Foundations of Maternal-Newborn and Pediatric Nursing
Exam Answer Key
Course Introduction
Foundations of Maternal-Newborn and Pediatric Nursing provides students with essential knowledge and skills for nursing care across the continuum of pregnancy, childbirth, postpartum, newborn, and pediatric health. The course emphasizes holistic, family-centered care, highlighting normal physiological and psychological processes, health promotion, and disease prevention. Students explore assessment techniques, common complications, growth and development milestones, and effective communication with children and families. Legal, ethical, and cultural considerations are integrated alongside evidence-based practice to prepare students for safe, competent care in diverse healthcare settings.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 8th Edition by Leifer
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Chapter 1: The Past, Present, and Future
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Sample Questions
Q1) Practical nursing students are using critical thinking skills to study for an upcoming test.What will these students include when studying? (Select all that apply. )
A) Memorization of facts first
B) Prioritizing information
C) Relating facts to other facts
D) Making assumptions
E) Reviewing before the test
Answer: B,C,E
Q2) Student practical nurses are discussing the North American Nursing Diagnosis Association International (NANDA-I)taxonomy in post conference on the acute care clinical setting.The students are aware that the role of the LPN with nursing diagnosis formulation is what?
A) To initiate and identify nursing diagnosis specific to patient
B) To update changes in nursing diagnosis as needed
C) To have an understanding of nursing diagnosis terminology
D) To accurately document nursing diagnosis on patient plan of care
Answer: C
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3
Chapter 2: Human Reproductive Anatomy and Physiology
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Sample Questions
Q1) The nurse is reading a pregnant patient's history and physical.What information does the nurse recognize might indicate the need for a cesarean delivery? (Select all that apply. )
A) History of childhood rickets
B) Immobile coccyx
C) Prepregnant weight of 100 pounds
D) Avid horse rider
E) Pelvic fracture 3 years ago
Answer: A,B,E
Q2) What will the nurse explain to a 12-year-old patient when describing what characterizes nocturnal emissions?
A) A drop in testosterone level
B) Sexual stimulation
C) Absence of sperm in ejaculate
D) Association with violent dreams
Answer: C
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Chapter 3: Fetal Development
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Sample Questions
Q1) Which hormone is responsible for converting the endometrium into decidual cells for implantation?
A) Estrogen
B) Human chorionic gonadotropin
C) Human placental lactogen
D) Progesterone
Answer: D
Q2) Of what is the normal umbilical cord comprised?
A) 1 artery carrying blood to the fetus and 1 vein carrying blood away from the fetus
B) 1 artery carrying blood to the fetus and 2 veins carrying blood away from the fetus
C) 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus
D) 2 arteries carrying blood to the fetus and 2 veins carrying blood away from the fetus
Answer: C
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5
Chapter 4: Prenatal Care and Adaptations to Pregnancy
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Sample Questions
Q1) A woman tells the nurse that she is quite sure she is pregnant.The nurse recognizes which as a positive sign of pregnancy?
A) Amenorrhea
B) Uterine enlargement
C) HCG detected in the urine
D) Fetal heartbeat
Q2) During the physical examination for the first prenatal visit,it is noted that Chadwick's sign is present.What is Chadwick's sign?
A) Bluish or purplish discoloration of the vulva,vagina,and cervix
B) Presence of early fetal movements
C) Darkening of the areola and breast tenderness
D) Palpation of the fetal outline
Q3) The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy.What is the appropriate term for this sign?
A) Chadwick's
B) Hegar's
C) McDonald's
D) Goodell's
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Chapter 5: Nursing Care of Women With Complications
During Pregnancy
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Q1) A pregnant patient tells the nurse that she has been nauseated and vomiting.How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness?
A) Hyperemesis gravidarum usually lasts for the duration of the pregnancy.
B) Hyperemesis gravidarum causes dehydration and electrolyte imbalances.
C) Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum.
D) The woman with hyperemesis gravidarum will have persistent vomiting without weight loss.
