Maternal and Child Health Nursing Pre-Test
Questions
Course Introduction
Maternal and Child Health Nursing is a comprehensive course that focuses on the care of women during pregnancy, childbirth, and the postpartum period, as well as the health and development of infants and children. The course covers essential topics such as maternal physiology, prenatal care, labor and delivery management, neonatal and pediatric assessment, common health issues affecting mothers and children, and strategies for promoting family-centered care. Emphasizing preventative measures, health education, and culturally sensitive practices, this course prepares students to support the well-being of mothers and children across diverse healthcare settings and throughout various stages of growth and development.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
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35 Chapters
1810 Verified Questions
1810 Flashcards
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Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A nurse manager wants to make the pediatric clinic a more family-centered health-care setting.Which of the following actions by the nursing staff would best meet this goal?
A)Encourage family members to be present in the exam room and to ask questions.
B)Incorporate the use of a community health map for all new patients in the clinic.
C)Recognize family members as experts on their child and incorporate them in decision making.
D)Use evidence-based practice to develop policies and procedures used in the clinic.
Answer: C
Q2) A nurse is caring for a patient from a culture with which the nurse is totally unfamiliar.What action by the nurse will best promote effective communication?
A)Call for a professional interpreter to translate information.
B)Pattern voice tone and eye contact after the patient's behaviors.
C)Talk slowly and deliberately using simple language and cues.
D)Use nonverbal communication as much as possible with the patient.
Answer: B
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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) The public health nurse explains to students that diversity is an increasing phenomenon in this country.What facts about this phenomenon does the nurse share with the students? (Select all that apply.)
A)As immigrants acculturate,their unique cultural care needs will diminish.
B)By 2050,the minority population in America is estimated to be 50%.
C)Hispanics,blacks,and Asians are the historically designated minority groups.
D)One in five people in this country will be over the age of 65 by the year 2030.
E)Racial differences are rooted in biological factors that explain illness trends.
Answer: B,D
Q2) A nurse wants to work in the community providing secondary prevention activities.Which action would this nurse choose to do?
A)Educate teenage girls about birth control options.
B)Provide STD/STI testing at the local youth center.
C)Staff the county health department flu shot clinic.
D)Volunteer to drive cancer patients to receive their treatments.
Answer: B
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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) A patient describes her spouse's dependence on oxycodone terephthalate (Percocet),which began following knee surgery last year.Although the prescription was finished some time ago,the spouse continues to obtain and take Percocet.Because of the spouse's "need" for the medication,the patient "has to" do all the yard work,child care,and meal preparation.How would the nurse describe the patient's behavior?
A)Enabler
B)Impaired caregiver
C)Inadequate dyad partner
D)Overstressed parent
Answer: A
Q2) A nurse is working with a blended family of 1 year with five children aged 3,7,13 (twins),and 19.The parents seem overly stressed and anxious and do not seem to work well as a unit.What can the nurse conclude about this family?
A)Communication problems are the core of the parents' stress.
B)Economic stressors are impacting the parental dyad.
C)The family is in too many developmental stages to master any of them.
D)There are too many children to give each one adequate attention.
Answer: C
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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) A public health nurse is visiting a family home where there is a newborn.Which assessment finding by the nurse warrants immediate intervention?
A)A cat is sitting on the kitchen counter by the stove.
B)Roaches are evident in the kitchen and in the pantry.
C)The baby is on a carpet that is stained and worn out.
D)The crib has dirty bumper pads and a dirty comforter.
Q2) A college nurse offers screening programs for students.At what age should the nurse encourage women to have their first Pap test?
A)At age 19
B)At age 21
C)Before sexual activity
D)No specific age
Q3) Assume roles in games; games have goals
A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play
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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 explains to the new nurse that the maternal pelvic shape can determine the fetal presentation.A fetus in a transverse presentation may be due to which maternal pelvic type?
A)Android
B)Anthropoid
C)Gynecoid
D)Platypelloid
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) Only found in 3% of women
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) The nurse is teaching a group of women about hormonal emergency contraception.Which of the following is not a benefit of this type of contraception?
A)Available in some forms over the counter
B)Can be taken up to 120 hours after intercourse
C)Over-the-counter version has only two pills
D)Typically has no side effects
Q2) The nurse is concerned about a woman who is undergoing her second in vitro fertilization (IVF)cycle.The patient is anxious,sad,and worried that her partner does not feel as motivated as she does to try to achieve a pregnancy.Which actions by the nurse are most appropriate? (Select all that apply.)
