Family Health Nursing Review Questions
Course Introduction
Family Health Nursing focuses on the principles and practices of providing holistic healthcare to families across the lifespan. This course examines the family as a unit of care, emphasizing health promotion, disease prevention, and the management of common health issues within the family context. Students learn to assess family structure, dynamics, and health needs, develop nursing care plans, and implement culturally sensitive interventions. Emphasis is placed on effective communication, education, and collaboration with families and community resources to achieve optimal health outcomes. The course integrates current evidence-based nursing practices to address diverse family health challenges in both community and clinical settings.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 6th Edition by Gloria Leifer
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34 Chapters
1020 Verified Questions
1020 Flashcards
Source URL: https://quizplus.com/study-set/1203 Page 2
Chapter 1: The Past, Present, and Future
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23800
Sample Questions
Q1) The White House Conference on Children and Youth is held every 10 years to:
A) set criteria for normal growth patterns.
B) examine the number of live births in minority populations.
C) raise money to support well-child clinics in rural areas.
D) promote comprehensive child welfare.
Answer: D
Q2) One of the major advantages to the application of critical thinking is that it results in:
A) problem-free care.
B) limited approaches to care.
C) less need for assessment.
D) problem prevention.
Answer: D
Q3) The medical pioneer who discovered the relationship between the incidence of puerperal fever and unwashed hands was:
A) Karl Credé.
B) Ignaz Semmelweis.
C) Louis Pasteur.
D) Joseph Lister.
Answer: B
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Page 3
Chapter 2: Human Reproductive Anatomy and Physiology
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23801
Sample Questions
Q1) The nurse explains that testosterone is responsible for males exceeding females in which aspect(s)? Select all that apply.
A) Strength
B) Height
C) Mental concentration
D) Hematocrit levels
E) Agility
Answer: A, B, D
Q2) The nurse explains that the decrease in estrogen and progesterone during the menstrual cycle is responsible for:
A) degeneration of the corpus luteum.
B) ovulation.
C) follicle maturation.
D) shedding of the endometrium.
Answer: D
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4
Chapter 3: Fetal Development
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23802
Sample Questions
Q1) During an ultrasound, two amnions and two placentas are observed. The nurse is aware that this pregnancy will result in _____ twins.
A) dizygotic
B) monozygotic
C) conjoined
D) high birth-weight
Answer: A
Q2) When preparing to teach a class about prenatal development, the nurse would include information about folic acid supplementation because it is known to prevent:
A) congenital heart defects.
B) neural tube defects.
C) mental retardation.
D) premature birth.
Answer: B
Q3) The component of development that programs the genetic code into the nucleus of the cell is ____________.
Answer: DNA
The DNA programs the genetic code to the nucleus of the cell to be replicated.
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5
Chapter 4: Prenatal Care and Adaptations to Pregnancy
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/23803
Sample Questions
Q1) What should the nurse do for the prenatal patient in terms of prenatal care? Select all that apply.
A) Offer nutritional counseling.
B) Reinforce responsibility of parenthood.
C) Reduce risk factors.
D) Improve health practices.
E) Make financial arrangements for delivery.
Q2) A woman who is 36 weeks pregnant tells the nurse she plans to fly to Hawaii, which is a 12-hour flight. What would the nurse recommend that the patient do during the flight?
Select all that apply.
A) Wear tight fitting clothing to promote venous return.
B) Eat a large meal before boarding the flight.
C) Request a seat with greater leg room.
D) Drink at least 4 ounces of water every hour.
E) Get up and walk around the plane frequently
Q3) The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as __________.
Q4) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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Chapter 5: Nursing Care of Women with Complications
During Pregnancy
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23804
Sample Questions
Q1) When the nurse asks a patient about drug use during a prenatal history, she might begin the questioning with:
A) "Do you smoke, drink alcohol, or use drugs?"
B) "Do you ever use prescription or street drugs?"
C) "What over-the-counter and prescription drugs have you taken in the past 3 months?"
D) "We need to know if you take drugs so we can help your baby."
Q2) The patient who is 28 weeks pregnant presents with consistent hypertension. The home health nurse would give priority to the need for:
A) activity restriction.