Q2) What would the nurse include in a teaching plan for the pregnant patient who has iron deficiency anemia and has been placed on iron supplements? (Select all that apply. )
A) Citrus fruits enhance absorption of iron.
B) Bran products support iron deficiency.
C) Milk will disguise the taste of the iron.
D) The iron therapy will continue for about 3 months.
E) Tea should be avoided while taking iron.
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7
Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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Sample Questions
Q1) It is determined that the presenting part of the fetus is the buttocks.At delivery the fetus's hips are flexed and the knees are extended.How would the nurse record this presentation?
A) Complete breech
B) Frank breech
C) Double footling
D) Buttocks presentation
Q2) The nurse is caring for a woman in the first stage of labor.What will the nurse remind the patient about contractions during this stage of labor?
A) They get the infant positioned for delivery.
B) They push the infant into the vagina.
C) They dilate and efface the cervix.
D) They get the mother prepared for true labor.
Q3) What is the nurse primarily concerned about maintaining in the initial care of the newborn?
A) Fluid intake
B) Feeding schedule
C) Thermoregulation
D) Parental bonding
8
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Chapter 7: Nursing Management of Pain During Labor and Birth
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Q1) A laboring patient requests hot and cold applications be applied to her abdomen for pain control.How will this intervention act to control pain?
A) By increasing endorphin production
B) By facilitating effacement and dilation
C) By producing increasing pain tolerance
D) By stimulation of large nerve fibers
Q2) The nurse is caring for a woman with epidural anesthesia for pain control during a vaginal delivery.A risk for injury related to epidural anesthesia has been identified by the nursing staff.What interventions are appropriate for the nurse to implement related to this diagnosis? (Select all that apply. )
A) Assess leg movement and sensation before ambulating.
B) Administer antibiotic as ordered.
C) Observe for signs of impending birth.
D) Provide sacral pressure as needed.
E) Assess fetal position frequently.
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Chapter 8: Nursing Care of Women With Complications
During Labor and Birth
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Sample Questions
Q1) Which interventions could a nurse apply to help stimulate contractions? (Select all that apply. )
A) Encouraging the patient to sit upright
B) Assisting the patient to ambulate
C) Stimulating the nipples
D) Offering emotional support
E) Allowing the patient to vent frustration
Q2) A pulsating structure is felt during a vaginal examination of a woman in labor.How would the nurse position the woman to prevent compression of a prolapsed cord?
A) On her right side with knees flexed
B) On her left side with a pillow placed between her legs
C) On her back with her head lower than the rest of her body
D) Supine with her legs elevated and bent at the knee
Q3) What sign(s)of infection should the nurse assess for after an amniotomy?
A) Oral temperature of 37° C (99.8° F)
B) Increase of fetal heart rate (FHR)from 160 to 174 beats/minute
C) Flecks of vernix in the amniotic fluid
D) Low back pain
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Chapter 9: The Family After Birth
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Q1) The nurse is instructing a woman at 6 months postpartum on weaning her infant from breastfeeding.What interventions will the nurse suggest? (Select all that apply. )
A) Omit newborn's favorite feeding first.
B) Eliminate one feeding at a time.
C) Expect the need for comfort feeding.
D) Formula will need to be provided to substitute for feeding.
E) Pump breasts in place of eliminated feeding.
Q2) A woman will be discharged 48 hours after a vaginal delivery.When planning discharge teaching,the nurse would include what information about lochia?
A) Lochia should disappear 2 to 4 weeks postpartum.
B) It is normal for the lochia to have a slightly foul odor.
C) A change in lochia from pink to bright red should be reported.
D) A decrease in flow will be noticed with ambulation and activity.
Q3) Below what blood glucose level is the newborn considered hypoglycemic?
A) Below 70 mg/dL
B) Below 60 mg/dL
C) Below 50 mg/dL
D) Below 40 mg/dL
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Chapter 10: Nursing Care of Women With Complications
Following Birth
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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 assesses a positive Homans' sign when the patient's leg is flexed and foot sharply dorsiflexed.Where does the patient report that the pain is felt?
