Maternal and Child Health Nursing Exam Preparation Guide
Course Introduction
Maternal and Child Health Nursing is a specialized course that explores the principles and practices involved in the care of women during pregnancy, childbirth, and the postpartum period, as well as the health and development of infants and children. The course covers topics such as prenatal care, labor and delivery, newborn assessment, growth and development milestones, common childhood illnesses, and family-centered care. Students will learn to apply evidence-based nursing interventions to promote the physical, emotional, and social well-being of mothers and children, and understand the importance of health education, prevention strategies, and community resources in maternal and child health.
Recommended Textbook Wongs Nursing Care of Infants and Children 10th Edition by Hockenberry
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35 Chapters
1814 Verified Questions
1814 Flashcards
Source URL: https://quizplus.com/study-set/256
Page 2
Chapter 1: Perspectives of Pediatric Nursing
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4161
Sample Questions
Q1) The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to ensure atraumatic care?
A) Limit explanation of procedures because the child is preschool aged.
B) Ask that all family members leave the room when performing procedures.
C) Allow the child to choose the type of juice to drink with the administration of oral medications.
D) Explain that EMLA cream cannot be used for the morning lab draw because there is not time for it to be effective.
Answer: C
Q2) The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking?
A) Preschool
B) Young school age
C) Middle school age
D) Adolescent
Answer: A
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3
Chapter 2: Social, Cultural, Religious, and Family Influences on Child Health Promotion
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Which type of family should the nurse recognize when the paternal grandmother, the parents, and two minor children live together?
A) Blended
B) Nuclear
C) Extended
D) Binuclear
Answer: C
Q2) Which is an accurate description of homosexual (or gay-lesbian) families?
A) A nurturing environment is lacking.
B) The children become homosexual like their parents.
C) The stability needed to raise healthy children is lacking.
D) The quality of parenting is equivalent to that of nongay parents.
Answer: D
Q3) Which type of family should the nurse recognize when a mother, her children, and a stepfather live together?
A) Traditional nuclear
B) Blended
C) Extended
D) Binuclear
Answer: B
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Chapter 3: Hereditary Influences on Health Promotion of the
Child and Family
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which is a sex chromosome abnormality that is caused by the presence of one or more additional X chromosomes in a male?
A) Turner
B) Triple X
C) Klinefelter
D) Trisomy 13
Answer: C
Q2) Which can be directly attributed to a single-gene disorder? (Select all that apply.)
A) Cleft lip
B) Cystic fibrosis
C) Turner syndrome
D) Klinefelter syndrome
E) Neurofibromatosis
Answer: B, E
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Chapter 4: Communication, Physical, and Developmental Assessment
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation?
A) Palpate another area simultaneously.
B) Ask the child not to laugh or move if it tickles.
C) Begin with deeper palpation and gradually progress to superficial palpation.
D) Have the child "help" with palpation by placing his or her hand over the palpating hand.
Q2) The nurse has just started assessing a young child who is febrile and appears ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action?
A) Ask the parent when the neck was injured.
B) Refer for immediate medical evaluation.
C) Continue assessment to determine the cause of the neck pain.
D) Record "head lag" on the assessment record and continue the assessment of the child.
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6
Chapter 5: Pain Assessment and Management in Children
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A health care provider prescribes promethazine (Phenergan), 9 mg IV every 6 to 8 hours as needed for pruritus. The medication label states: "Promethazine 25 mg/1 mL." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer using two decimal places.
Q2) Which is the most consistent and commonly used data for assessment of pain in infants?
A) Self-report
B) Behavioral
C) Physiologic
D) Parental report
Q3) A child is in the intensive care unit after a motor vehicle collision. The child has numerous fractures and is in pain that is rated 9 or 10 on a 10-point scale. In planning care, the nurse recognizes that the indicated action is which?
A) Give only an opioid analgesic at this time.
B) Increase dosage of analgesic until the child is adequately sedated.
C) Plan a preventive schedule of pain medication around the clock.
D) Give the child a clock and explain when she or he can have pain medications.
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Chapter 6: Childhood Communicable and Infectious Diseases
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) The clinic nurse is assessing a child with a heavy ascariasis lumbricoides (common roundworm) infection. Which assessment findings should the nurse expect? (Select all that apply.)
