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Fundamentals of Maternal-Newborn and Pediatric Nursing Solved Exam Questions - 1191 Verified Questio

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Fundamentals of Maternal-Newborn and Pediatric Nursing

Solved Exam Questions

Course Introduction

This course provides an introduction to the essential concepts and principles of maternal-newborn and pediatric nursing. Students will explore foundational topics including prenatal care, labor and delivery, postpartum management, newborn assessment, growth and development of children, and the common health challenges faced by mothers and children. Emphasis is placed on family-centered care, cultural competence, health promotion, and the nursing process in caring for pregnant women, infants, and children. Through lectures, case studies, and simulations, students gain practical knowledge and skills necessary to deliver safe, evidence-based care to maternal and pediatric populations in various healthcare settings.

Recommended Textbook

Introduction to Maternity and Pediatric Nursing 7th Edition by Leifer

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34 Chapters

1191 Verified Questions

1191 Flashcards

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Page 2

Chapter 1: The Past, Present, and Future

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36 Verified Questions

36 Flashcards

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Sample Questions

Q1) Who advocated the establishment of the Children's Bureau?

A) Lillian Wald

B) Florence Nightingale

C) Florence Kelly

D) Clara Barton

Answer: A

Q2) Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands?

A) Karl Credé

B) Ignaz Semmelweis

C) Louis Pasteur

D) Joseph Lister

Answer: B

Q3) The first White House Conference on Children and Youth was called by President

Answer: Theodore Roosevelt

Theodore Roosevelt called the first White House Conference in 1909.

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Chapter 2: Human Reproductive Anatomy and Physiology

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37 Verified Questions

37 Flashcards

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Sample Questions

Q1) 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

Q2) A nurse is planning to teach couples about the physiology of the sex act.What correct information will the nurse provide?

A) "Fertilization of an ovum requires penetration by several sperm."

B) "An ovum must be fertilized within 24 hours of ovulation."

C) "It takes 4 to 5 days for sperm to reach the fallopian tubes."

D) "Sperm live for only 24 hours following ejaculation."

Answer: B

Q3) What signifies the end of puberty for a male?

A) Facial hair is evident.

B) Erections can be sustained.

C) Ejaculate is greater than 5 mL.

D) Mature sperm are formed.

Answer: D

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Chapter 3: Fetal Development

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) At what point in prenatal development do the lungs begin to produce surfactant?

A) 17 weeks

B) 20 weeks

C) 25 weeks

D) 30 weeks

Answer: C

Q2) The normal volume of amniotic fluid is approximately _______________ mL at 37 weeks' gestation.

Answer: 1000

The volume of amniotic fluid steadily increases from about 30 mL at 10 weeks of pregnancy to 350 mL at 20 weeks.The volume of fluid is about 1000 mL at 37 weeks.In the latter part of pregnancy the fetus may swallow up to 400 mL of amniotic fluid per day and normally excretes urine into the fluid.

Q3) What part of the fetal body derives from the mesoderm?

A) Nails

B) Oil glands

C) Muscles

D) Lining of the bladder

Answer: C

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Page 5

Chapter 4: Prenatal Care and Adaptations to Pregnancy

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) A woman's prepregnant weight is determined to be average for her height.What will the nurse advise the woman regarding recommended weight gain during pregnancy?

A) 10 to 20 pounds

B) 15 to 25 pounds

C) 25 to 35 pounds

D) 28 to 40 pounds

Q2) Fathers go through phases similar to the expectant mother.Place the following phases in order from first to last.Put a comma and space between each answer choice (a,b,c,d,etc.)

A) Focus phase

B) Announcement phase

C) Adjustment phase

Q3) The number of years between menarche and the date of conception is known as ___________________ age.

Q4) The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.

Q5) The patient confesses to eating crushed ice 10 or 12 times daily.The nurse assesses this behavior as __________.

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Page 6

Chapter 5: Nursing Care of Women with Complications

During Pregnancy

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37 Verified Questions

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Sample Questions

Q1) The nurse emphasizes to a patient with a high-risk pregnancy that the impact of such a pregnancy might result in which problems?

A) Disruption of family roles

B) Financial pressures

C) Excessive attachment to infant

D) Frustration with activity restriction

E) Alteration in child care practices

Q2) What situation would concern the nurse about the presence of Rh incompatibility?

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

Q3) The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate.What is the most appropriate nursing intervention?

A) Count respirations and report a rate of less than 12 breaths/min.

B) Count respirations and report a rate of more than 20 breaths/min.

