Maternal and Child Health Nursing
Midterm Exam
Course Introduction
Maternal and Child Health Nursing is a specialized course that focuses on the comprehensive care of women during pregnancy, childbirth, and the postpartum period, as well as the growth, development, and health of infants and children. The course covers topics such as prenatal and postnatal care, high-risk pregnancies, labor and delivery management, newborn assessment, common childhood illnesses, immunizations, and nutritional needs. Emphasizing both preventive and therapeutic approaches, it explores family-centered care, health promotion, and education strategies to optimize the well-being of mothers and children while considering cultural, social, and ethical factors in healthcare delivery.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
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35 Chapters
1810 Verified Questions
1810 Flashcards
Source URL: https://quizplus.com/study-set/2263
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/44945
Sample Questions
Q1) An inpatient nursing unit uses Madeleine Leininger's theory to organize nursing care.The manager would conclude that a new nurse has successfully integrated this theory into practice when the nurse does which of the following actions?
A)Emphasizes caring over curing in nursing actions
B)Establishes trusting relationships with patients
C)Knows the cultural practices of many different groups
D)Organizes environmental factors for the patient's benefit
Answer: B
Q2) The nurse working with patients understands that health promotion can include which of the following? (Select all that apply.)
A)Belief in the power base of the patient
B)Changed attitude to one of meaningfulness
C)Nurse-defined state of unity and holism
D)Shared understanding of the health threat
E)Shared vision about hope for the future
Answer: A,B,D,E
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3
Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) What does the nursing student understand about health disparities in the United States? (Select all that apply.)
A)African American babies die by age 1 at a rate \(2 \frac { 1 } { 2 }\) times that of European Americans.
B)Asian American babies have the highest rate of preterm birth of any other group.
C)Despite large expenditures,health resources are unevenly distributed.
D)European Americans have double the number of low-birth-weight babies than other groups.
E)Sudden infant death syndrome is most prevalent in American Indian and Alaska native babies.
Answer: A,C,E
Q2) A nurse is interested in primary prevention programs.Which of the following activities would this nurse choose to do?
A)Assist with blood pressure screening at the local mall.
B)Collect and distribute used eyeglasses for poor people.
C)Staff a mobile mammogram unit for underserved groups.
D)Teach teenagers about the dangers of texting and driving.
Answer: D
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Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The nurse assesses the communication in a family that includes a single mother,a teenage son and daughter,and a grandmother.During the family interview,the daughter answers many questions while the son and mother are quiet and the grandmother is absent.What conclusions can the nurse make about this family? (Select all that apply.)
A)The communication patterns are healthy.
B)The daughter may have a lot of power.
C)The grandmother does not want to be involved.
D)The grandmother may have little power.
E)The mother and son may have a coalition.
Answer: B,D,E
Q2) A nurse working in a pediatric clinic is attempting to assess a school-age child who is disrespectful of the nurse and parent and tears up a magazine when asked to sit down.What conclusion can the nurse make about this family?
A)The child is not getting enough attention from the parents.
B)The family is from an underserved community group.
C)Financial stress has caused family strife and fighting.
D)The parental disciplinary approach is inconsistent.
Answer: D
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Page 5
Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) The school nurse wants to create a safe driving program for the high school students.In order to have the greatest impact on safety,on which issue should the nurse focus?
A)Female driving
B)Late-night driving
C)Seat-belt use
D)Sleep deprivation
Q2) The nurse working with older women knows that risk factors for osteoporosis include which of the following? (Select all that apply.)
A)Asian ethnicity
B)Excessive consumption of caffeine
C)Large frame
D)Regular physical activity
E)Cigarette smoking
Q3) At what age should the nurse prepare patients to begin thyroid function screening?
A)30 years
B)40 years
C)50 years
D)60 years
Page 6
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Chapter 5: Reproductive Anatomy and Physiology
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) The perinatal nurse mentor teaches the new nurse about the functions of cervical mucus.What information should the nurse include? (Select all that apply.)
A)Provides an acidic environment for sperm
B)Acts as a bacteriostatic agent
C)Provides a barrier to sperm during nonfertile phases
D)Provides an easy-flowing pathway during fertile phases
E)Forms an operculum to protect the pregnancy
Q2) A nurse has taught a woman about the physical signs that accompany ovulation.Which statement by the patient indicates that teaching has been effective?
