Family Health Nursing Test
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Course Introduction
Family Health Nursing focuses on the holistic care and well-being of families across the lifespan, recognizing the family as the unit of care within the community. This course prepares students to assess family structures, dynamics, and health needs, plan and implement appropriate health promotion, disease prevention, and intervention strategies. It emphasizes culturally competent care, health education, advocacy, and the management of common health issues affecting families. Practical components include the development of communication, collaboration, and critical-thinking skills necessary for supporting the health and resilience of diverse family systems in a variety of healthcare settings.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by
Marcia L. London
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35 Chapters
1810 Verified Questions
1810 Flashcards
Source URL: https://quizplus.com/study-set/2263 Page 2
Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/44945
Sample Questions
Q1) A child who has been hospitalized for a long time is preparing to go home,where care will be continued.Which action by the nurse is most beneficial to assist the family in this transition?
A)Advise the family to call the local visiting nurses association for home visits.
B)Call the child's school to inquire about requirements for returning to school.
C)Consult a social worker to help evaluate insurance coverage and transportation.
D)Give the family brochures for the local support group for chronically ill children.
Answer: C
Q2) A nurse is describing the use of evidence-based practice (EBP)guidelines to a nursing student.Which explanation of EBP is most accurate?
A)Includes clinical experience and patient preferences
B)MEDLINE used as the primary source for EBP information
C)Requires the staff to be active participants in research
D)Uses research findings to plan interventions for care
Answer: A
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Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44946
Sample Questions
Q1) A nurse working in a women's health clinic has several patients who are from a minority culture,live in the inner city,lack employment that offers benefits,have large families,and often lack transportation to health care.Which of these factors are considered broad determinants of health? (Select all that apply.)
A)Access to health care
B)Employment
C)Environment
D)Family size
E)Race
Answer: A,B,C,E
Q2) A nurse ensures that a patient does not have questions regarding the upcoming surgical procedure and verifies that the signature on the consent form is the patient's signature.Which ethical principle is this nurse demonstrating?
A)Autonomy
B)Beneficence
C)Fidelity
D)Justice
Answer: A
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Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nurse working in the community understands that health is often affected by social stressors.Which of the following are examples of societal pressures having a negative impact on the health of today's families? (Select all that apply.)
A)Economic trends affecting access to health care
B)Increased HIV/AIDS in women and children
C)Loss of resources in public schools
D)Restricted health-care access for adult males
E)Violence and increased teen suicides
Answer: A,B,C,E
Q2) An immigrant family is working with a nurse on improving family dynamics.The nurse notes that the teenage children do not subscribe to their parent's social and cultural mores and identify more with their native-born American friends.What description of the children is most accurate to record in the family's chart?
A)Acculturated
B)Assimilated
C)Disconnected
D)Lost children
Answer: B
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5
Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) The clinic nurse is working with a mother who wants to know the best age for teaching children about the names and functions of sexual organs.What should the nurse tell her?
A)5 to 6 years of age
B)6 to 7 years of age
C)8 to 9 years of age
D)9 to 11 years of age
Q2) The pediatric clinic nurse tells the parents that infants can roll over,presenting a safety hazard,at what age?
A)1 month
B)2 months
C)3 months
D)4 months
Q3) A nurse is evaluating several patients for possible hormone therapy to reduce severe symptoms of menopause.For which patient would hormone therapy be recommended?
A)53 years old,smoker,estrogen-progestin therapy
B)54 years old,history of endometrial cancer 10 years ago,estrogen only
C)55 years old,history of hysterectomy 4 years ago,estrogen only
Page 6
D)76 years old,went through menopause 16 years ago,estrogen-progestin
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Chapter 5: Reproductive Anatomy and Physiology
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) A woman who is postmenopausal is in the clinic complaining of urinary incontinence and wants to know why this is occurring.Otherwise she has no other complaints.What response by the nurse is best?
A)"I'm not sure;let's ask the physician why this could occur."
B)"Low estrogen levels after menopause causes the urinary tissues to atrophy."
C)"Most older women experience some incontinence."
D)"You may have a urinary tract infection or other medical problem."
Q2) A nursing instructor is planning to teach students about the process of oogenesis.Which information does the nurse plan to include?
A)All polar bodies in the ovary become ova.
B)It is regulated by follicle-stimulating hormone (FSH).
C)The graafian follicle eventually secretes prolactin.
D)It usually occurs in a twice-monthly cycle.
