Maternal and Child Health Nursing Exam Bank
Course Introduction
Maternal and Child Health Nursing focuses on the essential principles and practices involved in providing comprehensive healthcare to women throughout the stages of pregnancy, childbirth, and the postnatal period, as well as to infants and children from birth through adolescence. This course covers topics such as prenatal care, labor and delivery management, neonatal assessment, growth and development milestones, immunizations, and family-centered care. Emphasis is placed on the promotion of health, prevention of disease, early detection of complications, and supportive interventions to ensure the well-being of both mothers and children within diverse cultural and social contexts.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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30 Chapters
1126 Verified Questions
1126 Flashcards
Source URL: https://quizplus.com/study-set/255 Page 2
Chapter 1: Perspectives of Pediatric Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4131
Sample Questions
Q1) The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions, then stops and says, "I don't know why you ask me all this. Who gets to know this information?" The nurse should take which action?
A) Determine why the mother is so suspicious.
B) Determine what the mother does not want to tell.
C) Explain who will have access to the information.
D) Explain that everything is confidential and that no one else will know what is said.
Answer: C
Q2) Which action by the nurse demonstrates use of evidence-based practice (EBP)?
A) Gathering equipment for a procedure
B) Documenting changes in a patient's status
C) Questioning the use of daily central line dressing changes
D) Clarifying a physician's prescription for morphine
Answer: C
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3
Chapter 2: Family, Social, Cultural, and Religious Influences on Child Health Promotion
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/4132
Sample Questions
Q1) Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?
A) Interactional theory
B) Developmental systems theory
C) Family stress theory
D) Duvall's developmental theory
Answer: C
Q2) Dunst, Trivette, and Deal identified the qualities of strong families that help them function effectively. Which qualities are included? (Select all that apply.)
A) Ability to stay connected without spending time together
B) Clear set of family values, rules, and beliefs
C) Adoption of one coping strategy that always promotes positive functioning in dealing with life events
D) Sense of commitment toward growth of individual family members as opposed to that of the family unit
E) Ability to engage in problem-solving activities
F) Sense of balance between the use of internal and external family resources
Answer: B, E, F
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Chapter 3: Developmental and Genetic Influences on Child
Health Promotion
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/4133
Sample Questions
Q1) Which following function of play is a major component of play at all ages?
A) Creativity
B) Socialization
C) Intellectual development
D) Sensorimotor activity
Answer: D
Q2) A nurse is conducting parenting classes for parents of children ranging in ages 2 to 7 years. The parents understand the term egocentrism when they indicate it means:
A) selfishness.
B) self-centeredness.
C) preferring to play alone.
D) unable to put self in another's place.
Answer: D
Q3) Which statement is true about the basal metabolic rate (BMR) in children?
A) It is reduced by fever.
B) It is slightly higher in boys than in girls at all ages.
C) It increases with age of child.
D) It decreases as proportion of surface area to body mass increases.
Answer: B
Page 5
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Chapter 4: Communication and Physical Assessment of the Child and Family
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/4134
Sample Questions
Q1) Which tool measures body fat most accurately?
A) Stadiometer
B) Calipers
C) Cloth tape measure
D) Paper or metal tape measure
Q2) A nurse is preparing to assess a 3-year-old child. What communication technique should the nurse use for this child?
A) Focus communication on child.
B) Explain experiences of others to child.
C) Use easy analogies when possible.
D) Assure child that communication is private.
Q3) Which is the most appropriate vision acuity test for a child who is in preschool?
A) Cover test
B) Ishihara test
C) HOTV chart
D) Snellen letter chart
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6
Chapter 5: Pain Assessment and Management in Children
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/4135
Sample Questions
Q1) A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain?
A) FACES pain rating tool
B) Numeric scale
C) Oucher scale
D) FLACC tool
Q2) A nurse is monitoring a patient for side effects associated with opioid analgesics. Which side effects should the nurse expect to monitor for? (Select all that apply.)
A) Diarrhea
B) Respiratory depression
C) Hypertension
D) Pruritus
E) Sweating
Q3) Nonpharmacologic strategies for pain management:
A) may reduce pain perception.
B) make pharmacologic strategies unnecessary.
