Maternal and Child Health Nursing
Exam Answer Key
Course Introduction
Maternal and Child Health Nursing is a specialized course that focuses on the comprehensive healthcare needs of women throughout pregnancy, childbirth, and the postpartum period, as well as the developmental, physical, and psychosocial care of newborns and children. The course emphasizes health promotion, disease prevention, and the early detection of health problems to ensure the well-being of both mothers and children. It covers topics such as prenatal and postnatal care, normal and high-risk pregnancies, newborn assessment, childhood illnesses, immunization, nutrition, and family planning. Students will also learn about cultural and ethical considerations, communication skills, and the role of the nurse in supporting families for optimal maternal and child health outcomes.
Recommended Textbook
Maternal and Child Nursing Care 5th Edition by Marcia L London
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57 Chapters
1275 Verified Questions
1275 Flashcards
Source URL: https://quizplus.com/study-set/3560
Page 2
Chapter 1: Contemporary Maternal, Newborn, and Child Health Nursing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70654
Sample Questions
Q1) The nurse is coordinating a clinical research trial with pediatric clients. From which clients should the nurse seek assent to participate in the research? Select all that apply.
A) A 9-year-old client who qualifies to test a medication for muscular dystrophy
B) A precocious 4-year-old starting as a participant in a cystic fibrosis research study
C) A 10-year-old starting in an investigative study for clients with precocious puberty
D) A 7-year-old client with leukemia who has elected to receive a newly developed trial medication
E) A 13-year-old client beginning participation in a research program for attention deficit/hyperactivity disorder (ADHD) treatments
Answer: A,C,D,E
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Chapter 2: Culture and the Family
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is working in a clinic where children from several cultures are seen. What should the nurse do as a first step toward the goal of personal cultural competence?
A) Enhance cultural skills.
B) Gain cultural awareness.
C) Seek cultural encounters.
D) Acquire cultural knowledge.
Answer: B
Q2) The nurse is preparing to assess a client who is from a non-English-speaking culture. What should the nurse review about the client's culture before beginning the assessment? Select all that apply.
A) Touch
B) Employment
C) Personal space
D) Physical differences
E) Use of nonverbal communication
Answer: A,C,D,E
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Page 4
Chapter 3: Genetic and Genomic Influences in Maternal,
Newborn, and Child Health
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse determines that a newborn has a minor genetic anomaly. What did the nurse most likely assess in this infant? Select all that apply.
A) Broad face
B) Wide-set eyes
C) Single palmar crease
D) Low anterior hairline
E) Upward-slanting eyes
Answer: A,B,C,D
Q2) The nurse learns that a patient from a different country and culture was married to her first cousin before moving to the United States. The couple is expecting their first child in 4 months. What should the nurse consider when counseling this patient?
A) Birth control
B) Carrier testing
C) Pregnancy termination
D) Legal issues in the United States
Answer: B
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Chapter 4: Reproductive Anatomy and Physiology
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20 Verified Questions
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Sample Questions
Q1) A prenatal client states, "The doctor said he might have to cut my cervix so the baby can get out during delivery." Based upon this statement, what structure should the nurse define when teaching about an episiotomy?
A) Mons pubis
B) Labia majora
C) Perineal body
D) Vaginal vestibule
Q2) The school nurse is teaching a health class to middle school children. Which structure should the nurse explain as secreting follicle-stimulating hormone (FSH) and luteinizing hormone (LH)?
A) Hypothalamus
B) Anterior pituitary
C) Posterior pituitary
D) Ovaries and testes
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6
Chapter 5: Health Promotion for Women
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Sample Questions
Q1) What should the gynecology clinic nurse recommend for the client experiencing premenstrual syndrome (PMS)?
A) "Increase your consumption of red meat when you feel symptoms, and eat three large meals per day."
B) "Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin."
C) "Decrease your dietary intake of dairy and soy slightly during the month, and especially during your days of bleeding."
D) "Eat more chocolate and drink more caffeine beginning a week prior to when your menstrual cycle bleeding should begin."
Q2) The nurse is presenting a session on intimate partner violence. Which statement indicates a need for further education?
A) "The 'honeymoon period' follows an episode of violence."
B) "Everyone experiences anger and hitting in a relationship."
C) "Abusers can be either husbands or boyfriends or wives or girlfriends."
D) "My daughter is not to blame for the violence in her marriage."
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Chapter 6: Common Gynecologic Problems
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is preparing a brochure that compares and contrasts cystitis and pyelonephritis. Which information should be included in the brochure?
A) Urine culture is included in the evaluation of both cystitis and pyelonephritis.
B) Dysuria, especially at the end of urination, is often the initial symptom of both conditions.
C) Both conditions usually present with sudden onset of chills, high temperature, and flank pain.
D) Both conditions are associated with pregnancy complications including increased risk of preterm birth and of intrauterine growth restriction.
Q2) A 31-year-old woman with normal ovaries, a normal prolactin level, and an intact pituitary gland is undergoing initial pharmacologic treatment of anovulation. Which medication should the nurse anticipate being prescribed for this client?
A) Bromocriptine (Parlodel)
B) Metformin (Glucophage)
C) Clomiphene citrate (Clomid or Serophene)
D) Human menopausal gonadotropins (hMGs)
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Chapter 7: Conception and Fetal Development
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Sample Questions
Q1) The nurse is caring for a patient who is pregnant with twins. Which statement indicates the patient needs additional information?
A) "It is rare for twins to both be within the same amniotic sac."
B) "Because both of my twins are boys, I know that they are identical."
C) "If I have one boy and one girl, I will know they came from two eggs."
D) "If my twins came from one fertilized egg that split, they are identical."
Q2) The nurse is preparing a presentation about causes of fetal organ malformation in the first trimester. What prenatal influences on the intrauterine environment should be included in this teaching? Select all that apply.