Q3) Only found in 3% of women
A)Gynecoid
B)Android
C)Anthropoid
D)Platypelloid
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Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A nurse works with many women who self-identify as lesbian or bisexual.What action by the nurse would best address this population's needs?
A)Aggressive screening for sexually transmitted infections
B)Assisting with procedures related to conception
C)Providing information on increased cancer risks
D)Using questions that do not assume sexual orientation
Q2) The clinic nurse uses the acronym "PAINS" when teaching a woman about warning signs associated with her intrauterine device (IUD).Warning signs include which of the following? (Select all that apply.)
A)Breast tenderness
B)Fever and/or chills
C)Inability to feel the strings
D)Spotting
E)Vaginal discharge
Q3) Prior to a sterilization procedure,which action by the nurse takes priority?
A)Obtaining informed consent from the partner
B)Obtaining pre-approval for Medicaid patients
C)Obtaining pre-approval from the insurer
D)Obtaining the woman's informed consent
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Page 8
Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A student reviewing the anatomy and physiology of the fetal circulatory system learns that the highest concentration of oxygen in fetal blood is measured at what level?
A)10-20 mm Hg
B)20-25 mm Hg
C)30-35 mm Hg
D)40-50 mm Hg
Q2) A pediatric nurse is reviewing the chart of a new school-age patient.The chart notes the child is on a phenylalanine-free diet.What does the nurse conclude about this patient?
A)Has Canavan disease
B)Has familial dysautonomia
C)Has phenylketonuria (PKU)
D)Has Tay-Sachs disease
Q3) A woman in her 26th week of pregnancy is in preterm labor.What can the nurse conclude about this baby's ability to survive?
A)Cannot survive,as all organ systems are too immature
B)Might survive,as lungs can breathe air with rhythmic breathing
C)Probably will not survive,as all organ systems have not formed
D)Will survive,because all body systems are completely mature
Page 9
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Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The nurse has learned that which hormone is primarily responsible for maintaining a pregnancy?
A)Estrogen
B)Human chorionic gonadotropin
C)Oxytocin
D)Progesterone
Q2) A nurse is providing anticipatory guidance to a pregnant woman who has another child.Which information should the nurse plan to include? (Select all that apply.)
A)School-age: can fully grasp the reality of the pregnancy
B)School-age: too young to attend sibling classes
C)Teen: may feel resentment and embarrassment
D)Toddler: may be excited to play with the new baby
E)Toddler: may regress in behavior
Q3) A nurse is assessing a patient in the women's clinic for Chadwick's sign.How does the nurse perform this assessment?
A)Auscultates the woman's abdomen for fetal heart tones
B)Inspects the vulva and vagina for a bluish tint
C)Palpates the woman's abdomen for a fluid wave
D)Percusses the woman's abdomen for uterine margins
Page 10
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Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A nurse is reviewing the prenatal care schedule for a woman who is 10 weeks pregnant.When does the nurse advise the woman to return for her next appointment?
A)2 weeks
B)4 weeks
C)6 weeks
D)8 weeks
Q2) The nurse is explaining to students in the perinatal clinic that some adolescents are at higher risk of teen pregnancy than others.Which teens does the nurse include in these high-risk groups? (Select all that apply.)
A)Homeless teens
B)Incarcerated teens
C)Teens from two-parent homes
D)Teens with reliable information
E)Teens with religious affiliations
Q3) A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
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11
Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A 21-year-old pregnant woman smokes 8 to 10 cigarettes per day.The clinic nurse reviews the patient's diet with her and notes that she does not eat fruits or vegetables.Which action should the nurse recommend to this patient?
A)Cut down on smoking and eventually quit.
B)Eat non-produce sources of vitamin C
C)Take an over-the-counter vitamin C supplement.
D)Try to drink one glass of orange juice daily.
Q2) A nurse is helping a pregnant woman prepare for a planned home birth.What action by the nurse takes priority?
A)Advising the woman to get a prescription for pain medication filled beforehand
B)Attempting to convince the woman that giving birth at the hospital is a better choice
C)Ensuring the woman has safe,rapid,and available transportation to a nearby hospital
D)Giving the woman a list of local obstetricians who will assist at a home birth
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Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A woman who is 36 weeks pregnant presents to the perinatal clinic with complaints of backache,pelvic fullness,and uterine contractions.Which action by the nurse is most appropriate?