C) usually take too long to implement.
D) trick children into believing they do not have pain.
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Page 7
Chapter 6: Childhood Communicable and Infectious Diseases
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4136
Sample Questions
Q1) The nurse is taking care of a 7-year-old child with a skin rash called a papule. Which clinical finding should the nurse expect to assess with this type of skin rash?
A) A lesion that is elevated, palpable, firm, and circumscribed; less than 1 cm in diameter
B) A lesion that is elevated, flat-topped, firm, rough, and superficial; greater than 1 cm in diameter
C) An elevated lesion, firm, circumscribed, palpable; 1 to 2 cm in diameter
D) An elevated lesion, circumscribed, filled with serous fluid; less than 1 cm in diameter
Q2) The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. What is most likely the cause of the diaper rash?
A) Impetigo
B) Candida albicans
C) Urine and feces
D) Infrequent diapering
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8
Chapter 7: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/4137
Sample Questions
Q1) In a newborn's eyes, strabismus is a normal finding because of:
A) congenital cataracts.
B) lack of binocularity.
C) absence of red reflex.
D) inability of pupil to react to light.
Q2) Recommendations for hepatitis B (HBV) vaccine include which statement?
A) First dose is given between birth and age 2 days.
B) First dose is given between ages 12 and 15 months.
C) It is not recommended for neonates who are at low risk for hepatitis B.
D) It is not recommended for neonates whose mothers are positive for HBV surface antigen.
Q3) In the newborn, intramuscular phytonadione (vitamin K) is administered into which muscle?
A) Deltoid
B) Dorsogluteal
C) Vastus medialis
D) Vastus lateralis
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9
Chapter 8: Health Problems of Newborns
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69 Verified Questions
69 Flashcards
Source URL: https://quizplus.com/quiz/4138
Sample Questions
Q1) The parents of a newborn with a strawberry hemangioma ask the nurse what the treatment will be. What information does the nurse need to include in the response?
A) Excision of the lesion will be necessary.
B) Injections of prednisone into the lesion will reduce it.
C) No treatment is usually necessary because of the high rate of spontaneous involution.
D) Pulsed dye laser treatments will be necessary immediately to prevent permanent disability.
Q2) Which intervention should the nurse implement to maintain the skin integrity of the preterm newborn?
A) Cleanse skin with a gentle alkaline-based soap and water.
B) Cleanse skin with a neutral pH solution only when necessary.
C) Thoroughly rinse skin with plain water after bathing in a mild hexachlorophene solution.
D) Avoid cleaning skin.
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Chapter 9: Health Promotion of the Infant and Family
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4139
Sample Questions
Q1) Which information could be given to the parents of a 12-month-old child regarding appropriate play activities?
A) Give large push-pull toys for kinetic stimulation.
B) Place cradle gym across crib to facilitate fine motor skills.
C) Provide child with finger paints to enhance fine motor skills.
D) Provide stick horse to develop gross motor coordination.
Q2) The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is:
A) front facing in back seat.
B) rear facing in back seat.
C) front facing in front seat with air bag on passenger side.
D) rear facing in front seat if an air bag is on the passenger side.
Q3) The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive, inflexible, high-top shoes. The nurse should explain that:
A) soft and flexible shoes are generally better.
B) high-top shoes are necessary for support.
C) inflexible shoes are necessary to prevent in-toeing and out-toeing.
D) this type of shoe will encourage the infant to walk sooner.
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11
Chapter 10: Health Problems of Infants
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/4140
Sample Questions
Q1) What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?
A) Explain how SIDS could have been predicted and prevented.
B) Interview parents in depth concerning the circumstances surrounding the child's death.
C) Discourage parents from making a last visit with the infant.
D) Make a follow-up home visit to parents as soon as possible after the child's death.
Q2) An infant experienced an apparent life-threatening event (ALTE) and is being placed on home apnea monitoring. Parents have understood the instructions for use of a home apnea monitor when they state?
A) "We can adjust the monitor to eliminate false alarms."
B) "We should sleep in the same bed as our monitored infant."
C) "We will check the monitor several times a day to be sure the alarm is working."
D) "We will place the monitor in the crib with our infant."