A) Anemia
B) Anorexia
C) Irritability
D) Intestinal colic
E) Enlarged abdomen
Q2) The clinic nurse is assessing a child with bacterial conjunctivitis (pink eye). Which assessment findings should the nurse expect? (Select all that apply.)
A) Itching
B) Swollen eyelids
C) Inflamed conjunctiva
D) Purulent eye drainage
E) Crusting of eyelids in the morning
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Chapter 7: Health Promotion of the Newborn and Family
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4167
Sample Questions
Q1) What is the grayish white, cheeselike substance that covers the newborn's skin?
A) Milia
B) Meconium
C) Amniotic fluid
D) Vernix caseosa
Q2) The nurse is instructing a new mother on safety measures for newborn abduction. Which should the nurse include in the instructions? (Select all that apply.)
A) Publish the birth announcement in your local newspaper.
B) Don't relinquish the newborn to anyone without identification.
C) Keep your door open if the newborn is in the room while you shower.
D) Use a password system with the staff when the newborn is taken from the room.
E) When you use the restroom, ring for a nurse to stay in the room with your newborn.
Q3) The nurse is assessing the reflexes of a newborn. Stroking the outer sole of the foot assesses which reflex?
A) Grasp
B) Perez
C) Babinski
D) Dance or step
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9
Chapter 8: Health Problems of Newborns
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?
A) Initiating discharge teaching
B) Performing baseline physical and behavioral assessment
C) Observing for allergic reactions to preoperative antibiotics
D) Determining whether this defect exists in other family members
Q2) A pregnant client asks the nurse to explain the meaning of "cephalopelvic disproportion." Which explanation should the nurse give to the client?
A) "It means a large for gestational age fetus."
B) "It is the narrow opening between the ischial spines."
C) "There is an uneven size between the fetus' presenting part and the pelvis."
D) "The shape of the pelvis is an android shape and is unfavorable for vaginal delivery."
Q3) Craniosynostosis resulting in a prominent forehead
A)Crouzon syndrome
B)Apert syndrome
C)Treacher Collins syndrome
D)Pierre Robin sequence
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Chapter 9: The High-Risk Newborn and Family
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) The home care nurse is visiting a 6-month-old infant with bronchopulmonary dysplasia (BPD). The nurse assesses the child for which signs of overhydration? (Select all that apply.)
A) Edema
B) Serum sodium of 140 mEq/L
C) Urine specific gravity of 1.008
D) Weight gain of 1 lb in 1 week
Q2) Parents of an infant born at 36 weeks' gestation ask the nurse, "Will our infant need a car seat trial before being discharged?" What is the nurse's best response?
A) "Yes, to see if the car seat is the appropriate size."
B) "Yes, to determine if blanket rolls will be needed."
C) "No, your infant was old enough at birth to not need a trial."
D) "Yes, to monitor for possible apnea and bradycardia while in the seat."
Q3) What is most descriptive of the signs observed in neonatal sepsis?
A) Seizures
B) Sudden hyperthermia
C) Decreased urinary output
D) Subtle, vague, and nonspecific physical signs
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11
Chapter 10: Health Promotion of the Infant and Family
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4170
Sample Questions
Q1) The nurse is providing anticipatory guidance to the parents of a 1-month-old infant on preventing a suffocation injury. Which should the nurse include in the teaching? (Select all that apply.)
A) Do not place pillows in the infant's crib.
B) Crib slats should be 4 inches or less apart.
C) Keep all plastic bags stored out of the infant's reach.
D) Plastic over the mattress is acceptable if it is covered with a sheet.
E) A pacifier should not be tied on a string around the infant's neck.
Q2) The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her?
A) Fluids in addition to breast milk are not needed.
B) Water should be given if the infant seems to nurse longer than usual.
C) Clear juices are better than water to promote adequate fluid intake.
D) Water once or twice a day will make up for losses resulting from environmental temperature.
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12
Chapter 11: Health Problems of the Infant
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/4171
Sample Questions
Q1) The nurse is interviewing the parents of a 4-month-old boy brought to the hospital emergency department. The infant is dead, and no attempt at resuscitation is made. The parents state that the baby was found in his crib with a blanket over his head, lying face down in bloody fluid from his nose and mouth. The nurse might initially suspect his death was caused by what?
