Maternal and Child Health Nursing Practice Exam
Course Introduction
Maternal and Child Health Nursing is a course designed to equip students with comprehensive knowledge and skills essential for providing holistic healthcare to mothers, infants, and children. The course covers topics such as prenatal and postnatal care, growth and development of children, common maternal and pediatric health conditions, family planning, immunization, and nutritional needs. Emphasis is placed on health promotion, disease prevention, culturally competent care, and advocacy for women and children across different stages of life. Students also explore the role of nurses in supporting families and ensuring positive health outcomes within both community and clinical settings.
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
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Sample Questions
Q1) The clinic nurse understands the new description of nursing art/aesthetics as the way that nurses and patients help each other through a circular process.What is the event that begins this process?
A)A health threat
B)Experiencing new possibilities for health
C)Hope and understanding for the future
D)Relationship building
Answer: A
Q2) To be effective when providing information to a patient,the nurse should assess the patient for which of the following? (Select all that apply.)
A)Cultural beliefs and values
B)Information desired
C)Preferred learning style
D)Level of understanding
E)Past medical history
Answer: A,B,C,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
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Sample Questions
Q1) 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
Q2) A nursing student wishes to investigate national health goals.Where should the student research this information?
A)Cochrane Database
B)Cumulative Index of Nursing and Allied Health Literature
C)Government websites
D)Healthy People initiative
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) A patient tells the nurse about living in a commune.What does the nurse understand about this family structure?
A)Family with distant relatives included
B)Group of men,women,and children
C)Kinship care provided to children
D)Unmarried man and woman living together
Answer: B
Q2) A nurse is working with a woman who is newly married and pregnant and says she is distressed because she and her husband seem to be so different and they argue over petty issues.What action by the nurse using group theory would be best?
A)Ask the woman if she can remember why she and her husband fell in love.
B)Caution her that this level of disagreement will cause stress to the unborn baby.
C)Offer the woman a referral to a community counseling center for couples therapy.
D)Reassure her that this is normal and help her brainstorm ways to work cooperatively.
Answer: D
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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 nurse is preparing to educate a group of parents about injury prevention in adolescents.Which topics should the nurse plan to include as priorities? (Select all that apply.)
A)Bicycle safety
B)Gun safety
C)Home safety
D)Driving safety
E)Water safety
Q2) A 65-year-old patient is in the clinic for an annual influenza vaccination.What other health promotion activity should the nurse encourage specifically for this patient?
A)Heart-healthy eating
B)Participating in social activities
C)Pneumococcal vaccination
D)Regular exercise
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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) A nursing instructor is planning to teach students about the process of oogenesis.Which information does the nurse plan to include?
A)All polar bodies in the ovary become ova.
B)It is regulated by follicle-stimulating hormone (FSH).
C)The graafian follicle eventually secretes prolactin.
D)It usually occurs in a twice-monthly cycle.
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) The pediatric nurse explains to the student that production of testosterone by the male embryo causes what to occur?
A)Creation of a gonad
B)Formation of the male genital tract
C)Production of spermatozoa
D)Stimulation of external genitalia growth
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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 clinic nurse uses the acronym "PAINS" when teaching a woman about warning signs associated with her intrauterine device (IUD).Warning signs include which of the following? (Select all that apply.)
A)Breast tenderness
B)Fever and/or chills
C)Inability to feel the strings
D)Spotting
E)Vaginal discharge
Q2) A woman with hypertension is experiencing infertility.After reviewing her medication list,which medication does the nurse advise the woman to discuss with her primary care provider?
A)Atenolol (Tenormin)
B)Enalapril (Vasotec)
C)Isosorbide dinitrate (Isordil)
D)Methyldopa (Aldomet)
Q3) Prior to a sterilization procedure,which action by the nurse takes priority?
A)Obtaining informed consent from the partner
B)Obtaining pre-approval for Medicaid patients
C)Obtaining pre-approval from the insurer
D)Obtaining the woman's informed consent
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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 nursing student asks the faculty member to define "lanugo." Which description is best?
A)Fine,downy hair on the fetus
B)Immune complexes in the amniotic fluid
C)Initial scalp hair on the fetus
D)Outer layer of pale,wrinkled skin
Q2) A pregnant woman tells the perinatal nurse that she stopped abusing other drugs when she learned that she was pregnant but kept using marijuana because "it is so harmless." What response by the nurse is best?