B) balanced nutrition.
C) increased fluid intake to ensure adequate hydration.
D) instruction about the effect of diuretics.
Q3) Rh incompatibility occurs in which situation?
A) Rh-negative mother, Rh-positive fetus
B) Rh-positive mother, Rh-negative fetus
C) Rh-negative mother, Rh-negative fetus
D) Rh-positive mother, Rh-positive fetus
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Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/23805
Sample Questions
Q1) After the pregnant woman is admitted to the labor suite, the nurse assesses the position of the infant as ROA; this means that the infant's head is _________ __________ _________.
Q2) During the fourth stage of labor, the nurse encourages the mother to void, because a full bladder may:
A) interfere with cervical dilation.
B) obstruct progress of the infant through the birth canal.
C) obstruct the passage of the placenta.
D) predispose the mother to uterine hemorrhage.
Q3) Vaginal examination reveals the presenting part is the infant's head, which is well flexed on the chest. This presentation is referred to as:
A) vertex.
B) military.
C) brow.
D) face.
Q4) The nurse explains that the "four Ps" of the birth process are __________, __________, __________, and __________.
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Chapter 7: Nursing Management of Pain During Labor and Birth
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/23806
Sample Questions
Q1) A nurse instructs a woman's labor coach to comfort her by firmly pressing on her lower back. This technique is called:
A) sacral pressure.
B) distraction.
C) effleurage.
D) conscious relaxation.
Q2) While teaching the childbirth preparation class, the nurse explains that the patient's expression of labor pain:
A) reduces the patient's perception of pain.
B) is intensified by the vertex position of the fetus.
C) is influenced by culture.
D) can be completely controlled by nonpharmacological techniques.
Q3) A woman received a subarachnoid block before delivery. In order to prevent the associated side effect of this type of anesthesia, the nurse would include in the teaching plan that the patient should:
A) restrict oral fluids.
B) keep legs flexed.
C) walk with assistance as soon as possible.
D) lie flat for several hours.
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Chapter 8: Nursing Care of Women with Complications
During Labor and Birth
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23807
Sample Questions
Q1) The frustrated patient in labor that has been affected by decreased uterine muscle tone complains, "My doctor won't induce my labor because of some silly score. He said I was a 4. What kind of magic number do I need?" The nurse is aware that prior to induction, the patient should have a Bishop score of at least:
A) 6.
B) 8.
C) 10.
D) 12.
Q2) A woman 2 weeks past her expected delivery date who is receiving an oxytocin infusion to induce labor begins to have contractions every 90 seconds. The nurse's initial action should be to:
A) stop the oxytocin infusion.
B) continue the infusion and report the findings to the physician.
C) turn her on her left side and reassess the contractions.
D) administer oxygen by mask.
Q3) Following an amniotomy, the umbilical cord becomes compressed. The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus, which is called ____________________.
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Chapter 9: The Family After Birth
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23808
Sample Questions
Q1) The nurse is giving a shower to a patient who had a cesarean section 2 days previously. What intervention(s) should be included before, during, and after the shower? Select all that apply.
A) Leave abdominal dressing open to air.
B) Position patient with back to water stream.
C) Cover infusion site with rubber glove.
D) Provide a shower chair.
E) Confirm ambulation ability.
Q2) The hormone responsible for milk "let-down" or ejection from the breasts is
Q3) While instructing a new mother on formula preparations, what type(s) would the nurse include? Select all that apply.
A) Ready-to-feed formula
B) Concentrated liquid formula
C) Powdered formula
D) Cow's milk
E) Canned evaporated milk
Q4) The nurse assesses a 6-inch stain of lochia rubra on a pad that was worn for 2 hours. The nurse would document this as a(n) ________________ amount of lochia.
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Chapter 10: Nursing Care of Women with Complications
After Birth
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23809
Sample Questions
Q1) The nurse instructs the postpartum patient that her nutritional intake should include which food(s) particularly supportive to healing? Select all that apply.