A) The use of drugs
B) Maternal nutrition
C) The use of saunas or hot tubs
D) Age of the mother at conception
E) The quality of the sperm or ovum
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Chapter 8: Physical and Psychologic Changes of Pregnancy
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Sample Questions
Q1) The nurse has completed a presentation for newly pregnant women about the changes of pregnancy. Which participant's statement reflects accurate comprehension of the information?
A) "Uterine souffle is a positive change of pregnancy."
B) "A positive Goodell sign is a probable change of pregnancy."
C) "Changes in the pelvic organs are presumptive signs of pregnancy."
D) "Three positive pregnancy tests in a 1-week period is considered to be a positive change of pregnancy."
Q2) The nurse suspects that a pregnant client is experiencing effects to the gastrointestinal system because of elevated progesterone levels. What did the nurse assess to make this clinical determination? Select all that apply.
A) Nausea
B) Bloating
C) Diarrhea
D) Vomiting
E) Constipation
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Chapter 9: Antepartum Nursing Assessment
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse explains to a pregnant woman that her antepartum assessment will include assessment of clinical pelvimetry. Which client response reflects understanding of the reason for this test?
A) "It will help me understand how big a baby I can have."
B) "It will be used to screen for gestational diabetes."
C) "It will be used to find out whether my baby has a chromosomal abnormality."
D) "It will help tell whether my pelvis is big enough to deliver my baby vaginally."
Q2) The pregnant client has completed the prenatal questionnaire and asks the nurse why this form had to be filled out. Which response is the most appropriate?
A) "We occasionally identify a health problem that puts the current pregnancy at higher risk."
B) "This form is designed to predict who will develop problems with their pregnancy or delivery."
C) "The doctor wants all of the pregnant clients to fill out the form so that our records are complete."
D) "Some people have things that have happened in the past that could impact their current pregnancy."
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Chapter 10: The Expectant Family: Needs and Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client in the second trimester of pregnancy is experiencing severe heartburn. What should the nurse explain about the reasons for this health problem? Select all that apply.
A) Decreased gastrointestinal motility
B) Changes in carbohydrate metabolism
C) Increased production of progesterone
D) Relaxation of the esophageal sphincter
E) Displacement of the stomach by the enlarging uterus
Q2) An expectant couple is determining their compatibility with a healthcare provider. Which question should the nurse encourage the couple to ask first?
A) "Can my children attend the birth?"
B) "What is your philosophy of birth?"
C) "If I have a cesarean birth, can my husband attend?"
D) "What percentage of your clients have episiotomies?"
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Chapter 11: Maternal Nutrition
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse is preparing a teaching guide to be used for prenatal, pregnancy, and postpartum nutritional classes. Which nutrients should the nurse emphasize that remain consistent throughout these gestational periods? Select all that apply.
A) Fat
B) Iron
C) Protein
D) Vitamin K
E) Pyridoxine
Q2) The nurse is conducting a postpartum visit to a client who is formula-feeding her infant. Which client statement indicates that teaching about weight maintenance has been effective?
A) "I have increased my caloric intake by 600 calories per day."
B) "My dietician has set my weight loss goal at 1 to 2 pounds per week."
C) "Instead of making another doctor's appointment, I started a diet that my best friend recommended."
D) "My daily regimen includes taking extra vitamin A, vitamin C, and thiamine in order to meet my body's increased need for nutrients after pregnancy."
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13
Chapter 12: Pregnancy in Selected Populations
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A 38-year-old pregnant client is reluctant to attend prenatal classes because the other participants will be much younger. What should the nurse do to encourage this client's attendance at classes? Select all that apply.
A) Support the client's strengths.
B) Find a class with participants that are older.
C) Encourage the client to read prenatal training material online.
D) Nothing, since the client most likely has already researched the birthing process.
E) Prepare a list of reasons for the late pregnancy to use as responses when others ask.
Q2) Which statement from the mother of a pregnant 13-year-old would be an expected response?
A) "We had such high hopes for you."
B) "I told you that boy was up to no good."
C) "But she was always an easygoing child."
D) "This is just one of those things that happen."
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Chapter 13: Assessment of Fetal Well-Being
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) During a home visit the nurse observes a pregnant client assess fetal activity. Which observations indicate that the client understands the correct process for this count? Select all that apply.
A) Sits in a chair
B) Assumes a side-lying position
C) Counts the same time every day
D) Watches television while counting
E) Begins counting 1 hour after a meal
Q2) The nurse is reviewing nursing documentation related to the care of a client who had an amniocentesis. Which nursing note reflects appropriate client care?
A) Prior to discharge, the client demonstrated vaginal spotting.
B) An Rh-positive client received RhoGAM after the amniocentesis.
C) The client was monitored for 30 minutes after completion of the test.
D) The client reported that she takes insulin before each meal and at bedtime.
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Chapter 14: Pregnancy at Risk: Pregestational Problems
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A client at 24 weeks has a history of class II heart disease secondary to rheumatic fever. What should the nurse expect to see in the medical record?
A) Dyspnea and chest pain with mild exertion
B) Elective cesarean birth scheduled for 37 weeks
C) Discussed need for labor epidural and vacuum extraction
D) Respiratory rate 28, pulse 110, 3+ pre-tibial edema bilaterally
Q2) A client is identified as having hepatitis B surface antigen (HBsAG) early in her pregnancy. Which client statement about the labor and birth process and having hepatitis B infection indicates the need for additional teaching?
A) "Breastfeeding is a good feeding method for my baby."
B) "My baby will get a bath as soon as its temperature is stable."
C) "An internal fetal monitor will be applied as soon as possible during labor."
D) "Two shots will be given to my baby to prevent transmission of hepatitis B."
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16
Chapter 15: Pregnancy at Risk: Gestational Onset
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A pregnant woman is being excavated from the back seat of a motor vehicle after a crash. In which order should this victim receive emergency care?
A) Apply oxygen.
B) Establish an airway.
C) Monitor fetal activity.
D) Position on the left side.
E) Administer intravenous fluids.