A)Ask the woman to consider herbal supplements like blue cohosh.
B)Encourage the woman to talk honestly with her partner.
C)Explain that it takes an average of five attempts to become pregnant with IVF.
D)Instruct the woman to engage in relaxation techniques.
E)Encourage the woman and her partner to contact a support group such as RESOLVE.
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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) The experienced perinatal nurse explains hormone function to a new graduate.Which hormone does the nurse describe as being responsible for regulating glucose availability for the fetus?
A)Estrogen
B)Human chorionic gonadotropin
C)Human placental lactogen
D)Progesterone
Q2) The perinatal nurse explains to a childbirth class that which of the following are the primary functions of the placenta? (Select all that apply.)
A)Creates blood vessels in the fetus
B)Protects the fetus from pathogens
C)Provides hormones that maintain the pregnancy
D)Removes waste products from the fetus
E)Transfers nutrients to the fetus
Q3) A newborn has rachischisis.What action by the nurse takes priority?
A)Contact the palliative care team for interventions.
B)Discourage the family from seeing the infant.
C)Obtain informed consent for immediate surgery.
D)Prepare to provide the baby total parenteral nutrition.
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 nurse has learned that which hormone is primarily responsible for maintaining a pregnancy?
A)Estrogen
B)Human chorionic gonadotropin
C)Oxytocin
D)Progesterone
Q2) A pregnant woman is complaining of frequent heartburn.What statement by the patient indicates to the nurse that teaching has been effective?
A)"Drinking less alcohol should prevent this."
B)"Eating larger,less frequent meals will help."
C)"I should take antacids before each meal."
D)"I will not lie down for 1 hour after eating."
Q3) A pregnant woman calls the clinic to complain of sharp,right-sided lower abdominal pain.Which question by the nurse would elicit the most relevant information?
A)"Do you have a fever,constipation,or any diarrhea?"
B)"Have you fallen down or experienced any kind of injury in the last few days?"
C)"Have you tried placing either a heating pad or an ice pack on your abdomen?"
D)"Is the pain worse between your navel and hip bone or closer to the hip?"
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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 nurse reads a patient's chart and sees the diagnosis "pediculosis pubis." What does the nurse understand about this condition?
A)The patient has abnormal pubic hair growth.
B)The patient has an old episiotomy.
C)The patient has human papillomavirus.
D)The patient has pubic lice.
Q2) A student nurse asks the OB clinic nurse why a pregnancy test is needed if a woman has missed several menstrual periods in a row.The nurse explains that amenorrhea can be caused by several conditions other than pregnancy,including which of the following?
(Select all that apply.)
A)Chronic illness
B)Endocrine disorders
C)Fatigue
D)Infections
E)Psychological factors
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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Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) The nurse explains to the prenatal class attendees that at full term about 10 to 11% of the maternal weight gain is attributed to which of the following?
A)Blood,uterine,and breast tissue
B)Fetal tissue
C)Maternal reserves
D)Placental fluid
Q2) A nurse is assessing a woman pregnant with her third child.She has a history of pregnancy-related varicosities.Which action by the nurse takes priority?
A)Advising the woman not to cross her legs while pregnant
B)Assessing the woman's pedal pulses and circulation
C)Having the woman rate her leg pain on a 1-to-10 scale
D)Teaching the woman to wear knee-high stockings
Q3) 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.
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Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A woman is hospitalized with hyperemesis gravidarum.Which other member of the health-care team should the nurse ensure is involved in this patient's care as a priority?
A)Chaplain
B)Diabetic educator
C)Mental health nurse practitioner
D)Registered dietician
Q2) A pregnant woman in her second trimester arrives at the labor unit triage station with complaints of lower abdominal cramping and urinary frequency.Appropriate nursing actions include which of the following? (Select all that apply.)
A)Assess the fetal heart rate.
B)Assess the patient's pulse rate.
C)Insert an indwelling Foley catheter.
D)Obtain a urine sample for culture and sensitivity.
E)Palpate the patient's abdomen for contractions.
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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 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) The nurse assesses a woman in labor and finds that her cervix is dilated to 9 cm.The nurse documents the woman to be in what phase of labor?
A)First stage
B)Second stage
C)Third stage
D)Fourth stage
Q3) What important nursing action occurs right after the third stage of labor?