C) Check blood pressure and report a rate of less than 100/60 mm Hg.

D) Monitor urinary output and report a rate of less than 100 mL/hr.

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Chapter 6: Nursing Care of Mother and Infant During Labor and

Birth

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38 Verified Questions

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Sample Questions

Q1) 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

Q2) How should the nurse intervene to relieve perineal bruising and edema following delivery?

A) Place an ice pack on the area for 12 hours.

B) Place a warm pack on the perineal area for 24 hours.

C) Administer aspirin to relieve inflammation.

D) Change the perineal pad frequently.

Q3) Why is the relaxation phase between contractions important?

A) The laboring woman needs to rest.

B) The uterine muscles fatigue without relaxation.

C) The contractions can interfere with fetal oxygenation.

D) The infant progresses toward delivery at these times.

Q4) A nursing student is observing prenatal exams in the office setting.The health care provider informs the student that the fetal position is LSA.The student interprets this as a ____________________ presentation.

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Chapter 7: Nursing Management of Pain During Labor and Birth

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Sample Questions

Q1) A woman in labor will receive general anesthesia prior to cesarean section.The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery.What will this prevent?

A) Nausea and vomiting

B) Vomiting and aspiration

C) Abdominal cramping

D) Intestinal obstruction

Q2) The nurse is providing a conference on nonpharmacological pain control methods.What major advantages of nonpharmacological pain control methods will the nurse include in the presentation?

A) They sedate the mother.

B) They do not slow labor.

C) They do not dull the excitement of the birth experience.

D) They do not have the potential to cause allergic reactions.

E) They do not have to be delayed until labor is well established.

Q3) The massage technique that stimulates the large-diameter fibers in order to block impulses from the small-diameter fibers is ____________________.

Q4) The amount of pain a person is willing to endure is referred to as

Page 9

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Chapter 8: Nursing Care of Women with Complications

During Labor and Birth

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) 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

E) Edematous labia

Q2) An infant is delivered with the use of forceps.What should the nurse assess for in the newborn?

A) Loss of hair from contact with forceps

B) Sacral hematoma

C) Facial asymmetry

D) Shoulder dislocation

Q3) The nurse is administering terbutaline (Brethine)to a pregnant woman to prevent preterm labor.The nurse would assess for which adverse effect?

A) Maternal tachycardia

B) Maternal hypertension

C) Fetal bradycardia

D) Fetal hypokalemia

Q4) _____________________________ is a lower-than-normal amount of amniotic fluid.

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Chapter 9: The Family After Birth

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35 Flashcards

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Sample Questions

Q1) The nurse is assessing a newborn.What sign of hypoglycemia does the nurse record?

A) Increased nasal mucus

B) Increased temperature

C) Active muscle movements

D) High-pitched cry

Q2) After birth,the nurse quickly dries and wraps the newborn in a blanket.How does this action prevent heat loss?

A) Conduction

B) Radiation

C) Evaporation

D) Convection

Q3) In what situation will the physician order RhoGAM?

A) An unsensitized Rh-negative mother has an Rh-positive infant.

B) An Rh-negative mother becomes sensitized.

C) A sensitized infant has a rising bilirubin level.

D) An unsensitized infant exhibits no outward signs.

Q4) The nurse explains that the three infections that are contraindications to breastfeeding are _______________,_______________,and

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Chapter 10: Nursing Care of Women with Complications

After Birth

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) During a postpartum assessment,a woman reports her right calf is painful.The nurse observes edema and redness along the saphenous vein in the right lower leg.Based on this finding,what does the nurse explain 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

Q2) A(n) is a collection of blood within the tissues.

Q3) Three weeks after delivering her first child,a woman tells the nurse,"I waited so long for this baby and now that she is here,I can't believe how different my life is from what I expected." What is the best nursing response to the woman's statement?

A) "How is your partner adjusting to the change?"

B) "I hear this from a lot of first-time mothers."

C) "Have you told anyone else about your feelings?"

D) "Tell me how things are different."

Q4) The nurse explains that a slower than expected return of the uterus to the nonpregnant state is called _______________.

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Chapter 11: The Nurses Role in Womens Health Care

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35 Verified Questions

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Sample Questions

Q1) The nurse tells a woman who is trying to conceive to check her cervical mucus for changes.What will she expect the characteristic of cervical mucus to be a few days before ovulation?

A) Cloudy and tacky

B) Scant and thick

C) Thin and white

D) Clear and slippery

Q2) What might the nurse advise the woman with pelvic floor dysfunction to do for relief of the associated discomfort?