A)"I can still conceive for up to 48 hours after ovulation."
B)"My temperature will go down after ovulation."
C)"Thin,watery cervical mucus means I am no longer fertile."
D)"Sticky cervical mucus helps hold the sperm in place on the egg."
Q3) Best suited for childbirth
A)Gynecoid
B)Android
C)Anthropoid
D)Platypelloid
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Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) During the initial visit with a couple in the infertility clinic,what action by the nurse is best to promote a trusting relationship?
A)Explain the process of a workup and its sensitive nature.
B)Give written information with a timeline of testing.
C)Go over the cost of a workup and insurance coverage.
D)Ask the couple if they have considered adoption as an alternative option.
Q2) A woman asks the nurse about taking chasteberry tree supplements.What response by the nurse is best?
A)"Herbal supplements have no side effects."
B)"There are no scientific data supporting the use of this supplement."
C)"This herb is known to promote ovulation."
D)"Try it first,as herbs are inexpensive."
Q3) A nurse is instructing a man on the correct procedure for semen analysis.Which instructions should the nurse include? (Select all that apply.)
A)Abstain for 2-3 days before collecting the sample.
B)Collect the sperm sample through masturbation.
C)Have the sample in the laboratory within 3 hours of collection.
D)Store the sample on ice while bringing it to the lab.
E)Store the sample on your body during transport.
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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
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Sample Questions
Q1) A pediatric nurse is reviewing the chart of a new school-age patient.The chart notes the child is on a phenylalanine-free diet.What does the nurse conclude about this patient?
A)Has Canavan disease
B)Has familial dysautonomia
C)Has phenylketonuria (PKU)
D)Has Tay-Sachs disease
Q2) A nursing faculty member is explaining the process of fertilization to a class of students.One student asks the instructor to clarify the term "secondary oocyte." What description is best?
A)An oocyte in the secondary position during transportation
B)An oocyte in which the first meiotic division has occurred
C)The second egg released by the ovary during ovulation
D)The second egg to reach its place in the fallopian tube
Q3) A woman is admitted with rubella.What action by the nurse manager is best?
A)Place the woman on droplet precautions.
B)Put the woman in contact isolation.
C)Tell the nurses to use good hand-washing techniques.
D)Use standard precautions only.
Page 9
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Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The perinatal nurse reads the diagnosis of ptyalism in a patient's chart.What teaching does the nurse plan for this patient?
A)Chew food thoroughly before swallowing.
B)Drink plenty of decaffeinated beverages.
C)Eat something before getting up in the morning.
D)Lozenges and chewing gum can help.
Q2) A woman in the first trimester of her first pregnancy is upset and worried about physical changes,the labor and birth process,and being able to care for a newborn.Which action by the nurse is best?
A)Ask the woman about her exposure to newborns.
B)Assess the woman for access to a knowledgeable support person.
C)Provide information about childbirth preparation classes.
D)Reassure the woman that these fears are natural.
Q3) A woman in her third trimester of pregnancy complains of a painful burning sensation in her hands and lower arms.Which action by the nurse is best?
A)Advise the woman to elevate her hands at night.
B)Document the finding and alert the provider.
C)Encourage the woman to see a neurologist.
D)Request a prescription for pregabalin (Lyrica).
Page 10
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Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A pregnant woman in the perinatal clinic is a commercial sex worker and states that she frequently has unprotected sexual intercourse.The nurse should educate this woman about which complications of sexually transmitted diseases (STDs)? (Select all that apply.)
A)Ectopic pregnancy
B)Frequent multi-fetal pregnancy
C)Gestational hypertension
D)Preterm labor
E)Spontaneous abortion
Q2) A nurse assesses the pregnant woman for recreational drug use as part of the first prenatal visit.What harmful effects of recreational drugs does the nurse teach the woman about? (Select all that apply.)
A)Cocaine: placenta previa
B)Ecstasy: cleft palate
C)Marijuana: intrauterine growth restriction
D)Methamphetamine: spontaneous abortion
E)Heroin: macrosomia
Q3) A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
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Page 11
Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nurse is helping a pregnant woman prepare for a planned home birth.What action by the nurse takes priority?
A)Advising the woman to get a prescription for pain medication filled beforehand
B)Attempting to convince the woman that giving birth at the hospital is a better choice
C)Ensuring the woman has safe,rapid,and available transportation to a nearby hospital
D)Giving the woman a list of local obstetricians who will assist at a home birth
Q2) 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.