A)Assess the placenta for complete expulsion.
B)Assist the woman with effective pushing.
C)Provide a lactation consultation if desired.
D)Warm the baby and place it in an incubator.
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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 preparing for whirlpool bath hydrotherapy.To ensure patient safety,what action by the nurse is best?
A)Allow the woman to remain in the tub for no more than 20 minutes.
B)Maintain water temperature no higher than 100.4°F (38°C).
C)Obtain informed consent prior to allowing the woman in the tub.
D)Use a wheelchair to transport the woman to the hydrotherapy tub.
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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
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Sample Questions
Q1) A nurse is caring for a woman who will be induced,but her cervix is not yet favorable for this intervention.The provider leaves an order for dinoprostone vaginal insert (Cervidil),which the nurse administers at 9:00 a.m.At what time does the nurse anticipate induction with oxytocin (Pitocin)?
A)In 30 to 60 minutes after the last dose of dinoprostone
B)In 30 to 60 minutes after the dinoprostone insert is removed
C)In 5 to 7 hours or when contractions begin
D)In 6 to 12 hours after the dinoprostone insert is removed
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.
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Page 16
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) The perinatal nurse teaches the postpartum woman about the normal process of diuresis that she can expect to occur approximately 6 to 8 hours after childbirth.Which hormones are responsible for the diuresis? (Select all that apply.)
A)Estrogen
B)Norepinephrine
C)Oxytocin
D)Prolactin
E)Progesterone
Q2) A nurse is caring for a woman who just experienced a cesarean birth under epidural anesthesia.What interventions are important to include on this woman's care plan? (Select all that apply.)
A)Apply compression stockings or sequential compression devices.
B)Encourage ankle exercises while the woman remains in bed.
C)Keep the woman NPO until she is allowed out of bed into a chair.
D)Maintain bedrest until sensation returns to the woman's legs.
E)Only allow the woman to hold her infant with supervision while in bed.
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17
Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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50 Verified Questions
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Sample Questions
Q1) A woman with postpartum depression resists treatment,saying: "Who cares if I'm depressed? It only affects me." What response by the nurse is best?
A)"Don't you think your family would like you to get treatment?"
B)"Infants of depressed mothers have delayed development."
C)"You may harm your baby if your depression is not treated."
D)"We care that you are depressed and want you to feel better."
Q2) A nurse is caring for a patient who has excessive blood loss post-delivery from uterine atony.The perinatal nurse notifies the health-care provider while another nurse performs uterine massage.Which medication does the nurse anticipate to be given as the priority?
A)Carboprost (Hemabate)
B)Ergonovine (Ergotrate)
C)Methylergonovine (Methergine)
D)Oxytocin (Pitocin)
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Chapter 17: Physiological Transition of the Newborn
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Sample Questions
Q1) A term infant is 22 hours old,has a total serum bilirubin level of 13 mg/dL,and has visible jaundice.What action by the nurse is most appropriate?
A)Assure the parents that this is temporary.
B)Document the findings in the infant's chart.
C)Have the mother switch to bottle feeding.
D)Review the chart for history of a traumatic birth.
Q2) The perinatal nurse explains the cardiopulmonary adaptations that occur in the neonate to a student nurse.Which of the following statements accurately describes the sequence of these changes?
A)"As air enters the lungs,the PO2 rises in the alveoli,which causes pulmonary artery relaxation and results in an increase in pulmonary vascular resistance."
B)"As the pulmonary vascular resistance increases,pulmonary blood flow increases,reaching 100% by the first 24 hours of life."
C)"Decreased pulmonary blood volume contributes to the conversion from fetal to newborn circulation."
D)"Once the pulmonary circulation has been functionally established,blood is distributed throughout the lungs."
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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) A faculty member is supervising a student who is preparing to administer vitamin K? phytonadione (AquaMEPHYTON)to an infant.What action by the student prompts the faculty member to intervene?
A)Chooses a 25-gauge needle
B)Draws up 0.5 mg/kg
C)Gently rubs the injection site
D)Uses a 1-mL syringe
Q2) 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.
Q3) A mother worries about her infant feeling pain during a heel stick for a blood test.What action by the nurse is best?
A)Encourage breastfeeding during the heel stick.
B)Ice the infant's heel prior to the blood draw.
C)Massage the infant's heel after the needle stick.
D)Reassure the mother that infants don't feel pain.