A) Lie down with feet elevated.

B) Practice Kegel exercises.

C) Assume knee-chest position periodically.

D) Perform leg lift exercises.

E) Prevent constipation.

Q3) What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot flashes?

A) "Aerobic exercise helps control hot flashes."

B) "Increase the amount of calcium and vitamin D in your diet."

C) "Dress in layers of cotton clothing."

D) "Drink plenty of fluids, particularly caffeinated beverages."

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Chapter 12: The Term Newborn

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) What noninvasive forms of pain relief might a nurse implement with a newborn?

A) Swaddling

B) Rocking

C) Offering a pacifier

D) Distraction

E) Cuddling

Q2) The nurse is aware that a full-term infant is born with which reflexes?

A) Blinking

B) Sneezing

C) Gagging

D) Sucking

E) Grasping

F)None of above

Q3) The pediatric clinic nurse receives lab results on several newborn patients.Which of the following should be brought to the physician's attention first?

A) White blood cell count of 18,000

B) Hemoglobin of 18.5

C) Hematocrit of 56

D) Bilirubin of 15

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Page 14

Chapter 13: Preterm and Postterm Newborns

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36 Verified Questions

36 Flashcards

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Sample Questions

Q1) The nurse is aware that the preterm infant has an increased tendency to bleed due to deficient levels of ________.

Q2) The nurse in a pediatrician's office is preparing to do a developmental assessment on a 3-month-old infant who was born at 36 weeks.The nurse knows that the infant should be evaluated in what month of achievement to adjust for the preterm birth?

A) 1

B) 2

C) 3

D) 4

Q3) How often will the nurse caring for a preterm infant in an incubator record the temperature of the infant and the incubator?

A) Every hour

B) Every 2 hours

C) Every 4 hours

D) Every 8 hours

Q4) Bronchopulmonary dysplasia is the toxic response of the lung to _______ therapy.

Q5) 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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36 Verified Questions

36 Flashcards

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Sample Questions

Q1) What occurrence results from obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid?

A) Meningitis

B) Meningocele

C) Spina bifida occulta

D) Hydrocephalus

Q2) Parents of a 2-month-old infant with Down syndrome are attending a well visit at the pediatric clinic.What should they be instructed to provide special attention to in regard to the generalized hypotonicity of the child?

A) Preventing hyperthermia

B) Respiratory care

C) Prevention of diarrhea

D) Incontinence care

Q3) The parents of a child diagnosed with cystic fibrosis ask the nurse what caused this disorder.What is the most appropriate response?

A) "Cystic fibrosis is a chromosomal defect."

B) "Cystic fibrosis is a metabolic defect."

C) "Cystic fibrosis is a malformation present at birth."

D) "Cystic fibrosis is a blood disorder."

Page 16

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Chapter 15: An Overview of Growth, Development, and Nutrition

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Sample Questions

Q1) The correct term for the child aged 4 weeks to 1 year is ______________.

Q2) An infant's birth weight is 7 pounds,8 ounces.What can the nurse project the weight to be at 6 months?

A) 12 pounds

B) 15 pounds

C) 18 pounds

D) 22 pounds

Q3) What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old?

A) Completing a 50-piece jigsaw puzzle

B) Looking at a comic book

C) Playing a game of "I Spy" with the nurse

D) Coloring a picture in a coloring book

Q4) __________ refers to standing measurement,whereas _______ refers to measurement while the infant is in a recumbent position.

Q5) The nurse assesses an unmet need in a hospitalized child who clings to his mother as she is about to leave.As described by Maslow,the basic needs that may be unmet in this case are __________ and ___________.

Page 17

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Chapter 16: The Infant

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Sample Questions

Q1) The nurse cautions parents to place their infant in the ______________ position,rather than on his or her stomach,to reduce the risk of sudden infant death syndrome (SIDS).

Q2) A new mother is voicing concern she is breastfeeding her newborn too frequently.How often does the nurse instruct this mother she should expect her newborn to feed?

A) Every 2 to 3 hours

B) Every 4 to 6 hours

C) Every 6 to 8 hours

D) Every 8 to 10 hours

Q3) The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months,when the infant begins to ___________.

Q4) What will the nurse take into consideration when educating parents regarding infant nutrition?

A) Cultural practices

B) Sex of the infant

C) Parental knowledge

D) Infant's developmental level

E) Parent-child interaction

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Chapter 17: The Toddler

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Sample Questions

Q1) Put the developmental milestones in order from first achieved to last achieved. Put a comma and space between each answer choice (a,b,c,d,etc.)