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Chapter 11: Health Promotion of the Toddler and Family
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/4141
Sample Questions
Q1) Parents tell the nurse that their toddler daughter eats little at mealtime, only sits at the table with the family briefly, and wants snacks "all the time." Which intervention should the nurse recommend?
A) Give her nutritious snacks.
B) Offer rewards for eating at mealtimes.
C) Avoid snacks so she is hungry at mealtimes.
D) Explain to her in a firm manner what is expected of her.
Q2) A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. Which is the most appropriate recommendation?
A) Punish the child.
B) Leave the child alone until the tantrum is over.
C) Remain close by the child but without eye contact.
D) Explain to child that this is wrong.
Q3) What is the most effective way to clean a toddler's teeth?
A) Child to brush regularly with a toothpaste of his or her choice
B) Parent to stabilize the chin with one hand and brush with the other
C) Parent to brush the mandibular occlusive surfaces, leaving the rest for the child
D) Parent to brush the front labial surfaces, leaving the rest for the child
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13
Chapter 12: Health Promotion of the Preschooler and Family
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/4142
Sample Questions
Q1) Which toys should a nurse provide to promote imaginative play for a 3-year-old hospitalized child? (Select all that apply.)
A) Plastic telephone
B) Hand puppets
C) Jigsaw puzzle (100 pieces)
D) Farm animals and equipment
E) Jump rope
Q2) Which characteristic best describes the language of a 3-year-old child?
A) Asks meanings of words
B) Follows directional commands
C) Describes an object according to its composition
D) Talks incessantly regardless of whether anyone is listening
Q3) By which age should the nurse expect that most children could obey prepositional phrases such as "under," "on top of," "beside," and "behind"?
A) 18 months
B) 24 months
C) 3 years
D) 4 years
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14
Chapter 13: Health Problems of Toddlers and Preschoolers
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/4143
Sample Questions
Q1) Which is a clinical manifestation of acetaminophen poisoning?
A) Hyperpyrexia
B) Hepatic involvement
C) Severe burning pain in stomach
D) Drooling and inability to clear secretions
Q2) Place in order the correct sequence for emergency treatment of poisoning in a child. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d).
A) Locate the poison.
B) Assess the child.
C) Prevent absorption of poison.
D) Terminate exposure to the toxic substance.
Q3) Which is probably the most important criterion on which to base the decision to report suspected child abuse?
A) Inappropriate parental concern for the degree of injury
B) Absence of parents for questioning about child's injuries
C) Inappropriate response of child
D) Incompatibility between the history and injury observed
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15
Chapter 14: Health Promotion of the School-Age Child and Family
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/4144
Sample Questions
Q1) The nurse is teaching a group of 10- to 12-year-old children about physical development during the school-age years. Which statement made by a participant, indicates the correct understanding of the teaching?
A) "My body weight will be almost triple in the next few years."
B) "I will grow an average of 2 inches per year from this point on."
C) "There are not that many physical differences among school-age children."
D) "I will have a gradual increase in fat, which may contribute to a heavier appearance."
Q2) An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that if she dies, she will go to hell. How should the nurse interpret this statement?
A) A common belief at this age
B) A belief that forms the basis for most religions
C) Suggestive of excessive family pressure
D) Suggestive of a failure to develop a conscience
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Chapter 15: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/4145
Sample Questions
Q1) A school nurse is teaching a group of preadolescent boys about puberty. By which age should concerns about pubertal delay be considered?
A) 12 years
B) 13 years
C) 14 years
D) 15 years
Q2) Which aspect of cognition develops during adolescence?
A) Capability to use a future time perspective
B) Ability to place things in a sensible and logical order
C) Ability to see things from the point of view of another
D) Progress from making judgments based on what they see to making judgments based on what they reason
Q3) The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)
A) Phototoxic reactions
B) Increased number of moles
C) Premature aging
D) Striae
E) Increased risk of skin cancer
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Page 17
Chapter 16: Health Problems of School-Age Children and Adolescents
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/4146
Sample Questions
Q1) Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?
A) Enuresis is more common in girls than in boys.
B) Enuresis is neither inherited nor has a familial tendency.