Q3) An expectant couple complains of dyspareunia.Which action by the nurse is best?
A)Assess the woman's family history and genetic background.
B)Explain that this condition is a normal finding during pregnancy.
C)Instruct the couple that sex during pregnancy is not advised.
D)Suggest sexual positions that might be more comfortable.
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12
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/44955
Sample Questions
Q1) The perinatal nurse is caring for a woman at 26 weeks' gestation who has a history of hypertension that has been well controlled.Today she presents with a blood pressure of 156/102 mm Hg and she has 2+ protein on urine dipstick.Which initial action by the nurse is most appropriate?
A)Arrange admission to the high-risk OB unit.
B)Instruct the woman on strict bedrest.
C)Obtain a clean-catch urine sample.
D)Prepare to administer IV anti-hypertensives.
Q2) A woman is being dismissed after undergoing placement of a cerclage.The woman is married with a husband who travels frequently and the couple has two other children.Which action by the nurse is most helpful?
A)Arrange for the visiting nurse to administer IV antibiotics.
B)Educate the woman on the need for strict bedrest.
C)Enlist the services of a social worker to help her plan care for her other children.
D)Teach the woman about the side effects of metachlopramide (Reglan).
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Page 13
Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A new nurse is assessing baseline fetal heart tones (FHTs)by auscultation and notes that the heart rate increased during a contraction from 140 to 158.What action by the nurse preceptor is best?
A)Gather equipment for internal FHT monitoring.
B)Have the nurse document FHT of 140/158.
C)Instruct the nurse to assess FHT between contractions.
D)Tell the nurse to count only for 30 seconds.
Q2) The perinatal nurse describes normal maternal signs and symptoms associated with lightening to the prenatal class attendants.These signs and symptoms include which of the following? (Select all that apply.)
A)Difficulty breathing
B)Increased urinary frequency
C)Increased vaginal secretions
D)Leg cramps
E)Nausea and vomiting
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14
Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The OB clinic nurse is giving a pregnant woman information on different types of anesthesia and pain control for use during labor.What information does the nurse provide about spinal anesthesia block? (Select all that apply.)
A)Anesthesia occurs after only a 10- to 15-minute delay.
B)It can be used for both vaginal and cesarean births.
C)It causes decreased maternal level of consciousness.
D)It may increase the chance of an operative birth.
E)It provides excellent muscular relaxation.
Q2) A woman is 1 hour postpartum with an epidural block and wishes to get up to go to the bathroom.What action by the nurse is most appropriate?
A)Assess sensation in the lower extremities.
B)Check the maternal vital signs.
C)Confer with the health-care provider.
D)Offer the woman the bedpan first.
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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/44958
Sample Questions
Q1) The perinatal nurse knows that one of the most severe complications for a patient with a diagnosis of abruptio placentae is which of the following?
A)Couvelaire uterus
B)Hydrops fetalis
C)Hypertension
D)Increased blood volume
Q2) The perinatal nurse is caring for a patient with preeclampsia.What intervention does the nurse include on this patient's care plan?
A)Administer magnesium sulfate per agency policy.
B)Assess the patient's blood pressure every 6 hours.
C)Encourage the patient to rest on her back.
D)Notify the physician of urine output greater than 30 mL/hr.
Q3) After a cesarean delivery under general anesthesia,which assessment by the nurse is most critical?
A)Airway
B)Circulation
C)Lochia
D)Vital signs
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Chapter 15: Caring for the Postpartal Woman and Her Family
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A postpartum patient complains of severe perineal pain and a sensation of needing to defecate but cannot pass stool.What action by the nurse is best?
A)Administer a stool softener.
B)Document the findings in the chart.
C)Offer a warm sitz bath.
D)Palpate the perineal area.
Q2) The perinatal nurse listens as the patient describes her labor and emergency cesarean birth.Providing an opportunity to review this experience may assist the patient in doing which of the following?
A)Decreasing her ambivalence about her labor and birth
B)Developing more positive feelings about her labor and birth
C)Initiating her role development in the "letting-go" stage
D)Understanding the various demands associated with the maternal role
Q3) A nurse has brought a newborn to his mother's room.What action by the nurse takes priority?
