above.
Chapter 41: The Child With a Life-Threatening Condition and
End-Of-Life Care
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70694
Sample Questions
Q1) A 16-year-old has a stiff neck, headache, fever of 103°F, and the nurse notes purpuric lesions on the child's legs. Although the adolescent's physical needs take priority at the present time, the nurse can expect which psychologic stressor to be the most significant for this adolescent?
A) Fear of getting behind in schoolwork
B) Separation from friends and permanent changes in appearance
C) Separation from parents and home
D) Fear of painful procedures and bodily mutilation
Q2) The nurse is providing care to a child who was admitted to the pediatric intensive care unit (PICU) after a motor vehicle crash. Which interventions should the nurse include in the plan of care to allow the parents to participate in their child's care? Select all that apply.
A) Encouraging the parents to brush the child's hair
B) Teaching the parents how to perform range of motion exercises with their child
C) Allowing the parents to read to their child
D) Explaining the child's condition to the parents
E) Providing permission for the parents to remain at the child's bedside
To view all questions and flashcards with answers, click on the resource link above.
Page 43
Chapter 42: Social and Environmental Influences on the Child
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/70695
Sample Questions
Q1) The pediatric public health nurse visits a facility for the homeless. Which types of medical issues will the nurse assess these children for based on the current data? Select all that apply.
A) Dental caries
B) Infections secondary to tattoos
C) Lack of immunizations
D) Nutritional deficits
E) Munchausen syndrome by proxy
Q2) A high school student calls to ask the nurse for advice on how to care for a new navel piercing. Which response by the nurse is appropriate?
A) "Avoid contact with another person's bodily fluids until the area is well healed."
B) "Do not move or turn the jewelry for the first 3 days."
C) "Apply lotion to the area, rubbing gently, to prevent skin from becoming dry and irritated."
D) "Apply warm soaks to the area for the first 2 days to minimize swelling."
To view all questions and flashcards with answers, click on the resource link above.
44
Chapter 43: Immunizations and Communicable Diseases
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/70696
Sample Questions
Q1) Which nursing actions allow a child to acquire active immunity against a disease?
A) Administering a dose of immunoglobulins
B) Administering a killed virus vaccine
C) Administering a toxoid vaccine
D) Administering antibiotic therapy
E) Administering antiviral therapy
Q2) Which vaccines should the nurse prepare to administer to an 11-year-old child during a scheduled well-child visit? Select all that apply.
A) DTaP vaccine
B) Hib vaccine
C) HPV4 vaccine
D) MMR vaccine
E) MenACWY-D
Q3) Which should the nurse use when reconstituting vaccines?
A) The diluents provided
B) Normal saline
C) Any solution available
D) Sterile water
To view all questions and flashcards with answers, click on the resource link above.
Chapter
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70697
Sample Questions
Q1) A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. Which condition does the nurse suspect based on the current data?
A) Hypernatremia
B) Metabolic acidosis
C) Hypotonic dehydration
D) Isotonic dehydration
Q2) A 9-month-old infant is hospitalized with vomiting and diarrhea. The mother questions why her child needed hospitalization since her school-age nephew had the same symptoms and was treated at home. Which should the nurse include in the explanation to the infant's mother? Select all that apply.
A) Infants have a lower proportion of their body weight as water.
B) The percentage of extracellular fluid is higher in the infant than the school-age child.
C) School-age children have a larger body surface area.
D) The school-age child's kidneys are more mature and better able to conserve water.
E) The metabolic rate of the school-age child is higher.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 45: The Child With Alterations in Eye, Ear, Nose, and Throat Function
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70698
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 topics should the nurse include in a teaching session to the parents of a 10-month-old infant who experiences frequent ear infections? Select all that apply.
A) Prohibiting tobacco smoke in the home
B) Avoiding use of a pacifier while the child is sleeping
C) Breastfeeding the infant
D) Cleaning the child's ears nightly with peroxide
E) Avoiding use of wood-burning stoves
To view all questions and flashcards with answers, click on the resource link above. Page 47
Chapter 46: The Child With Alterations in Respiratory Function
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/70699
Sample Questions
Q1) Which nursing actions are appropriate when providing care to a pediatric client who has sustained a smoke-inhalation injury? Select all that apply.
A) Assessing for respiratory distress
B) Auscultating the lungs for wheezing
C) Prescribing oxygen for low saturations
D) Administering prescribed prophylactic antibiotic therapy
E) Providing support to the family
Q2) The mother of a toddler-age client states, "My daughter seems to be at an increased risk for complications associated with respiratory infections." Which response by the nurse is accurate?