A) Legumes
B) Potatoes and pasta
C) Citrus fruits
D) Rice
E) Cantaloupe
Q2) The nurse weighs a saturated perineal pad and finds it to weigh 15 grams. The nurse is aware that this indicates a blood loss of _____ mL.
Q3) During a postpartum assessment, a woman reports that her right calf is painful. The nurse observes edema and redness along the saphenous vein in the right lower leg. Based on this finding, the nurse explains that the probable treatment will involve:
A) anticoagulants for 6 weeks.
B) application of ice to the affected leg.
C) gentle massage of the affected leg.
D) passive leg exercises twice a day.
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12
Chapter 11: The Nurses Role in Womens Health Care
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23810
Sample Questions
Q1) A woman asks the nurse, "How do oral contraceptives prevent pregnancy?" The nurse explains that the combination of estrogen and progesterone in oral contraceptives:
A) makes cervical mucus hostile to sperm.
B) prevents ovul ation.
C) prohibits implantation of the egg.
D) acts as a barrier by destroying sperm.
Q2) A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with:
A) candidiasis.
B) trichomoniasis.
C) bacterial vaginosis.
D) Chlamydia.
Q3) The nurse outlines the process of ova being mixed with sperm and then the resulting embryos being returned to the mother's uterus. This process of infertility treatment is
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Chapter 12: The Term Newborn
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23811
Sample Questions
Q1) The nurse is aware that a full-term infant is born with which reflex(es)? Select all that apply.
A) Blinking
B) Sneezing
C) Gagging
D) Sucking
E) Grasping
F) None of the above
Q2) On what knowledge would the nurse base a response to a mother who questions, "Do you think my baby recognizes my voice?"
A) Voice recognition is delayed because the ears are not well developed at birth.
B) Infants respond to voice by increasing movements and sucking.
C) Infants initially respond to low-pitched voices.
D) Neonates can distinguish a mother's voice from other sounds in the first days of life.
Q3) The nurse instructs the mother that when the neonate's stool becomes loose and takes on a greenish-yellow color, this is normal __________ stool.
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14
Chapter 13: Preterm and Postterm Newborns
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/23812
Sample Questions
Q1) The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry. The nurse is aware that these are symptoms of:
A) respiratory distress syndrome.
B) hypoglycemia.
C) necrotizing enterocolitis.
D) renal failure.
Q2) When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, and expiratory grunting. These findings are indicative of:
A) respiratory distress syndrome.
B) postmaturity syndrome.
C) apneic episode.
D) cold stress.
Q3) When a preterm infant is receiving an intravenous infusion containing calcium gluconate, the nurse would assess this infant for: A) seizures.
B) bradycardia.
C) dysrhythmias.
D) tetany.
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15
Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/23813
Sample Questions
Q1) Following delivery, a mother asks the nurse about newborn screening tests. The nurse explains that the optimal time for testing for phenylketonuria is:
A) in the first 24 hours of life.
B) after 2 to 3 days.
C) at 4 to 6 weeks of age.
D) at 2 months of age.
Q2) The nurse uses a picture to show which characteristic(s) typical of Down syndrome? Select all that apply.
A) Close-set eyes
B) Simian creases
C) Wide-spaced front teeth
D) Protruding tongue
E) Curved, small fingers
Q3) When the CSF is obstructed in the subarachnoid space rather than in the ventricles, the resulting hydrocephalus is diagnosed as ____________________ hydrocephalus.
Q4) The nurse clarifies to the parents of a child with spina bifida that their child has a portion of the spinal cord in the sac in addition to the meninges. This type of spina bifida is known as a(n) ____________________.
Page 16
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Chapter 15: An Overview of Growth, Development, and Nutrition
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23814
Sample Questions
Q1) When a small group of preschool-age children were playing house, each child was pretending to be a particular family member. The nurse recognizes this as which type of play?
A) Parallel
B) Cooperative
C) Symbolic
D) Fantasy
Q2) The nurse recognizes Piaget's concrete operational thinking when a:
A) 2-year-old says, "It's nighttime" when his room is darkened.
B) 4-year-old refers to the hospital as "my house."
C) 5-year-old coloring a picture of a puppy says, "This is my puppy."
