Maternal and Child Health Nursing Exam Bank
Course Introduction
Maternal and Child Health Nursing focuses on the comprehensive care of women throughout pregnancy, childbirth, and the postpartum period, as well as the health and development of infants and children. The course covers essential concepts such as prenatal and postnatal care, high-risk pregnancies, child growth and development, common pediatric illnesses, and health promotion strategies. Emphasis is placed on the nurses role in providing family-centered care, advocating for maternal and child health, and implementing evidence-based practices to ensure optimal health outcomes for mothers and children.
Recommended Textbook
Maternal Child Nursing Care with Womens Health Companion 2nd Edition by Ward
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35 Chapters
1798 Verified Questions
1798 Flashcards
Source URL: https://quizplus.com/study-set/998
Page 2
Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19622
Sample Questions
Q1) A clinic nurse is evaluating a child who has been treated for a cough and fever for several weeks,without resolution of the symptoms.The child and family are recent immigrants to America.What actions by the nurse are most appropriate?
A) Ask the parents about culturally relevant health-care practices.
B) Assess the family's understanding of the illness and treatment.
C) Investigate illnesses endemic to the family's native country.
D) Tell the family members they must stop using herbal or folk treatments.
E) Utilize a professional interpreter to communicate with the family.
Answer: A,B,C,E
Q2) A nurse is demonstrating the professional role of provider of care to a nursing student.Which action by the nurse is most relevant to this professional role?
A) Assesses the patient's priority physical needs
B) Gives the patient a bath instead of delegating it
C) Supervises unlicensed assistive personnel
D) Uses monitoring and IV equipment correctly
Answer: D
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Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19623
Sample Questions
Q1) A nurse working with an after-school program is concerned about the lack of health literacy in the students' parents.What action would best address this need?
A) Conduct a monthly health-related seminar for parents.
B) Investigate grants or other funding for a computer bank.
C) Invite parents to healthy cooking demonstrations.
D) Provide brochures on a variety of health problems.
Answer: B
Q2) A nurse wishing to be an advocate for access to health care would most likely choose to participate in which of the following activities?
A) Lobby for improved insurance access for all individuals, whether or not they are employed.
B) Help establish fast-track or minor illness areas in local emergency rooms.
C) Partner with medical centers to provide free services for low-income patients.
D) Work with visiting nurses associations to create on-site clinics at day-care centers. Answer: A
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Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/19624
Sample Questions
Q1) A nurse is working with a family with the diagnosis of impaired family processes.Although both parties worked,one person worked part time and had the main responsibility for the household.The other spouse retired recently and has not taken on more of this role.Both people are angry and resentful.What goal would be best for this couple?
A) Adapt to role changes positively within 2 months.
B) Divide up household duties between spouses more evenly.
C) Express feelings using "I" statements within 1 month.
D) Learn to discuss anger and other negative emotions.
Answer: C
Q2) A nurse is working with family members who have been striving to improve their functioning as a family unit.What behavior would suggest to the nurse that the family is meeting its goals?
A) The children are in multiple activities to develop talents.
B) The desire to be understood guides most communication.
C) Family members gave up some activities in order to eat dinner together on most nights.
D) The parents have a strong desire for the children to succeed.
Answer: C
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Page 5
Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/19625
Sample Questions
Q1) The nurse is assessing a young woman who is overweight.Which action by the nurse is most appropriate?
A) Ask if she knows how overweight she is.
B) Assess the woman for stress-related problems.
C) Caution her about related chronic illnesses.
D) Encourage the woman to exercise more.
Q2) A nurse is teaching a 24-year-old male about reproductive health.Which information should the nurse provide this patient about testicular cancer?
A) Annual screening is recommended for testicular cancer.
B) If the epididymis is tender to the touch, that is concerning.
C) Perform a testicular self examination after a warm shower.
D) Because testicular cancer is rare at this age, no action is needed.
Q3) The nurse providing health promotion to a group of young adult women would plan to offer which services as a priority?