C) Organic causes that may be related to enuresis should be considered first.
D) Psychogenic factors that cause enuresis persist into adulthood.
Q2) Which is the most commonly used method in completed suicides?
A) Firearms
B) Drug overdose
C) Self-inflected laceration
D) Carbon monoxide poisoning
Q3) Which statement is true about smoking in adolescence?
A) Smoking is related to other high-risk behaviors.
B) Smoking will not continue unless peer pressure continues.
C) Smoking is less common when the adolescent's parent(s) smokes.
D) Smoking among adolescents is becoming more prevalent.
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Chapter 17: Quality of Life for Children Living with Chronic and Complex Diseases
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/4147
Sample Questions
Q1) A 16-year-old with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. What is the best explanation for this behavior?
A) Needs more discipline
B) Needs more socialization with peers
C) This is part of normal adolescence
D) This is how he is asking for more parental control
Q2) A 9-year-old boy has several physical disabilities. His father explains to the nurse that his son concentrates on what he can, rather than cannot, do and is as independent as possible. What is the nurse's best interpretation of this statement?
A) The father is experiencing denial
B) The father is expressing his own views
C) The child is using an adaptive coping style
D) The child is using a maladaptive coping style
Q3) Which is most descriptive of a school-age child's reaction to death?
A) Is very interested in funerals and burials
B) Has little understanding of words such as forever
C) Imagines the deceased person to be still alive
D) Has an idealistic view of the world and criticizes funerals as barbaric
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Chapter 18: Impact of Cognitive or Sensory Impairment on the Child
and Family
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4148
Sample Questions
Q1) Mark, a 9-year-old with Down syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs, such as Cub Scouts, that he might join. The nurse's recommendation should be based on which statement?
A) Programs like Cub Scouts are inappropriate for children who are cognitively impaired.
B) Children with Down syndrome have the same need for socialization as other children. C) Children with Down syndrome socialize better with children who have similar disabilities.
D) Parents of children with Down syndrome encourage programs, such as scouting, because they deny that their children have disabilities.
Q2) When caring for a newborn with Down syndrome, what should the nurse be aware is the most common congenital anomaly associated with Down syndrome?
A) Hypospadias
B) Pyloric stenosis
C) Congenital heart disease
D) Congenital hip dysplasia
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Chapter 19: Family-Centered Care of the Child During
Illness and Hospitalization
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/4149
Sample Questions
Q1) During the first 4 days of hospitalization, Eric, age 18 months, cried inconsolably when his parents left him, and he refused the staff's attention. Now the nurse observes that Eric appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as which statement?
A) He has successfully adjusted to the hospital environment.
B) He has transferred his trust to the nursing staff.
C) He may be experiencing detachment, which is the third stage of separation anxiety.
D) Because he is "at home" in the hospital now, seeing his mother frequently will only start the cycle again.
Q2) A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents that this is normal because of which reason?
A) Regression is seen during hospitalization.
B) Developmental delays occur because of the hospitalization.
C) The child is experiencing urinary urgency because of hospitalization.
D) The child was too young to be "potty-trained."
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Chapter 20: Pediatric Variations of Nursing Interventions
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/4150
Sample Questions
Q1) The nurse gives an injection in a patient's room. The nurse should perform which intervention with the needle for disposal?
A) Dispose of syringe and needle in a rigid, puncture-resistant container in the patient's room.
B) Dispose of syringe and needle in a rigid, puncture-resistant container in an area outside of the patient's room.
C) Cap needle immediately after giving injection and dispose of in a proper container.
D) Cap needle, break from syringe, and dispose of in a proper container.
Q2) A 3-year-old child has a fever associated with a viral illness. Her mother calls the nurse, reporting a fever of 102° F even though she had acetaminophen 2 hours ago. The nurse's action should be based on which statement?
A) Fevers such as this are common with viral illnesses.
B) Seizures are common in children when antipyretics are ineffective.
C) Fever over 102° F indicates greater severity of illness.
D) Fever over 102° F indicates a probable bacterial infection.
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Chapter 21: The Child with Respiratory Dysfunction
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/4151
Sample Questions
Q1) The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which intervention should be included in the child's care? (Select all that apply.)