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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 newborn.What interventions does the nurse include on the baby's care plan? (Select all that apply.)
A)Bathe the baby daily with mild soap.
B)Cradle baby in a linen nest in flexed position.
C)Monitor response to warming measures.
D)Reposition the baby every 4 hours.
E)Weigh the baby once a week.
Q2) A premature infant has apnea of prematurity accompanied by bradycardia and desaturation.The infant was started on caffeine citrate (Cafcit),and the results from a blood level have just now returned.The infant's blood level of Cafcit is 2.3 mg/mL.What action by the nurse is most appropriate?
A)Allow infant to grow out of the current Cafcit dose.
B)Document results;maintain cardiorespiratory monitor.
C)Inform parents that this blood level is therapeutic.
D)Prepare for immediate intubation and ventilation.
Q3) An infant is born at 35 weeks and 3 days.How would the nurse document this gestational age? ____________________
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Chapter 20: Caring for the Developing Child
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Sample Questions
Q1) A father is frustrated that his child frequently disobeys well-established rules and then attempts to excuse the action by stating "Well I just thought ...." The father asks for guidance with discipline.What information is most appropriate for the nurse to provide?
A)Ensure the child knows the rules.
B)Habitual rule breaking is problematic.
C)This is a normal developmental stage.
D)Time-outs are ineffective for lying.
Q2) The pediatric nurse teaches the mother of a toddler how to choose appropriate toys/activities to stimulate growth and development of her child.Which activities are appropriate for the nurse to include in the teaching session? (Select all that apply.)
A) Board games
B) Large crayons
C) Sliding down a slide
D) Tricycle
E) Watercolor pencils
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22
Chapter
Community,and Across Care Settings
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Sample Questions
Q1) A family is raising a child with a serious disability,and the caregivers appear stressed and short tempered during well-child visits.What does the nurse understand about the emotional impact of this situation on the family? (Select all that apply.)
A)Caregiver fatigue is a constant threat due to ongoing medical needs.
B)Confusion and distress occur because they don't have the child they expected.
C)Family routine is disrupted by the constant needs of the disabled child.
D)Siblings adapt well to having a disabled child and enjoy helping out.
E)The family may worry about possible painful procedures and upsetting the child.
Q2) The pediatric nurse clarifies the history of a child who is brought to the emergency room with abdominal pain.The nurse uses the mnemonic OLD CAT to ask the appropriate questions,including which of the following?
A)Activity
B)Diet
C)Output
D)Timing
Q3) A child weighs 82 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 nurse is educating the parents of a child diagnosed with major depression prescribed a selective serotonin reuptake inhibitor (SSRI).The parents do not want to fill the prescription because they have heard SSRIs increase the risk of suicide in children.Which statement by the nurse is most appropriate?
A)"I will convey your concerns to your health-care provider."
B)"If you don't want your child to take the medication,don't fill it."
C)"SSRIs have been used for many years to treat depression."
D)"This information is controversial,so watch your child carefully."
Q2) A nurse is teaching a classroom of middle school students sleep hygiene.Which information does the nurse provide? (Select all that apply.)
A)Create a healthy environment for sleep in your room.
B)Go to bed at the same time every night of the week.
C)Only use your bed for sleeping and reading.
D)Set your cell phone to vibrate or low volume.
E)Turn off your computer 1 hour before bedtime.
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Page 24
Chapter 23: Caring for the Child With a Respiratory Condition
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Sample Questions
Q1) A new nurse in the emergency department is examining a 4-year-old child who is sitting upright,is drooling,and is restless.Which action by the new nurse causes an experienced nurse to intervene?
A)Attaches a cardiac monitor and oximeter
B)Attempts to assess throat with a tongue blade
C)Permits child to remain in an upright position
D)Prepares to administer racemic epinephrine (MicroNefrin)
Q2) The nurse is assessing a patient diagnosed with cystic fibrosis.Which findings support the patient's diagnosis? (Select all that apply.)
A)Concave chest
B)Dry,scaly skin
C)Protuberant abdomen
D)Wasted buttocks
E)Thick extremities
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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Page 25
Chapter 24: Caring for the Child With a Gastrointestinal Condition
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Sample Questions
Q1) A nurse is teaching a group of day-care providers about infection control.Which action does the nurse explain is the best way to prevent children from contracting diarrhea?
A)Good hand-washing practices
B)Limiting toy sharing to small groups
C)Providing less juice with sugar
D)Wearing gloves to change diapers
Q2) 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."