A) Aspirin prophylaxis
B) Breast cancer screen
C) Colorectal cancer screen
D) Influenza vaccine
E) Tobacco and alcohol screen
Page 6
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Chapter 5: Reproductive Anatomy and Physiology
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/19626
Sample Questions
Q1) The perinatal nurse knows that the lowest portion of the true pelvis is which of the following anatomical landmarks ?
A) Pelvic outlet
B) Linea terminalis
C) Sacral promontory
D) Sacrum
Q2) A nurse is teaching a class about gender maturation.What information is most accurate?
A) Gender is determined by 8 weeks of gestation, when sex organs are visible.
B) Gender maturity is not fully complete until old age.
C) It is a lengthy process that spans from the embryonic stage through puberty.
D) The process begins and ends during fetal development.
Q3) A mother brings her 9-year-old daughter to the family practice clinic.She is worried because the daughter already has definite breast buds and is asking to wear a bra.What response by the nurse is best?
A) "At what age did you develop breast buds or start menstruating?"
B) "Does anyone in your family have a history of precocious development?"
C) "The average age for breast budding is 9.8 years, so she is normal."
D) "This is too early for breast buds; she may need endocrine studies."
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Page 7
Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/19627
Sample Questions
Q1) A woman is receiving clomiphene citrate (Clomid).What assessment finding warrants immediate intervention by the nurse?
A) Chest pain worse with inspiration
B) Complaints of anxiety and depression
C) Headache and bilateral eye pain
D) Increase in blood pressure of 10%
Q2) The nurse working in a family practice clinic assesses women for sexual dysfunction.Which woman would the nurse assess as having a sexual dysfunction?
A) Complains about lack of arousal but still has intercourse
B) Enjoys a platonic relationship with her "gentleman friend"
C) Needs increased foreplay in order to reach an orgasm
D) No desire for intimacy and is comfortable with the situation
Q3) A woman had an elective surgical abortion 7 weeks ago and calls the clinic to ask when her menstrual periods should return.What response by the nurse is most appropriate?
A) "I will ask the physician to prescribe misoprostol (Cytotec)."
B) "It usually takes 1 to 3 months for your menstrual periods to return."
C) "Please come in to the clinic today for a checkup."
D) "You should be seen in the emergency department."
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Page 8
Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/19628
Sample Questions
Q1) A student reviewing the anatomy and physiology of the fetal circulatory system learns that the highest concentration of oxygen in fetal blood is measured at what level?
A) 10-20 mm Hg
B) 20-25 mm Hg
C) 30-35 mm Hg
D) 40-50 mm Hg
Q2) A couple wishes to know the chances of passing on an X-linked dominant heritable disorder to their four sons.The father's family has the disorder.The sons appear healthy,but the couple wants to be prepared for possible future events related to the disease.What information does the nurse give them?
A) "All of them will be affected."
B) "Half of them will be affected."
C) "None of your sons will be affected."
D) "One of the four will be affected."
Q3) A baby is born with trisomy 18.What action by the nurse is most appropriate?
A) Allow the family members to express their grief and anger.
B) Call the hospital chaplain to counsel the parents.
C) Make a referral to a home health agency for home visits.
D) Prepare the parents for the baby's imminent death.
Page 9
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Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/19629
Sample Questions
Q1) A nurse is working with a woman in her second trimester and her partner.The partner comes to clinic appointments but spends his time texting on his cell phone in the waiting room.The woman states that this behavior makes her sad.Which action by the nurse is best?
A) Ask the father to turn off his cell phone in the clinic.
B) Assess the woman for ongoing relationship problems.
C) Invite the father into the exam room to listen to the baby's heartbeat.
D) Refer the couple to counseling for depression.
Q2) A pregnant woman has the nursing diagnosis of risk for ineffective role performance.What statement by the patient indicates that she is meeting a maternal task associated with the second trimester?
A) "All of this morning sickness and fatigue are distressing."
B) "I don't understand why I feel drawn to pregnant women."
C) "I really will miss my girls' nights out at the local bars."
D) "This baby seems so real to me since I feel him move."
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Page 10
Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/19630
Sample Questions
Q1) The nurse explains to a newly diagnosed pregnant woman at 10 weeks' gestation that her rubella titer indicates that she is not immune.Which of the following should the nurse teach the patient?
A) Avoid contact with all children until after you have given birth.