A)Arrange admission to the hospital.
B)Obtain a clean-catch,midstream urine sample.
C)Obtain blood for a type and screen.
D)Prepare to administer a tocolytic agent.
Q2) The prenatal clinic nurse assesses a woman at 15 weeks' gestation.The patient's blood pressure,measured twice at intervals 1 hour apart with a cuff that fits appropriately,is 146/96 mm Hg.The nurse understands the patient has which condition?
A)Chronic hypertension
B)Gestational hypertension
C)Preeclampsia
D)Transient hypertension
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Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A woman in the perinatal clinic reports a gush of vaginal fluid after sneezing.The nurse performs a Nitrazine tape test and documents that the tape is beige in color.What action should the nurse take?
A)Ask the woman about recent sexual intercourse.
B)Assess the woman for urinary incontinence.
C)Arrange for the woman to be admitted to the birthing unit.
D)Inquire if the woman has symptoms of a vaginal infection.
Q2) The perinatal nurse knows that a cephalic presentation has which of the following advantages to the woman in labor? (Select all that apply.)
A)Fetal skull bones have the ability to mold during birth.
B)The largest part of the fetus is presenting first.
C)The presenting part may not totally cover the cervix.
D)The shape of the fetal head is optimal for cervical dilatation.
E)The top of the fetal head assists with cervical effacement.
Q3) What important nursing action occurs right after the third stage of labor?
A)Assess the placenta for complete expulsion.
B)Assist the woman with effective pushing.
C)Provide a lactation consultation if desired.
D)Warm the baby and place it in an incubator.
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Page 14
Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44957
Sample Questions
Q1) A woman is preparing for whirlpool bath hydrotherapy.To ensure patient safety,what action by the nurse is best?
A)Allow the woman to remain in the tub for no more than 20 minutes.
B)Maintain water temperature no higher than 100.4°F (38°C).
C)Obtain informed consent prior to allowing the woman in the tub.
D)Use a wheelchair to transport the woman to the hydrotherapy tub.
Q2) A woman received butorphanol (Stadol)IV for labor pain.Thirty minutes later,the patient's respiratory rate is 8 breaths/minute.What action by the nurse is best?
A)Administer naloxone (Narcan)per protocol.
B)Call the perinatal rapid response team.
C)Reduce the next dose of Stadol by half.
D)Hold the next dose of Stadol and notify the provider.
Q3) A woman in labor receives a dose of hydromorphone hydrochloride (Dilaudid)at 11:30 a.m.She gives birth at 12:45 p.m.What action by the nurse takes priority?
A)Assess the neonate frequently for respiratory depression.
B)Encourage the woman to void every 2 hours postpartum.
C)Perform a head-to-toe assessment on the neonate.
D)Promote skin-to-skin contact and bonding as soon as possible.
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Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44958
Sample Questions
Q1) The perinatal nurse has administered a dose of dinoprostone (Cervidil)to a woman prior to a labor induction with oxytocin (Pitocin).The nurse then notices that the admission database is incomplete.What conditions should the nurse quickly question the patient about?
A)Asthma
B)Gallbladder disease
C)IV drug use
D)Penicillin allergy
Q2) A perinatal nurse is aware that which of the following fetal conditions places a woman at risk for oligohydramnios? (Select all that apply.)
A)Fetal renal abnormalities
B)Maternal diabetes
C)Multiple gestations
D)Poor placental perfusion
E)Premature rupture of membranes
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Page 16
Chapter 15: Caring for the Postpartal Woman and Her Family
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The perinatal nurse teaches the postpartum woman about the normal process of diuresis that she can expect to occur approximately 6 to 8 hours after childbirth.Which hormones are responsible for the diuresis? (Select all that apply.)
A)Estrogen
B)Norepinephrine
C)Oxytocin
D)Prolactin
E)Progesterone
Q2) A woman gave birth 12 hours ago.The patient complains of severe abdominal cramping when she breastfeeds her infant.The perinatal nurse should document this condition as which of the following?
A)Afterpains
B)Bladder hypertonia
C)Rectus abdominis diastasis
D)Uterine hypertonia
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Page 17
Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A perinatal nurse is conducting an initial interview and assessment on a new patient in her first trimester of an unplanned pregnancy.The nurse discovers the patient was a victim of child abuse and her husband has left her and returned several times.The nurse should assess this patient for what other issue as the priority?