A) Suffocation
B) Child abuse
C) Infantile apnea
D) Sudden infant death syndrome (SIDS)
Q2) Where do eczematous lesions most commonly occur in an infant?
A) Abdomen, cheeks, and scalp
B) Buttocks, abdomen, and scalp
C) Back and flexor surfaces of the arms and legs
D) Cheeks and extensor surfaces of the arms and legs
Q3) A health care provider prescribes vitamin D supplements, 300 IU orally, daily. The medication label states: "Vitamin D 1000 IU/10 ml." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number.
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Page 13
Chapter 12: Health Promotion of the Toddler and Family
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/4172
Sample Questions
Q1) Parents ask the nurse for strategies to help their toddler adjust to a new baby. What should the nurse suggest?
A) Start talking about the baby very early in the pregnancy.
B) Move the toddler to a new bed after the baby comes home.
C) Tell the toddler that a new playmate will be coming home soon.
D) Alert visitors to the new baby to include the toddler in the visit.
Q2) The nurse is preparing to administer some iron drops to a toddler. Which factor can increase iron absorption? (Select all that apply.)
A) Vitamin A
B) Acidity (low pH)
C) Phosphates (milk)
D) Malabsorptive disorders
E) Ascorbic acid (Vitamin C)
Q3) Exclude meat and eggs but drink milk
A)Lacto-ovo vegetarians
B)Lactovegetarians
C)Pure vegetarians (vegans)
D)Macrobiotics
E)Semi-vegetarians
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Page 14
Chapter 13: Health Promotion of the Preschooler and Family
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4173
Sample Questions
Q1) What signals the resolution of the Oedipus or Electra complex?
A) Learns sex differences
B) Learns sexually appropriate behavior
C) Identifies with the same-sex parent
D) Has guilt over feelings toward the father or mother
Q2) The nurse is planning to bring a preschool child a toy from the playroom. What toy is appropriate for this age group?
A) Building blocks
B) A 500-piece puzzle
C) Paint by number picture
D) Farm animals and equipment
Q3) What is the reason pedestrian motor vehicle injuries increase in the preschool age?
(Select all that apply.)
A) Riding tricycles
B) Running after balls
C) Playing in the street
D) Crossing streets at the crosswalk
E) Crossing streets with an adult
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15
Chapter 14: Health Problems of Early Childhood
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A child is admitted with a suspected diagnosis of Munchausen syndrome by proxy (MSBP). What is an important consideration in the care of this child?
A) Monitoring the parents whenever they are with the child
B) Reassuring the parents that the cause of the disorder will be found
C) Teaching the parents how to obtain necessary specimens
D) Supporting the parents as they cope with diagnosis of a chronic illness
Q2) What identified characteristics occur more frequently in parents who abuse their children? (Select all that apply.)
A) Older parents
B) Socially isolated
C) Middle class parents
D) Single-parent families
E) Few supportive relationships
Q3) What is probably the most important criterion on which to base the decision to report suspected child abuse?
A) Inappropriate response of child
B) Inappropriate parental concern for the degree of injury
C) Absence of parents for questioning about child's injuries
D) Incompatibility between the history and injury observed
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Page 16
Chapter 15: Health Promotion of the School-Age Child and Family
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/4175
Sample Questions
Q1) The school nurse has been asked to begin teaching sex education in the fifth grade. What should the nurse recognize?
A) Questions need to be discouraged in this setting.
B) Most children in the fifth grade are too young for sex education.
C) Sexuality is presented as a normal part of growth and development.
D) Correct terminology should be reserved for children who are older.
Q2) The American Academy of Pediatrics (AAP) recommends that children younger than the age of 16 years be prohibited from participating in what?
A) Skateboarding
B) Snowmobiling
C) Trampoline use
D) Horseback riding
Q3) Characteristics of bullies include what? (Select all that apply.)
A) Female
B) Depressed
C) Good peer relationships
D) Poor academic performance
E) Exposed to domestic violence
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Chapter 16: Health Problems of the School-Age Child
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4176
Sample Questions
Q1) The nurse is explaining the purpose of using a vacuum-assisted closure (VAC) device to assist in the healing of a wound. What should the nurse explain as the purpose of using a VAC device?