A)Agree with the patient that marijuana is less dangerous than other drugs.
B)Ask the patient what other drugs she used before discovering she was pregnant.
C)Inform the mother that the child may have withdrawal syndrome after birth.
D)Tell the mother that marijuana use can affect language and cognitive development.
Q3) A student asks the faculty member to explain the term "nidation." Which explanation is best?
A)Blood vessel development
B)Degradation of the zona pellucida
C)Implantation of the fertilized ovum
D)Sperm washing
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) 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."
Q2) What information should the nurse plan to teach a pregnant woman regarding safety in the third trimester?
A)Don't drive after dark.
B)Exercise to maintain good posture.
C)Use handrails when using the stairs.
D)Wear supportive shoes.
Q3) A woman is in her second trimester of pregnancy.Which behaviors by the woman's family or friends would best indicate to the nurse that they are accepting the unborn child?
A)An older sibling is talking about "my baby brother or sister."
B)Close friends throw a baby shower for the expectant mother.
C)Immediate family members express delight over the pregnancy.
Page 10
D)The parents state that no matter what the gender,they will love the baby.
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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) 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? (Select all that apply.)
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 performing the third Leopold maneuver on a woman who is gravida 3,para 3 and is currently 37 weeks' gestation.The nurse's fingers can be pressed together below the presenting part,which is firm to the touch.What action should the nurse take regarding this assessment data?
A)Facilitate a referral to a perinatologist.
B)Inform the health-care provider immediately.
C)Prepare the woman for a breech delivery.
D)Reassure the woman and document the findings.
Q3) A pregnant woman's last normal menstrual period started on July 27,2013.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) A 24-year-old pregnant woman at 26 weeks' gestation is experiencing her third pregnancy.The patient's obstetric history includes one full-term birth and one preterm birth;both children are alive and well.Today,the patient arrives at the clinic with complaints of fatigue,insomnia,and continuous backache.She reports that she is a nurse on an oncology unit and is worried about continuing to work her 12-hour shifts.What advice by the nurse would be most appropriate?
A)"Can you ask your manager about light-duty work at your job?"
B)"See if you can take more breaks at work to rest and drink water."
C)"With your previous premature birth,you might need to reduce your working hours."
D)"You can continue to work as long as you want to and feel able to."
Q2) A woman comes to the clinic for her 24-week prenatal visit.This is her second pregnancy.The patient does not wish to know her weight and when her clinic record is reviewed,her total weight gain for this pregnancy is 5 pounds.She is very concerned about her changing body shape.What disorder does the nurse suspect?
A)Anemia
B)Anorexia nervosa
C)Gestational diabetes
D)Gestational hypertension
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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 who is in her third trimester and is at risk for preterm birth calls the clinic to get the results of her fetal fibronectin test (fFN).The nurse sees the result is negative.Which advice to the patient is most appropriate?
A)Come to the perinatal clinic for a screening ultrasound.
B)Continue the current management plan as directed.
C)Go to the hospital immediately for imminent delivery.
D)Plan to continue taking betamethasone (Celestone)for 1 week.
Q2) A nurse is teaching a woman pregnant in the second trimester who has been diagnosed with a partial placenta previa.Which information is most important to document?
A)Patient and partner show no anxiety or helplessness and were given educational support material.
B)Patient instructed that bleeding may occur as placenta totally covers the cervical os.
C)Patient instructed to tell all health-care providers that vaginal exams are prohibited.
D)Patient received information about placenta previa and understood it well.
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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 nurse notes variable decelerations on the fetal heart monitor and is explaining them to the laboring woman and her partner.What information about these patterns does the nurse share? (Select all that apply.)
A)Last at least 15 seconds
B)Least common type of deceleration pattern
C)May be a result of cord compression
D)Occur at any time during a contraction
E)Return to baseline within 4 minutes
Q2) 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.
Q3) A nurse suspects that a laboring woman has entered the second stage of labor by what assessment?
A)Cervix is more than 50% dilated.
B)Contractions are more frequent.
C)Contractions are more intense.
D)Woman has a strong urge to push.
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Page 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 perinatal nurse prepares the laboring woman for an epidural anesthesia insertion.What action is best to help prevent maternal hypotension?