D) 7-year-old says, "I am sick because I have germs in my chest."
Q3) A unique organization of characteristics that determines an individual's pattern of behavior is known as:
A) environment.
B) heredity.
C) personality.
D) experience.
Q4) The correct term for the child aged 4 weeks to 1 year is ______________.
Page 17
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Chapter 16: The Infant
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23815
Sample Questions
Q1) The nurse would advise a mother who is concerned because her 10-month-old is lethargic to:
A) keep the infant's room well lit.
B) rub the infant's soles vigorously.
C) offer the infant a pacifier.
D) handle the infant slowly and gently.
Q2) The abnormal finding in an evaluation of growth and development for a 6-month-old infant would be:
A) weight gain of 4 to 7 ounces per week.
B) length increase of 1 inch in 2 months.
C) head lag present.
D) can sit alone for a few seconds.
Q3) The nurse is aware that the age at which the posterior fontanelle closes is _____ months.
A) 2 to 3
B) 3 to 6
C) 6 to 9
D) 9 to 12
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18
Chapter 17: The Toddler
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23816
Sample Questions
Q1) When selecting a potty chair the parents are encouraged to select one that has which characteristic(s)? Select all that apply.
A) Small enough for the child's feet to touch floor
B) Sturdy and stable
C) Supportive of child's back and arms
D) Made of plastic or fiberglass
E) Capable of being taken apart easily
Q2) The nurse points out that which physiological change(s) in the toddler serves as protection against disease? Select all that apply.
A) Toughening of the skin
B) Increased capillary response for thermoregulation
C) Stabilization of body temperature
D) Elevation in white blood cell count
E) Enlarged adenoids and tonsils
Q3) When the previously potty-trained 3-year-old wets the bed after admission to the hospital, the nurse assesses this event is caused by a(n) ____________________ related to the new environment.
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Chapter 18: The Preschool Child
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23817
Sample Questions
Q1) A 3-year-old child, while playing with her favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. The nurse anticipates that the 3-year-old will:
A) play well with the other child.
B) give the toy up and then not play anymore.
C) become angry and a physical response might ensue.
D) ignore the toy and go on to something else.
Q2) The nurse is aware that children who are unable to express themselves with words often will:
A) become reclusive and introspective.
B) develop other methods of verbal communication.
C) engage in more creative play.
D) have tantrums and act out.
Q3) The nurse's best advice to a parent about a preschooler's "imaginary friend" would be that:
A) having imaginary friends is a sign that the child has a low self-esteem.
B) it is common for preschoolers to have imaginary friends.
C) the preschooler invents an imaginary friend when he feels overwhelmed.
D) the best approach to dealing with an imaginary friend is to ignore them.
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Page 20
Chapter 19: The School-Age Child
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23818
Sample Questions
Q1) When asked about her activities, a 10-year-old girl responded, "I like school. I play the flute in the school band, and I take tennis lessons." The nurse knows these activities will help this child develop a sense of:
A) initiative.
B) industry.
C) identity.
D) intimacy.
Q2) When the school-age child becomes frustrated with a school assignment and says, "I can't do this!" the most developmentally supportive response from the parent would be to:
A) ask, "What is it that is so difficult?"
B) allow the child to quit the effort.
C) call in older siblings to help.
D) finish the project for him.
Q3) The nurse explains that the term _______________ refers to a sex role that incorporates both male and female traits.
Q4) The nurse is aware that by the age of _____, the first permanent teeth erupt.
Q5) The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child.
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Chapter 20: The Adolescent
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23819
Sample Questions
Q1) The nurse is leading a discussion group with parents of adolescents. One parent comments, "My son can't do anything without checking with his friends first. My opinion doesn't count anymore." The nurse would formulate a response on the knowledge that this behavior is:
A) unusual for adolescent boys.
B) often more apparent in boys than girls.
C) a normal phenomenon during adolescence.
D) suggestive of feelings of low self-worth.
Q2) The nurse suggests a good dietary source of zinc for an adolescent who is a vegetarian would be:
A) green, leafy vegetables.
B) citrus fruits.
C) nuts.
D) enriched breads.