B) Be retested in 3 months and obtain the vaccination if not immune.
C) Do not become pregnant for 4 weeks after you receive the vaccination.
D) Receive the rubella vaccine during the postpartum period.
E) Seek medical care immediately for fever, runny nose, or rash.
Q2) A nurse is teaching a group of middle school girls about the complications associated with teen pregnancy.What topics should the nurse include?
A) Anemia
B) Hypertensive problems
C) Gestational diabetes
D) Preeclampsia
E) Preterm birth
Q3) A woman is 10 weeks pregnant with her third baby.She has two living children with normal delivery histories.Using the GTPAL system,the nurse would document this woman's obstetrical history as ____________________.
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Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/19631
Sample Questions
Q1) A pregnant woman is complaining of urinary frequency and is worried about incontinence.Which teaching strategy should the nurse use when counseling this woman?
A) Minimize fluid intake during the day.
B) Perform sit-ups to strengthen the abdomen.
C) Teach the woman how to perform Kegel exercises.
D) Void infrequently to train the bladder.
Q2) A woman in her third trimester is complaining of numbness and tingling in her fingers.Which action should the nurse take first?
A) Assess the woman for hyperventilation.
B) Educate her about a thermoskin carpal tunnel glove.
C) Facilitate an appointment for a nerve conduction study.
D) Reassure her that the condition is temporary.
Q3) A new patient is being assessed by the perinatal nurse.For exercise,the woman practices yoga five times a week,walks her dog,and swims.What action should the nurse do first?
A) Ask if any yoga positions involve arching the back.
B) Explain that swimming is a great exercise for all women.
C) Instruct the woman to stop exercising if she gets fatigued.
D) Tell her that no extra water is needed if she is swimming.
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Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/19632
Sample Questions
Q1) A nurse is caring for a woman receiving continuous electronic fetal monitoring.Which action by the nurse is most important?
A) Educate the woman and her partner about the importance of electronic fetal monitoring.
B) Ensure clearly readable monitoring strips are placed in the patient's chart per protocol.
C) Offer diversionary activities for the woman and partner while they are in the hospital.
D) Restrict visitors in order to decrease the chance of being exposed to infectious illness.
Q2) Which of the following does the nurse recognize as complications of premature birth?
A) Osteoporosis
B) Cerebral palsy and mental retardation
C) Diabetes mellitus type 1
D) Intraventricular hemorrhage
E) Retinopathy of prematurity
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Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/19633
Sample Questions
Q1) A woman's birthing plan includes completing the latent phase of the first stage of labor at home.When should the nurse teach the woman to come in to the birthing unit?
A) After 10 hours of mild contractions
B) When contractions are 3 to 5 minutes apart
C) When contractions are experienced in the back
D) When strong contractions occur 2 to 3 minutes apart
Q2) A woman arrives at the birthing unit complaining of frequent strong contractions that begin in her back and cannot be relieved by walking or changing positions.What action by the nurse is most appropriate?
A) Assess the woman for rupture of membranes.
B) Immediately notify the woman's primary care provider.
C) Reassure the woman and send her home.
D) Review the signs of true labor with the woman.
Q3) What nursing action best helps to prevent perineal lacerations during birth?
A) Providing adequate coaching on pushing and breathing
B) Applying warm compresses to the perineum
C) Helping the woman to squat during labor
D) Performing an episiotomy early in labor
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Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19634
Sample Questions
Q1) A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia.The operating room nurse states that the patient received a dose of metoclopramide (Reglan)IV in the operating room.The nurse explains to a student nurse the purpose of giving this drug is to do which of the following?
A) Allow rapid anesthetic induction
B) Increase the speed of gastric emptying
C) Promote muscle relaxation
D) Reduce stomach acid production
Q2) A labor and delivery nurse explains to the student that the most common complication following a spinal anesthesia block is which of the following?
A) Fetal depression
B) Hematoma
C) Maternal hypotension
D) Severe pruritus
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15
Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/19635
Sample Questions
Q1) A woman is asking about a cesarean birth.The nurse explains that which of the following are appropriate indications for this type of birth?