A) Groin
B) Achilles tendon
C) Top of the foot
D) Calf of the leg
Q3) A postpartum patient experiences anaphylactic shock.What is the most likely cause?
A) Pulmonary embolism
B) Hypertension
C) Allergy
D) Blood clotting disorder
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Chapter 11: The Nurses Role in Womens Health Care
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Sample Questions
Q1) What statement by a man considering a vasectomy indicates a need for further information?
A) "Sterility does not occur immediately after the procedure."
B) "We will need to use some form of birth control for about a month afterward."
C) "The procedure involves the use of local anesthesia."
D) "I'll need to remain in the hospital for a few days."
Q2) What information will the nurse provide when educating a woman about the correct use of a diaphragm?
A) Use of a spermicidal cream or jelly is not recommended.
B) Leave in place for at least 6 hours after intercourse.
C) Remove immediately after intercourse for douching.
D) It is effective for up to 48 hours if positioned properly.
Q3) A woman is prescribed to take alendronate (Fosamax)for osteoporosis postmenopause.What information will the nurse provide when educating this patient on alendronate (Fosamax)?
A) Drink 8 oz.of water following dosage.
B) Lay down for 30 minutes after taking.
C) This medication has no known side effects.
D) Avoid weight-bearing exercises.
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Page 13
Chapter 12: The Term Newborn
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Sample Questions
Q1) When the newborn's crib was moved suddenly,the nurse noticed that his legs flexed and arms fanned out,and then both came back toward the midline.How would the nurse interpret this behavior?
A) The Moro reflex
B) The grasp reflex
C) An abnormality of the musculoskeletal system
D) A neurological abnormality
Q2) A full-term newborn weighs 3600 grams at birth.What would the nurse expect the newborn to weigh in grams 3 days later?
A) 2900
B) 3100
C) 3300
D) 3800
Q3) Which assessment of the newborn should be reported?
A) Head circumference is 5 cm greater than the chest circumference.
B) Hands and feet are warm with a blue color.
C) Temperature is 36.6° C (97.8° F).
D) Head has a longer than normal shape to it.
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Chapter 13: Preterm and Postterm Newborns
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Q1) Why is the postterm neonate at risk for cold stress?
A) Inadequate vernix caseosa
B) Hypoxia from a deteriorated placenta
C) Polycythemia
D) Fat stores have been used in utero for nourishment
Q2) What nursing action is appropriate to prevent possible retinopathy in a preterm infant requiring oxygen therapy?
A) Monitor arterial oxygen levels with a pulse oximeter.
B) Position the head slightly lower than the body.
C) Administer low concentrations of oxygen.
D) Keep the infant's eyes covered at all times.
Q3) The nurse explains to a patient in preterm labor that what may be ordered by the physician to accelerate fetal lung maturity?
A) Prostaglandins
B) Oxytocin
C) Magnesium sulfate
D) Corticosteroids
Q4) The nurse clarifies that a fetus has enough surfactant to breathe on its own at the age of _____ weeks.
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Chapter 14: The Newborn With a Perinatal Injury or Congenital Malformation
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Q1) What would the nurse include when instructing parents about positioning their toddler who has just had a body spica cast applied?
A) Prop the child upright with pillows for meals.
B) Use the bar between the legs to turn the child.
C) Put the child on her abdomen to sleep.
D) Change the child's position frequently.
Q2) Phototherapy is instituted for an infant.What is the most appropriate nursing action for the infant having phototherapy?
A) Cover the infant's head with a hat.
B) Dress the infant lightly in a T-shirt.
C) Keep the infant's eyes covered.
D) Reposition the infant at least every 4 to 8 hours.
Q3) What will the nurse include in the plan of care when caring for an infant with an intracranial hemorrhage? (Select all that apply. )
A) Keep positioned with head elevated.