Q3) ______________ is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity.
Q4) The nurse is amused, but understands that as adolescents strive for individuality, the strongest need of any adolescent in society is that of _______________.
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Page 22
Chapter 21: The Childs Experience of Hospitalization
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23820
Sample Questions
Q1) The nurse, preparing to collect an admission history from parents who have recently emigrated from Russia, would keep in mind that:
A) eye-to-eye contact is considered disrespectful.
B) touching the child's head means the nurse is superior.
C) smiling is inappropriate in a serious situation.
D) staring is a sign of the nurse's rudeness.
Q2) The parents of a hospitalized 9-month-old infant ask if their preschool child may visit his younger sibling. The nurse understands that:
A) preschool children can be disruptive in the hospital environment.
B) seeing his younger sibling would probably frighten the preschooler and thus should be avoided.
C) the sibling could view the infant from the doorway but not enter the room to prevent the spread of microorganisms.
D) the preschooler needs to visit his infant sister to reassure himself that she is all right.
Q3) When the preschooler who is hospitalized for surgery to correct a poorly healed fracture says, "My doctor is going to unscrew my bent arm and screw on a new one," the nurse should ________________ this misconception.
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Page 23
Chapter 22: Health Care Adaptations for the Child and Family
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23821
Sample Questions
Q1) Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?
A) The blanket is not tucked into the mattress.
B) Diapers and wipes are stacked at the foot of the crib.
C) The crib side is locked in the up position.
D) Pillows are stacked on the bedside table.
Q2) When suctioning a tracheostomy, the nurse will:
A) suction for two to three breaths.
B) clear the catheter with water after suctioning for reuse.
C) apply suction for no more than 15 seconds.
D) establish a regular schedule for suctioning.
Q3) The nurse is aware that which specific drug(s) should be checked with a second licensed nurse prior to administration? Select all that apply.
A) Insulin
B) Digoxin
C) Vasodilators
D) Calcium salts
E) Anticoagulants
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Chapter 23: The Child with a Sensory or Neurological Condition
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/23822
Sample Questions
Q1) The nurse determines a mother understands instructions about administering an oral antibiotic for otitis media when the mother verbalizes that she will:
A) continue using the medication until symptoms are relieved.
B) share the medicine with siblings if their symptoms are the same.
C) give the medication with a glass of milk.
D) administer prescribed doses until all the medication is used.
Q2) The nurse caring for a 5-month-old with viral influenza suspects the development of Reye's syndrome when the child:
A) has respirations drop from 18 to 14 breaths/min.
B) goes to sleep after feeding.
C) suddenly vomits without effort.
D) develops a macular rash.
Q3) The assessment finding that should be reported immediately if observed in a child with meningitis is:
A) irregular respirations.
B) tachycardia.
C) slight drop in blood pressure.
D) elevated temperature.
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Chapter 24: The Child with a Musculoskeletal Condition
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23823
Sample Questions
Q1) A child hospitalized for treatment of osteomyelitis complains that he is tired of being sick and wants to know when the antibiotic protocol will end. The nurse responds that antibiotic therapy will probably last for:
A) 2 weeks.
B) 6 weeks.
C) 2 months.
D) 3 months.
Q2) The nurse assesses a large green bruise on the thigh of a 4-year-old to be approximately ____ days old.
A) 2
B) 4
C) 6
D) 8
Q3) The nurse who is checking for capillary refill on a child in Bryant's traction will record adequate perfusion if the toe regains color in _____ seconds.
A) 3
B) 4
C) 5
D) 6
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Page 26
Chapter 25: The Child with a Respiratory Disorder
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23824
Sample Questions
Q1) The statement indicating that the child's parents understand how to perform respiratory therapy is:
A) "We do her postural drainage before the aerosol therapy."
B) "We give her respiratory treatments when she is coughing a lot."
C) "We give the aerosol followed by postural drainage before meals."
D) "She needs respiratory therapy everyday when she has an infection."
Q2) The nurse tells the parents of a child who has a positive throat culture for group A hemolytic streptococcus that the treatment most likely will be:
A) acetaminophen and plenty of fluids.