A) Jumps with both feet

B) Holds a cup by the handle

C) Social smile

D) Babbles

E) Understands "no"

Q2) How would the nurse advise a parent who states,"I never know how much food to feed my child"?

A) Serving sizes should not exceed 1 teaspoon of each type of food.

B) Food quantities must be carefully measured to avoid overfeeding.

C) Use 1 tablespoon of each food for each year of age as a guideline.

D) A toddler should eat three balanced meals. Snacks are not necessary.

Q3) What does the nurse consider as an appropriate snack for a 2-year-old child?

A) Hot dog sections

B) Grapes

C) Popcorn

D) Applesauce

Q4) The toddler is in Erikson's stage of

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Chapter 18: The Preschool Child

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Sample Questions

Q1) What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?

A) Have the child take a time-out in the corner for 4 minutes.

B) Spank the child at the time of the incident.

C) Take away television privileges for the day.

D) Send the child to his room for 30 minutes.

Q2) A 3-year-old child,while playing with his favorite toy in the playroom of the pediatric unit,is approached by another child who also wants to play with the same toy.What behavior will the nurse anticipate from this child?

A) Will play well with the other child

B) Will give the toy up and then not play anymore

C) Will become angry and a physical response might ensue

D) Will ignore the toy and go on to something else

Q3) ____________________ _________ is seen in the play of children who pretend that an empty box is a fort; they create a mental image to stand for something that is not there.

Q4) When planning an activity for a 3-year-old,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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Sample Questions

Q1) The school nurse is preserving a tooth that was knocked out on the school playground.What will the nurse be especially careful to do?

A) Wrap the tooth loosely in a clean cloth.

B) Rinse the tooth with alcohol.

C) Handle the tooth only by the crown.

D) Place the tooth in a warm environment.

Q2) A school-age child becomes frustrated with a school assignment and says,"I can't do this!" What is the most developmentally supportive response from the parent?

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 them.

Q3) A seventh-grade girl tells the school nurse that her art teacher,a woman,is her hero.What is the most appropriate interpretation of the girl's comment?

A) The student may be exploring her career options.

B) The comment is cause for concern about sexual abuse.

C) The child may have difficulty interacting with her peers.

D) Hero worship is a normal phenomenon.

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Chapter 20: The Adolescent

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Sample Questions

Q1) The nurse understands that as adolescents strive for individuality,the strongest need of any adolescent in society is that of _______________.

Q2) The nurse knows that an adolescent may find making a career choice difficult because there is less clarity in ______________ roles.

Q3) The school nurse is discussing challenges of the adolescent years with a group of high school students in health class.What challenges toward adolescent development will the nurse include?

A) Developing intimacy

B) Maintaining dependence on parents

C) Searching for identity

D) Adjusting to body changes

E) Establishing future goals

Q4) The general appearance of the adolescent tends to be awkward,that is,long-legged and gangling; this growth characteristic is termed _______________ because different body parts mature at different rates.

Q5) ______________ is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity.

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Page 22

Chapter 21: The Childs Experience of Hospitalization

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Sample Questions

Q1) 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.

Q2) The nurse shares the information and timelines recorded on the interdisciplinary outline of care for a child.What is this document?

A) Clinical pathway

B) Comprehensive nursing care plan

C) Holistic care approach

D) Incorporated cost analysis

Q3) The mother of a hospitalized toddler states,"He cries when I visit.Maybe I should just stay away." What is the nurse's best response?

A) "Perhaps you are right. He only gets upset when you have to leave."

B) "It is important that you are here. This is a common reaction in children when they are separated from their parents."

C) "It might be easier for your child if you would stay with him, but this decision is up to you."

D) "We take good care of him and he seems fine when you are not here."

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Page 23

Chapter 22: Health Care Adaptations for the Child and Family

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Sample Questions

Q1) What intervention should the nurse implement after topical administration of hydrocortisone cream to the buttocks and abdomen of an infant?

A) Diaper the infant snugly with a disposable diaper.

B) Cover the area with a transparent dressing.

C) Apply a cloth diaper.

D) Place the infant on a plastic pad, undiapered.

Q2) When obtaining a urine specimen on an infant,the adhesive of the urine collector is placed between the _____________ and the _________________.

Q3) The nurse instructs the mother of a 2-year-old 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

Q4) The physician has ordered phenytoin syrup 20 mg PO bid for a child who weighs 15 pounds.The PDR states that 10 mg/kg/day is the maximum daily dose.The safe daily dose of this medication is _____ mg.