A)Administer an intravenous infusion of 500 mL of normal saline.
B)Assess vital signs every 5 minutes after the epidural insertion.
C)Assist the woman to lie down in a supine position.
D)Encourage frequent cleansing breaths during the procedure.
Q2) The perinatal nurse is caring for a woman in early labor with a fetus in the occiput posterior position.What action should the nurse perform to increase the woman's comfort?
A)Assist the woman into a hands-and-knees position.
B)Encourage the woman to assume a sitting position.
C)Have the woman walk to the bathroom and void.
D)Provide soothing music as a distraction technique.
Q3) 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
Page 15
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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 new nurse is struggling to care for a woman whose baby was stillborn.What advice should the nurse preceptor give the novice?
A)"Don't say anything;that's better than upsetting her."
B)"Encourage the mother to think of her other children."
C)"Why don't you let me take care of this patient?"
D)"You can simply say 'I am so sorry for your loss.'"
Q2) The perinatal nurse is caring for a preeclamptic patient at 35 weeks' gestation.The patient's newest laboratory results include the following: platelet count 98,000/mm³ and RBC 3.1 million/µL.What action by the nurse is most appropriate?
A)Administer betamethasone (Celestone).
B)Increase the patient's IV fluids.
C)Maintain the patient on bedrest.
D)Notify the health-care provider immediately.
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
Page 16
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Chapter 15: Caring for the Postpartal Woman and Her Family
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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 visiting nurse is concerned that a mother has not properly bonded with her infant.The nurse should assess for what factors that could impact this process? (Select all that apply.)
A)Chaotic home life
B)Disappointment in her birth experience
C)Lack of family support
D)Poverty
E)Substance abuse
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Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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Sample Questions
Q1) A postpartum woman has a deep vein thrombosis.The patient states,"I feel anxious and have some pain in my chest." The patient's respiratory rate is 28 breaths per minute.The perinatal nurse should prepare to respond to which of the following conditions?
A)Amniotic fluid embolus
B)Myocardial infarction
C)Pulmonary edema
D)Pulmonary embolus
Q2) A woman had a cesarean birth after a prolonged trial of labor.When assessing the patient,the nurse notes the patient is lethargic,has a pulse of 130 beats/minute,and states: "I'm glad I have so little lochia;I'm too tired to change my pad." What action by the nurse is most appropriate?
A)Assess the amount of lochia on the peri-pad.
B)Cluster the nursing care given to allow uninterrupted sleep.
C)Have the woman get up and attempt to void.
D)Take a full set of vital signs and call the provider.
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Chapter 17: Physiological Transition of the Newborn
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Sample Questions
Q1) A perinatal nurse assesses a term newborn for respiratory functioning.The nurse will document which of the following findings as normal for a neonate? (Select all that apply.)
A)Breathing pattern that can be shallow,diaphragmatic,and irregular
B)Periodic episodes of apnea
C)Respiratory rate of 20-40 breaths/minute while sleeping
D)Respiratory rate of 60-80 breaths/minute
E)The neonate's lung sounds are moist during early auscultation
Q2) A nurse suspects that an infant in the intensive care unit has had intrauterine exposure to one of the TORCH infections.What finding is indicative of in utero exposure to a TORCH infection?
A)Decreased IgA
B)Decreased IgG
C)Increased IgG
D)Increased IgM
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19
Chapter 18: Caring for the Normal Newborn
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Sample Questions
Q1) The perinatal nurse teaches the new mother and her family about appropriate infant care to prevent omphalitis.Information given would include which of the following instructions?
A)Apply a mild soap and lotion to dry skin.
B)Change diapers frequently following circumcision.
C)Keep the base of the umbilical cord clean and dry.
D)Take rectal temperatures twice a day for a week.
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) Prior to giving a newborn the first bath,what action by the nurse is most appropriate?
A)Assess the infant's temperature.
B)Ensure the tub water is not too hot.
C)Obtain all of the needed supplies.
D)Take the baby's blood pressure.
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Page 20
Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
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Sample Questions
Q1) A premature newborn has a pulse pressure of 33 mm Hg.What action by the nurse takes priority?
A)Assess the infant for patent ductus arteriosus.
B)Ensure the blood pressure cuff is the right size.
C)Increase fluids to 1.5 times the maintenance rate.