B) oral penicillin for 10 days.
C) penicillin until his sore throat is gone.
D) streptococcus immunization.
Q3) The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration.
Q4) After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for _______ months.
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Chapter 26: The Child with a Cardiovascular Disorder
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/23825
Sample Questions
Q1) The nurse explains that which congenital cardiac defect(s) cause(s) increased pulmonary blood flow? Select all that apply.
A) Atrial septal defects (ASDs)
B) Tetralogy of Fallot
C) Dextroposition of aorta
D) Patent ductus arteriosus
E) Ventricular septal defects (VSDs)
Q2) The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. The nurse can determine the father understood the instructions when he states "If the baby turns blue, I will:
A) hold him against my shoulder with his knees bent up toward his chest."
B) lay him down on a firm surface with his head lower than the rest of his body."
C) immediately put the baby upright in an infant seat."
D) put the baby in supine position with his head elevated."
Q3) The nurse explains that the difference between the systolic blood pressure reading and the diastolic blood pressure reading is called the __________ ___________.
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Chapter 27: The Child with a Condition of the Blood,
Blood-Forming Organs, or
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/23826
Sample Questions
Q1) The nurse would include in a teaching plan about mouth care of a child receiving chemotherapy to:
A) use commercial mouthwash.
B) clean teeth with a soft toothbrush.
C) avoid use of a Water-Pik.
D) inspect the mouth weekly for ulcerations.
Q2) The nurse shows slides of red blood cells from a child with sickle cell disease, noting that in addition to their sickle shape, the cells contain the abnormal element of
Q3) The nurse notes that a 4-year-old child's gums bleed easily and he has bruising and petechiae on his extremities. The lab value that would be consistent with these symptoms is:
A) platelet count of 25,000/mm³.
B) hemoglobin level of 8 g/dL.
C) hematocrit level of 36%.
D) leukocyte count of 14,000/mm³.
Q4) To prevent ________________ ________________ the nurse warms the blood that is to be given as a transfusion through a central line.
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Chapter 28: The Child with a Gastrointestinal Condition
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38 Verified Questions
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Sample Questions
Q1) An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO<sub>2</sub> 40, HCO<sub>3</sub>- 21. The nurse interprets these values as:
A) metabolic acidosis.
B) metabolic alkalosis.
C) respiratory acidosis.
D) respiratory alkalosis.
Q2) An appropriate intervention for a 3-month-old infant who has gastroesophageal reflux is to:
A) position the infant in the crib on his or her abdomen, with the head elevated.
B) administer medication as ordered to stimulate the pyloric sphincter.
C) give thin rice cereal with formula before feeding solid foods.
D) place the infant in an infant seat after feedings.
Q3) Following surgery for pyloric stenosis an infant awoke from anesthesia hungry and crying. The nurse should:
A) delay feeding the child for 6 hours.
B) offer regular formula thinned with water.
C) give small amounts of regular formula thickened with cereal.
D) allow one ounce of glucose water at frequent intervals.
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Page 30
Chapter 29: The Child with a Genitourinary Condition
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Sample Questions
Q1) What special considerations are related to long-term prednisone therapy in preschoolers? Select all that apply.
A) Delayed immunization
B) Hypertension
C) Enlargement of the sex organs
D) Alteration in nutrition
E) Increased risk for infection
Q2) Parents are speaking with the urologist about their son's undescended testicle. The nurse determines the child's father understands the information presented when he states:
A) "An undescended testicle can reduce fertility."
B) "The testicle usually descends spontaneously during the first month of life."
C) "Surgical correction reduces the risk for testicular tumors."
D) "The optimal time to surgically correct the condition is at diagnosis."
Q3) The initial sign of nephrosis that the nurse might note in the child would be:
A) raspberry-like rash.
B) periorbital edema.
C) temperature elevation.
D) abdominal pain.
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Page 31
Chapter 30: The Child with a Skin Condition
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35 Verified Questions
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Sample Questions
Q1) The nurse assesses a major burn as _____-thickness burn involving _____% of the body surface.