A) The device will decrease capillary flow.
B) The device applies gentle continuous suction.
C) The device will allow the wound to remain open.
D) The device will prevent the formation of granulation tissue.
Q2) A child has had contact with some poison ivy. The school nurse understands that the full-blown reaction should be evident after how many days?
A) 1 day
B) 2 days
C) 3 days
D) 4 days
Q3) Forcible pulling out or extraction of tissue
A)Abrasion
B)Avulsion
C)Laceration
D)Incision
E)Puncture
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Page 18
Chapter 17: Health Promotion of the Adolescent and Family
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/4177
Sample Questions
Q1) The school nurse recognizes that pubertal delay in girls is considered if breast development has not occurred by which age?
A) 10 years
B) 11 years
C) 12 years
D) 13 years
Q2) A 16-year-old adolescent boy tells the school nurse that he is gay. The nurse's response should be based on what?
A) He is too young to have had enough sexual activity to determine this.
B) The nurse should feel open to discussing his or her own beliefs about homosexuality.
C) Homosexual adolescents do not have concerns that differ from those of heterosexual adolescents.
D) It is important to provide a nonthreatening environment in which he can discuss this.
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Chapter 18: Health Problems of the Adolescent
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/4178
Sample Questions
Q1) The school nurse suspects a testicular torsion in a young adolescent student. What action should the nurse take?
A) Place a warm moist pack on the scrotal area.
B) Instruct the adolescent to lie down and elevate the legs.
C) Refer the adolescent for immediate medical evaluation.
D) Suggest that the adolescent wear a scrotum-protecting guard.
Q2) The nurse's role in facilitating successful childrearing in unmarried teenage mothers includes what?
A) Facilitating marriage between the mother and father of the baby
B) Teaching the adolescent the long-term needs of the growing child
C) Providing information and feedback about positive parenting skills
D) Encouraging the infant's grandmother to take responsibility for care
Q3) What is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?
A) Level of stress
B) Social isolation
C) Degree of depression
D) Desire to punish others
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Chapter 19: Family-Centered Care of the Child with Chronic Illness
or Disability
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4179
Sample Questions
Q1) The parents of a child on a ventilator tell the nurse that their insurance company wants the child to be discharged. They explain that they do not want the child home "under any circumstances." What principle should the nurse consider when working with this family?
A) Desire to have the child home is essential to effective home care.
B) Parents should not be expected to care for a technology-dependent child.
C) Having a technology-dependent child at home is better for both the child and the family.
D) Parents are not part of the decision-making process because of the costs of hospitalization.
Q2) A 5-year-old child will be starting kindergarten next month. She has cerebral palsy, and it has been determined that she needs to be in a special education classroom. Her parents are tearful when telling the nurse about this and state that they did not realize her disability was so severe. What is the best interpretation of this situation?
A) This is a sign the parents are in denial.
B) This is a normal anticipated time of parental stress.
C) The parents need to learn more about cerebral palsy.
D) The parents' expectations are too high.
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Chapter 20: Family-Centered Palliative Care
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/4180
Sample Questions
Q1) The nurse understands that a school-age child may react to death with what reaction?
A) Joking
B) Having no reaction
C) Fearing the unknown
D) Seeing it as a distant event
Q2) When communicating with dying children, what should the nurse remember?
A) Adolescent children tend to be concrete thinkers.
B) Games, art, and play provide a good means of expression.
C) When children can recite facts, they understand the implications of those facts.
D) If children's questions direct the conversation, the assessment will be incomplete.
Q3) What characterizes a preschooler's concept of death? (Select all that apply.)
A) Belief their thoughts can cause death.
B) They have a concrete understanding of death.
C) Death is seen as temporary and gradual.
D) Death is seen as a departure, a kind of sleep.
E) They usually have some sense of the meaning of death.
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22
Chapter 21: The Child with Cognitive, Sensory, or Communication Impairment
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The nurse should suspect a hearing impairment in an infant who fails to demonstrate which behavior?
A) Babbling by age 12 months
B) Eye contact when being spoken to
C) Startle or blink reflex to sound
D) Gesturing to indicate wants after age 15 months
Q2) A newborn assessment shows a separated sagittal suture, oblique palpebral fissures, a depressed nasal bridge, a protruding tongue, and transverse palmar creases. These findings are most suggestive of which condition?