B) Feed slowly to reduce possibility of vomiting.
C) Stimulate often to maintain level of consciousness.
D) Hold and coddle frequently to stimulate.
E) Observe for increased intracranial pressure.
Page 16
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Chapter 15: An Overview of Growth, Development, and Nutrition
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Q1) What does the nurse calculate the basal metabolic index (BMI)of an 8-year-old child who is 48 inches tall (1.2 meters)and weighs 100 pounds (45.4 kg)to be?
A) 28.9
B) 32.4
C) 34.8
D) 37.6
Q2) The nurse observes that a 2-year-old toddler is able to use a spoon steadily at mealtime.What does self-feeding help to develop in the toddler?
A) Good nutrition
B) A sense of independence
C) Adequate height and weight
D) Healthy teeth
Q3) What toy is developmentally appropriate for the nurse to suggest to entertain a 5-year-old child?
A) Jack-in-the-box
B) Book of nursery rhymes
C) Model airport with toy planes
D) Model car construction kit
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Chapter 16: The Infant
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Q1) A mother calls the pediatrician's office because her infant is "colicky." What is the most helpful measure the nurse can suggest to the mother?
A) Sing songs to the infant in a soft voice.
B) Place the infant in a well-lit room.
C) Walk around and massage the infant's back.
D) Rock the fussy infant slowly and gently.
Q2) What is an abnormal finding in an evaluation of growth and development for a 6-month-old infant?
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) Parents of an infant inform the nurse they are planning home preparation of solid foods.What directions should the nurse provide? (Select all that apply. )
A) Boil foods in a large amount of water.
B) Do not freeze foods.
C) Add 1 teaspoon of salt per cup.
D) Puree food in electric blender.
E) Add sugar sparingly.
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Page 18
Chapter 17: The Toddler
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Q1) What could the nurse recommend to a child's mother to encourage a toddler to practice independence?
A) Offer a variety of items to choose from to stimulate his mind.
B) Allow the child to determine his own daily routine.
C) Offer him a choice between two items.
D) Set the routine herself,but discuss with her toddler how he or she would have done it differently.
Q2) Parents of a toddler are discussing the emotion of fear with the pediatric nurse.What information can the nurse offer regarding fear and the toddler? (Select all that apply. )
A) Stress increases fear.
B) Rituals help deal with fear.
C) Teasing the child can decrease fear.
D) Once fear is learned it is difficult to eliminate.
E) Adults should openly share their fears.
Q3) Why does day care for the toddler differ from that of the preschooler?
A) Toddlers have a shorter attention span.
B) Toddlers need more group play.
C) Toddlers are less prone to environmental dangers.
D) Toddlers require less outdoor space.
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Page 19
Chapter 18: The Preschool Child
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Q1) What intervention might the nurse suggest as helpful for the child with enuresis?
A) Applying an electric pad that gently shocks the child
B) Waking the child several times during the night to urinate
C) Decreasing fluid intake after the evening meal
D) Increasing dietary fiber intake
Q2) A father is concerned about how long his preschool-age child will continue sucking his thumb.What is the most helpful response from the nurse?
A) "Most children will stop thumb-sucking naturally by school age."
B) "Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice."
C) "Consistently touching the child's fingers whenever he sucks his thumb is most effective."
D) "Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible."
Q3) When planning an activity for a 3-year-old child,the nurse bases the plan on the average attention span of _____ minutes.
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Page 20
Chapter 19: The School-Age Child
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Q1) The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone.What guidelines should they be educated to follow? (Select all that apply. )
A) Ask for identification before letting someone in the house.
B) Never accept rides with strangers.
C) Keep doors locked.
D) Do not enter house if door is ajar.
E) Walk to and from school with friends.
Q2) What should the nurse keep in mind when planning to teach a class on nutrition to fourth-grade students?
A) School-age children can concentrate on only one aspect of a situation.
B) School-age children can think abstractly.
C) School-age children are egocentric in their thinking.