A)Asking the mother her full name and her birth date
B)Comparing the baby to a photograph on the mother's bedside table
C)Having the mother wash her hands before taking the baby
D)Matching the information on the mother's and baby's wristbands
Page 17
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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/44960
Sample Questions
Q1) The nursing faculty member explains to a class of nursing students the risk factors for developing postpartum depression (PPD).Which of the following does the faculty include? (Select all that apply.)
A)Financial stress
B)Isolation
C)Low self-esteem
D)Stay-at-home mother
E)Unplanned pregnancy
Q2) Approximately 8 hours ago,a woman gave birth after 2.5 hours of pushing.She required an episiotomy and an assisted birth (forceps).The perinatal nurse assesses a slight bulge in the perineum and the presence of ecchymosis to the right of the episiotomy.The area feels "full" and is approximately 4 cm in diameter.The patient describes this area as "tender." What intervention does the nurse anticipate for this situation?
A)Application of ice
B)Exploratory surgery
C)Incision and drainage
D)Sitz bath every 12 hours
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Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
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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) What action by the nurse is most important to prevent respiratory depression in a newly born infant?
A)Bathe the infant in warm water before giving to the mother.
B)Dress the infant in warm clothing and place in a warmer.
C)Dry the infant and place on the mother's bare chest.
D)Turn the delivery room temperature up to 85°F (29.4°C).
Q3) The nursing professor is explaining to a class of students that which chemical factor in the blood directly leads to the initiation of respirations in the newborn?
A)Bilirubin
B)Carbon dioxide
C)High arterial pH
D)Low arterial pH
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Page 19
Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) The nurse is assessing the neonate's skin and notes the presence of small irregular red patches on the cheeks that turn into single yellow pimples on the baby's chest.What treatment and care does the nurse recommend to the parents to help resolve this rash?
A)Apply aloe vera lotion to lesions and skin.
B)Apply hormonal skin cream twice a day.
C)None;it will disappear within about a month.
D)Vigorously wash and cleanse the baby's skin.
Q2) The perinatal nurse notes that a newborn's respiratory rate is 68 breaths/minute.What actions by the nurse are appropriate? (Select all that apply.)
A)Auscultating all lung fields (anterior and posterior)
B)Documenting the infant's chest measurement
C)Inspecting chest for skin color and retractions
D)Notifying the physician of the assessment findings
E)Withholding oral feedings while the infant is tachypneic
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Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A nurse is caring for a premature infant on oxygen.What action is critical for the infant's safety?
A)Educate the parents to care for an infant on oxygen.
B)Keep the infant in an incubator while on oxygen.
C)Obtain daily chest x-rays to monitor lung maturity.
D)Use the lowest amount of oxygen possible.
Q2) A baby is admitted with a long-bone fracture.What nursing actions are appropriate in the care of this baby? (Select all that apply.)
A)Elevation of the extremity
B)Frequent neurovascular checks
C)Heat therapy to reduce muscle spasm
D)Immobilization while healing
E)Traction at 0.1 kg per 1 kg/baby's weight
Q3) An infant in the NICU has persistent pulmonary hypertension.The nurse places highest priority on which of the following nursing diagnoses?
A)Ineffective tissue perfusion: cardiopulmonary
B)Ineffective tissue perfusion: cerebral
C)Ineffective tissue perfusion: peripheral
D)Ineffective tissue perfusion: neurovascular
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Page 21
Chapter 20: Caring for the Developing Child
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Sample Questions
Q1) A nurse is working with a child who has a chronic illness requiring medication and frequent hospitalizations.The parents refuse to allow the child to go to the playroom,fearing germs from other children will harm their child.Which actions by the nurse are most appropriate? (Select all that apply.)
A)Allow the parents to voice their concerns without being judgmental.
B)Consult with a child developmental specialist for appropriate in-room activities.
C)Document the parents' choice on the patient record and inform the staff.
D)Help the parents see the ways their child is normal while having an illness.
E)Tell the parents that the playroom and all its objects are disinfected often.
Q2) A father brings his 10-month-old infant to the well-baby clinic and expresses frustration that his child "puts everything in her mouth" and "gets into everything," then cries when objects are taken away.In providing anticipatory guidance,what action by the nurse is the most appropriate?
A)Advise the father that crying indicates fatigue and the child should rest.
B)Explain that objects may be dirty and should not be put in the mouth.
C)Give the father written material on effective disciplinary techniques.