A)Financial concerns
B)Homelessness
C)Intimate partner abuse
D)Social isolation
Q2) The nursing faculty member explains to a class of nursing students the risk factors for developing postpartum depression (PPD).Which of the following does the faculty include? (Select all that apply.)
A)Financial stress
B)Isolation
C)Low self-esteem
D)Stay-at-home mother
E)Unplanned pregnancy
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Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) What assessment finding indicates to the nurse that goals for the diagnosis of ineffective thermoregulation related to newborn's immature temperature regulatory system have been met?
A)Axillary temperature is 98.1°F (36.7°C).
B)Fluctuations in infant's temperature cease.
C)Baby stops shivering and falls asleep.
D)Rectal temperature is 101.0°F (38.3°C).
Q2) A new mother with a 6-hour-old infant calls the nursing station complaining that her baby is so cold he is shivering.What action by the nurse is most appropriate?
A)Bring warm blankets to wrap the baby in.
B)Encourage the mother to feed him a warmed bottle.
C)Perform a thorough head-to-toe assessment.
D)Set the room temperature higher.
Q3) The nurse is assessing the cardiovascular status of a newborn.Which of the following findings indicates adequate systemic circulation?
A)Capillary refill 2 seconds
B)Capillary refill 4 seconds
C)Pale mucous membranes in a dark-skinned baby
D)Truncal cyanosis
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Page 19
Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A nurse is providing discharge teaching to parents of a newborn.The baby had no medical problems and is healthy other than having failed an automated auditory brainstem response (AABR)hearing test conducted in the nursery.What information does the nurse provide?
A)AABR tests are conclusive and the baby is deaf.
B)Background noise may have interfered with the test.
C)The baby's hearing should be retested within 1 month.
D)The baby should have another hearing test next week.
Q2) A perinatal clinic nurse is working with a pregnant woman who wishes a home birth.What information about newborn screening for metabolic disorders does the nurse provide?
A)"A blood test will be performed within the first 2 weeks of your baby's life."
B)"Newborns born at home do not need to be screened for metabolic diseases."
C)"You will have to arrange screening before the end of the baby's first week of life."
D)"Your birth attendant can draw blood from the umbilical cord for metabolic screening."
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20
Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A preterm infant was born at 31 weeks and has been admitted to the NICU.The nurse notes expiratory grunting,nasal flaring,and cyanosis on room air.Which laboratory findings would correlate with this condition?
A)PaCO<sub>2</sub>: 56 mm Hg
B)PaO<sub>2</sub>: 76 mm Hg
C)pH: 7.30
D)SaO<sub>2</sub>: 94%
Q2) A premature infant has apnea of prematurity accompanied by bradycardia and desaturation.The infant was started on caffeine citrate (Cafcit),and the results from a blood level have just now returned.The infant's blood level of Cafcit is 2.3 mg/mL.What action by the nurse is most appropriate?
A)Allow infant to grow out of the current Cafcit dose.
B)Document results;maintain cardiorespiratory monitor.
C)Inform parents that this blood level is therapeutic.
D)Prepare for immediate intubation and ventilation.
Q3) An infant is born at 35 weeks and 3 days.How would the nurse document this gestational age? ____________________
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21
Chapter 20: Caring for the Developing Child
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Sample Questions
Q1) The nurse is preparing to provide information to the parents of a 14-year-old who is within normal limits for growth and development.What information is appropriate for the nurse to include? (Select all that apply.)
A)Children of this age can anticipate long-term consequences of choices.
B)Growth,although slowed,can still be significant.
C)The child of this age may be able to give informed consent in some situations.
D)The child of his age is not normally worried about sexual identity.
E)Peer group influence is often stronger than family influence.
Q2) A nurse educator is discussing developmental theories with a student.What information is appropriate for the educator to provide regarding Lev Vygotsky's theory? (Select all that apply.)
A)Children learn best with assistance from someone else.
B)Culture plays a vital role in language development.
C)Intelligence cannot be accurately measured.
D)The ecological approach emphasizes three important systems.
E)Motor skills are developed and refined in the preoperational stage.
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Community,and Across Care Settings
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60 Verified Questions
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Sample Questions
Q1) A child weighs 82 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.
Q2) A nurse is weighing a 2-month-old infant in the clinic.To ensure safety,which action is most appropriate?
A)Have the parent hold the child while standing on an adult scale.
B)Place the baby in the scale and place one hand on top of the baby.