Q3) 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
Page 26
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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Sample Questions
Q1) The family practice nurse counsels parents to avoid giving their child salicylates for fever or mild pain.Which over-the-counter medications does the nurse warn about that contain this product? (Select all that apply.)
A)Alka-Seltzer
B)Bufferin
C)Dristan
D)Kaopectate
E)Robitussin
Q2) A child is seen in the emergency department after being bitten by a squirrel while playing outside.Which discharge instruction to the parents is most important?
A)"Give acetaminophen (Tylenol)for pain."
B)"Have the child rest tonight."
C)"Keep the wound clean and dry."
D)"Return here in 3 days."
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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Sample Questions
Q1) A child is scheduled for open heart surgery.Which nursing action is the priority?
A)Complete the preoperative checklist.
B)Ensure informed consent is on the chart.
C)Show the parents the intensive care unit.
D)Teach the family about the surgery.
Q2) A student nurse is caring for a child several hours after open heart surgery.Which action by the student requires intervention by the registered nurse?
A)Administers pain medication based on assessment of nonverbal signs of pain
B)Groups nursing care tasks to allow for uninterrupted periods of rest and sleep
C)Monitors hourly output from child's indwelling urinary catheter and chest tube
D)Prepares to administer medication through the central venous pressure line
Q3) 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
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Page 28
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 mother brings her baby to the emergency department stating that the baby no longer makes tears when crying but is having multiple soaked diapers per day.Which assessment by the nurse takes priority?
A)Last bowel movement
B)Palpation of fontanels
C)Prenatal history
D)Time of last meal
Q2) A hospitalized diabetic child is sweating,nauseated,and has a headache.What action by the nurse takes priority?
A)Administer sliding-scale insulin.
B)Call laboratory for a stat blood sugar.
C)Give the child some orange juice.
D)Perform a urine ketone test.
Q3) 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.
Page 29
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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Q1) A neonate receives a diagnosis of hydrocephalus.The pediatric nurse assesses for congenital anomalies related to this condition.Which condition is inconsistent with the nurse's knowledge of hydrocephalus?
A)Aqueductal stenosis
B)Chiari I and II malformations
C)Dandy-Walker malformation
D)Folic acid deficiency
Q2) A pediatric nurse caring for patients in an emergency room performs an assessment of a child who survived a drowning incident.Which does the nurse assess when using the Orlowski scale on this child? (Select all that apply.)
A)Arterial pH < 7.10
B)Comatose on admission to the emergency room
C)No resuscitation efforts for more than 10 minutes after rescue
D)Submersion time > 20 minutes
E)Used for children who are 10 years of age or older
Q3) The nurse is providing care for a child in the intensive care unit who requires intracranial monitoring.The child's blood pressure is 100/42 mm Hg and his ICP is 10 mm Hg.Your calculation indicates that the child's cerebral perfusion pressure (CPP)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) The nurse is providing care to a pediatric patient admitted for a workup of bone deformity.The latest laboratory values indicate calcium at 6.6 mg/dL and phosphorus at 2.1 mg/dL.Which condition does the nurse correlate with these values?
A)Muscular dystrophy
B)Osgood-Schlatter disease
C)Rickets
D)Scoliosis
Q2) A child is going home with a distractor in place after surgery to repair syndactyly.Which discharge teaching is most important?
A)Clean around the pin sites twice a day with soap and water.
B)Don't pull the pins;they will gradually fall out on their own.
C)Perform range-of-motion exercises to the affected fingers daily.
D)Turn the screw with the Allen wrench twice a day for a week.
Q3) A teen has a scoliosis curve of 35°.What treatment option does the nurse prepare the child and family for?
A)Bracing
B)Continued screening
C)Exercise therapy
D)Surgical intervention
Page 31
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Chapter 30: Caring for the Child With a Integumentary Condition
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Q1) A child in the emergency department has cellulitis on the forearm.A nursing student is preparing to administer benzathine penicillin (Bicillin LA).Which action by the nursing student warrants intervention by the staff nurse?
A)Instructs the family members that they must wait at least 15 minutes before leaving B)Plans to use a 25-gauge, \(3 / 4\) -inch needle to administer the medication
C)Reconstitutes the medication using sterile normal saline solution
D)Selects a large,well-defined muscle for a deep intramuscular injection
Q2) A child is brought to the emergency department from a house fire.She has singed eyebrows and sounds hoarse.After applying oxygen,which action by the nurse takes priority?