D)Teach the father that this behavior is normal and not misbehaving.
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Community,and Across Care Settings
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60 Verified Questions
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Sample Questions
Q1) A child is in the clinic to follow up on a blood lead level of 7 µg/dL.What action by the nurse is best?
A)Call social work or Child Protective Services to evaluate home safety.
B)Instruct parents to have the child re-tested at the beginning of the school year.
C)Reassure parents that this is below the threshold for lead poisoning.
D)Teach parents to wet-mop surfaces instead of vacuuming the house.
Q2) A student nurse on the pediatric floor finds a patient in pain and gives the child some toys to play with.The registered nurse asks why the student did not medicate the child.The student states that because the child was easily distracted,it did not appear that the child needed pain medication.What action by the registered nurse is most appropriate?
A)Give the child some pain medication.
B)Have the student reassess the child's pain.
C)Instruct the student to take the child's vital signs.
D)Thank the student for distracting the child.
Q3) A child weighs 8 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.
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Page 23
Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
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Sample Questions
Q1) A mother requests information on caring for her child just adopted from a foreign orphanage.The mother has heard of reactive attachment disorder (RAD)and wants to provide an environment that is appropriate for this child.What suggestion by the nurse is the most appropriate?
A)Ignore temper tantrums and crying fits.
B)Post a schedule of daily activities such as meals.
C)Put the child in psychotherapy.
D)Teach the child "stranger danger."
Q2) A community nurse approaches the organization's manager wanting to set up screening for risk factors for Tourette's syndrome in children.Which response by the manager is the most appropriate?
A)Allocate funding for a family psychosocial or cognitive condition screening.
B)Deny the request because Tourette's syndrome has very little impact.
C)Explain that Tourette's syndrome is most likely inherited.
D)Facilitate cooperative agreements with a community laboratory facility.
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Chapter 23: Caring for the Child With a Respiratory Condition
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64 Verified Questions
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Sample Questions
Q1) 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."
Q2) The nurse is caring for a child with bronchopulmonary dysplasia receiving furosemide (Lasix).Which finding would lead the nurse to conclude the child has a side effect of this drug?
A)Acidosis
B)Hypercarbia
C)Hypokalemia
D)Thrombocytopenia
Q3) A child who weighs 32 lb (14.5 kg)is prescribed erythromycin (Sumycin)every 8 hours.Calculate the dose range for a single dose of this drug.(Round to the nearest hundredth).
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Chapter 24: Caring for the Child With a Gastrointestinal Condition
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Sample Questions
Q1) A pediatric nurse is caring for a 10-year-old patient on the pediatric unit who has been vomiting upon arising in the morning for the past 2 days.The nurse knows that this symptom is often associated with which condition?
A)Bowel blockage
B)Neurological involvement
C)Stomach cancer
D)Ulcerative colitis
Q2) A parent calls the pediatric clinic about his child who was diagnosed with gastric ulcer disease and placed on omeprazole (Prilosec)8 days ago.The parent states that the child has not had relief of symptoms.Which action by the nurse is the most appropriate?
A)Advise the parent to bring the child in today.
B)Encourage the parent to serve milk at each meal.
C)Inform the provider that the child needs a different medication.
D)Reassure the parent that relief may take 4-8 weeks.
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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50 Verified Questions
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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) The pediatric charge nurse receives this report on an incoming admission: a 3-year-old boy with ear and jaw pain,bilateral parotid gland swelling,and mild dehydration.Which action by the charge nurse is most appropriate?
A)Do not assign pregnant nursing staff.
B)Inform parents that sterility is common.
C)Place the child on droplet precautions.
D)Place the child on airborne precautions.
Q3) A child has been hospitalized with rubella.Which action by the charge nurse is most appropriate?
A)Do not allow pregnant nursing staff in the room.
B)Inform the parents that fresh produce is not allowed.
C)Place the child on contact isolation precautions.
D)Use standard precautions when caring for the child.
Page 27
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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Sample Questions
Q1) The nurse is assigned to four patients on the pediatric progressive care unit.After receiving shift report,which patient should the nurse see first?
A)Blood pressure of 88/56 mm Hg in 4-year-old child with heart failure
B)Child crying inconsolably after his parents went home
C)Pain 5/10 in a child 2 days after cardiac surgery
D)Temperature 104.6°F (40.3°C)3 days after dental visit
Q2) A nurse notes that a child's chart describes a heave.Which assessment should the nurse perform to correlate with this finding?