Q2) A pregnant client at 14 weeks' gestation is diagnosed with hyperemesis gravidarum. The most recent vital signs are: blood pressure 95/48, pulse 114, respirations
24) Which order should the nurse implement first?
A) Weigh the client.
B) Encourage clear liquids orally.
C) Give 1 L of lactated Ringer solution IV.
D) Administer 30 mL Maalox (magnesium hydroxide) orally.
Q3) Which maternal-child client should the nurse see first?
A) Blood type B, Rh-positive
B) Blood type O, Rh-negative
C) Direct Coombs test positive
D) Indirect Coombs test negative
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Page 17
Chapter 16: Processes and Stages of Labor and Birth
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Sample Questions
Q1) The spouse is concerned that the client in labor will be hungry since the last time any food was eaten was several hours ago. What should the nurse explain as effects of the labor process on the client's gastrointestinal system? Select all that apply.
A) Reduced gastric motility
B) Increased gastric volume
C) Increased gastric motility
D) Reduced absorption of food
E) Prolonged gastric emptying time
Q2) The primiparous client at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
A) "Come in for an appointment today and we will check everything out."
B) "Unless you have pain with urination, we do not need to worry about it."
C) "This might indicate that the baby is no longer in a head down position."
D) "These symptoms usually mean the baby's head has descended further."
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Chapter 17: Intrapartum Nursing Assessment
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Sample Questions
Q1) Which pattern, if seen on an electronic fetal monitoring strip, should the nurse explain to a client in labor as being a change in the baseline fetal heart rate?
A) Tachycardia
B) Acceleration
C) Late deceleration
D) Sinusoidal pattern
Q2) The nurse is preparing to monitor the fetal heart rate (FHR) of a pregnant client. What should the nurse explain to a nursing student as being the baseline (BL) of this heart rate?
A) "The baseline FHR excludes periods of marked variability."
B) "Normal baseline FHR ranges from 100 to 180 beats per minute."
C) "The baseline FHR should include periodic or episodic changes in FHR."
D) "The baseline rate is the mean FHR during a 5-minute period rounded to increments of 5 beats per minute."
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Chapter 18: The Family in Childbirth: Needs and Care
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Sample Questions
Q1) The nurse encounters a woman giving birth at the local shopping mall. What should the nurse do first?
A) Visualize the perineum.
B) Apply counterpressure to the perineum.
C) Ask a bystander for a dry piece of clothing.
D) Determine if the membranes have ruptured.
Q2) An expectant father has been at the bedside of his laboring partner for more than 12 hours. What would be an appropriate nursing intervention?
A) Insist that he leave the room for at least the next hour.
B) Offer to remain with his partner while he takes a break.
C) Suggest that the patient's mother might be of more help.
D) Tell him he is not being as effective as he was and that he needs to let someone else take over.
Q3) What should be the nurse's priority when caring for an adolescent in labor?
A) Support persons
B) Developmental level
C) Cultural background
D) Plans for keeping the infant
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Chapter 19: Pharmacologic Pain Management
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Sample Questions
Q1) The charge nurse is reviewing the plans of care for four clients in labor. Which care plan requires additional information before implementing?
A) Administration of a spinal anesthetic to a client who is scheduled for a vaginal delivery
B) Administration of a spinal anesthetic to a client with a history of irritable bowel syndrome (IBS)
C) Administration of epidural anesthesia to a client who is in the first stage of labor and has a shellfish allergy
D) Administration of epidural anesthesia to a client with a history of vomiting secondary to hyperemesis gravidarum
Q2) Prior to receiving lumbar epidural anesthesia, in which position should the nurse place the client in labor?
A) Lying prone with a pillow under the chest
B) On the right side in the center of the bed with the back curved
C) On the left side with the bottom leg straight and the top leg slightly flexed
D) Sitting on the edge of the bed with the back slightly curved and feet on a stool
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Chapter 20: Childbirth at Risk: Prelabor and Intrapartum
Complications
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Sample Questions
Q1) The clinical instructor reviews postoperative care of cerclage with a group of nursing students. Which student statement indicates the need for further information?
A) "Sometimes cerclage can be performed on an outclient basis."
B) "If cerclage is performed emergently, the client will usually be hospitalized for at least 5 days."
C) "After 37 weeks' gestation, the client's cerclage may be cut in order to allow for vaginal delivery."
D) "If the client's amniotic sac is bulging, the cerclage is contraindicated and the procedure cannot be performed."
Q2) When caring for a client with oligohydramnios, on what should the nurse focus? Select all that apply.
A) Induction is typically scheduled.
B) Early decelerations are more likely.
C) Fetal pulmonary hypoplasia can develop.
D) There is an increased risk of cord compression.
E) Labor progress is often more rapid than average.
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22
Chapter 21: Childbirth at Risk: Labor-Related Complications
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Sample Questions
Q1) The nurse is assisting in the preparation of a pregnant client in labor for intrauterine resuscitation. For which fetal finding is this intervention indicated? Select all that apply.
A) Prolonged decelerations
B) Persistent late decelerations
C) Last fetal movement 5 minutes ago
D) Fetal heart rate 140 beats per minute
E) Persistent and severe variable decelerations
Q2) The charge nurse is reviewing charting completed on clients in the maternal-child triage unit. Which entry requires immediate intervention?
A) Multipara at 32 weeks: "Oligohydramnios per ultrasound secondary to fetal renal agenesis."
B) Primipara at 41 weeks: "Client reports leaking clear fluid from her vagina for 7 hours."
C) Primipara at 24 weeks diagnosed with polyhydramnios: "Client reporting shortness of breath."
D) Multipara at 34 weeks diagnosed with oligohydramnios: "Cervix 6 cm, 2 station, up to walk in hallway."
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23
Chapter 22: Birth-Related Procedures
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Sample Questions
Q1) A client at 40 weeks' gestation is being considered for cervical ripening. Which criteria should the nurse use to determine the client's success for induction? Select all that apply.