Page 24

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Chapter 23: The Child with a Sensory or Neurological Condition

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Sample Questions

Q1) An adolescent has just had a generalized seizure and collapsed in the school nurse's office.When should the nurse should call 911?

A) The seizure lasts more than 5 minutes.

B) The child is sleepy and lethargic after the seizure.

C) The child fell at the onset of the seizure.

D) The child is confused and has slurred speech after the seizure.

Q2) What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?

A) Use gestures and signs as much as possible.

B) Let the child's parents communicate for her.

C) Face the child and speak clearly in short sentences.

D) Recognize that the child's ability to communicate will be on a 6-year-old child's level.

Q3) What will the nurse include then documenting a grand mal seizure?

A) Presence of incontinence

B) Current dose of antispasmodic medication

C) Activity level prior to and following seizure

D) Level of consciousness following seizure

E) Length of seizure

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Chapter 24: The Child with a Musculoskeletal Condition

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Sample Questions

Q1) The nurse demonstrates which similarities among all traction devices?

A) Pull the limb into extension

B) Decrease muscle spasm

C) Reduce pain

D) Align two bone fragments

E) Immobilize the limb

Q2) The nurse performing a neurovascular check on a limb in traction would report and document which finding(s)as indicative of altered circulation?

A) Pulse is equal to uncasted limb.

B) Patient is aware of touch and warm and cold application.

C) Limb is cool to the touch.

D) Capillary refill is 5 seconds.

E) Distal limb can flex and extend.

Q3) How does Russell traction provide adequate skin traction?

A) Subluxates the tibia

B) Does not interfere with range of motion

C) Prevents the knee from flexing

D) Supplies continuous pull in two directions

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Chapter 25: The Child with a Respiratory Disorder

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Sample Questions

Q1) 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.

Q2) What classic sign would the nurse,auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?

A) Fine crackles

B) Coarse rhonchi

C) Expiratory wheezing

D) Decreased breath sounds at lung bases

Q3) A toddler must maintain bed rest for the diagnosis of pneumonia.What actions will the nurse implement?

A) Maintain strict bed rest.

B) Consider age.

C) Assess developmental level.

D) Implement light play activities.

E) Provide hypnotic medication as ordered.

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Page 27

Chapter 26: The Child with a Cardiovascular Disorder

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Sample Questions

Q1) What is accurate about the characteristics of high-density lipoproteins (HDLs)?

A) They have high amounts of triglycerides.

B) They have only small amounts of protein.

C) They have little cholesterol.

D) They aid in steroid production.

Q2) What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta?

A) Blood pressure higher on the right side

B) Blood pressure higher on the left side

C) Blood pressure lower in the arms than in the legs

D) Blood pressure lower in the legs than in the arms

Q3) Which congenital cardiac defect(s)cause(s)increased pulmonary blood flow?

A) Atrial septal defects (ASDs)

B) Tetralogy of Fallot

C) Dextroposition of aorta

D) Patent ductus arteriosus

E) Ventricular septal defects (VSDs)

Q4) 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

Organs, or Lymphatic System

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Q1) A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis with severe abdominal pain.Which type of crisis is the child most likely experiencing?

A) Aplastic

B) Hyperhemolytic

C) Vaso-occlusive

D) Splenic sequestration

Q2) What are the classic symptoms of thalassemia major (Cooley's anemia)?

A) Hepatomegaly

B) Jaundice

C) Protruding teeth

D) Pathological fractures

E) Renal failure

Q3) What should the nurse closely assess in a child receiving a transfusion?

A) Fever

B) Lethargy

C) Jaundice

D) Bradycardia

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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Q1) Why are rapid respirations a possible cause of dehydration?

A) They prevent the child from drinking.

B) They increase circulation, thus increasing urine production.

C) They cause evaporation of fluid on the mucous membranes.

D) They often lead to vomiting.

Q2) What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms?

A) Keep children's nails short.

B) Dress child in loose-fitting underwear.

C) Clean the bathroom with bleach solution.

D) Wash bed linens in cold water.

Q3) What interventions will the nurse perform when feeding a child with pyloric stenosis?

A) Give a formula thinned with water.

B) Burp the infant before and during feeding.

C) Give the feeding slowly.

D) Refeed if the infant vomits.

E) Position infant on left side after feeding.

Q4) The nurse explains the medically accepted definition of constipation is fewer than _____ bowel movements in a 2-week period.