D) School-age children think logically and concretely.
Q3) Which stage of cognitive development is a 9-year-old child in according to Piaget?
A) Formal operations
B) Preoperational
C) Concrete operations
D) Sensorimotor
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Page 21
Chapter 20: The Adolescent
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Q1) The nurse stresses the need for using a sunscreen with a sun protection factor (SPF)of at least _____.
Q2) A girl tells the nurse that she and her best friend belong to the popular clique.She states,"I love Katy Perry,and I want to be a singer." The nurse recognizes the girl's statement as characteristic of what time period?
A) Early adolescence
B) Middle adolescence
C) Late adolescence
D) The entire adolescent period
Q3) The nurse considers what "rites of passage" valued by the adolescent in American society? (Select all that apply. )
A) Attaining legal drinking age
B) Selection of a career
C) Religious affiliation
D) Obtaining a driver's license
E) High school graduation
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Chapter 21: The Childs Experience of Hospitalization
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Q1) A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago.What does this behavior suggest?
A) The toddler feels abandoned by his mother.
B) The child still has not adjusted to his hospitalization.
C) The child is not separated from his mother often.
D) There is a poor mother-child bond.
Q2) The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her.In which stage of separation anxiety is the toddler?
A) Protest
B) Despair
C) Denial
D) Attachment
Q3) A nurse encourages a school-age child to draw a picture after a painful procedure.What is the best rationale for this nursing intervention?
A) Attempting to re-establish rapport
B) Providing a way for the child to express his feelings
C) Encouraging quiet play
D) Distracting the child from thinking about the pain
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Page 23
Chapter 22: Health Care Adaptations for the Child and Family
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Q1) An infant's dry diaper weighs 2.5g.How would the nurse record the infant's urine output?
A) 47 mL
B) 44.5 mL
C) 43.5 mL
D) 40.5 mL
Q2) The nurse instructs the mother of a 2-year-old child who is taking iron supplements for anemia that some foods reduce the absorption of iron.What would be the best example provided by the nurse?
A) Red meat
B) Green,leafy vegetables
C) Acidic fruit juices
D) Egg yolks
Q3) The pediatric nurse completes an assessment on all patients assigned during evening shift at the hospital.Which patient assessment requires immediate intervention?
A) Toddler with an axillary temperature of 99° F
B) School-age child with widening pulse pressure
C) Infant pulse rate of 100 beats/minute
D) Adolescent with a respiratory rate of 28 breaths/minute
Page 24
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Chapter 23: The Child With a Sensory or Neurological Condition
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Q1) What assessment does the school nurse recognize as the cardinal sign of a hyphema?
A) Opacity of the lens
B) A yellow-white reflex on the pupil
C) A dark-red spot in front of the iris
D) Inflamed mucous membranes of the eyelids
Q2) What would the nurse include when planning postoperative teaching for a child who has had a tympanostomy with insertion of tubes?
A) Keeping the infant flat after feeding
B) Giving over-the-counter decongestants
C) Avoiding getting water in the ears
D) Cleaning the ear canal with cotton-tipped applicators
Q3) Which situation would cause the nurse to suspect a hearing impairment?
A) 3-month-old infant with a positive Moro (startle reaction)reflex
B) 15-month-old toddler who is babbling
C) 18-month-old toddler who is speaking one-syllable words
D) 24-month-old toddler who communicates by pointing
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Page 25
Chapter 24: The Child With a Musculoskeletal Condition
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Q1) A 13-year-old girl is diagnosed with functional scoliosis.What does the nurse explain as the cause of this spinal curvature defect?
A) Juvenile rheumatoid arthritis
B) Poor posture
C) Heredity
D) Myelomeningocele
Q2) The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.
Q3) What factor(s)may trigger abuse in a parent? (Select all that apply. )
A) Being abused as a child
B) High self-esteem
C) Substance abuse
D) Overwhelming responsibility
E) Knowledge deficit relative to child care
Q4) Why does a child's fracture heal more rapidly than the adult's?