A)Assess for nausea.
B)Auscultate for heart sounds.
C)Listen to lung sounds.
D)Review the last ECG.
Q3) A child is prescribed warfarin (Coumadin).Which laboratory values does the nurse monitor? (Select all that apply.)
A)Electrolytes
B)Hematocrit (Hct)
C)International normalized ratio (INR)
D)Partial thromboplastin time (PTT)
E)Prothrombin time (PT)
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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 hospitalized child is receiving calcium via a peripheral IV site.Which action by the nurse is most important?
A)Assess the IV for blood return hourly.
B)Document the infusion and child's response.
C)Facilitate the next blood draw for calcium.
D)Teach parents and child about the drug.
Q2) The nurse in an endocrine clinic is assessing an 8-year-old girl who has not yet started menstruating and is Tanner stage II.Which statement by the nurse to the parent is most appropriate?
A)"Bring her back when she starts menstruating."
B)"She may have a deficiency of luteinizing hormone."
C)"Your child's development is appropriate for her age."
D)"We will test her for levels of the female hormones."
Q3) A child being treated for hyperthyroidism has been admitted following a seizure.Once the child has been stabilized,which action by the nurse is the most appropriate?
A)Assess the child for noncompliance.
B)Determine child's nutritional intake.
C)Refer the family to a social worker.
D)Teach the parents how to treat seizures.
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A child is brought to the pediatric clinic by her mother,who reports redness,swelling,and pain around the child's right eye.Which information does the nurse give the mother?
A)A steroid injection may be needed to reduce swelling.
B)Intravenous antibiotic treatment for 7 days is usually curative.
C)See an ophthalmologist to assess for any corneal damage.
D)Use warm wet compresses to remove any crusting.
Q2) A nurse is caring for a child and notes Battle's sign during the assessment.Which action by the nurse is the most appropriate?
A)Assist with obtaining laboratory studies.
B)Document the findings in the child's chart.
C)Measure the child's abdominal girth.
D)Notify the provider and facilitate a CT or an MRI.
Q3) A student nurse is confused about the Monroe-Kelly doctrine.How does the registered nurse explain it to the student?
A)Compensation for an increase in one of the skull's components
B)Hypothesis about the length of a coma determining the outcome
C)Immunomodulatory theory of an inborn resistance to rabies
D)Theory that seizures change the neurons and provoke more seizures
Page 30
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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) A child is 3 hours postoperative,having had an open reduction and internal fixation (ORIF)of a type IV tibial fracture,which is now also casted.Which action by the nurse takes priority?
A)Assess neurovascular status every hour.
B)Change IV pain medication to oral pills.
C)Provide an ice bag for 30 minutes every hour.
D)Teach parents about activity restrictions.
Q2) A nurse is teaching part of a babysitting class to teenagers.Which information about fractures does the nurse include in the lesson? (Select all that apply.)
A)Approximately 10% to 15% of childhood injuries are fractures.
B)Bicycle crashes account for many fractures .
C)Girls rarely have stress fractures from sports.
D)New bone growth is complete in 6 weeks.
E)Some fractures can interrupt normal growth.
Q3) A nurse is completing a Pediatric Fall Risk Assessment on a child.The child has had no falls in the last 3 months,had surgery to repair a femur fracture on admission,is learning to use crutches,has a saline lock,is oriented to own ability,and is on narcotics.This child's fall risk score is ____________________.
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Chapter 30: Caring for the Child With a Integumentary Condition
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Sample Questions
Q1) A child has been diagnosed with scabies and the parents are taught about the use of 5% permethrin lotion (Elimite).Which statement by the parents indicates the need for further instruction?
A)"Elimite goes from the nape of the neck to the toes,except on the genitals."
B)"The lotion is left on until the next day,when a bath is given."
C)"This treatment will have to be repeated 1 week after the first."
D)"We will give our child a warm soapy bath before applying the lotion."
Q2) The pediatric nurse knows that which child is most likely to bite another?
A)Adolescent,due to increased anger
B)No specific group is at higher risk.
C)School-aged child,due to frustration
D)Toddler,due to lack of verbal ability
Q3) A toddler has a few vesicular lesions on his hands that rupture,producing a honey-colored,sticky exudate.Based on this assessment,which medication does the nurse teach the parents about?