D)Sedate the baby to prevent fighting the ventilator.
Q2) An infant weighing 3 lb,7 oz has apnea of prematurity.The nurse needs to administer the loading dose of caffeine citrate (Cafcit).The dose for this is____________________ mg.
Q3) The pediatric nurse explains to the nursing student that respiratory distress syndrome results from a developmental lack of which substance?
A)Calcium
B)Lecithin
C)Magnesium
D)Surfactant
Q4) An infant is born at 35 weeks and 3 days.How would the nurse document this gestational age? ____________________
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21
Chapter 20: Caring for the Developing Child
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Sample Questions
Q1) A nurse notes that when an infant is startled,she looks at her mother.What conclusion can the nurse make about this infant's development?
A)The child is slow to adapt and is distressed over small changes.
B)The developmental needs of the child are not being met.
C)The infant can develop other relationships because he is secure.
D)The infant has an unstable home environment and is insecure.
Q2) A mother is worried that her 3-month-old child is not holding her own head up.Which action by the nurse is most appropriate?
A)Explain that sturdy head control occurs around 6 months.
B)Document the findings and alert the health-care provider.
C)Reassure the mother that her baby is completely normal.
D)Teach the mother that head control is evident at 9 months.
Q3) A home health-care nurse sees several pediatric patients who have the nursing diagnosis of delayed growth and development.Which action by a child would indicate that outcomes have been met?
A)A 3-year-old child walks backward.
B)A 4-year-old child plays video games.
C)A 5-year-old child can unscrew items.
D)A 7-year-old child uses scissors to cut an outline figure.
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Page 22
Chapter
Community,and Across Care Settings
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Sample Questions
Q1) A child who weighs 16 lb received an overdose of morphine sulfate and needs naloxone (Narcan).The safe dose for this child is ____________________ mg.
Q2) The nurse conducts a seminar for new nurses about child safety in the hospital setting.Which of the following should be included? (Select all that apply.)
A)Asking children to state their names to ensure safe medication administration
B)Basing safety measures on the developmental level of the children
C)Keeping play areas in the hospital open at all times for children to visit
D)Providing age-appropriate transportation methods to other areas of the hospital
E)Storing toxic and nontoxic materials on the top shelf of a locked cabinet
Q3) The child development specialist explains to the nursing students that therapeutic play has several functions,including which of the following? (Select all that apply.)
A)Allows children to demonstrate their emotions
B)Decreases stress associated with hospitalization
C)Gives parents a break from watching their child
D)Helps correct children's misconceptions about care
E)May help child learn new coping skills
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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 has identified substance abuse in an adolescent.In addition to a treatment center referral,what other referral is most important?
A)Counseling for parents
B)Law enforcement
C)Mental health provider
D)Social services agencies
Q2) The nurse is working with the family of a child with conduct disorder (CD).The parents are very stressed and fighting a great deal.What action by the nurse is the most appropriate?
A)Assess the family for sleep disturbances.
B)Question the parents about alcohol intake.
C)Refer the family to a weekend respite program.
D)Suggest the parents enter couples' counseling.
Q3) A nurse is assessing a child who has a large head,an elongated face,and prominent ears.Which discharge instruction is most important?
A)"Create a family pedigree so I can assess for Down syndrome."
B)"Please make an appointment with a pediatric cardiologist."
C)"We will call you regarding a referral for genetic testing."
D)"You will need to abstain from alcohol in your next pregnancy."
Page 24
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Chapter 23: Caring for the Child With a Respiratory Condition
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Sample Questions
Q1) The nursing student studying respiratory anatomy and physiology learns that which tissue or organ grows faster than any other tissue or organ in a child?
A)Diaphragm
B)Epiglottis
C)Lungs
D)Tonsils
Q2) A father calls the pediatric clinic to report that his child was diagnosed with influenza at an urgent care facility yesterday and was prescribed oseltamivir (Tamiflu).The father worries that the dose of 75 mg twice a day is too high.He reports that his child weighs 90 lb (40.9 kg).Which response by the nurse is best?
A)"No,that is an appropriate dose for your child."
B)"No,that is way too little medicine for your child."
C)"Tamiflu should not be used in children under 100 lb."
D)"Yes,that is double the normal dose for a child."
