Fundamentals of Nursing (Maternity and Pediatrics Section)
Exam Preparation Guide
Course Introduction
This course introduces students to the foundational concepts and practices in maternity and pediatric nursing, focusing on the holistic care of women during pregnancy, childbirth, and the postpartum period, as well as the nursing care of infants, children, and adolescents. Emphasizing the unique physiological and psychosocial needs of mothers and children, the course covers growth and development, family-centered care, health promotion, and the prevention and management of common maternal and pediatric health issues. Students will develop skills in assessment, planning, implementation, and evaluation of nursing interventions, utilizing evidence-based practice and effective communication to support the health and well-being of mothers, children, and families across diverse clinical settings.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 8th Edition by Leifer
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34 Chapters
1027 Verified Questions
1027 Flashcards
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Chapter 1: The Past, Present, and Future
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) 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
Q2) What non-family-centered policies were prevalent in the 1960s? (Select all that apply. )
A) Waiting room for fathers
B) Sedation of mother during labor
C) Delay of reunion of mother and infant
D) Lenient visiting hours
E) Restrictions of visitations by minor children
Answer: A,B,C,E
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Chapter 2: Human Reproductive Anatomy and Physiology
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A 10-year-old girl asks the nurse,"What is the first sign of puberty?" What is the correct nursing response?
A) An increase in height
B) Breast development
C) Appearance of axillary hair
D) The first menstrual period
Answer: B
Q2) The nurse conducting a sex education class for junior high students describes some cultural rites celebrating the entry to adulthood.What information would the nurse include? (Select all that apply. )
A) Bar mitzvah
B) Displays of bravery
C) Receiving part of their inheritance
D) Ritual circumcision
E) Displays of self-defense
Answer: A,B,D,E
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4
Chapter 3: Fetal Development
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus.What vessel(s)carry blood to the fetus?
A) One umbilical vein
B) Two umbilical veins
C) One umbilical artery
D) Two umbilical arteries
Answer: A
Q2) A woman missed her menstrual period 1 week ago and has come to the doctor's office for a pregnancy test.Which placental hormone is measured in pregnancy tests?
A) Progesterone
B) Estrogen
C) Human chorionic gonadotropin
D) Human placental lactogen
Answer: C
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) What nursing interventions are appropriate for the prenatal patient in terms of prenatal care? (Select all that apply. )
A) Offer nutritional counseling.
B) Reinforce responsibility of parenthood.
C) Reduce risk factors.
D) Improve health practices.
E) Make financial arrangements for delivery.
Q2) A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy.She has a 2-year-old son and had one previous spontaneous abortion.How would the nurse document the patient's obstetric history using the TPALM system?
A) Gravida 2,para 20120
B) Gravida 3,para 10011
C) Gravida 3,para 10110
D) Gravida 2,para 11110
Q3) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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Chapter 5: Nursing Care of Women With Complications
During Pregnancy
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse is preparing a pregnant patient for an abdominal ultrasound at 8 weeks' gestation.What intervention will the nurse implement before this diagnostic test?
A) Instruct the patient to take nothing by mouth after midnight the night before the test.
B) Initiate an IV.
C) Encourage the patient to drink 1 to 2 quarts of water before the test.
D) Instruct the patient to remove all jewelry.
Q2) What symptom reported by a pregnant patient would lead the nurse to suspect pyelonephritis?
A) Frequency and urgency of urination
B) Nausea and weight loss
C) Burning sensation when voiding
D) Tenderness in the flank area
Q3) The nurse is caring for a prenatal patient diagnosed with a placenta previa.What is the best position for this patient?
A) Flat on her back with knees flexed to help prevent hemorrhage
B) On her side to prevent supine hypotension
C) In the semi-Fowler's position to prevent supine hypotension
D) In the knee-chest position to reduce pressure on the placenta
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Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who is not certain if she is in true labor.How might the nurse attempt to stimulate cervical effacement and intensify contractions in the patient?
A) By offering the patient warm fluids to drink
B) By helping the patient to ambulate in the room
C) By seating the patient upright in a straight-back chair
D) By positioning the patient on her right side
Q2) What do late decelerations indicate? (Select all that apply. )
A) A nonreassuring pattern
B) Uteroplacental insufficiency
C) Fetal heart depression
D) Cord compression
E) Head compression
Q3) At a prenatal visit,a primigravida asks the nurse how she will know her labor has started.The nurse knows that what indicates the beginning of true labor?