A) A child's bones are less porous than adult bone.
B) A child's bones are covered by a thicker periosteum.
C) A child's bones are not affected by bone overgrowth.
D) A child's bones have faster callus formation.
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Chapter 25: The Child With a Respiratory Disorder
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Q1) Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?
A) Provide chest physiotherapy before meals every day.
B) Assess weight monthly.
C) Administer pancreas with protein food at mealtime.
D) Ensure high-protein,high-calorie diet.
Q2) The nurse is caring for a 4-year-old child diagnosed with H.influenzae type B.Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis? (Select all that apply. )
A) Harsh cough
B) Restlessness
C) Edematous epiglottis
D) Child insists on lying down
E) Drooling
Q3) How would the nurse advise a mother to clear the nostrils when her infant has a cold?
A) Clear the nasal passages after the infant has a feeding.
B) Use over-the-counter nose drops to clear passages.
C) Remove nasal secretions with a bulb syringe.
D) Instill saline nose drops after clearing away secretions.
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Chapter 26: The Child With a Cardiovascular Disorder
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Q1) 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) A pediatric patient is scheduled for a noninvasive procedure to determine if his heart is structurally normal and to localize a murmur.What diagnostic test does the nurse anticipate?
A) Barium swallow
B) Chest x-ray
C) Electrocardiogram
D) Echocardiogram
Q3) Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood?
A) The patent ductus arteriosus
B) A ventricular septal defect
C) The closure of the foramen ovale
D) An atrial septal defect
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Chapter 27: The Child With a Condition of the Blood, Blood-Forming
Organs, or Lymphatic System
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Sample Questions
Q1) A newly married couple is seeking genetic counseling because they are both carriers of the sickle cell trait.How can the nurse best explain the children's risk of inheriting this disease?
A) Every fourth child will have the disease;two others will be carriers.
B) All of their children will be carriers,just as they are.
C) Each child has a one in four chance of having the disease and a two in four chance of being a carrier.
D) The risk levels of their children cannot be determined by this information.
Q2) The nurse is presenting information on the congenital disorder of hemophilia A.What fact will the nurse include?
A) It is seen in males and females equally.
B) It is transmitted by symptom-free females.
C) It is a sex-linked dominant trait.
D) It is a defective gene located on the Y chromosome.
Q3) What should the nurse closely assess in a child receiving a transfusion?
A) Fever
B) Lethargy
C) Jaundice
D) Bradycardia
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Chapter 28: The Child With a Gastrointestinal Condition
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Following surgery for pyloric stenosis,an infant awoke from anesthesia hungry and crying.What is the most appropriate nursing action?
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 1 ounce of glucose water at frequent intervals.
Q2) What sign(s)indicate(s)moderate dehydration? (Select all that apply. )
A) 10% weight loss
B) Dry mucous membranes
C) Normal anterior fontanel
D) Increased urinary output
E) Lethargy
Q3) An infant is admitted to the hospital with severe dehydration.Laboratory results show pH 7.32,PaCO? 40,HCO?- 21.How does the nurse interpret these values?
A) Metabolic acidosis
B) Metabolic alkalosis
C) Respiratory acidosis
D) Respiratory alkalosis
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Chapter 29: The Child With a Genitourinary Condition
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29 Verified Questions
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Sample Questions
Q1) The 6-year-old child scheduled for an orchiopexy shyly asks the nurse,"What are they going to do to me 'down there'?" What is the nurse's best response?
A) "They are going to fix you up 'down there'."
B) "They will move your testicle from your abdomen to your scrotum."
C) "What do you think your doctor is going to do?"
D) "You shouldn't worry.Your doctor knows exactly what to do."
Q2) A 7-year-old child has a BUN of 25 mg/dL.What is the nurse aware this lab value might indicate? (Select all that apply. )
A) Dehydration
B) Renal disease
C) Need for steroid therapy
D) Diabetes
E) Pituitary malfunction
Q3) Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
A) "I will make sure he gets his measles vaccine as soon as he gets home."