A) Position
B) Effacement
C) Consistency
D) Fetal heart rate
E) Cervical dilatation
Q2) A client recovering from delivery asks for another ice pack to place on the site of a midline episiotomy. How should the nurse respond to this request?
A) "I will get you one right away."
B) "You only need to use one ice pack."
C) "You need to leave it off for at least 20 minutes and then reapply."
D) "I will bring you an extra so that you can change it when you are ready."
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Chapter 23: The Physiologic Responses of the Newborn to Birth
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Sample Questions
Q1) The newborn at 24 hours of age has a red blood cell (RBC) count of A)4 million per milliliter. Which entry should the nurse expect to find in the newborn's chart to explain this laboratory value?
B) Cord clamping delayed until pulsation ceased.
C) Infant is breastfed 15 to 20 minutes every 3 hours.
D) CBC drawn from the anterior surface of the left hand.
E) Placental abruption noted to be 80% at time of delivery.
Q2) The home care nurse notes jaundice on the skin over the sternum of a 3-day-old infant. What should the nurse explain to the parents about this finding?
A) "The liver of an infant is not fully mature and does not conjugate the bilirubin for excretion."
B) "The yellow color of your baby's skin indicates that you are breastfeeding too often."
C) "This is an abnormal finding related to your baby's bowels not excreting bilirubin as they should."
D) "The infant received too many red blood cells after delivery because the cord was not clamped immediately."
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25
Chapter 24: Nursing Assessment of the Newborn
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Sample Questions
Q1) The nurse is assessing a newborn's musculoskeletal status. How should the nurse assess for clubfoot?
A) Stimulate the sole of the foot
B) Adduct the foot and listen for a click
C) Extend the foot and observe for pain
D) Move the foot to midline and determine resistance
Q2) While eliciting the Moro reflex in a newborn, the nurse notes that only the right arm moves. What should the nurse immediately assess based upon this finding?
A) The clavicle
B) Babinski reflex
C) The rooting reflex
D) Ortolani maneuver
Q3) The nurse explains normal newborn behavior to new parents who are concerned about the baby's desire to be held. Which statement indicates that teaching has been effective?
A) "Some babies are easier to deal with than others."
B) "Our baby spends more time in the active alert phase."
C) "We are lucky to have a baby with a calm disposition."
D) "Cuddliness is a social behavior that some babies have."
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Page 26
Chapter 25: The Normal Newborn: Needs, Care, and Feeding
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Sample Questions
Q1) The nurse is teaching a class for new parents. Which statement indicates that additional information is needed?
A) "Car seats are installed the same way in different models of cars. Our friends can show us how to install it."
B) "Genitals of babies look swollen and enlarged at birth as a result of the hormones in the mother's circulation."
C) "We can call the nurse help line any time of day or night if we have questions about our baby after we get home."
D) "Baby girls sometimes have a little bloody mucus in their diapers as a reaction to the high estrogen level in the mother."
Q2) The nurse assesses a sleeping 1-hour-old, 39-weeks' gestation newborn. Which data should cause the nurse the most concern?
A) Respirations 68/min
B) Blood pressure 72/44 mmHg
C) Skin temperature
97)6°F
D) Heart rate 156 beats/min
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Chapter 26: The Newborn at Risk: Conditions Present at Birth
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Sample Questions
Q1) The nurse is assessing a 36-week gestational age newborn. What assessment findings indicate that a cardiac defect is present? Select all that apply.
A) Cyanosis
B) Abdominal bruit
C) Peripheral pulses
D) Signs of heart failure
E) Presence of a heart murmur
Q2) A client with type 2 diabetes mellitus delivered a fetus weighing 7 lb, 14 oz 2 hours ago. The infant's blood glucose is currently 45 mg/dL. What should the nurse do?
A) Begin an IV of 10% dextrose.
B) Document the findings in the chart.
C) Feed the baby 1 oz of formula.
D) Recheck the blood sugar in 4 hours.
Q3) An infant of a diabetic mother (IDM) weighing 11 lb is prescribed to receive an infusion of dextrose 10% and water at the rate of 5 mg/kg/min until blood glucose level remains about 45 mg/dL. How many milligrams of dextrose will the infant receive in 30 minutes? (Calculate to the nearest whole number.)
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Page 28
Chapter 27: The Newborn at Risk: Birth-Related Stressors
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Sample Questions
Q1) An infant weighing 1500 g is prescribed intravenous normal saline 10 mL/kg. How many milliliters of fluid should the nurse expect to provide this infant? (Calculate to the nearest whole number.)
Q2) A newborn is diagnosed with sepsis. What finding should the nurse use to suspect this health problem?
A) Irritability and flushing of the skin at 8 hours of age
B) Respiratory distress syndrome developed 48 hours after birth
C) Bradycardia and tachypnea develop when the infant is 36 hours old
D) Temperature of 97.0°F 2 hours after warming the infant from 97.4°F
Q3) A newborn delivered via cesarean birth at 32 weeks to a mother who experienced placenta previa has a low pulse rate, low blood pressure, and a capillary filling time of 3.6 seconds. Which interventions are indicated for the care of this newborn? Select all that apply.
A) Start the infant on phototherapy.
B) Start the infant on iron supplements.
C) Have isotonic saline ready for transfusion.
D) Draw several vials of blood for laboratory testing.
E) Monitor the infants cardiac and respiratory status.
F) Have O-negative packed red cells ready for a transfusion
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Page 29
Chapter 28: Postpartum Adaptation and Nursing Assessment
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Sample Questions
Q1) The nurse is assessing the episiotomy of a client who is 2 days postpartum. In which order should the nurse complete this assessment?
A. Edema
B. Redness
C. Ecchymosis
D. Approximation
E. Discharge/drainage
A) B, A, C, E, D
B) A, B, D, E, C
C) B, A, D, E, C
D) D, E, C, B, A
Q2) The nurse is making a visit to the home of a new mother. Which observation indicates that the mother and infant are in the phase of mutual regulation?