C)Place the baby in the scale and hold one hand just over the baby.
D)Prop the infant sitting up in the scale,then weigh the prop separately.
Q3) A nurse is providing nutritional information to a parent group.Which information is most appropriate?
A)At least 35% of calories should come from protein.
B)Limit carbohydrates to 10-15% of daily calories.
C)Saturated fats are the healthiest fat choice.
D)Use whole milk until your child is 2 years old.
Q4) A 34-lb child needs acetaminophen (Tylenol).The correct dose range for this child is____________________ mg .
Q5) A child weighs 8 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.
Page 23
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Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
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40 Verified Questions
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Sample Questions
Q1) The pediatric nurse is assessing a child who complains of a stomach ache.This is the child's fourth visit to the clinic for the same problem,and there has not been a diagnosis yet.What action by the nurse is best?
A)Ask about child's functioning and development.
B)Instruct the mother not to keep the child home from school.
C)Obtain a thorough family history from the mother.
D)Perform an abdominal exam and document findings.
Q2) A nurse is working with the parents of a child who has the following complaints: fatigue,insomnia,persistent irritable mood,and significant weight loss.Which discharge instruction is the priority?
A)Encourage the child to eat more protein.
B)Enroll the child in after-school activities.
C)Establish a routine bedtime and wake time.
D)Ensure the child is safe at all times.
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Chapter 23: Caring for the Child With a Respiratory Condition
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64 Verified Questions
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Sample Questions
Q1) All members of a newly arrived immigrant family from a third-world country have received positive tuberculosis skin test results.The family consists of parents,a 2-year-old,and a 7-year-old.Which therapy regimen does the family practice nurse coordinate for this family?
A)A course of intravenous pyrazinamide (PZA)given once a month in the clinic
B)Directly observed therapy with isoniazid (INH)and rifampin (Rifadin)for 9 months
C)Isoniazid and rifampin once a week for 6 months,given by the nurse in the clinic
D)Isoniazid daily for 9 months,followed by rifampin once a week for 3 months
Q2) The pediatric nurse examines a neonate and documents that the baby is pink in color when crying but turns bluish when quiet.Which question would be most appropriate to ask the parent?
A)"Does the baby have trouble when eating?"
B)"Have your other children had this problem?"
C)"How many respiratory infections has she had?"
D)"You don't ever prop her bottle,do you?"
Q3) A child who weighs 32 lb (14.5 kg)is prescribed erythromycin (Sumycin)every 8 hours.Calculate the dose range for a single dose of this drug.(Round to the nearest hundredth).
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Chapter 24: Caring for the Child With a Gastrointestinal Condition
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Sample Questions
Q1) After surgical correction of a Meckel diverticulum,what nursing action is the most important?
A)Administration of total parenteral nutrition
B)Care of a nasogastric tube and oral care
C)Referral to a dietician for low-residue diet
D)Teaching parents and child colostomy care
Q2) A child may have a deficiency in production of prothrombin and fibrinogen.The nurse anticipates diagnostic testing related to which organ?
A)Duodenum
B)Gallbladder
C)Liver
D)Pancreas
Q3) A 13-year-old child has been admitted for acute pancreatitis.The parents want to know how the child contracted this disease.Which response by the nurse is the most appropriate?
A)"Has your child been exposed to pancreatitis?"
B)"In most cases we don't find the cause."
C)"Microliths are a common causative factor."
D)"Your child is probably drinking alcohol."
Page 26
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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Sample Questions
Q1) The pediatric charge nurse receives this report on an incoming admission: a 3-year-old boy with ear and jaw pain,bilateral parotid gland swelling,and mild dehydration.Which action by the charge nurse is most appropriate?
A)Do not assign pregnant nursing staff.
B)Inform parents that sterility is common.
C)Place the child on droplet precautions.
D)Place the child on airborne precautions.
Q2) A nurse is caring for a patient taking lamivudine (Epivir).Which laboratory test is most important for the nurse to assess?
A)CD4+ count
B)Hemoglobin
C)Platelet count
D)White blood cell count
Q3) A child has been diagnosed with influenza and is prescribed oseltamivir (Tamiflu).Which instruction by the nurse is most important?
A)"Do not use aspirin with this drug."
B)"Encourage plenty of liquids."
C)"Rinse the inhaler after each use."
D)"This will cure the flu in 5 days."