B) "He can stop taking his medication next week."
C) "I should check his urine for protein when he goes to the bathroom."
D) "He should eat a low-protein diet for the next few weeks."
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Page 31
Chapter 30: The Child With a Skin Condition
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36 Flashcards
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Sample Questions
Q1) The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks.Which complication does the nurse anticipate?
A) Diverticulitis
B) Stress diarrhea
C) Curling's ulcer
D) Perforated bowel
Q2) A child is brought to the emergency department with severe frostbite.Which body parts should be warmed first?
A) Hands and arms
B) Feet and legs
C) Fingers and toes
D) Head and torso
Q3) What will the nurse include when teaching about general skin care measures that could help prevent acne?
A) Eliminating chocolate,peanuts,and cola from the diet
B) Washing the face with a cleansing product frequently
C) Planning indoor activities to avoid sun exposure
D) Eating a balanced diet and getting sufficient rest
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Chapter 31: The Child With a Metabolic Condition
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Sample Questions
Q1) A child with diabetes mellitus is observed to have cold symptoms.What signs and symptoms will alert parents of the possibility of ketoacidosis? (Select all that apply. )
A) Chest congestion
B) Ear pain
C) Fruity breath
D) Hyperactivity
E) Nausea
Q2) The nurse is preparing to administer a long-acting insulin.Which insulin is considered long acting?
A) Lispro
B) Aspart
C) Glargine
D) Regular
Q3) Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?
A) Control intake of carbohydrates and consume fewer calories.
B) Focus on complex carbohydrates and eat foods high in fiber.
C) Obtain most calories from proteins and fats.
D) Eat a diet low in fat and low in complex carbohydrates.
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Page 33
Chapter 32: Childhood Communicable Diseases,
Bioterrorism, Natural Disasters, and the Maternalchild
Patient
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Sample Questions
Q1) What is the priority nursing diagnosis for a hospitalized infant who is HIV positive?
A) Risk for injury
B) Altered nutrition
C) Impaired skin integrity
D) Risk for infection
Q2) The nurse is planning to administer immunizations at a well-child visit when a parent reports the 18-month-old child is allergic to eggs.Which vaccine would be contraindicated?
A) Influenza
B) Inactivated polio vaccine
C) Diphtheria,tetanus,acellular pertussis
D) Hepatitis B
Q3) How would the nurse document a rash that has erythematous,circular raised lesions?
A) Macular
B) Papular
C) Vesicular
D) Pustular
Page 34
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Chapter 33: The Child With an Emotional or Behavioral Condition
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Sample Questions
Q1) The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa.Which assessment finding(s)would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply. )
A) Amenorrhea
B) Severe weight loss
C) Oily skin
D) Hypertension
E) Lanugo on back
Q2) A 9-year-old child has been admitted to the hospital after "huffing" lighter fluid and is in a high euphoric state.For what should the nurse assess?
A) Depressed respirations
B) Severe vomiting
C) Frightening hallucinations
D) Elevation of temperature
Q3) How does the nurse describe a person who is bulimic?
A) Severely underweight
B) Alternates binge eating with purging
C) Introverted perfectionist
D) Has extremely close family relationships
35
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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21 Verified Questions
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Sample Questions
Q1) The mother of a pediatric patient asks the nurse about safety concerns with using herbal supplements with children.Which herbal products would the nurse educate this mother are safe to use in most of the pediatric population? (Select all that apply. )
A) Ephedra
B) Ginger
C) Fish oil
D) Chamomile
E) Aloe vera
Q2) What should the nurse remind a parent who is considering homeopathic remedies for treatment of her child's asthma?
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) Which child should not receive massage therapy?
A) 15-year-old with a fractured femur
B) 12-year-old with diabetes mellitus
C) 8-year-old with Down syndrome
D) 17-year-old with an eating disorder
Page 36
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