A) The infant grasps the mother's finger while nursing.
B) The mother vocalizes feelings of frustration with her infant.
C) The infant begins to seek out the mother over other individuals.
D) The mother spends more time making eye-to-eye contact with the infant.
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Chapter 29: The Postpartum Family: Early Care Needs and Home Care
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse completes a postpartum assessment on a client who gave birth to her first child 12 hours ago. Assessment findings include: the client nauseated, but has not vomited in the last 2 hours; fundus was boggy but firmed with massage to 1 FB the uterus; client is experiencing moderately heavy lochia rubra and the perineum ecchymotic and edematous. The client's pain rating is 6 on scale of 1 to 10) Her partner is present and supportive. Breastfeeding has been successful 3 times. Which nursing diagnosis has the highest priority for this client?
A) Acute Pain related to perineal trauma
B) Risk for Deficient Fluid Volume related to uterine bleeding and nausea
C) Readiness for Enhanced Family Coping related to vaginal childbirth experience
D) Knowledge Deficit related to newborn care
Q2) A new mother is concerned about spoiling her newborn. Which statement should the home care nurse include in this teaching session with the new mother?
A) "Spoiling occurs when an infant is rocked to sleep every night."
B) "Newborns can be manipulative, so caution is advised."
C) "Crying is good for an infant, and letting them cry it out is advised."
D) "It is important to meet your infant's needs to develop a trusting relationship."
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Page 31
Chapter 30: The Postpartum Family at Risk
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The maternal nurse educator is conducting a presentation for antepartum clients describing the identification and care of women diagnosed with postpartum psychiatric disorders. Which information should the maternal nurse educator include in the teaching content?
A) Postpartum depression occurs in as many as 50% to 70% of mothers and is characterized by mild depression interspersed with happier feelings.
B) Postpartum depression is typically mild and usually self-limiting, lasting up to 6 weeks.
C) Even if she is asymptomatic, a woman with a history of postpartum depression should be referred to a mental health professional for counseling and biweekly visits postpartum.
D) Women with postpartum depression have a history of exposure to an extremely traumatic personal event that involves actual or threatened death or serious injury and evokes intense fear, helplessness, or horror.
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Chapter 31: Growth and Development
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Sample Questions
Q1) The home health nurse is conducting a home visit for a family. The toddler-age child, who is potty training, has an "accident." The mother becomes angry with the child and calls him a baby for messing himself. Which is the nurse concerned with regarding the toddler's development, based on the mother's reaction?
A) The child's cognitive development
B) The child's sense of independence
C) The child's conscience
D) The child's superego
Q2) A nurse is assessing language development in all the pediatric clients presenting at the healthcare provider's office for well-child visits. At which age would the nurse further assess language development if the client is unable to verbalize the words "dada" and "mama"?
A) 3 months
B) 6 months
C) 8 months
D) 12 months
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Chapter 32: Infant, Child, and Adolescent Nutrition
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Sample Questions
Q1) The nurse is providing care for an infant who is diagnosed with colic. Which interventions will the nurse include in the infant's plan of care? Select all that apply.
A) Using a front-carrying sling
B) Recommending swaddling
C) Suggesting frequent burping
D) Recording all feedings in an intake journal
E) Removing gluten from the diet
Q2) During a 4-month-old infant's well-child checkup, the nurse discusses introduction of solid foods into the infant's diet. Although the nurse recommends delaying the introduction of many foods into the diet, which food(s) will the nurse discuss delaying because they increase the risk for food allergy?
A) Honey
B) Carrots, beets, and spinach
C) Pork
D) Cow's milk, eggs, and peanuts
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Chapter 33: Pediatric Assessment
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Sample Questions
Q1) Which would the nurse consider as normal during a newborn assessment? Select all that apply.
A) Swelling over the occiput that crosses suture lines
B) Tiny white papules located primarily on the nose and chin
C) Tiny red macules and pustules that come and go, primarily on the trunk and extremities
D) When the Moro reflex is elicited, the right arm extends and returns to the body. The left arm remains resting against the chest.
E) Greenish discoloration of skin over the entire body that is not removed by the initial bath
Q2) Which action by the nurse is appropriate when selecting a cuff to accurately assess blood pressure (BP) on a child?
A) Select based on the label-infant, child, adult.
B) Select based on a bladder that covers two thirds of the upper arm and wraps around at least 80% of the arm circumference.
C) Select based on availability.
D) Select based on a bladder that covers one fourth of the arm circumference and 50% of the upper arm.
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35
Chapter 34: Health Promotion and Maintenance: General
Concepts, the Newborn, and the Infant
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which nursing actions are appropriate for the 2-month-old infant during a scheduled health maintenance visit? Select all that apply.
A) Reviewing infant fluid needs with the parents
B) Reinforcing the importance of heating bottles with water versus the microwave
C) Demonstrating proper gum care to the parents
D) Educating the parents to begin introducing solid foods, such as rice cereal
E) Recommending that juice be introduced in a sippy cup
Q2) While interviewing the parents of a toddler-age client, the nurse notes that the mother is pregnant. At the end of the visit, the nurse decides to give a new pamphlet to the parents about car seat usage for newborns. Which is the purpose of this action by the nurse?
A) Secondary preventative health maintenance
B) Developmental health screening
C) Tertiary preventative health maintenance
D) Primary preventative health maintenance
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Chapter 35: Health Promotion and Maintenance: the
Toddler and the Preschooler
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20 Verified Questions
20 Flashcards
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Sample
Questions
Q1) Which nursing actions are appropriate when conducting a mental health assessment for a toddler-age child? Select all that apply.
A) Observing the child's interaction with family members
B) Asking the caregiver to describe the child's typical day
C) Giving the child a crayon to assess ability to use
D) Determining the number of hours the child sleeps each night
E) Inquiring about recent exposure to communicable diseases
Q2) Which parental statement during a scheduled health maintenance assessment for a preschool-age child would cause the nurse concern?
A) "We have dinner together as a family each evening."