A) "You are incorrect in your assessment."
B) "The younger child's airways are smaller and more easily occluded."
C) "Air passages are more likely to become blocked with mucus because younger children make more mucus than older children."
D) "Toddlers do not breathe as deeply as do older children."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 47: The Child With Alterations in Cardiovascular Function
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/70700
Sample Questions
Q1) Which feeding techniques should the nurse include in the teaching session for the parents of an infant who is being discharged in order to gain weight for the corrective surgery needed for a congenital heart defect? Select all that apply.
A) Breastfeed if possible.
B) Complete each feeding within 30 minutes.
C) Position the infant flat to promote swallowing.
D) Dilute the formula with extra water to ensure adequate fluid intake.
E) Burp the infant frequently.
Q2) Which heart defect should the nurse suspect for an infant whose upper extremities have stronger pulses than the lower extremities and blood pressure is higher in the arms than in the legs?
A) Transposition of the great vessels
B) Patent ductus arteriosus
C) Coarctation of the aorta
D) Atrial septal defect
To view all questions and flashcards with answers, click on the resource link above.
49
Chapter 48: The Child With Alterations in Immune Function
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70701
Sample Questions
Q1) An adolescent female client is diagnosed with systemic lupus erythematosus (SLE). Which action by the client indicates acceptance of the body changes that occur because of SLE?
A) Attends school but does not stay for after-school activities
B) Discusses the body changes with healthcare providers only
C) Discusses the body changes with her best friend
D) Only attends small parties at friends' homes
Q2) A premature neonate is at greater risk for infection than a full-term newborn because of a reduced number of which immunoglobulin?
A) IgE
B) IgG
C) IgA
D) IgM
Q3) The nurse is caring for a child with rheumatoid arthritis. Which nonpharmacologic intervention should the nurse include in the plan of care for joint pain?
A) Elevation of the extremity
B) Immobilization
C) Massage
D) Application of moist heat
To view all questions and flashcards with answers, click on the resource link above.
Page 50
Chapter 49: The Child With Alterations in Hematologic Function
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/70702
Sample Questions
Q1) A school-age child is admitted to the hospital in a sickle-cell crisis. Which actions should the nurse include in the plan of care to address the child's pain?
A) Administering opioid analgesics, per order
B) Administering nonsteroidal anti-inflammatory drugs (NSAIDs), per order
C) Applying cold packs to affected joints, prn
D) Encouraging oral fluid intake
E) Maintaining bed rest
Q2) 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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 50: The Child With Cancer
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70703
Sample Questions
Q1) Which nursing actions will decrease the risk of extravasation when administering chemotherapy to a pediatric client through a peripheral line? Select all that apply.
A) Ensuring that the intravenous line is a free flowing line
B) Administering the medication by infusion pump
C) Checking for blood return before and during chemotherapy administration
D) Diluting the medication with normal saline
E) Administering the vesicant drug last
Q2) A preschool-age child is being seen in the oncology clinic. Which reaction should the nurse anticipate based on the child's stage of development?
A) Unawareness of the illness and its severity
B) Acceptance, especially if able to discuss the disease with children their own age
C) Understanding of what cancer is and how it is treated
D) Thoughts that they caused their illness and are being punished
To view all questions and flashcards with answers, click on the resource link above.
Chapter 51: The Child With Alterations in Gastrointestinal Function
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70704
Sample Questions
Q1) A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The parents are distressed about the appearance of their infant. Which nursing actions are appropriate to assist the parents to bond with their newborn? Select all that apply.
A) Calling the newborn by the chosen name
B) Keeping the newborn's lower face covered with the blanket
C) Smiling and talking to the newborn in the parents' presence
D) Showing the parents before and after pictures of other children with cleft lips
E) Discussing positive features of the baby
Q2) Which factors in the maternal medical history should cause the nurse concern regarding the development of cleft lip or cleft palate during pregnancy? Select all that apply.
A) Cigarette smoking
B) Alcohol use
C) Excessive folate intake
D) Glucocorticoid use
E) Anticoagulant use
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: The Child With Alterations in Genitourinary Function
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/70705
Sample Questions
Q1) Which nutritional interventions should the nurse include in the plan of care for a pediatric client who is receiving peritoneal dialysis in the treatment of chronic renal failure? Select all that apply.
A) Provide small, frequent meals.
B) Avoid battles over nutritional intake.
C) Administer supplements by tube feedings, if needed.
D) Implement hand hygiene frequently.
E) Perform daily catheter site care.