A) Active genital herpes
B) Certain fetal malpresentations
C) Maternal request
D) Some multiple gestations
E) Umbilical cord prolapse
Q2) A woman arrives at the birthing unit for a scheduled cesarean birth.What action by the nurse is most important?
A) Cleanse and shave the woman's abdomen.
B) Ensure that signed informed consent is on the chart.
C) Facilitate a blood draw for type and cross match.
D) Initiate a large-bore IV and insert a catheter.
Q3) A woman is about to undergo an external version.What action by the nurse takes priority?
A) Determine Rh status; give Rh immune globulin if needed.
B) Explain the procedure to the woman and obtain consent.
C) Offer emotional support to both the woman and her partner.
D) Prepare to administer oxytocin (Pitocin) as per protocol.
Page 16
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Chapter 15: Caring for the Postpartal Woman and Her Family
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/19636
Sample Questions
Q1) A postpartum woman who experienced a spontaneous vaginal birth 12 hours ago describes a headache that is worsening.The patient was given two regular-strength acetaminophen (Tylenol)tablets approximately 30 minutes ago but has had no relief from the pain.The most appropriate nursing action at this time is to do which of the following?
A) Ask any visitors to leave now or stay quiet.
B) Dim the lights in the patient's room.
C) Notify the patient's health-care provider.
D) Perform a comprehensive pain assessment.
Q2) A diabetic patient is 1 day postpartum after an uncomplicated vaginal birth.She wants to know why her blood sugar levels are so much lower than usual.What explanation by the nurse is best?
A) "Because you are dehydrated, your blood sugar decreases for a few days."
B) "I will call the dietician to see if you are getting enough calories."
C) "The levels of hormones that cause an anti-insulin effect are decreased."
D) "The exertion from childbirth is like a massive workout for your body."
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Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/19637
Sample Questions
Q1) A patient has been transferred to an intensive care unit (ICU)after experiencing a pulmonary embolus.The patient is stable 24 hours later,but will remain in the unit for another day or two.At this time,the priority for the perinatal nurse is to provide the family with information about infant care and what other action?
A) Advocate for infant visitation and breast pumping in the ICU if desired by the patient.
B) Give the family information about the hospital policies and procedures, including visiting hours.
C) Provide information about follow-up with her family physician after discharge from the hospital.
D) Educate the family and patient about the patient's risk for future deep vein thrombosis.
Q2) The perinatal nurse is aware that a key factor contributing to suboptimal outcomes for pregnant women and their families is which of the following?
A) Decreased knowledge regarding signs and symptoms of complications
B) Delayed communication between health-care provider call groups
C) Lack of family and other social support during pregnancy
D) Suboptimal nursing resources to provide care during labor and birth
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Page 18
Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/19638
Sample Questions
Q1) A mother brings her 1-week-old baby to the clinic with complaints that the baby is not eating well.The mother is attempting to bottle feed about 120 mL every 2 hours.What action by the nurse is best?
A) Explain that this is too much volume at one time.
B) Have the mother demonstrate her feeding and burping technique.
C) Reassure the mother that the baby is eating fine.
D) Weigh the baby and plot her weight on a graph.
Q2) New parents are concerned that after initially breastfeeding their baby 2 hours after being born,she is sleeping soundly and will not awaken.What action by the nurse is most appropriate?
A) Call the rapid response team.
B) Document the neonate's behavior in the chart.
C) Reassure the parents that this is normal.
D) Stimulate the baby to wake her up.
Q3) What action by the nurse is most important to prevent hemorrhagic disease of the newborn?
A) Administer vitamin K<sub>1</sub> phytonadione (AquaMEPHYTON).
B) Assess daily hemoglobin and hematocrit levels.
C) Coordinate laboratory sticks to minimize blood loss.
D) Handle the infant gently to prevent injury.
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Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/19639
Sample Questions
Q1) A nurse assessing an infant notes that the baby is jittery,has muscle twitches,and has jittery movement of the arms and legs.What action by the nurse is most appropriate?
A) Call the physician and request muscle relaxants.
B) Ensure the infant is kept warm in a quiet environment.
C) Facilitate completion of either a CT or an MRI scan.
D) Request laboratory work to detect substances of abuse.