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 parent calls the pediatric clinic to make an appointment for her child who complains of periumbilical pain that has progressed to right lower quadrant pain.Later the parent calls to cancel the appointment,stating that the pain went away spontaneously after the child used a heating pad.What action by the nurse is most appropriate?
A)Ask the parent if the child has diarrhea or a fever.
B)Encourage the parent to keep the appointment anyway.
C)Instruct the parent to take the child to an emergency department.
D)Reassure the parent she can bring the child in if the pain returns.
Q2) A pediatric clinic nurse is caring for several children with umbilical hernias.For which of the children does the nurse plan to educate the parents on surgical correction? (Select all that apply.)
A)7-year-old child with 1-cm hernia
B)Child with hernia that can't be replaced
C)Enlarging hernia in a 2-year-old
D)1-year-old with 0.5-cm hernia
E)3-year-old with 2-cm hernia
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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Sample Questions
Q1) An 8-year-old child is in the clinic and is diagnosed with ringworm.Which medications does the nurse anticipate teaching the child and parents about? (Select all that apply.)
A)Griseofulvin (Fulvicin)
B)Infliximab (Remicade)
C)Ketaconazole (Selenium)
D)Naproxen (Naprosyn)
E)Salicylates (Aspirin)
Q2) A child has been hospitalized with rubeola.Which actions by the nursing staff are most important? (Select all that apply.)
A)Administer ordered antibiotics on time.
B)Assess the child for Koplik's spots.
C)Ensure the room is dark for photophobia.
D)Monitor the child for febrile seizures.
E)Report the disease to health authorities.
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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Sample Questions
Q1) The parents of a child born with severe hypoplastic left heart syndrome ask the nurse about treatment options.Which option is inconsistent with the nurse's knowledge about this condition?
A)"Palliative or end-of-life care is one possibility."
B)"She can be listed for a cardiac transplant."
C)"Surgical correction involves several procedures."
D)"We can give a series of dopamine (Intropin)infusions."
Q2) An infant has critical aortic stenosis.The physician orders several medications for the infant.Which prescribed medications would the nurse question for this infant? (Select all that apply.)
A)Bumetanide (Bumex)
B)Diltiazem (Cardizem)
C)Enoxaparin (Lovenox)
D)Epinephrine (Adrenalin)
E)Furosemide (Lasix)
Q3) What has the greatest influence on preload?
A)Blood pressure
B)Contractility
C)Fluid volume
D)Heart rate
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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Q1) A nurse is teaching a new diabetic child and family about sick-day management.What information does the nurse plan to include? (Select all that apply.)
A)Check blood sugars every 4 hours.
B)Hold insulin if the child is vomiting.
C)Provide plenty of rest and sleep.
D)Offer calorie-containing liquids.
E)Try to follow the usual meal plan.
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) The student nurse knows that which gland produces the hormone triiodothyronine?
A)Adrenal
B)Hypothalamus
C)Parathyroid
D)Thyroid
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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Q1) A nurse is caring for four patients in the pediatric intensive care unit with head injuries or brain infections.Which child should the nurse see first?
A)Blood pressure change from 110/58 to 134/40 mm Hg in a child with brain injury
B)Child with brain injury who has vomited twice in 12 hours,now sleeping
C)Child with meningitis who is irritable,complaining of a "bad" headache
D)Oral temperature of 100.4°F (38°C)in a child with meningitis
Q2) 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).
Q3) A nurse is caring for a child with suspected epilepsy.Which diagnostic test does the nurse facilitate as the priority for this child?
A)Cerebral angiogram
B)Electrocardiogram (ECG)
C)Electroencephalogram (EEG)
D)Lumbar puncture (LP)
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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Q1) 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
Q2) A parent asks about the process of bone growth.When explaining bone development to the parent,which substances does the nurse include in the teaching session as being necessary? (Select all that apply.)
A)Calcitonin
B)Calcium
C)Estrogen
D)Thyroid hormones
E)Vitamin D
Q3) A nurse is caring for a patient with juvenile arthritis during an exacerbation.The child weighs 95 lb (43 kg).The physician orders sulfasalazine (Azulfidine)to be given in two divided doses per day.The safe dose range for a single dose of this drug for this child is ____________________ mg per dose.
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Chapter 30: Caring for the Child With a Integumentary Condition
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Q1) The student studying pediatric integumentary problems learns that which are functions of the skin? (Select all that apply.)