A) Place in a mist tent.
B) Administer antibiotics.
C) Administer cough syrup.
D) Encourage the child to drink 8 ounces of formula every 4 hours.
E) Cluster care to encourage adequate rest.
F) Place on noninvasive oxygen monitoring.
Q2) The nurse enters a room and finds a 6-year-old child who is unconscious. After calling for help and before being able to use an automatic external defibrillator, which steps should the nurse take? Place in correct order. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d, e, f).
A) Place on a hard surface.
B) Administer 30 chest compressions with two breaths.
C) Feel carotid pulse while maintaining head tilt with the other hand.
D) Use the head tilt-chin lift maneuver and check for breathing.
E) Place heel of one hand on lower half of sternum with other hand on top.
F) Give two rescue breaths.
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Chapter 22: The Child with Gastrointestinal Dysfunction
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/4152
Sample Questions
Q1) Why are bismuth subsalicylate, clarithromycin, and metronidazole prescribed for a child with a peptic ulcer?
A) Eradicate Helicobacter pylori
B) Coat gastric mucosa
C) Treat epigastric pain
D) Reduce gastric acid production
Q2) A mother who intended to breastfeed has given birth to an infant with a cleft palate. What nursing interventions should be included?
A) Giving medication to suppress lactation.
B) Encouraging and helping mother to breastfeed.
C) Teaching mother to feed breast milk by gavage.
D) Recommending use of a breast pump to maintain lactation until infant can suck.
Q3) The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis. Which is appropriate to relieve the abdominal discomfort?
A) Place in Trendelenburg position.
B) Allow to assume position of comfort.
C) Apply moist heat to the abdomen.
D) Administer a saline enema to cleanse bowel.
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24
Chapter 23: The Child with Cardiovascular Dysfunction
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/4153
Sample Questions
Q1) As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in which nutrient?
A) Chlorides
B) Potassium
C) Sodium
D) Vitamins
Q2) The nurse is caring for a child after heart surgery. What should the nurse do if evidence of cardiac tamponade is found?
A) Increase analgesia
B) Apply warming blankets
C) Immediately report this to physician
D) Encourage child to cough, turn, and breathe deeply
Q3) Which is the highest acceptable mg/dl level of low density lipoprotein (LDL) cholesterol for a child from a family with heart disease? (Record your answer in a whole number.)
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Chapter 24: The Child with Hematologic or Immunologic Dysfunction
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/4154
Sample Questions
Q1) Iron dextran is ordered for a young child with severe iron-deficiency anemia. What nursing considerations should be included?
A) Administer with meals
B) Administer between meals
C) Inject deeply into a large muscle
D) Massage injection site for 5 minutes after administration of drug
Q2) The nurse is recommending how to prevent iron-deficiency anemia in a healthy, term, breastfed infant. Which should be suggested?
A) Iron (ferrous sulfate) drops after age 1 month
B) Iron-fortified commercial formula by age 4 to 6 months
C) Iron-fortified infant cereal by age 2 months
D) Iron-fortified infant cereal by age 4 to 6 months
Q3) A young child with human immunodeficiency virus (HIV) is receiving several antiretroviral drugs. What is the purpose of these drugs?
A) Cure the disease
B) Delay disease progression
C) Prevent spread of disease
D) Treat Pneumocystis carinii pneumonia
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Chapter 25: The Child with Cancer
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4155
Sample Questions
Q1) A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
A) Encourage drinking large amounts of favorite fluids.
B) Encourage child to take nothing by mouth (remain NPO) until nausea and vomiting subside.
C) Administer an antiemetic before chemotherapy begins.
D) Administer an antiemetic as soon as child has nausea.
Q2) A young child with leukemia has anorexia and severe stomatitis. The nurse should suggest that the parents try which intervention?
A) Relax any eating pressures.
B) Firmly insist that child eat normally.
C) Begin gavage feedings to supplement diet.
D) Serve foods that are either hot or cold.
Q3) What is the most common clinical manifestation(s) of brain tumors in children?
A) Irritability
B) Seizures
C) Headaches and vomiting
D) Fever and poor fine motor control
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Page 27
Chapter 26: The Child with Genitourinary Dysfunction
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/4156
Sample Questions
Q1) Which is a common side effect of short-term corticosteroid therapy?