B) "We are so proud that our child is able to recognize letters of the alphabet."
C) "Our child wakes up each night screaming because of nightmares."
D) "Our child attends a daycare program 3 days per week."
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Chapter 36: Health Promotion and Maintenance: the
School-Age Child and the Adolescent
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) An overweight school-age girl states, "I would like to be more active but my parents won't let me try out for the soccer team." Which is an appropriate nursing action based on this statement?
A) Referring the child to the school psychologist to discuss the weight issue
B) Telling the child to talk to the school nurse each day about the foods eaten
C) Encouraging the parents to investigate the option of ride sharing with a classmate's family
D) Suggesting that the family plan an activity night and play board games together
Q2) A nurse obtains a nutritional health history from a 10-year-old child. Which food increases the risk for dental caries necessitating education regarding oral hygiene?
A) Sorbet and yogurt
B) Fluoridated water
C) Gummy bears and licorice
D) Peanuts and crackers
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Chapter 37: Family Assessment and Concepts of Nursing
Care in the Community
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Sample Questions
Q1) Which nursing actions will allow a family to further develop resilience when faced with an illness of a child? Select all that apply.
A) Teaching skills to provide care
B) Suggesting adaptations related to discipline
C) Providing positive reinforcement
D) Recommending the use of defensive coping strategies
E) Focusing on the weaknesses
Q2) A community assessment conducted by the nurse reveals that the number of serious injuries in children has doubled in the past year. Which is the most appropriate nursing diagnosis when planning care to address the increased number of injuries?
A) Altered Family Processes related to hospitalization of an injured child
B) Risk for Injury related to inadequate use of bicycle helmets
C) Noncompliance related to inappropriate use of child safety seats
D) Knowledge Deficit related to injury prevention in children
Q3) Which pediatric client will the community health nurse assess first?
A) A 6-year-old who is wheezing and short of breath.
B) A 2-year-old who has been pulling at his ear.
C) A 2-month-old with a 2-day history of diarrhea.
D) A 10-year-old with a sore throat and low-grade fever.
Page 39
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Chapter 38: Nursing Considerations for the Child and
Family With a Chronic Condition
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Sample Questions
Q1) The nurse is caring for a 17-year-old client with a chronic condition who will be transitioning into adulthood. When planning care for this client, which should the nurse consider? Select all that apply.
A) Ability to work
B) Ability to live independently
C) Psychosocial needs
D) Parental needs
E) Sibling needs
Q2) The nurse is providing care to a pediatric client who is newly diagnosed with a chronic condition. The parents ask, "When will our child be able to assume more responsibility for managing the disease?" Which age group will the nurse include in the response to the parents?
A) Preschooler
B) School-age
C) Adolescent
D) Toddler
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Chapter 39: Nursing Considerations for the Hospitalized Child
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Sample Questions
Q1) The nurse is providing care to a hospitalized adolescent client. Which should the nurse include in the adolescent's plan of care related to stressors? Select all that apply.
A) Loss of privacy
B) Fear of the dark
C) Loss of identity
D) Fear of altered body image
E) Separation anxiety
Q2) A preschool-age boy presents to the outpatient clinic for a sore throat. In the child's mind, which is the most likely causative agent of the sore throat?
A) Being exposed to a classmate with strep throat
B) Yelling at sibling for being annoying
C) Not eating the right foods
D) Not taking daily vitamins
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Chapter 40: Pain Assessment and Management in Children
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25 Flashcards
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Sample Questions
Q1) The nurse is preparing to perform a heel stick on a neonate. Which complementary therapy should the nurse implement to decrease pain during this quick but painful procedure?
A) Holding the newborn
B) Providing a sucrose pacifier to the newborn
C) Massaging the newborn
D) Swaddling the newborn
Q2) A nurse is providing care for a pediatric client in the intensive care unit (ICU) who has been on opioids for an extended period of time. Which assessment finding indicates to the nurse that the child is experiencing withdrawal symptoms related to the opioid weaning process?
A) Hyperactive deep tendon reflexes, vomiting, and abdominal cramps.
B) Bradycardia and pallor.
C) Decreased blood pressure and drowsiness.
D) Voracious appetite and hypotonicity.
Q3) The healthcare provider prescribes hydromorphine (Dilaudid) intravenously for the postoperative 4-year-old child. The therapeutic range for Dilaudid has been determined to be 0.01 to 0.015 mg/kg/dose every 3 to 4 hours. What is the maximum therapeutic dose of Dilaudid if the child weighs 30 pounds? Round your answer to the nearest hundredth.
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Chapter 41: The Child With a Life-Threatening Condition and
End-Of-Life Care
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/70694
Sample Questions
Q1) A female client arrived by life flight to the hospital after experiencing multiple traumas in a .motor vehicle crash involving a suspected drunk driver. Which statement is most important for the nurse to make to the parents before they see their child?
A) "You should press charges against the drunk driver."
B) "Your child's condition is very critical; her face is swollen, and she might not look like herself."
C) "Your child's leg was crushed, and might have to be amputated."
D) "Don't worry, everything will be okay. We will take excellent care of your child."
Q2) A school bus carrying children in grades K-12 crashed into a ravine. The critically injured children are transported by ambulance and admitted to the pediatric intensive care unit (PICU). Which is the most effective nursing intervention to calm the frightened children?
A) Explain that the equipment being used is state-of-the-art.
B) Tell the children that the providers are competent.
C) Call the children's parents to come to the unit.
D) Assure the children that the nurses are caring.
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Chapter 42: Social and Environmental Influences on the Child
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Sample Questions
Q1) Which is the priority nursing action when working with a parent who is suspected of Munchausen syndrome by proxy?
A) Try to keep the parent separated from the child as much as possible.
B) Explain to the child that the parent is causing the illness and that the healthcare team will prevent the child from being harmed.
C) Carefully document parent-child interactions.
D) Confront the parent with concerns of possible abuse.