A)Assists in water retention
B)Initiates tactile sensations
C)Provides physical barrier
D)Regulates temperature set point
E)Synthesizes vitamin D
Q2) A nurse is providing anticipatory guidance to a community parent group about burn prevention.When discussing school-age and older children,which cause of burn occurs most often in this age group?
A)Cooking and kitchen activities
B)Exposure to hot water
C)Household electrical wires
D)Touching hot appliances
Q3) An adolescent is in the emergency department with partial-thickness burns covering his right anterior thigh,his abdomen,and his right anterior arm.The nurse calculates the total body surface area (TBSA)burned as ____________________.
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Q1) 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
Q2) A child is hospitalized with acute kidney injury (AKI)and has a critical hyperkalemia.Which order would the nurse question as inappropriate for this child?
A)Calcium gluconate
B)Dextrose and insulin
C)Emergent dialysis
D)Kayexalate (sodium polystyrene)enema
Q3) A child has acute kidney injury (AKI).Which primary acid-base balance does the nurse assess the child for?
A)Metabolic acidosis
B)Metabolic alkalosis
C)Respiratory acidosis
D)Respiratory alkalosis
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Chapter 32: Caring for the Child With a Hematological Condition
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Q1) The pediatric nurse knows that which of the following might be included in the collaborative care of children with mild to moderate anemia? (Select all that apply.)
A)Administration of epopoietin alfa (Epogen)
B)Blood product transfusions
C)Bone marrow transplantation
D)Routine laboratory analysis
E)Supplements and iron-rich diet
Q2) A child with sickle cell disease is receiving hypertransfusion therapy,and the current serum ferritin level is 1,035 µg/L.What medication does the nurse prepare to administer?
A)Deferoxamine (Desferal)
B)Elemental iron
C)Furosemide (Lasix)
D)Morphine sulfate (Duramorph)
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.
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Chapter 33: Caring for the Child With Cancer
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Q1) A child has nausea after chemotherapy despite anti-emetics.However,the child complains that "my tummy is growling." Which other action should the nurse take to promote comfort for this child?
A)Avoid hard,difficult-to-chew foods.
B)Encourage a high fluid intake with meals.
C)Offer the child hard candy to suck on.
D)Provide bland items,such as plain mashed potatoes.
Q2) The student nurse studying childhood cancers understands that neoplasms are caused by which factors? (Select all that apply.)
A)Chromosomal/genetic abnormalities
B)External stimuli or environment
C)Maternal nutrition during gestation
D)Substance abuse during pregnancy
E)Viruses that alter the immune system
Q3) Prior to administering IV chemotherapy,which action by the nurse is most important?
A)Ensure the IV has a good blood return.
B)Provide diversionary activities.
C)Take and record a set of vital signs.
D)Weigh the child.
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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 evaluating how well the family of a dying child understands the concept of hospice care in the home.Which statement by the family indicates the need for further instruction?
A)"If she gets short of breath,I will call 911 right away."
B)"It will be great that she can play with her sister at home."
C)"Pain control will be very important even near death."
D)"We should look into respite care so we can get a break."
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? (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
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Chapter 35: Caring for the Critically Ill Child
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Q1) A child in the pediatric intensive care unit is started on cortisone.When the nurse enters the room to check his blood glucose,the parents are concerned that he is now a diabetic.Which response by the nurse is the most appropriate?
A)"Being critically ill can raise a patient's blood glucose."
B)"I'm sorry;we should have been checking this all along."
C)"Increased blood glucose can be a side effect of steroids."
D)"The doctor is curious about how his glucose levels are."
Q2) A nursing student asks how excessive noise and sensory overload could cause feelings of panic in hospitalized children.Which response by the registered nurse is the most appropriate?
A)"Children are frightened by all the activity in the intensive care unit."
B)"Excessive noise irritates the inner ear,which leads to behavior changes."
C)"It's just the body's natural way of dealing with unfamiliar stimuli."
D)"Stimulation of the adrenal glands leads to secretion of stress hormones."
Q3) A child who weighs 28 lb needs fluid resuscitation.The nurse plans to administer
Q4) A child weighs 32 lb.The health-care provider orders a loading dose of midazolam (Versed)prior to intubation.The safe dose range for this drug is
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