Q2) A nurse is discharging parents and their new infant.When assisting the family to place the infant in a car seat,which observation leads the nurse to reinforce teaching?
A) The baby is wearing a sack-type sleeper.
B) The baby is wearing a single layer of clothes.
C) The parent checks the temperature of the car seat.
D) A rear-facing car seat is in the back seat.
Q3) A nurse notes that an infant has a drooping tongue,which causes difficulty with feeding.What cranial nerve should the nurse assess further?
A) Facial
B) Olfactory
C) Trigeminal
D) Vagus
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Page 20
Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/19640
Sample Questions
Q1) An infant is born weighing 6 lb,1 oz and has gastroschisis.The nurse anticipates running this infant's IV fluids at a rate of ____________________ mL/hour.
Q2) The pediatric nurse is providing care to an infant diagnosed with phenylketonuria.What education is vital for this nurse to provide the parents?
A) Information available from the Centers for Disease Control and Prevention
B) High-protein, low-carbohydrate diet for the life of the baby
C) Special phenylalanine-free infant formula and diet restriction
D) Very-low-protein diet supplemented with thiamine during childhood
Q3) A nurse is preparing to admit a newborn to the NICU who weighs 1,750 g.What classification does the nurse use to describe this infant?
A) Extremely low birth weight
B) Low birth weight
C) Normal birth weight
D) Very low birth weight
Q4) An infant is born at 35 weeks and 3 days.How would the nurse document this gestational age? ____________________
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Page 21
Chapter 20: Caring for the Developing Child
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/19641
Sample Questions
Q1) A couple brings their child to the well-child clinic for guidance in improving the child's school performance.The nurse assesses the child and finds that favorite activities are running,playing basketball,and building models.Which conclusion is most appropriate for the nurse to make based on the assessment findings?
A) Hyperactive and may need medication
B) Learns best through bodily activity
C) Needs firm structure for completing schoolwork
D) Normal activity; school performance will improve with time
Q2) A 2-year-old is seen for a well-child visit and is scheduled to receive immunizations.The child weighed 22 lb (9.97 kg)at 1 year of age (1 year ago).Today the child weighs 23 lb (10.4 kg).Which conclusion is most appropriate for the nurse to make regarding this assessment data?
A) The child is at an expected weight.
B) The child is over expected weight.
C) The child is seriously overweight.
D) The child is underweight for age.
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22
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/19642
Sample Questions
Q1) What does the pediatric nurse understand about the use of complementary and alternative medicine (CAM)?
A) All CAM practices are the same within a cultural group.
B) CAM practices reflect ethnocultural health beliefs.
C) Only herbal remedies are considered CAM therapies.
D) Over half of the adults in America use CAM.
E) Very few doctors collaborate with CAM providers.
Q2) A middle-aged woman has brought a fussy baby to the pediatric clinic.After placing the woman and child in an exam room,which of the following questions should the nurse ask first?
A) "Have you taken the baby's temperature?"
B) "How are you related to the baby?"
C) "How long has the baby been so fussy?"
D) "What brings you to the office today?"
Q3) A 34-lb child needs acetaminophen (Tylenol).The correct dose range for this child is____________________ mg .
Q4) A child who weighs 16 lb received an overdose of morphine sulfate and needs naloxone (Narcan).The safe dose for this child is ____________________ mg.
Page 23
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Chapter 22: Caring for the Child With a Psychosocial or Condition
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/19643
Sample Questions
Q1) A nurse is working with a family whose child has bipolar disorder.Which item is the most appropriate for the nurse to including in the teaching session for this child and family?
A) Ensure the child follows all house rules; do not give in.
B) Instruct family that if mania is uncontrollable, hospitalization is required.
C) Protect younger children from sexually aggressive behaviors.
D) Provide routine and structure and appropriate freedom.
Q2) A pregnant woman asks the nurse how much alcohol must be consumed to put her fetus at risk of fetal alcohol spectrum disorder.What answer by the nurse is the most appropriate?
A) Any alcohol during the third trimester
B) Any amount at any time during the pregnancy
C) More than 2 drinks/day in the first trimester
D) Three or more drinks/day throughout pregnancy
Q3) A nurse is making a referral for a family whose teenage daughter has anorexia nervosa.Which referral is the most appropriate?