A) Microcephaly
B) Cerebral palsy
C) Down syndrome
D) Fragile X syndrome
Q3) Secondary prevention for cognitive impairment includes what activity?
A) Genetic counseling
B) Avoidance of prenatal rubella infection
C) Preschool education and counseling services
D) Newborn screening for treatable inborn errors of metabolism
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Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Two hospitalized adolescents are playing pool in the activity room. Neither of them seems enthusiastic about the game. How should the nurse interpret this situation?
A) Playing pool requires too much concentration for this age group.
B) Pool is an activity better suited for younger children.
C) The adolescents may be enjoying themselves but have lower energy levels than healthy children.
D) The adolescents' lack of enthusiasm is one of the signs of depression.
Q2) What nursing interventions should the nurse plan for a hospitalized toddler to minimize fear of bodily injury? (Select all that apply.)
A) Perform procedures slowly.
B) Maintain parent-child contact.
C) Use progressively smaller dressings on surgical incisions.
D) Tell the child bleeding will stop after the needle is removed.
E) Remove a dressing as quickly as possible from surgical incisions.
Q3) What choice of words or phrases would be inappropriate to use with a child?
A) "Rolling bed" for "stretcher"
B) "Special medicine" for "dye"
C) "Make sleepy" for "deaden"
D) "Catheter" for "intravenous"
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Chapter 23: Pediatric Nursing Interventions and Skills
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53 Verified Questions
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Sample Questions
Q1) The nurse has just collected blood by venipuncture in the antecubital fossa. What should the nurse do next?
A) Keep the child's arm extended while applying a Band-Aid to the site.
B) Keep the child's arm extended and apply pressure to the site for a few minutes.
C) Apply a Band-Aid to the site and keep the arm flexed for 10 minutes.
D) Apply a gauze pad or cotton ball to the site and keep the arm flexed for several minutes.
Q2) A bone marrow biopsy will be performed on a 7-year-old girl. She wants her mother to hold her during the procedure. How should the nurse respond?
A) Holding your child is unsafe.
B) Holding may help your child relax.
C) Hospital policy prohibits this interaction.
D) Holding your child is unnecessary given the child's age.
Q3) At which age should a nurse keep teaching time short (5 minutes)?
A) Infant
B) Toddler
C) Preschool
D) School age
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Chapter 24: The Child with Fluid and Electrolyte Imbalance
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65 Verified Questions
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Sample Questions
Q1) What consideration is important for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns?
A) Apply topical medication with clean hands.
B) Wash hands and forearms before and after dressing change.
C) If dressings have adhered to the wound, soak in hot water before removal.
D) Apply dressing so that movement is limited during the healing process.
Q2) What is the required number of milliliters of fluid needed per day for a 14-kg child?
A) 800
B) 1000
C) 1200
D) 1400
Q3) What flush solution is recommended for intravenous catheters larger than 24 gauge?
A) Saline
B) Heparin
C) Alteplase
D) Heparin and saline combination
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Chapter 25: The Child with Renal Dysfunction
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67 Verified Questions
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Sample Questions
Q1) What nursing consideration is most important when caring for a child with end-stage renal disease (ESRD)?
A) Children with ESRD usually adapt well to minor inconveniences of treatment.
B) Children with ESRD require extensive support until they outgrow the condition.
C) Multiple stresses are placed on children with ESRD and their families until the illness is cured.
D) Multiple stresses are placed on children with ESRD and their families because children's lives are maintained by drugs and artificial means.
Q2) What signs and symptoms are indicative of a urinary tract disorder in the neonatal period (birth to 1 month)? (Select all that apply.)
A) Edema
B) Bradypnea
C) Frequent urination
D) Poor urinary stream
E) Failure to gain weight
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Chapter 26: The Child with Gastrointestinal Dysfunction
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72 Verified Questions
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Sample Questions
Q1) A toddler's mother calls the nurse because she thinks her son has swallowed a button type of battery. He has no signs of respiratory distress. The nurse's response should be based on which premise?
A) An emergency laparotomy is very likely.