Page 27
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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Sample Questions
Q1) A student nurse asks the faculty why a child with patent ductus arteriosus (PDA)is taking a nonsteroidal anti-inflammatory drug (NSAID).Which response by the faculty is the most appropriate?
A)Decreases venous stasis,lowering risks of clotting
B)Inhibits prostaglandin,which helps close the PDA
C)Provides long-lasting pain and inflammation control
D)Reduces swelling around the PDA,making surgery easier
Q2) At a well-child visit,the nurse notes a 4-year-old child to be in the 95th percentile for weight.Which screening measure is most important for the nurse include in this visit?
A)Body mass index (BMI)
B)Cholesterol panel
C)Congenital heart disease
D)None;child is too young
Q3) A new nurse is taking a child's blood pressure.What action would cause an experienced nurse to intervene?
A)Allows the child to get familiar with equipment
B)Chooses a cuff that covers 65% of the child's arm
C)Has a parent stay with the child to calm him or her
D)Uses an automatic cuff if the heart rate is normal
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The student studying endocrine disorders learns that which gland controls overall physiologic homeostasis?
A)Anterior pituitary
B)Hypothalamus
C)Parathyroid
D)Posterior pituitary
Q2) A nurse is caring for a 45-kg (99-lb)child undergoing a water deprivation test.At a routine assessment during the test,the nurse notes the child's weight at 42 kg.Which action by the nurse takes priority?
A)Allows the child to have clear liquids,like broth
B)Documents the findings and continues to monitor
C)Increases the rate of the IV fluid infusion by 5%
D)Notifies the health-care provider immediately
Q3) The nurse gave a diabetic child an injection of Humalog insulin at 0700.At what time would it be most important to check on the child?
A)0715
B)0800
C)0930
D)1200
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
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Sample Questions
Q1) An ophthalmologist examining the eyes of a patient explains to the nurse that the patient has an irregular curvature or uneven contour of the eye,resulting in impaired light refraction that causes blurred vision at all distances.Which condition does the nurse inform the parents about?
A)Astigmatism
B)Hyperopia
C)Myopia
D)Strabismus
Q2) The pediatric nurse caring for a 3-year-old child with cerebral palsy (CP)prepares a home care teaching plan for the caregivers on discharge.Which items will the nurse include in the teaching plan? (Select all that apply.)
A)Apply splints and braces to facilitate muscle control.
B)Buy toys that are appropriate for the child's abilities.
C)Encourage the child to perform self-care tasks.
D)Ensure the clothing has buttons to stimulate dexterity.
E)Use skeletal muscle relaxants for short-term control.
Q3) A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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Sample Questions
Q1) A nurse is caring for a patient in Crutchfield tongs.Which assessment finding requires immediate notification to the health-care provider?
A)Altered mental status
B)Crusted drainage at pin sites
C)Irritability and pain
D)WBCs of 98,000/mm<sup>3</sup>
Q2) A child is going home with a distractor in place after surgery to repair syndactyly.Which discharge teaching is most important?
A)Clean around the pin sites twice a day with soap and water.
B)Don't pull the pins;they will gradually fall out on their own.
C)Perform range-of-motion exercises to the affected fingers daily.
D)Turn the screw with the Allen wrench twice a day for a week.
Q3) A nurse is completing a Pediatric Fall Risk Assessment on a child.The child has had no falls in the last 3 months,had surgery to repair a femur fracture on admission,is learning to use crutches,has a saline lock,is oriented to own ability,and is on narcotics.This child's fall risk score is ____________________.
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Chapter 30: Caring for the Child With a Integumentary Condition
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45 Verified Questions
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Sample Questions
Q1) A child presents to the emergency department with cutaneous manifestations of an allergic response.Which nursing diagnosis takes priority?
A)Altered comfort related to itching lesions
B)Impaired tissue integrity related to lesions
C)Knowledge deficit related to unknown condition
D)Risk for impaired airway secondary to edema
Q2) A child is in the emergency department (ED)with a dog bite.After cleansing the wound and attending to the child's comfort,which action should the nurse perform next?
A)Give a dose of antibiotic.
B)Offer the child a toy to play with.
C)Provide discharge teaching.
D)Report the bite to authorities.
Q3) A child weighing 110 lb (50 kg)was involved in a car fire at 3 p.m.She did not reach the emergency department until 5 p.m.She suffered burns over 45% of her body.How fast does the nurse program the IV pump in order to deliver the first 50% of her fluid requirements? Using the standard Parkland formula,the nurse should program the IV pump at ____________________ mL/hour.