Q2) A child is admitted to the emergency department (ED) for scald burns to the buttocks and thighs. According to the mother, she was preparing the child's bath and before she could test the water, the child fell in and was scalded. Which would cause the nurse to suspect abuse?
A) The burns are uneven, with some burns deeper than others.
B) The child's hands and feet are free of burns.
C) In addition to the main burn site, there are splash burns surrounding the area.
D) The mother was home alone with the child.
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Page 44
Chapter 43: Immunizations and Communicable Diseases
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which live virus vaccines should the nurse teach to parents as being used to decrease the risk of communicable diseases? Select all that apply.
A) Poliovirus
B) Tetanus
C) Measles
D) Varicella
E) Hepatitis B
Q2) Which nursing actions allow a child to acquire active immunity against a disease?
A) Administering a dose of immunoglobulins
B) Administering a killed virus vaccine
C) Administering a toxoid vaccine
D) Administering antibiotic therapy
E) Administering antiviral therapy
Q3) Which should the nurse use when reconstituting vaccines?
A) The diluents provided
B) Normal saline
C) Any solution available
D) Sterile water
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Chapter 44: The Child With Alterations in Fluid, Electrolyte, and Acidbase Balance
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Sample Questions
Q1) The nurse is assessing a pediatric client who is experiencing metabolic acidosis. Which assessment questions should the nurse include when interviewing the child's parents? Select all that apply.
A) "Has your child consumed any aspirin?"
B) "Has your child consumed any boric acid?"
C) "Has your child consumed any antifreeze?"
D) "Has your child consumed any baking soda?"
E) "Has your child consumed any antacids?"
Q2) Which pediatric client diagnoses necessitate close monitoring for respiratory alkalosis? Select all that apply.
A) Aspiration
B) Epiglottitis
C) Sepsis
D) Meningitis
E) Cystic fibrosis
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Chapter 45: The Child With Alterations in Eye, Ear, Nose, and Throat Function
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Sample Questions
Q1) Which nursing action is appropriate when providing care to a child with a mild hearing loss who reads lips to enhance adaptation during hospitalization?
A) Touching the child lightly before speaking
B) Using a picture board as the main means of communication
C) Speaking in a loud voice while facing the child
D) Speaking directly to the parents for communication
Q2) Which is the reason for a healthcare provider to recommend that a preschool-age male client with a documented hearing loss should attend preschool at least 2 days per week?
A) Help the child recognize his hearing deficit.
B) Increase the child's socialization skills.
C) Improve the child's immunity by increased exposure to organisms.
D) Teach other children that children are different.
Q3) A nurse is caring for a visually impaired 20-month-old client who has not begun to walk. Which nursing diagnosis would be appropriate for this child?
A) Self-care Deficit
B) Impaired Physical Mobility
C) Impaired Home Maintenance
D) Delayed Development
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Chapter 46: The Child With Alterations in Respiratory Function
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Sample Questions
Q1) The mother of a toddler-age client states, "My daughter seems to be at an increased risk for complications associated with respiratory infections." Which response by the nurse is accurate?
A) "You are incorrect in your assessment."
B) "The younger child's airways are smaller and more easily occluded."
C) "Air passages are more likely to become blocked with mucus because younger children make more mucus than older children."
D) "Toddlers do not breathe as deeply as do older children."
Q2) Which parental statement indicates correct understanding regarding pancreatic enzyme administration in the treatment of cystic fibrosis?
A) "I will administer this medication 4 times each day."
B) "I will administer this medication twice each day."
C) "I will administer this medication with meals and snacks."
D) "I will administer this medication every 6 hours around the clock."
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Chapter 47: The Child With Alterations in Cardiovascular Function
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Sample Questions
Q1) An infant who is diagnosed with a mild heart defect will not have surgical correction for at least 2 years. Which information should the nurse include in the discharge teaching regarding management in the home environment?
A) "Your child will have a low-grade fever until the defect is repaired."
B) "It is important for your child to maintain normal activity."
C) "Your child is not at risk for congestive heart failure."
D) "It is important to avoid antipyretics for the treatment of fever."
Q2) A school-age client is diagnosed with rheumatic fever. Which parental statement indicates the need for further education by the nurse?
A) "I understand rheumatic fever is a strep infection of the heart."
B) "My child will be on bed rest for several weeks."
C) "My child will be treated with aspirin and/or corticosteroids."
D) "Once my child has recovered, she will still need to be monitored for sequelae to the disease."
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Chapter 48: The Child With Alterations in Immune Function
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23 Verified Questions
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Source URL: https://quizplus.com/quiz/70701
Sample Questions
Q1) A parent of a newborn asks the nurse why young children seem to become ill so often when compared with older children and adults. Which is the best response by the nurse?
A) "Newborns have lower numbers of natural killer cells."
B) "Newborns have high levels of IgA in their systems."
C) "Newborns are lacking lymphoid tissue."
D) "Newborns have an immature thymus gland."
Q2) Which is the rationale for ensuring the irrigation of blood products and ensuring that they are cytomegalovirus (CMV)-negative prior to administering a blood transfusion for a pediatric client diagnosed with severe combined immune deficiency (SCID)?
A) Transfusion reaction from lymphocytes and platelets in the donor blood.
B) Transfusion reaction and infection from lymphocytes in the donor blood.
C) Infection and graft-versus-host disease from lymphocytes in the donor blood.
D) Infection and graft-versus-host disease from erythrocytes in the donor blood.
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Chapter 49: The Child With Alterations in Hematologic Function
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30 Flashcards
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Sample Questions
Q1) Which is the priority nursing intervention when providing care to a pediatric client who is experiencing disseminated intravascular coagulation (DIC)?
A) Preparing the child for radiographic procedures
B) Implementing the prescribed fluid restriction for the child
C) Encouraging the child to frequently ambulate
D) Monitoring the child's oxygen saturation and vital signs
Q2) The nurse prepares to administer a vitamin K injection during the admission assessment for a newborn. The father asks, "Why does my baby need a shot?" Which rationale for administering this injection should the nurse include in the response?