B) The location needs to be confirmed by radiographic examination.
C) Surgery will be necessary if the battery has not passed in the stool in 48 hours.
D) Careful observation is essential because an ingested battery cannot be accurately detected.
Q2) The mother of a child with cognitive impairment calls the nurse because her son has been gagging and drooling all morning. The nurse suspects foreign body ingestion. What physiologic occurrence is most likely responsible for the presenting signs?
A) Gastrointestinal perforation may have occurred.
B) The object may have been aspirated.
C) The object may be lodged in the esophagus.
D) The object may be embedded in stomach wall.
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Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
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45 Verified Questions
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Sample Questions
Q1) The nurse is caring for a child on oxygen being delivered by a nasal cannula. What is the advantage of delivering oxygen in this manner?
A) It can deliver mist if desired.
B) It is less likely to cause abdominal distention.
C) The child is able to eat and talk while getting oxygen.
D) This method can deliver a higher concentration of oxygen.
Q2) What is the best explanation for using pulse oximetry on young children to determine oxygen saturation?
A) Pulse oximetry is noninvasive.
B) Pulse oximetry is better than capnography.
C) Pulse oximetry is more accurate than arterial blood gases.
D) Pulse oximetry provides intermittent measurements of oxygen.
Q3) Effective cardiopulmonary resuscitation (CPR) on a 5-year-old child should include what technique?
A) Provide one breath to every five chest compressions.
B) Provide two breaths to every 30 chest compressions.
C) Reassess the child every 10 minutes while CPR continues.
D) Evaluate the child after 50 cycles of compression and ventilation.
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Chapter 28: The Child with Respiratory Dysfunction
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Sample Questions
Q1) What drug is usually given first in the emergency treatment of an acute, severe asthma episode in a young child?
A) Ephedrine
B) Theophylline
C) Aminophylline
D) Short-acting \(\beta_{2}\)-agonists
Q2) The nurse is caring for a 1-month-old infant with respiratory syncytial virus (RSV) who is receiving 23% oxygen via a plastic hood. The child's SaO<sub>2</sub> saturation is 88%, respiratory rate is 45 breaths/min, and pulse is 140 beats/min. Based on these assessments, what action should the nurse take?
A) Withhold feedings.
B) Notify the health care provider.
C) Put the infant in an infant seat.
D) Keep the infant in the plastic hood.
Q3) What condition is the leading cause of chronic illness in children?
A) Asthma
B) Pertussis
C) Tuberculosis
D) Cystic fibrosis
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Page 30
Chapter 29: The Child with Cardiovascular Dysfunction
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74 Verified Questions
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Sample Questions
Q1) The nurse is teaching parents about administering digoxin (Lanoxin). What instructions should the nurse tell the parents?
A) If the child vomits, give another dose.
B) Give the medication at regular intervals.
C) If a dose is missed, give a give an extra dose.
D) Give the medication mixed with the child's formula.
Q2) What condition is the leading cause of death after heart transplantation?
A) Infection
B) Rejection
C) Cardiomyopathy
D) Heart failure
Q3) The nurse notices that a child is increasingly apprehensive and has tachycardia after heart surgery. The chest tube drainage is now 8 ml/kg/hr. What should be the nurse's initial intervention?
A) Apply warming blankets.
B) Notify the practitioner of these findings.
C) Give additional pain medication per protocol.
D) Encourage child to cough, turn, and deep breathe.
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Chapter 30: The Child with Hematologic or Immunologic Dysfunction
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Sample Questions
Q1) A health care provider prescribes morphine sulfate, 0.2 mg/kg IV every 2 to 4 hours as needed for pain for a child with sickle cell disease. The child weighs 20 kg. The medication label states: "Morphine sulfate 5 mg/ml." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer using one decimal place.
Q2) The clinic nurse is evaluating lab results for a child. What recorded hemoglobin (Hgb) result is considered within the normal range?
A) 9 g/dl
B) 10 g/dl
C) 11 g/dl
D) 12 g/dl
Q3) Care for the child with acute idiopathic thrombocytopenic purpura (ITP) includes which therapeutic intervention?
A) Splenectomy
B) Intravenous administration of anti-D antibody
C) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
D) Helping child participate in sports
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Chapter 31: The Child with Cancer
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Sample Questions
Q1) Daily toothbrushing and flossing can be encouraged for the child on chemotherapy when the platelet count is above which?