A)Assemble intubation equipment.
B)Gently cleanse any burn wounds.
C)Place child on a cardiac monitor.
D)Prepare to give pain medication.
Q3) A child weighing 123 lb (56 kg)has been diagnosed with Rocky Mountain Spotted Fever.The nurse calculates that the correct dose,to be given twice a day,is
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Page 32
Chapter 31: Caring for the Child With a Genitourinary Condition
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Q1) A practicing nurse explains to a nursing student that which is the most common cause of acute renal failure in children?
A)Congenital renal problems
B)Glomerulonephritis
C)Hemolytic uremic syndrome
D)Tylenol (acetaminophen)overdose
Q2) The parents of a child diagnosed with vesicoureteral reflux (VUR)want to know why their child's kidneys appear large on an abdominal x-ray.Which response by the nurse is the most appropriate?
A)Enlarged due to urine backup
B)Genetic defect causing VUR
C)Multiple tumors
D)Unrelated finding
Q3) A 5-year-old child has enuresis.Which medication regime does the nurse educate the parents on related to this diagnosis?
A)Imipramine (Tofranil),10 mg before bed
B)Imipramine (Tofranil),25 mg before bed
C)Oxybutynin chloride (Ditropan),5 mg once daily
D)Oxybutynin chloride (Ditropan),50 mg once daily
Page 33
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Chapter 32: Caring for the Child With a Hematological Condition
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Q1) A hospitalized child is receiving antithymocyte globulin (ATG)for aplastic anemia.What action by the nurse is most important?
A)Assess the IV site for good blood return.
B)Ensure emergency equipment is nearby.
C)Obtain informed consent for each dose.
D)Pad side rails and institute seizure precautions.
Q2) In preparing a patient to receive an autologous bone marrow transplantation,which action by the nurse is best?
A)Ensure HLA typing has been done.
B)Limit visitors to one per shift.
C)Place the child in protective isolation.
D)Teach about long-term complications.
Q3) An acutely ill,anemic child's peripheral blood smear shows small,dense,spherical RBCs.What action by the nurse takes priority?
A)Assess and treat the child's pain adequately.
B)Discuss the option of a bone marrow transplant.
C)Obtain informed consent for blood transfusions.
D)Prepare the family for chelation therapy.
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Chapter 33: Caring for the Child With Cancer
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Q1) A nurse is explaining radiation side effects to the parents of a child for whom it has been ordered.Which side effects does the nurse include in the explanation? (Select all that apply.)
A)Hair loss
B)Leukocytosis
C)Nausea
D)Polycythemia
E)Skin desquamation
Q2) A nurse notes in a patient's medical record high levels of vanillymandelic acid (VMA).Based on this information,which condition does the nurse prepare to educate the patient and family about?
A)Ewing's sarcoma
B)Hodgkin's lymphoma
C)Neuroblastoma
D)Wilms' tumor
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35
Chapter 34: Caring for the Child With a Chronic Condition or the
Dying Child
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Q1) A 4-year-old girl diagnosed with leukemia will begin palliative care.The 6-year-old brother does not visit often.The parents worry their son will remember his sister as a "sad,thin,child in the hospital" rather than as his playful sister.Which response by the nurse is the most appropriate?
A)"Your son can handle a visit to see his sister with your help because children are emotionally strong."
B)"Your son needs to say good-bye to his sister prior to her death;you should bring him to visit immediately."
C)"Your son will have these sad memories for the rest of his life;therefore,keeping him away is a good idea."
D)"Your son needs preparation about the change in his sister's appearance,but for his own grieving process,he needs to visit her before her death."
Q2) An infant has been hospitalized since birth.What nursing intervention takes priority for this child?
A)Keeping the parents updated every day
B)Maintaining a set visiting schedule for family
C)Providing a soft crib and cuddly toys
D)Soothing and providing physical touch
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Chapter 35: Caring for the Critically Ill Child
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Q1) A pediatric intensive care nurse wants to practice in a way that helps reduce parents' stress while their child is in the unit.Which action by the nurse would be most helpful?
A)Explain procedures to the parents first,then to the child.
B)Include the parents in all decisions and care activities.
C)Provide comprehensive discharge teaching in advance.
D)Round with physicians to ensure parents' understanding.
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 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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