A) Crisis intervention counseling
B) Family-oriented therapy
C) Multidisciplinary team
D) Psychiatrist
Page 24
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Chapter 23: Caring for the Child With a Respiratory Condition
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/19644
Sample Questions
Q1) A child with pertussis is in the catarrhal stage of the disease.Which assessment findings correlate with this condition?
A) Chronic cough lasting weeks
B) Intense cough causing vomiting
C) Low-grade fever
D) Sweating and fatigue after coughing
E) Upper respiratory symptoms
Q2) The pediatric nurse is observing a student nurse teach a child how to use a peak flow meter.Which instruction by the student requires intervention by the pediatric nurse?
A) "Exhale for as long as you can to empty your lungs."
B) "Keep your tongue away from the mouthpiece."
C) "Stand up straight and tall when using the meter."
D) "Write down the highest of the three readings."
Q3) Four children are in the pediatric clinic waiting to be seen.Which patient should the nurse see first?
A) Afebrile, parent reports harsh barky cough
B) Pulling on ear, temperature 103°F (39.5°C)
C) Salty-tasting sweat, poor weight gain
D) Wheezing, retracting, no wet diapers today
Page 25
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Chapter 24: Caring for the Child With a Gastrointestinal Condition
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/19645
Sample Questions
Q1) A mother is distraught after learning that her son has Hirschsprung disease.She asks the nurse how she could have prevented this from occurring.Which response by the nurse is most appropriate?
A) "Did you use recreational drugs during pregnancy?"
B) "How much alcohol did you consume while pregnant?"
C) "Nothing; this disease seems to be familial in origin."
D) "You probably did not get enough folic acid in your diet."
Q2) After surgical correction of a Meckel diverticulum,what nursing action is the most important?
A) Administration of total parenteral nutrition
B) Care of a nasogastric tube and oral care
C) Referral to a dietician for low-residue diet
D) Teaching parents and child colostomy care
Q3) A 13-year-old child has been admitted for acute pancreatitis.The parents want to know how the child contracted this disease.Which response by the nurse is the most appropriate?
A) "Has your child been exposed to pancreatitis?"
B) "In most cases we don't find the cause."
C) "Microliths are a common causative factor."
D) "Your child is probably drinking alcohol."
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/19646
Sample Questions
Q1) A nursing student is learning about the immune system.Which statement about immunoglobulins is correct?
A) Adult levels of IgG are reached by the age of 6 months.
B) Children are born with adult levels of IgA.
C) IgE leads the body's attack against bacteria and viruses.
D) IgM is the first type of antibody made in response to infection.
Q2) A nurse is caring for an HIV-positive school-age child who is moderately malnourished.Which interventions are appropriate to include in this child's plan of care?
A) Assess the oral cavity once a shift.
B) Determine the child's food preferences.
C) Encourage adequate fluid intake.
D) Provide oral hygiene after each meal.
E) Teach the parents about tube feedings.
Q3) A nursing faculty member is explaining the pediatric immune system to students.Which statement is correct?
A) Children are born with intact immune systems.
B) Children's immune systems develop over 1 year.
C) Immunity isn't functional until about 6 months.
D) Mothers' immunity is babies' primary line of defense.
Page 27
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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58 Verified Questions
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Sample Questions
Q1) A child hospitalized with heart failure has manifestations related to increased preload.Which drug does the nurse prepare to administer?
A) Digoxin (Lanoxin)
B) Dopamine (Intropin)
C) Furosemide (Lasix)
D) Metoprolol (Toprol)
Q2) A child has truncus arteriosus with hypotension and poor perfusion.Which medication does the nurse prepare to administer?
A) Amiodarone (Cordarone)
B) Clopidogrel (Plavix)
C) Dopamine (Intropin)
D) Isoproterenol (Isuprel)
Q3) A child is suspected of having neurally mediated syncope.Which diagnostic test does the nurse prepare the child for?