A) Contractions that are relieved by walking
B) Discomfort in the abdomen and groin
C) A decrease in vaginal discharge
D) Regular contractions becoming more frequent and intense
Page 8
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Chapter 7: Nursing Management of Pain During Labor and Birth
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33 Verified Questions
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Sample Questions
Q1) Which are nonpharmacological forms of pain relief? (Select all that apply. )
A) Skin stimulation
B) Diversion and distraction
C) Breathing techniques
D) Exercise
E) Yoga
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? (Select all that apply. )
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) What is the least amount of sensation that one perceives as pain?
A) Tolerance
B) Threshold
C) Level
D) Abatement
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Chapter 8: Nursing Care of Women With Complications
During Labor and Birth
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) During a strenuous labor,the woman asks for some pain remedy for the sudden pain between her scapulae that seems to occur with every breath she takes.What is the best nursing action?
A) Give the pain remedy.
B) Notify the charge nurse immediately.
C) Turn the patient to her back and flex her knees.
D) Suggest that the coach give her a back rub.
Q2) A woman is preparing for administration of a cervical ripening agent.What nursing actions will the nurse anticipate implementing? (Select all that apply. )
A) Insert IV.
B) Record a baseline fetal heart rate.
C) Explain procedure to patient.
D) Instruct patient to ambulate immediately afterward.
E) Ensure a tocolytic is available.
Q3) What nursing assessment should be reported immediately after an amniotomy?
A) Fetal heart rate is regular at 154 beats/minute.
B) Amniotic fluid is clear with flecks of vernix.
C) Amniotic fluid is watery and pale green.
D) Maternal temperature is 37.8° C.
Page 10
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Chapter 9: The Family After Birth
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30 Flashcards
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Sample Questions
Q1) What will the nurse's instructions for a new mother to care for the infant's umbilical cord include?
A) Keeping the area covered with a sterile dressing
B) Dressing the stump with antibiotic ointment at every diaper change
C) Fastening the diaper low to allow for air circulation
D) Giving the newborn a daily tub bath until the cord falls off
Q2) A postpartum woman is not immune to rubella.What will the nurse expect?
A) The rubella virus vaccine should be administered before discharge.
B) The woman should receive the rubella virus vaccine at her 6-week postpartum checkup.
C) The woman should be instructed not to get pregnant until she receives the rubella vaccine.
D) No intervention is indicated at this time because the woman is not at risk for rubella.
Q3) The nurse is counseling a lactating mother about diet.What would the nurse include with this information?
A) Consume 500 more calories than her usual prepregnancy diet.
B) Eat less meat and more fruits and vegetables.
C) Drink 3 to 4 tall glasses of fluid daily.
D) Eat 1000 more calories than her usual prepregnancy diet.
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Page 11
Chapter 10: Nursing Care of Women With Complications
Following Birth
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) After a prolonged labor,a woman vaginally delivered a 10-pound,3-ounce infant boy.What complication should the nurse be alert for in the immediate postpartum period?
A) Cervical laceration
B) Hematoma
C) Endometritis
D) Retained placental fragments
Q2) A nurse is discussing risk factors for postpartum shock with a childbirth preparation class.What will the nurse include in this education session? (Select all that apply. )
A) Hypertension
B) Blood clotting disorders
C) Anemia
D) Infection
E) Postpartum hemorrhage
Q3) The nurse weighs a saturated perineal pad and finds it to weigh 15 grams.The nurse is aware that this indicates a blood loss of _____ mL.
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Chapter 11: The Nurses Role in Womens Health Care
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is discussing cervical mucus changes with a woman who wishes to use natural family-planning methods.What information about cervical mucus at ovulation will the woman indicate to the nurse,demonstrating that learning has taken place?
A) Cervical mucus enhances the motility of the sperm.
B) Cervical mucus indicates endometrial readiness for implantation.
C) Cervical mucus facilitates movement of the ovum through the fallopian tube.
D) Cervical mucus provides vaginal lubrication during intercourse.
Q2) 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
Q3) What should a woman expect after insertion of an intrauterine device (IUD)?
A) Menstrual flow will be lighter.
B) Menstrual cramps will be eliminated.
C) A string should be felt in the vagina.
D) The device should be changed every 2 years.
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Page 13
Chapter 12: The Term Newborn
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse compared the birth weight of a 3-day-old with her current weight and determined the infant had lost weight.What is the most appropriate intervention by the nurse?
A) Do nothing because this is a normal occurrence.
B) Report the discrepancy to the pediatrician immediately.