Q2) Which complications should the nurse monitor for when providing care to a child who is having hemodialysis for the treatment of kidney failure? Select all that apply.
A) Migraines
B) Hypotension
C) Infections
D) Fluid overload
E) Shock
To view all questions and flashcards with answers, click on the resource link above.
54
Chapter 53: The Child With Alterations in Endocrine Function
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/70706
Sample Questions
Q1) Which clinical manifestations should the nurse anticipate when providing care to an adolescent client who presents with untreated Graves disease?
A) Hyperglycemia, ketonuria, and glucosuria
B) Weight gain, hirsutism, and muscle weakness
C) Tachycardia, fatigue, and heat intolerance
D) Dehydration, metabolic acidosis, and hypertension
Q2) The nurse is giving discharge instructions to the parents of a child whose adrenal glands have been removed due to a tumor. Which parental statement indicates the need for further education?
A) "I will call the doctor if my child has restlessness and confusion."
B) "If my child has any gastric irritation, I will give him antacids."
C) "If my child has vomiting and diarrhea, I will hold his hydrocortisone."
D) "I will give my child his hydrocortisone in the morning."
Q3) Which type of nutrition should the nurse include when planning care for a newborn who is diagnosed with galactosemia?
A) Goat's milk formula
B) Breast milk
C) Cow's milk-based formula
D) Lactose-free formula
55
To view all questions and flashcards with answers, click on the resource link above.
Chapter 54: The Child With Alterations in Neurologic Function
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/70707
Sample Questions
Q1) A teacher states to the school nurse, "I have a student who will often just stare at me for 15 seconds after asking a question; then the student blinks and asks me to repeat the question. Should I be concerned?" Which should the nurse include in the response to the teacher?
A) The child has a crush on the teacher.
B) The child has increased intracranial pressure.
C) The child may have had a head injury.
D) The child is experiencing absence seizures.
Q2) A pediatric client is admitted to the emergency department with a traumatic brain injury (TBI) that caused a loss of consciousness. The last set of vital signs showed heart rate 48, blood pressure (BP) 148/74 mmHg, respiratory rate 28 and irregular. Which does the nurse suspect based on these data?
A) Spinal cord injury
B) Increased intracranial pressure.
C) Typical for sleep
D) Improvement
To view all questions and flashcards with answers, click on the resource link above.
Chapter 55: The Child With Alterations in Mental Health and Cognitive Function
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/70708
Sample Questions
Q1) A child diagnosed with autism spectrum disorder (ASD) is admitted to the hospital with dehydration. Which should the nurse include in the plan of care for this child?
A) Discourage the parents from bringing favorite toys from home that might be lost.
B) Take the child on a tour of the pediatric unit.
C) Assign the child to a single-bed hospital room.
D) Take the child to the playroom for arts and crafts.
Q2) Which factor, noted by the nurse during the pediatric health history portion of the assessment process, would indicate the child is at risk for attention deficit/hyperactivity disorder (ADHD)?
A) Measles, mumps, and rubella vaccine
B) Advanced parental age
C) Prenatal exposure to smoke
D) Immune response
To view all questions and flashcards with answers, click on the resource link above.
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) Which should the nurse include in the neurovascular assessment for an infant following casting of the leg for talipes equinovarus?
A) Warmth
B) Capillary refill
C) Pedal pulse
D) Sensation
E) Movement of the toes
Q2) Which teaching topic is the priority for the nurse who is teaching the family of an infant diagnosed with osteogenesis imperfecta?
A) Cast care
B) Trunk and extremity support during everyday care
C) Postoperative spinal surgery care
D) Traction care
Q3) Which action by the nurse is appropriate for a child who presents in the emergency department with an ankle injury?
A) Avoid compressing the area to allow tissue swelling as necessary.
B) Perform passive range-of-motion to the extremity.
C) Lower the extremity below the level of the heart.
D) Apply ice to the extremity.
To view all questions and flashcards with answers, click on the resource link above. Page 58
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 discharge instruction is appropriate for an adolescent client who is a paraplegic due to a motor vehicle accident, in order to prevent decubitus ulcer formation on the buttock?
A) Contract the muscles 5 times every 2 hours.
B) Increase fat in the diet to provide a protective coating over the bony prominences.
C) Do wheelchair push-ups every 15 to 30 minutes.
D) Avoid use of sheepskin, as it prevents air from reaching the area.
Q2) Which pain interventions should the nurse include in the plan of care for a pediatric client who suffered a full-thickness burn injury? 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
To view all questions and flashcards with answers, click on the resource link above.