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Q1) A school-age female child has a urinary tract infection (UTI).The culture has come back positive for Escherichia coli.Which teaching measure is most important for the nurse to include in the teaching plan?
A)Avoid bubble baths and nylon panties.
B)Offer the child fluids frequently.
C)Place the child on a voiding schedule.
D)Teach the child to wipe from front to back.
Q2) The student studying the renal system learns that the kidneys have several functions.Which options are functions of the kidneys? (Select all that apply.)
A)Filtering the blood
B)Maintaining electrolyte balance
C)Regulating acid-base balance
D)Removing waste products
E)Suppressing hormone release
Q3) A child weighs 32 kg (74.4 lb).This child's 24-hour fluid requirements would be calculated as ____________________.
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Chapter 32: Caring for the Child With a Hematological Condition
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Q1) A child is in the pediatric intensive care unit with disseminated intravascular coagulation (DIC).What laboratory findings correlate with this condition? (Select all that apply.)
A)Decreased PTT
B)Increased D-dimer
C)Increased fibrinogen
D)Low platelet count
E)Normal white blood cell count
Q2) A child has an order for ketorolac (Toradol)IV push once.The child weighs 78 lb.According to your calculation,the one-time dose would be ____________________mg.
Q3) A couple who recently married and want to have children ask the nurse what the chances are that their children will inherit thalassemia from them,as they both are carriers.What information from the nurse is most accurate?
A)All of your children will inherit it.
B)Each child has a 25% chance of inheriting it.
C)None of your children will inherit it.
D)Only the boys will inherit it.
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Chapter 33: Caring for the Child With Cancer
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55 Verified Questions
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Sample Questions
Q1) A nurse assesses a toddler using the FLACC score.The child is kicking and crying steadily.The mother is upset,as she is unable to console the child.Which action by the nurse is most appropriate?
A)Administer acetaminophen (Tylenol).
B)Give a dose of morphine (Duramorph).
C)Play soothing,quiet music.
D)Prepare a dose of propofol (Diprovan).
Q2) The nurse is teaching parents about the importance of good nutrition for their child who has cancer.Which components does the nurse include as important for this child's diet? (Select all that apply.)
A)High calories
B)High carbohydrates
C)High vitamins
D)Low minerals
E)Low protein
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Chapter 34: Caring for the Child With a Chronic Condition or the
Dying Child
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Q1) An infant has been hospitalized since birth.What nursing intervention takes priority for this child?
A)Keeping the parents updated every day
B)Maintaining a set visiting schedule for family
C)Providing a soft crib and cuddly toys
D)Soothing and providing physical touch
Q2) The nurse caring for infants and children understands that which are the scariest aspects of being hospitalized for a 3-year-old? (Select all that apply.)
A)Anxiety
B)Being different from peers
C)Pain
D)Punishment in the form of illness
E)Separation from parents
Q3) A nurse has to perform a brief procedure on a toddler.What action by the nurse is the most developmentally appropriate for this patient?
A)Demonstrate the procedure on a stuffed animal.
B)Offer a choice as to when the procedure is done.
C)Perform the procedure with no advance explanation.
D)Tell the child about other kids who had this done.
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Chapter 35: Caring for the Critically Ill Child
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Q1) A child is being mechanically ventilated and is very agitated and fighting the ventilator despite receiving fentanyl citrate (Sublimaze)and midazolam (Versed).Which action by the nurse is the most appropriate?
A)Restrain the hands so child does not pull out the endotracheal tube.
B)Request an order for vecuronium bromide (Norcuron).
C)Slow the frequency and depth of mandatory ventilations.
D)Tell the family that someone must stay at the bedside.
Q2) A nurse is assessing a critically ill child's respiratory status.The child is grunting and has nasal flaring,but the pulse oximeter reads the child's oxygen saturation at 96%.Which nursing action is the priority in this situation?
A)Conduct a thorough assessment and call the provider.
B)Document the findings in the child's medical chart.
C)Notify the rapid response team immediately.
D)Turn up the oxygen and reassess the child in 30 minutes.
Q3) A child weighs 32 lb.The health-care provider orders a loading dose of midazolam (Versed)prior to intubation.The safe dose range for this drug is
Q4) A child's blood pressure is 92/64 mm Hg.Therefore,the mean arterial pressure is
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