A)Azithromycin (Zithromax)
B)Amoxicillin/clavulanate (Augmentin)
C)Doxycycline (Vibramycin)
D)Mupirocin (Bactroban)ointment
Page 32
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Sample Questions
Q1) A child is in the emergency department following a car crash.Which finding noted by the nurse warrants immediate intervention?
A)Complains "I hurt all over."
B)Grey-Turner's sign
C)Increased WBCs
D)Tachycardia
Q2) A child is admitted to the hospital with suspected hemolytic uremic syndrome (HUS).Laboratory results indicate elevated BUN,creatinine,and potassium.Which action by the nurse takes priority?
A)Administer antibiotics.
B)Apply cardiac monitoring.
C)Insert a urinary catheter.
D)Obtain a stool sample.
Q3) A child is prescribed gentamycin (Garamycin)and develops acute kidney injury.Which etiology is the most likely cause of the child's acute kidney injury?
A)Intrarenal
B)Postrenal
C)Prerenal
D)Streptococcal
Page 33
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Chapter 32: Caring for the Child With a Hematological Condition
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Sample Questions
Q1) A pediatric intensive care nurse understands that which of the following are complications of apheresis procedures? (Select all that apply.)
A)Air embolism
B)Bleeding
C)Hypercalcemia
D)Hyperthermia
E)Hypotension
Q2) The parents of an 8-year-old child with sickle cell anemia call the clinic to report that the child developed chest pain after playing soccer.What advice from the nurse is most appropriate?
A)"Go to the nearest emergency department."
B)"Have him rest and take Tylenol (acetaminophen)."
C)"If he doesn't improve,bring him in to the clinic."
D)"Try a warm pack on his chest for 10 minutes."
Q3) A child who weighs 32 kg (74.4 lb)is hospitalized with a sickle cell crisis.By your calculation,this child's 24-hour fluid requirement would be ____________________ mL/24 hours.
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Chapter 33: Caring for the Child With Cancer
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Sample Questions
Q1) A nurse works on the pediatric oncology floor.After receiving the handoff report,which child does the nurse assess first?
A)Child on protective isolation
B)4 hours post-bone marrow biopsy
C)Not eating an hour after chemotherapy
D)Temperature of 101.5°F (38.5°C)
Q2) A parent brings a child to the clinic and reports that the child is reluctant to walk and has a new limp.The parent also reports that the child seems lethargic and tired all the time.The nurse notes that the child appears pale.Which other finding would warrant immediate notification of the health-care provider?
A)Difficulty staying asleep at night
B)Left-sided abdominal enlargement
C)Polyphagia and polydipsia
D)Swelling of the legs and feet
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Chapter 34: Caring for the Child With a Chronic Condition or the
Dying Child
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Q1) 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? (Select all that apply.)
A)Changes in breathing patterns
B)Decreased desire to eat or drink
C)Increased blood pressure
D)Pale,cool skin
E)Restlessness or agitation
Q2) The pediatric nurse understands that with a sudden catastrophic loss,family members can experience physical symptoms such as rapid respirations,agitation,nausea,and diarrhea.According to Epperson,which stage of grief are these individuals experiencing?
A)Anger
B)Denial
C)High anxiety
D)Remorse
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Chapter 35: Caring for the Critically Ill Child
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Sample Questions
Q1) A patient in the intensive care unit has a pulmonary artery catheter for hemodynamic monitoring.On assessment,the nurse finds the patient clinically unchanged from the last assessment,but the hemodynamic data are significantly changed.Which action by the nurse is the most appropriate?
A)Document the findings and continue to monitor.
B)Level and recalibrate the hemodynamic line.
C)Notify the health-care provider of the findings.
D)Review the last set of laboratory data for any changes.
Q2) The nursing manager is collaborating with health-care providers to determine appropriate candidates for ventilator weaning in the pediatric intensive care unit.Which child is the best candidate?
A)Oxygen requirement: 60%
B)Peak inspiratory pressure: 32 cm H2O
C)Spontaneous tidal volume: 2 mL/kg
D)Ventilator rate: 6 breaths/minute
Q3) A child who weighs 28 lb needs fluid resuscitation.The nurse plans to administer
Q4) A child's blood pressure is 92/64 mm Hg.Therefore,the mean arterial pressure is ____________________.
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