A) 10,000/mm<sup>3</sup>
B) 20,000/mm<sup>3</sup>
C) 30,000/mm<sup>3</sup>
D) 40,000/mm<sup>3</sup>
Q2) After chemotherapy is begun for a child with acute leukemia, prophylaxis to prevent acute tumor lysis syndrome includes which therapeutic intervention?
A) Hydration
B) Oxygenation
C) Corticosteroids
D) Pain management
Q3) As part of the diagnostic evaluation of a child with cancer, biopsies are important for staging. What statement explains what staging means?
A) Extent of the disease at the time of diagnosis
B) Rate normal cells are being replaced by cancer cells
C) Biologic characteristics of the tumor or lymph nodes
D) Abnormal, unrestricted growth of cancer cells producing organ damage
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33
Chapter 32: The Child with Cerebral Dysfunction
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Sample Questions
Q1) The nurse is preparing to admit an adolescent with encephalitis. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
A) Malaise
B) Apathy
C) Lethargy
D) Hypoactivity
E) Hypothermia
Q2) What clinical manifestations suggest hydrocephalus in an infant?
A) Closed fontanel and high-pitched cry
B) Bulging fontanel and dilated scalp veins
C) Constant low-pitched cry and restlessness
D) Depressed fontanel and decreased blood pressure
Q3) What statement is descriptive of a concussion?
A) Petechial hemorrhages cause amnesia.
B) Visible bruising and tearing of cerebral tissue occur.
C) It is a transient and reversible neuronal dysfunction.
D) It is a slight lesion that develops remote from the site of trauma.
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34
Chapter 33: The Child with Endocrine Dysfunction
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Sample Questions
Q1) A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations should be based on which knowledge?
A) Therapy is most successful if it is started during adolescence.
B) Replacement therapy requires daily subcutaneous injections.
C) Hormonal supplementation will be required throughout child's lifetime.
D) Treatment is considered successful if children attain full stature by adolescence.
Q2) The school nurse practitioner is consulted by a fifth-grade teacher about a student who has become increasingly inattentive and hyperactive in the classroom. The nurse notes that the child's weight has changed from the 50th percentile to the 30th percentile. The nurse is concerned about possible hyperthyroidism. What additional sign or symptom should the nurse anticipate?
A) Skin that is cool and dry
B) Blurred vision and loss of acuity
C) Running and being active during recess
D) Decreased appetite and food intake
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Chapter 34: The Child with Musculoskeletal or Articular Dysfunction
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Sample Questions
Q1) A 3-year-old child has a femoral shaft fracture. The nurse recognizes that the approximate healing time for this child is how long?
A) 2 weeks
B) 4 weeks
C) 6 weeks
D) 8 weeks
Q2) Small fragments of bone are broken from the fractured shaft and lie in the surrounding tissue
A)Transverse
B)Oblique
C)Spiral
D)Comminuted
Q3) A 17-year-old patient is returning to the surgical unit after Luque instrumentation for scoliosis repair. In addition to the usual postoperative care, what additional intervention will be needed?
A) Position changes are made by log rolling.
B) Assistance is needed to use the bathroom.
C) The head of the bed is elevated to minimize spinal headache.
D) Passive range of motion is instituted to prevent neurologic injury.
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Chapter 35: The Child with Neuromuscular or Muscular Dysfunction
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Sample Questions
Q1) What most accurately describes bowel function in children born with a myelomeningocele?
A) Incontinence cannot be prevented.
B) Enemas and laxatives are contraindicated.
C) Some degree of fecal continence can usually be achieved.
D) Colostomy is usually required by the time the child reaches adolescence.
Q2) An adolescent has just been brought to the emergency department with a spinal cord injury and paralysis from a diving accident. The parents keep asking the nurse, "How bad is it?" The nurse's response should be based on which knowledge?
A) Families adjust better to life-threatening injuries when information is given over time.
B) Immediate loss of function is indicative of the long-term consequences of the injury. C) Extent and severity of damage cannot be determined for several weeks or even months.
D) Numerous diagnostic tests will be done immediately to determine extent and severity of damage.
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