A) Cerebral angiogram
B) Coronary angiogram
C) Echocardiogram
D) Tilt table test
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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56 Verified Questions
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Sample Questions
Q1) A child has been admitted with suspected pheochromocytoma.What action by the nurse takes priority?
A) Auscultate lung sounds every 4 hours during fluid therapy.
B) Facilitate stat laboratory draws when the child has episodic symptoms.
C) Perform a complete abdominal assessment including palpation.
D) Withhold water for 8 hours and collect hourly urine samples.
Q2) The student studying endocrine disorders learns that which gland controls overall physiologic homeostasis?
A) Anterior pituitary
B) Hypothalamus
C) Parathyroid
D) Posterior pituitary
Q3) A nurse is teaching the parents of a child with growth hormone deficiency about medication administration.Which action charted by the nurse indicates that the goals for teaching have been met?
A) Administers growth hormone using correct intramuscular technique
B) Administers growth hormone using correct subcutaneous technique
C) Demonstrates ability to properly mix growth hormone with liquids
D) Rinses inhaler with warm water after each dose is administered
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
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Sample Questions
Q1) A nurse is caring for a child who has intracranial pressure (ICP)monitoring.The nurse assesses the child and notes that the ICP is 9 mm Hg.Which action by the nurse is most appropriate?
A) Activate the rapid response team.
B) Document the finding in the chart.
C) Hyperventilate the patient.
D) Prepare to administer mannitol (Osmotrol).
Q2) A nurse assesses an infant for signs of increased intracranial pressure.Which signs would lead the nurse to notify the rapid response team?
A) Bulging fontanels
B) Change in LOC
C) Irregular respirations
D) Posturing
E) Seizures
Q3) A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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63 Verified Questions
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Sample Questions
Q1) An adolescent expresses frustration over how long his football injury to a tendon is taking to heal.Which response by the nurse is the most appropriate?
A) "I'll ask the doctor to check for a tendon infection."
B) "Often these injuries never fully heal and return to normal."
C) "Tendons have a poor blood supply, so healing is slow."
D) "You have to be more compliant with immobilization."
Q2) A 10-year-old child is in the emergency department with a type IV femur fracture.Which intervention takes priority?
A) Assessing the child for signs of maltreatment
B) Ensuring that signed consent for surgery is on the chart
C) Explaining the process of closed reduction with sedation
D) Preparing the child for prolonged immobility in traction
Q3) A 5-year-old child is hospitalized with osteomyelitis and will be going home in the next few days on intravenous (IV)antibiotics.Which action by the nurse is the most appropriate?
A) Ensure that a valid permit for a PICC line is on the chart.
B) Locate a pharmacy that will supply the IV medications.
C) Research the patient's insurance for home infusion coverage.
D) Teach the child about a PICC line using a doll.
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Chapter 30: Caring for the Child With a Integumentary Condition
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Sample Questions
Q1) A school-age child has been prescribed "magic mouthwash" for gingival herpes simplex type I (HSV-1)infection.The parent asks how this helps the child's condition.Which response by the nurse is the most appropriate?
A) Decreases the pain so the child can eat and drink
B) Kills the virus causing the infection by suffocation
C) Prevents secondary infection of the gingiva
D) Shortens the duration of the outbreak
Q2) A child weighing 110 lb (50 kg)was involved in a car fire at 3 p.m.She did not reach the emergency department until 5 p.m.She suffered burns over 45% of her body.How fast does the nurse program the IV pump in order to deliver the first 50% of her fluid requirements? Using the standard Parkland formula,the nurse should program the IV pump at ____________________ mL/hour.
Q3) The faculty member explains fungal skin diseases to a group of students.Which are the common types of this disorder?
A) Tinea capitis
B) Tinea corporis
C) Tinea cruris
D) Tinea manus
E) Tinea pedis
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Chapter 31: Caring for the Child With a Genitourinary Condition
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45 Verified Questions
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Sample Questions
Q1) A nurse is caring for a child who is scheduled for a kidney biopsy.The prebiopsy laboratory results indicate a platelet count of 88,000,pH of 7.28,and potassium of 5.8 mEq/L.Based on these laboratory results,which action by the nurse is the most appropriate?
A) Ensure signed consent is on the chart.
B) Document the findings in the chart.