C) Decrease the interval between the infant's feedings.
D) Try feeding the infant a different type of formula.
Q2) A mother asks the nurse,"Do you think my baby recognized my voice?" The nurse should consider which correct information when responding?
A) Voice recognition is delayed because the ears are not well developed at birth.
B) Infants respond to voice by increasing movements and sucking.
C) Infants initially respond to low-pitched voices.
D) Neonates can distinguish a mother's voice from other sounds in the first days of life.
Q3) What symptom assessed in the newborn shortly after delivery should be reported?
A) Cyanosis of the hands and feet
B) Irregular heart rate
C) Mucus draining from the nose
D) Sternal or chest retractions
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Chapter 13: Preterm and Postterm Newborns
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) What deficiency causes a preterm infant respiratory distress syndrome?
A) Protein
B) Estrogen
C) Hyaline
D) Surfactant
Q2) The nurse is caring for an infant born at 42 weeks.What would the physical assessment reveal?
A) Dry,peeling skin
B) Minimal hair on the head
C) Short,rough nails
D) Abundant lanugo on the body
Q3) The nurse is caring for a woman who gave birth to a preterm infant.The nurse is aware that what are possible causes of preterm delivery? (Select all that apply. )
A) Placenta previa
B) Gestational diabetes
C) Pregnancy-induced hypertension
D) Hyperemesis gravidarum
E) Chloasma
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Chapter 14: The Newborn With a Perinatal Injury or Congenital Malformation
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) 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.
Q2) What nursing action will the nurse implement after feeding an infant with hydrocephalus?
A) Position the infant sitting upright in an infant seat.
B) Place the infant over the shoulder to burp.
C) Leave the infant in a side-lying position.
D) Stimulate the infant by rubbing its feet.
Q3) The nurse is providing care to a child with Down syndrome.What body system has the highest risk of congenital anomaly in a child with Down syndrome?
A) Reproductive system
B) Genitourinary system
C) Cardiovascular system
D) Gastrointestinal system
Page 16
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Chapter 15: An Overview of Growth, Development, and Nutrition
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Sample Questions
Q1) At a well-baby visit,parents of a 6-month-old infant ask when to take the infant for the first dental visit.What is the nurse's best response?
A) "If the teeth are brushed regularly,the child should see a dentist by 3 years of age."
B) "The first dental visit should be arranged after the first tooth erupts."
C) "The child should have a dental examination when all deciduous teeth have erupted."
D) "A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry."
Q2) What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
A) Specific to general
B) Proximodistal
C) Cephalocaudal
D) General to specific
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17
Chapter 16: The Infant
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Sample Questions
Q1) The nurse is assessing a 1-year-old infant in the pediatric office.What finding should the nurse report to the physician immediately?
A) Respiratory rate of 60 breaths/minute
B) Pulse rate of 100 beats/minute
C) Minimal verbalization
D) Fussy behavior
Q2) Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to their child.What is the correct response?
A) "The infant has limited ability to produce red blood cells."
B) "The infant has ineffective digestive enzymes."
C) "The infant has exhausted maternal iron stores."
D) "The infant has need of the iron to support dentition."
Q3) How might the nurse demonstrate the parachute reflex with an infant?
A) Lifting the infant high in the air above her head
B) Holding the infant in a football hold,cradling the head
C) Seating the infant in a stroller in an upright position
D) Placing the infant downward into the crib
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Chapter 17: The Toddler
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27 Flashcards
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Sample Questions
Q1) When selecting a potty chair,the parents are encouraged to select one that has which characteristic(s)? (Select all that apply. )
A) Small enough for the child's feet to touch floor
B) Sturdy and stable
C) Supportive of child's back and arms
D) Made of plastic or fiberglass
E) Capable of being taken apart easily
Q2) The nurse observed three toddlers playing side by side with dolls.Closer observation revealed that the children were not interacting with one another.What type of play is this?
A) Solitary
B) Parallel
C) Associative
D) Cooperative
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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Sample Questions
Q1) Which major developmental tasks will the nurse expect a child to accomplish by the end of the preschool years? (Select all that apply. )
A) Development of parallel play
B) Acceptance of separation
C) Increased communication skills
D) Consistent appetite
E) Control of bodily functions
Q2) What developmental milestone(s)assist the 5-year-old boy toward developing his sexual identity? (Select all that apply. )
A) Begins to be less focused on his mother.
B) Ignores both parents totally.
C) Regresses to a more infantile level.
D) Forms a romantic attachment to the mother.