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Chapter 29: The Child with a Genitourinary Condition

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Q1) What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid?

A) Contact sports

B) Horseback riding

C) Alcohol

D) Diuretic medications

Q2) What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia?

A) Dairy products

B) Whole-grain cereals

C) Organ meats

D) Bananas

Q3) Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids.What protocol can the nurse encourage to bring about diuresis?

A) Ibuprofen, an anti-inflammatory agent

B) Furosemide (Lasix), a diuretic

C) Ciprofloxacin (Cipro), an antibiotic

D) Cyclophosphamide (Cytoxan), an antisuppressant

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Chapter 30: The Child with a Skin Condition

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Q1) What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane)for her acne?

A) Get a prescription for oral contraceptives.

B) Increase the dose of the present medication.

C) Limit intake of chocolate, cola, and peanuts.

D) Increase exposure to sunlight.

Q2) Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?

A) "I apply the medication after I give my child a bath."

B) "I rub the ointment in a circular motion over the rash."

C) "I increased the amount of cream because the rash was not improving."

D) "I use powder and cornstarch to keep the skin dry."

Q3) What is the appropriate technique for the application of a topical treatment for a child with eczema?

A) Apply skin lotions in a circular motion.

B) Apply prescribed ointments with a gloved hand.

C) Apply as much and as frequently as relieves the symptoms.

D) Choose lanolin-based ointments.

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Chapter 31: The Child with a Metabolic Condition

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Sample Questions

Q1) What is the function of an insulin pump?

A) Releases insulin as blood glucose rises

B) Provides continuous infusion of insulin

C) Decreases need for painful glucose monitoring

D) Delivers a prescribed amount of insulin twice a day

Q2) What would be the most appropriate nursing response to a woman who says,"My sister had a child with Tay-Sachs disease,and I want to know if I could have a child with this condition"?

A) "The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease."

B) "A screening test can be done to determine if you are a carrier of the gene."

C) "The gene for Tay-Sachs disease is transmitted by the father."

D) "The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus."

Q3) The nurse is preparing to administer a long-acting insulin.Which insulin is considered long acting?

A) Lispro

B) Aspart

C) Glargine

D) Regular

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Chapter 32: Childhood Communicable Diseases,

Bioterrorism, Natural Disasters and the Maternal-Child Patient

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Sample Questions

Q1) An 8-year-old asks the nurse how she got the antibodies that kept her from getting whooping cough.What is the nurse's best explanation?

A) "You received borrowed antibodies from another person who had whooping cough."

B) "You were given a tiny case of whooping cough and then you made your own antibodies."

C) "An immunization strengthened antibodies you were born with."

D) "You received only temporary borrowed antibodies and you need to have another shot every 5 years."

Q2) The well-child clinic nurse is preparing to give which immunizations to a healthy 2-month-old?

A) DTaP

B) Hib

C) IPV

D) MMR

E) PCV

Q3) Children are generally more vulnerable to biological warfare,because their ____________________ are not fully developed.

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Chapter 33: The Child with an Emotional or Behavioral Condition

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Sample Questions

Q1) 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

Q2) The nurse explains that use of stimulants will decrease hyperactivity in the autistic child.What is a negative aspect of stimulants?

A) Sedating the child

B) Impairing cognition

C) Causing hypotension

D) Creating fluid retention

Q3) The nurse assists with the intervention of ____________ therapy,which provides a physical and social environment that is stable and therapeutic.

Q4) How is a gateway substance defined?

A) Recreational drug used occasionally

B) Nonaddictive drug used daily

C) Drug used to wean from stronger drugs

D) Substance that can lead to use of stronger drugs

35

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Chapter 34: Complementary and Alternative Therapies in Maternity

and Pediatric Nursing

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Sample Questions

Q1) The nurse clarifies that a person who is ____________ _____________ demonstrates sensitivity and respect for different practices and philosophies.

Q2) A breastfeeding mother tells the nurse she is taking large doses of vitamin C to keep up her energy.What should the nurse warn that large doses of vitamin C can cause in an infant?

A) Diarrhea

B) Jaundice

C) Colic

D) Retinal damage

Q3) A pregnant woman tells the nurse that she got relief from nausea when she had a therapy that involves pressure and massage on meridian sites.What type of therapy does this describe?

A) Acupuncture

B) Acupressure

C) Aromatherapy

D) Ayurveda

Q4) The practice of ____________ is a process of fascia pressure and stretching.

Q5) While taking care of a Navajo child,the nurse welcomes their folk healer,called a

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