C) Notify the provider immediately.
D) Prepare to administer Kayexalate (sodium polystyrene).
Q2) A new mother asks the nurse why babies are more prone to dehydration than adults.Which rationales from the nurse best answer this mother's question?
A) A greater body surface area than adults
B) Higher percentage of total body water
C) Improved ability of kidneys to concentrate urine
D) Kidneys too efficient in excreting waste
E) More fluids losses through GI tract and skin
Q3) A child weighs 32 kg (74.4 lb).This child's 24-hour fluid requirements would be calculated as ____________________.
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Chapter 32: Caring for the Child With a Hematological Condition
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Sample Questions
Q1) The pediatric nurse is aware that the most common type of transfusion reaction is which of the following?
A) Acute hemolytic reaction
B) Allergic reaction
C) Circulatory overload
D) Febrile reaction
Q2) A child has mild anemia and the parent asks why this makes the child have difficulty concentrating.What response by the nurse is best?
A) "All sick children have trouble concentrating."
B) "Her anemia makes her too tired to think."
C) "She may have another problem with her brain."
D) "The brain isn't getting enough oxygen."
Q3) A 2-year-old child's hemoglobin is 8.2 g/dL.What action by the nurse is best?
A) Ask the parents about activity level.
B) Document findings in the chart.
C) Notify the provider immediately.
D) Schedule a re-draw of blood in 6 months.
Q4) A child has an order for ketorolac (Toradol)IV push once.The child weighs 78
lb.According to your calculation,the one-time dose would be ____________________mg.
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Chapter 33: Caring for the Child With Cancer
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55 Verified Questions
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Q1) The nurse is explaining types of solid tumors to a group of students.Which information does the nurse include?
A) A sarcoma is found in bone or muscle.
B) "Carcinoma" means any cancerous tumor.
C) Epithelial cells give rise to carcinomas.
D) Lymphoma might originate in the thymus.
E) Pediatric and adult solid tumors are similar.
Q2) A 4-year-old child is several days postoperative after a resection of a brain tumor.The nurse finds the child irritable and lethargic,and notes that she has vomited.Which medication does the nurse anticipate administering?
A) Dexamethasone (Decadron)
B) Fosphenytoin (Cerebyx)
C) Odansetron (Zofran)
D) Phenytoin (Dilantin)
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Chapter 34: Caring for the Child With a Chronic Condition or the Dying Child
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Q1) The nurse is teaching the parents of a child with a severe,chronic condition ways to promote growth and development.Which suggestion by the nurse is the most appropriate?
A) Allow interaction with peers, family, and community members.
B) Ensure that the child is getting a nutritious diet and plenty of exercise.
C) Insist that the public school include the child in all activities.
D) Plot the child's growth and weight gain on growth charts monthly.
Q2) A nurse is teaching the parents of a dying child how to recognize impending death.Which manifestations does the nurse tell the parents to expect?
A) Changes in breathing patterns
B) Decreased desire to eat or drink
C) Increased blood pressure
D) Pale, cool skin
E) Restlessness or agitation
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Chapter 35: Caring for the Critically Ill Child
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Q1) Family members are visiting a child who is mechanically ventilated and heavily sedated.The parents are visibly distressed.Which statement from the nurse is most appropriate?
A) "Her latest arterial blood gases show compensated acidosis."
B) "I'm glad you are here; let me get you some chairs to sit in."
C) "She is so heavily sedated that she will not know if you are here or not."
D) "You can talk to and touch your child to let her know you are here."
Q2) A 36-lb (16.4-kg)patient in the pediatric intensive care unit is started on a propofol (Diprovan)infusion.The health-care provider orders the infusion started at 410 µg/minute.Which action by the nurse is the most appropriate?
A) Administer the infusion using an infusion pump.
B) Consult the pharmacist about giving this drug as an infusion.
C) Ensure the appropriate antidote is available bedside.
D) Notify the provider that the dose is above the safe range.
Q3) A child's blood pressure is 92/64 mm Hg.Therefore,the mean arterial pressure is ____________________.
Q4) A child who weighs 28 lb needs fluid resuscitation.The nurse plans to administer
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