E) Identifies with the parent of the same sex.
Q3) What fear is unique to the preschool period?
A) Water
B) Animals
C) Bodily harm
D) Death
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Page 20
Chapter 19: The School-Age Child
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Sample Questions
Q1) What is best for the nurse to suggest to the parents of an overweight 9-year-old child to help prevent obesity?
A) Use whole milk as a between-meal snack because it is more filling than skim milk.
B) Feed the child before family meal times to monitor intake more closely.
C) Encourage the child to engage in physical activity for at least an hour a day.
D) Remove all sweets and junk food from the house.
Q2) A parent states,"My 7-year-old really wants a dog.His 10-year-old brother has allergies to animal dander.I don't know what to do." What type of pet should the nurse suggest as the best choice?
A) A small breed of dog because the large dogs produce more allergens.
B) An older unneutered dog that produces fewer allergens than a younger one.
C) A cat because it requires less care and is less allergenic.
D) A poodle,which does not shed,making it a good choice for people with allergies
Q3) The nurse advises the parents of a 6-year-old child to try and ensure at least ______ hours of sleep daily for the child.
Q4) The nurse is aware that by the age of _____,the first permanent teeth erupt.
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Chapter 20: The Adolescent
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Sample Questions
Q1) The school nurse is educating high school students about guidelines to be followed when participating in sports.Which statement by a student alerts the nurse of the need for further information?
A) "I will eat carbohydrates before practice."
B) "I drink large amounts of fluid when working out."
C) "I wear protective gear every time I play sports."
D) "I avoid caffeine when participating in sports."
Q2) What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game?
A) A cheeseburger and soda
B) A hot fudge sundae
C) Two sausage and egg breakfast sandwiches and orange juice
D) A bagel and skim milk
Q3) A 13-year-old girl tells the nurse she is concerned because she has not had her first menstrual period.What is the best initial response from the nurse?
A) "Your hormone levels may be irregular."
B) "Could you be pregnant?"
C) "Age of first menstrual cycle varies."
D) "Do not worry about it."
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Page 22
Chapter 21: The Childs Experience of Hospitalization
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Sample Questions
Q1) What should the nurse,preparing to collect an admission history from parents who have recently emigrated from Russia,keep in mind?
A) Eye-to-eye contact is considered disrespectful.
B) Touching the child's head means the nurse is superior.
C) Smiling is inappropriate in a serious situation.
D) Staring is a sign of the nurse's rudeness.
Q2) The pediatric nurse is caring for a child that weighs 15 kg and calls the physician for an order for acetaminophen for pain control.What is the maximum amount of medication per dose the nurse anticipates ordering?
A) 100 mg
B) 150 mg
C) 225 mg
D) 250 mg
Q3) Which nursing action would facilitate rapport with a child and the child's parents during the admission process?
A) Direct the parents to undress the child.
B) Answer questions in a calm and matter-of-fact way.
C) Perform assessments and ask questions as quickly as possible.
D) Express concern about the seriousness of the child's condition.
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Page 23
Chapter 22: Health Care Adaptations for the Child and Family
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Sample Questions
Q1) A 4-year-old child asks tearfully if the IM injection will hurt.What is the nurse's most effective response?
A) "No.It is over before you know it."
B) "Yes.It will sting a little."
C) "No.Would you like to see the syringe?"
D) "Yes.Your mom and I are going to hold you to help you be still."
Q2) A 15-year-old patient returns to the pediatric unit following a lumbar puncture.What initial position will the nurse maintain for this patient?
A) Left side-lying
B) Supine
C) Prone
D) Semi-Fowler's
Q3) 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
Page 24
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Chapter 23: The Child With a Sensory or Neurological Condition
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Sample Questions
Q1) A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space.Of which type of seizure is this behavior a characteristic?
A) Absence
B) Akinetic
C) Myoclonic
D) Complex partial
Q2) A parent comments that her infant has had several ear infections in the past few months.Why are infants more susceptible to otitis media?
A) Infants are in a supine or prone position most of the time.
B) Sucking on a nipple creates middle ear pressure.
C) They have increased susceptibility to upper respiratory tract infections.
D) The Eustachian tube is short,straight,and wide.
Q3) What would the nurse include in teaching when preparing to teach parents about air travel instructions to prevent barotrauma in infants?
A) Using ear plugs during takeoff
B) Omitting the meal just before takeoff
C) Letting the infant nurse during descent
D) Applying ear drops before takeoff
Page 25
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Chapter 24: The Child With a Musculoskeletal Condition
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Sample Questions
Q1) The nurse is reviewing the characteristics of Ewing's sarcoma.Which statement if made by the nurse indicates correct understanding of this disease?