A) Activates clotting factors
B) Dissolves blood clots
C) Promotes gas exchange
D) Promotes the production of hemoglobin
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Chapter 50: The Child With Cancer
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27 Flashcards
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Sample Questions
Q1) Which nursing actions will decrease the risk of extravasation when administering chemotherapy to a pediatric client through a peripheral line? Select all that apply.
A) Ensuring that the intravenous line is a free flowing line
B) Administering the medication by infusion pump
C) Checking for blood return before and during chemotherapy administration
D) Diluting the medication with normal saline
E) Administering the vesicant drug last
Q2) The child is receiving chemotherapy for acute lymphocytic leukemia (ALL). Which assessment data should the nurse immediately report to the healthcare provider due to a metabolic emergency?
A) Thrombocytopenia
B) Leukocytosis
C) Oliguria
D) Edema
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Chapter 51: The Child With Alterations in Gastrointestinal Function
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Sample Questions
Q1) A newborn diagnosed with an omphalocele defect is admitted to the intensive care nursery. Which nursing action is appropriate based on the current data?
A) Placing the newborn on a radiant warmer
B) Placing the newborn in an open crib
C) Preparing the newborn for phototherapy
D) Preparing the newborn for a bottlefeeding
Q2) A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The parents are distressed about the appearance of their infant. Which nursing actions are appropriate to assist the parents to bond with their newborn? Select all that apply.
A) Calling the newborn by the chosen name
B) Keeping the newborn's lower face covered with the blanket
C) Smiling and talking to the newborn in the parents' presence
D) Showing the parents before and after pictures of other children with cleft lips
E) Discussing positive features of the baby
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Chapter 52: The Child With Alterations in Genitourinary Function
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Sample Questions
Q1) Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
A) Bloody urine
B) One void since returning from surgery
C) Bladder spasms responding to pharmacologic intervention
D) Double diapering from the previous shift
Q2) Which laboratory tests should the nurse prepare to draw when admitting a pediatric client with possible obstructive uropathy? Select all that apply.
A) Platelet count
B) Blood urea nitrogen (BUN)
C) Partial thromboplastin time (PTT)
D) Blood culture
E) Creatinine
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54
Chapter 53: The Child With Alterations in Endocrine Function
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25 Flashcards
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Sample Questions
Q1) Which sequela should the nurse include in the teaching session for a parent who does not believe in medication for the treatment of the newborn's hypothyroidism?
A) Heart disease
B) Intellectual disability
C) Renal failure
D) Thyroid storm
Q2) Which food should the nurse remove from the food tray for a toddler-age client who is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?
A) Oatmeal
B) Yogurt
C) Biscuit
D) Watermelon
Q3) Which clinical manifestations should the nurse anticipate when providing care to an adolescent client who presents with untreated Graves disease?
A) Hyperglycemia, ketonuria, and glucosuria
B) Weight gain, hirsutism, and muscle weakness
C) Tachycardia, fatigue, and heat intolerance
D) Dehydration, metabolic acidosis, and hypertension
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Chapter 54: The Child With Alterations in Neurologic Function
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Sample Questions
Q1) The nurse is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?
A) Vital signs and neurologic checks hourly
B) Small, frequent formula feedings
C) Elevate head of bed
D) Daily head circumference
Q2) Which is the priority nursing diagnosis when planning care for a pediatric client who is diagnosed with bacterial meningitis?
A) Impaired Gas Exchange
B) Risk for Infection
C) Anxiety (parental)
D) Acute Pain
Q3) Which clinical manifestation should the nurse monitor for when assessing a pediatric client who is diagnosed with a basilar skull fracture?
A) Periorbital ecchymosis
B) Subdural hematoma
C) Protruding bone
D) Epidural hematoma
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Chapter 55: The Child With Alterations in Mental Health and Cognitive Function
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Sample Questions
Q1) Which items noted in a pediatric client's medical record indicate the child may be experiencing a learning disability? Select all that apply.
A) Dyslexia
B) Dysphagia
C) Dyspraxia
D) Scoliosis
E) Hypotonia
Q2) Which children should the nurse identify as exhibiting a delay in meeting developmental milestones? Select all that apply.
A) An 18-month-old toddler who is unable to speak in sentences
B) A 2-year-old child who is unable to cut with scissors
C) A 2-year-old child who cannot recite her phone number
D) A 6-year-old child who is unable to sit still for a short story
E) A 5-year-old child who is unable to button his shirt
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Chapter 56: The Child With Alterations in Musculoskeletal Function
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70709
Sample Questions
Q1) Which parental statement would cause the nurse to include further education related to the care required for a child who is diagnosed with congenital clubfoot?
A) "We're getting a special car seat to accommodate the casts."
B) "We'll watch for any swelling of the feet while the casts are on."
C) "We'll keep the casts dry."
D) "We're happy this is the only cast our baby will need."
Q2) Which should the nurse include in a teaching session for the parents of an infant who will be placed in a Pavlik harness for the treatment of congenital developmental dysplasia?
A) Apply lotion or powder to minimize skin irritation.
B) Check at least 2 or 3 times a day for red areas under the straps.
C) Put clothing over the harness for maximum effectiveness of the device.
D) Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper.
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Chapter 57: The Child With Alterations in Skin Integrity
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/70710
Sample Questions
Q1) The toddler pulled a pot of boiling water off the stove and suffered partial- and full-thickness burns to the chest. The child is now in the recovery-management phase of burn treatment. Which common complication should the nurse assess this client for based on the current data?
A) Asphyxia
B) Metabolic acidosis
C) Shock
D) Wound infection
Q2) Which is the priority nursing diagnosis during the acute phase of a third-degree circumferential burn of the right arm for a pediatric client?
A) Altered Tissue Perfusion, Risk for
B) Infection, Risk for
C) Impaired Physical Mobility
D) Altered Nutrition: Less than Body Requirements, Risk for
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