A) partial; 10
B) partial; 12
C) full; 20
D) full; 5
Q2) When the nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks, the nurse documents and reports the probable complication of: A) diverticulitis.
B) stress diarrhea.
C) Curling's ulcer.
D) perforated bowel.
Q3) The home health nurse discovers a family infected with pediculosis and helps the mother understand ways to start eradication of the lice, such as:
A) covering the hair with Vaseline.
B) applying a soda-vinegar solution to the hair.
C) combing through the hair with a vinegar-water solution.
D) shampooing the hair with dish detergent.
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Chapter 31: The Child with a Metabolic Condition
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Sample Questions
Q1) The comment made by a school-age child indicating that he needs more teaching about diabetes mellitus and exercise is:
A) "I carry a piece of hard candy with me in case I start to feel shaky."
B) "I make sure I have emergency money when I have soccer practice or a game."
C) "Sometimes I skip my breakfast when I have a game in the morning."
D) "I play in soccer games that are scheduled after dinner."
Q2) The nurse determines a parent is administering levothyroxine (Synthroid) correctly when she states:
A) "I stopped giving the medication because my daughter was losing her hair."
B) "I am using a different brand now because it costs less money."
C) "I don't give the medication on the weekends."
D) "I give the medication at 8:00 AM every day."
Q3) The nurse explains that because of an inadequate secretion of insulin:
A) protein synthesis is increased.
B) increased fat breakdown leads to ketonemia.
C) serum glucose levels are markedly decreased.
D) more rapid conversion and storage of carbohydrates to glucose occurs.
Q4) The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every ______ hours.
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Chapter 32: The Child with a Communicable Disease
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Sample Questions
Q1) The nurse demonstrates proper hand hygiene pointing out that the process should take a minimum of ____ seconds.
A) 5
B) 10
C) 15
D) 20
Q2) The statement made by a sexually active adolescent girl indicating an understanding of the prevention of sexually transmitted diseases is:
A) "I always douche after intercourse."
B) "I think you can get a vaccination for STDs now."
C) "I insist that my partner wear a condom."
D) "I am protected because I take the pill."
Q3) The nurse would base a response to a parent about how his child got hepatitis A on the information that the child:
A) came in contact with infected blood.
B) came in contact with droplets in the air.
C) was bitten by a mosquito or a tick.
D) ate shrimp while they were in Mexico.
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Chapter 33: The Child with an Emotional or Behavioral Condition
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Sample Questions
Q1) The member of the child guidance team who is a medical doctor with special training in psychoanalytic theory is the:
A) psychiatrist.
B) psychoanalyst.
C) psychologist.
D) counselor.
Q2) A mother is concerned because her adolescent son is always in trouble for fighting at school and always seems to be angry. She mentions that her husband drinks a bit. The understanding guiding the nurse's response is:
A) the boy is displaying antisocial behavior and should be evaluated for mental illness.
B) the boy is displaying one of the typical defense patterns of children of alcoholics and should receive immediate treatment.
C) the mother is displaying her own anger with her husband's drinking, and she needs immediate intervention.
D) the boy is only one member of the family affected by alcoholism, and all members should receive immediate intervention.
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35
Chapter 34: Complementary and Alternative Therapies in Maternity
and Pediatric Nursing
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Sample Questions
Q1) The nurse outlines what as the advantage(s) of alternative health care? Select all that apply.
A) Offering more patient control of health care
B) Offering a variety of health care advisors
C) Keeping patients from having to make decisions
D) Using natural products rather than chemical
E) Incorporating cultural beliefs and practices
Q2) The nurse reminds a parent who is considering homeopathic remedies for treatment of her child's asthma that the homeopathic remedies:
A) should be drunk with large amounts of fluid.
B) can be taken with traditional Western medications.
C) can be enhanced by drinking hot tea.
D) may contain mercury, alcohol, or arsenic.
Q3) The nurse uses a diagram to show the location of meridians, which are:
A) lymph nodes.
B) invisible pathways for energy.
C) lines that divide the body into 10 zones.
D) areas of skin that are specifically innervated.
Q4) The practice of ____________ is a process of fascia pressure and stretching.
Page 36
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