A) "Amputation is the accepted treatment."
B) "The disease is sensitive to radiation and chemotherapy."
C) "Metastasis is rare."
D) "The disease is more prevalent among toddlers and preschoolers."
Q2) How does the pediatric skeletal system differ from that of the adult? (Select all that apply. )
A) Lower mineral content
B) More ossification
C) Open epiphyses
D) Less porosity
E) Greater strength
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) The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder.What does this prevent?
A) Discoloration of tooth enamel
B) Halitosis
C) Irritation of oral membranes
D) Candidiasis
Q2) The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely.What does the nurse recognize as the cause of these symptoms?
A) Severe asthma attack
B) Allergic response to theophylline
C) Onset of bronchitis
D) Drug toxicity
Q3) Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?
A) Take the child outside in the cool air.
B) Bring the child directly to the emergency department.
C) Take the child to the bathroom and turn on a hot shower.
D) Have the child drink plenty of fluids.
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Chapter 26: The Child With a Cardiovascular Disorder
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Sample Questions
Q1) The nurse is caring for a child with a diagnosis of Kawasaki disease.The child's parent asks the nurse,"How does Kawasaki disease affect my child's heart and blood vessels?"
On what understanding is the nurse's response based?
A) Inflammation weakens blood vessels,leading to aneurysm.
B) Increased lipid levels lead to the development of atherosclerosis.
C) Untreated disease causes mitral valve stenosis.
D) Altered blood flow increases cardiac workload with resulting heart failure.
Q2) An infant with congestive heart failure is receiving digoxin (Lanoxin).What does the nurse recognize as a sign of digoxin toxicity?
A) Restlessness
B) Decreased respiratory rate
C) Increased urinary output
D) Vomiting
Q3) 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.
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Chapter 27: The Child With a Condition of the Blood, Blood-Forming
Organs, or Lymphatic System
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Q1) The family of a child receiving chemotherapy for leukemia should be taught to focus on which aspect(s)of the child's care? (Select all that apply. )
A) Using a support group
B) Stimulating appetite
C) Maintaining adequate hydration
D) Continuing with scheduled immunizations
E) Reporting exposure to infectious diseases
Q2) What is the result of a deficiency of factor IX?
A) Thalassemia
B) Idiopathic thrombocytopenic purpura
C) Hemophilia A
D) Christmas disease
Q3) A child has just been diagnosed with acute lymphoblastic leukemia.What is the result of an overproduction of immature white blood cells in the bone marrow?
A) Decreased T-cell production
B) Decreased hemoglobin
C) Increased blood clotting
D) Increased susceptibility to infection
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Chapter 28: The Child With a Gastrointestinal Condition
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38 Verified Questions
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Q1) The nurse explains the medically accepted definition of constipation is fewer than _____ bowel movements in a 2-week period.
Q2) Which finding in a newborn is suggestive of tracheoesophageal fistula?
A) Failure to pass meconium in 24 hours
B) Choking on the first feeding
C) Palpable mass in the sternal area
D) Visible peristalsis across abdomen
Q3) A mother reports that her 2-year-old child experiences constipation frequently.Which food would the nurse recommend to include in the child's diet?
A) Cooked vegetables
B) Pretzels
C) Whole-grain cereal
D) Yogurt
Q4) Which statement by a mother may indicate a cause of her son's vitamin C deficiency?
A) "We get our fruits from homemade preserves."
B) "We use milk from our own goats."
C) "We grow all our own vegetables."
D) "We're not big meat eaters."
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Chapter 29: The Child With a Genitourinary Condition
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29 Verified Questions
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Q1) What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
A) Infection
B) Urinary retention
C) Easy bruising
D) Hypoglycemia
Q2) What special considerations are related to long-term prednisone therapy in preschoolers? (Select all that apply. )
A) Delayed immunization
B) Hypertension
C) Enlargement of the sex organs
D) Alteration in nutrition
E) Increased risk for infection
Q3) A 6-year-old child with daytime enuresis complains of dysuria and urgency.What does the nurse recognize these signs and symptoms indicate?
A) Urinary tract infection
B) Nephrotic syndrome
C) Acute glomerulonephritis
D) Vesicoureteral reflux
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Chapter 30: The Child With a Skin Condition
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36 Verified Questions
36 Flashcards
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Q1) A child had a burn,evidenced by pink skin and blistering.The child complains of pain and is crying.How does the nurse classify this burn when documenting?