A) Fever
B) Hypertension
C) Weight loss
D) Increased appetite
Q2) A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis to show during the acute phase?
A) Bacteriuria, hematuria
B) Hematuria, proteinuria
C) Bacteriuria, increased specific gravity
D) Proteinuria, decreased specific gravity
Q3) A 6-year-old child is scheduled for an IV urography (IVP) in the morning. Which preparatory interventions should the nurse plan to implement? (Select all that apply.)
A) Clear liquids in the morning before the procedure
B) Cathartic in the evening before the procedure
C) Soapsuds enema the morning of the procedure
D) Insertion of a Foley catheter before the procedure
E) Teaching with regard to insertion of an intravenous catheter before the procedure
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Chapter 27: The Child with Cerebral Dysfunction
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/4157
Sample Questions
Q1) The nurse is caring for a neonate with suspected meningitis. Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed? (Select all that apply.)
A) Headache
B) Photophobia
C) Bulging anterior fontanel
D) Weak cry
E) Poor muscle tone
Q2) Which clinical manifestations would suggest hydrocephalus in a neonate?
A) Bulging fontanel and dilated scalp veins
B) Closed fontanel and high-pitched cry
C) Constant low-pitched cry and restlessness
D) Depressed fontanel and decreased blood pressure
Q3) The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. Which is the most essential part of the nursing assessment to detect early signs of a worsening condition?
A) Posturing
B) Vital signs
C) Focal neurologic signs
D) Level of consciousness
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Chapter 28: The Child with Endocrine Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/4158
Sample Questions
Q1) A child eats some sugar cubes after experiencing symptoms of hypoglycemia. What should follow this rapid-releasing sugar?
A) Fat
B) Fruit juice
C) Several glasses of water
D) Complex carbohydrate and protein
Q2) Parents of a toddler with hypopituitarism ask the nurse, "What can we expect with this condition?" The nurse should respond with which statement?
A) Growth is normal during the first 3 years of life.
B) Weight is usually more retarded than height.
C) Skeletal proportions are normal for age.
D) Most of these children have subnormal intelligence.
Q3) The nurse is discussing with a child and family the various sites used for insulin injections. Which site usually has the fastest rate of absorption?
A) Arm
B) Leg
C) Buttock
D) Abdomen
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Chapter 29: The Child with Musculoskeletal or Articular Dysfunction
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/4159
Sample Questions
Q1) The nurse is preparing an adolescent with scoliosis for a spinal surgical instrumentation placement procedure. Which consideration should the nurse include?
A) A chest tube and urinary catheter may be required.
B) Ambulation will not be allowed for up to 3 months.
C) Surgery eliminates the need for casting and bracing.
D) Discomfort can be controlled with nonpharmacologic methods.
Q2) An adolescent with a fractured femur is in Russell's traction. Surgical intervention to correct the fracture is scheduled for the morning. Nursing actions should include which action?
A) Maintaining continuous traction until 1 hour before the scheduled surgery
B) Maintaining continuous traction and checking position of traction frequently
C) Releasing traction every hour to perform skin care
D) Releasing traction once every 8 hours to check circulation
Q3) Which medication is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JIA)?
A) Aspirin
B) Corticosteroids
C) Cytotoxic drugs such as methotrexate
D) Nonsteroidal antiinflammatory drugs (NSAIDs)
Page 31
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Chapter 30: The Child with Neuromuscular or Muscular Dysfunction
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)? (Select all that apply.)
A) Lordosis
B) Gower sign
C) Kyphosis
D) Scoliosis
E) Waddling gait
Q2) The nurse is admitting a child with Werdnig-Hoffmann disease (spinal muscular atrophy type 1). Which signs and symptoms are associated with this disease?
A) Spinal muscular atrophy
B) Neural atrophy of muscles
C) Progressive weakness and wasting of skeletal muscle
D) Pseudohypertrophy of certain muscle groups
Q3) How much folic acid is recommended for women of childbearing age?
A) 1.0 mg
B) 0.4 mg
C) 1.5 mg
D) 2.0 mg
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