A) First-degree
B) Second-degree superficial
C) Second-degree deep dermal
D) Third-degree
Q2) Parents of a child show the nurse that their child has a flat strawberry nevus.What information can the nurse provide in educating the parents regarding strawberry nevus?
(Select all that apply. )
A) It is a rare skin variation.
B) It is harmless.
C) It gradually becomes raised.
D) Laser treatment is available.
E) Sometimes it can disappear spontaneously.
Q3) What should the nurse stress to the mother of a child with impetigo?
A) The condition is caused by the herpes simplex virus type I.
B) The crusts on the lesions should be left in place.
C) The lesions may spread,but the disease is not contagious.
D) Small cuts and bites should be treated promptly.
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Chapter 31: The Child With a Metabolic Condition
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Q1) Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM,the child is complaining of hunger and thirst and is drowsy at 10:30 AM.What should the nurse do first?
A) Walk the patient in the hall for 10 minutes.
B) Allow the patient a short nap.
C) Give her a cup of orange juice.
D) Test her blood with a glucometer and give insulin according to the sliding scale.
Q2) What condition does the nurse suspect when a child with type 1 diabetes mellitus has hyperglycemia,diaphoresis,and headaches in the morning?
A) Dawn phenomenon
B) Somogyi phenomenon
C) Honeymoon effect
D) Ketoacidosis
Q3) What occurs as a result of an inadequate secretion of insulin?
A) Protein synthesis is increased.
B) Increased fat breakdown leads to ketonemia.
C) Serum glucose levels are markedly decreased.
D) More rapid conversion and storage of carbohydrates to glucose occurs.
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Chapter 32: Childhood Communicable Diseases,
Bioterrorism, Natural Disasters, and the Maternalchild
Patient
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Q1) A 10-year-old child is diagnosed with hepatitis A.What is the most likely way the child contracted this disease?
A) Came in contact with infected blood.
B) Came in contact with droplets in the air.
C) Was bitten by a mosquito or a tick.
D) Ate shrimp while in Mexico.
Q2) A child was sent to the school nurse because of a rash.The nurse noted the rash was present on the trunk,extremities,and face.The child's cheeks were bright red.With what is the nurse aware this type of rash is consistent?
A) Measles
B) Roseola
C) Varicella
D) Fifth disease
Q3) What statement leads the nurse to determine that a child's parent understands information related to tick bites?
A) "I'll have my son wear dark clothing on his hike."
B) "We should all get the Lyme disease vaccine before our trip."
C) "I'll get a prescription for amoxicillin to take with us."
D) "We will wear long pants and long-sleeved shirts in the woods."
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Chapter 33: The Child With an Emotional or Behavioral Condition
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Q1) What would be the appropriate response to an adolescent who states,"This has been the worst day of my life?"
A) "You should focus your mind on positive thoughts."
B) "Everybody has a bad day now and then."
C) "You're young.What could be so terrible?"
D) "Tell me about the worst day of your life."
Q2) The nurse is planning the care of an adolescent with anorexia nervosa.What characteristic(s)cause this disorder? (Select all that apply. )
A) Discomfort relative to emerging sexuality
B) Fear of intimacy
C) Pervasive high self-esteem
D) Egocentricity
E) Inability to meet developmental needs
Q3) How would the nurse identify a member of the child guidance team who is a medical doctor with special training in psychoanalytic theory?
A) Psychiatrist
B) Psychoanalyst
C) Psychologist
D) Counselor
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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Q1) A young mother asks,"Is there an alternative medicine for children with asthma?" Which form of alternative medicine would be the most helpful for the nurse to suggest?
A) Reflexology
B) Rolfing
C) Guided imagery
D) Acupressure
Q2) A woman taking St.John's wort and ginseng daily is scheduled to have a hysterectomy in 3 weeks.What instruction should the nurse provide?
A) The herbs are not likely to cause any problems during the surgery.
B) The St.John's wort must be stopped prior to surgery,but she can continue the ginseng.
C) The ginseng should be stopped 1 week before surgery.
D) She should discontinue taking both herbs 2 weeks before surgery.
Q3) What is the difference between complementary therapy and alternative therapy?
A) Complementary therapy must be administered by a medical doctor.
B) Complementary therapy is administered with conventional therapy.
C) Complementary therapy replaces conventional therapy.
D) Complementary therapy is administered to a group of patients at the same time.
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