Maternal and Child Health Nursing Practice Questions
Course Introduction
Maternal and Child Health Nursing is a comprehensive course that explores the principles and practices involved in caring for women throughout pregnancy, childbirth, and the postpartum period, as well as the health and development of newborns, infants, and children. The course emphasizes the physiological, psychological, and social aspects of maternal and child health, focusing on promotion, prevention, and management of health issues in these populations. Students learn about prenatal and postnatal care, safe motherhood, family planning, child growth and development, immunization, nutrition, and the prevention and management of common maternal and childhood illnesses. The course prepares students to provide holistic, culturally competent, and evidence-based care to mothers and children in diverse healthcare settings.
Recommended Textbook
Child Health Nursing Partnering with Children and Families 3rd Edition by Jane W. Ball
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36 Chapters
680 Verified Questions
680 Flashcards
Source URL: https://quizplus.com/study-set/3920 Page 2
Chapter 1: Child Health Nursing: Concepts, Roles, and Issues
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78204
Sample Questions
Q1) When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:
A)Unintentional injury."
B)Infectious disease."
C)Congenital anomalies."
D)Cancer."
Answer: A
Q2) The rationale for nurses utilizing nursing intervention classifications (NICs) when developing a nursing care plan for a child on the unit is to:
A)Improve communication among nurses working with the child.
B)Assist medical records in documenting care provided for insurance purposes.
C)Aid the nursing supervisor in evaluating the nursing staff.
D)Coordinate medical orders with nursing orders.
Answer: A
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3
Chapter 2: Family-Centered Care: Theory and Applications
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78203
Sample Questions
Q1) The nurse is working on parenting skills with a group of mothers. Which style of parenting tends to produce adolescents who tend to be self-reliant and socially competent?
A)Authoritarian
B)Permissive
C)Indifferent
D)Authoritative
Answer: D
Q2) A pediatric clinic serves several children who were adopted. The clinic nurse recognizes that the adopted child who is most likely to blame himself for being "given away" by the biologic parents is the:
A)Adopted child entering high school.
B)Child under three who was adopted as an infant.
C)Preschooler whose skin color is different from the adopted parents.
D)Child entering kindergarten.
Answer: D
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Chapter 3: Cultural Influences
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/78202
Sample Questions
Q1) During the assessment, the nurse notices that a Black baby has a darker, slightly bluish-hued patch about 5 × 7 cm on the buttocks and lower back. What is the nurse's next action?
A)Ask the mother about the cause of the bruise.
B)Call the Department of Social Services (DSS) to report this as a sign of abuse.
C)Confer with the physician the possibility of a bleeding tendency.
D)Chart the presence of a Mongolian spot.
Answer: D
Q2) The nurse is reviewing the charts from a multicultural health clinic. The nurse needs to know that for three cultures, the listed first name is actually the family name, while the individual's given name is placed last. The three cultures with this variation are:
A)French, German, and Irish.
B)Cambodian, Filipino, and Korean.
C)Canadian, Egyptian, and Haitian.
D)Brazilian, English, and Jewish.
Answer: B
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Chapter 4: Genetic and Hereditary Influences
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) All five of the children in a family were born with a genetic disorder. The disorder is inherited as autosomal dominant. If this is not a statistical rarity, the likelihood would be that:
A)One parent has both chromosomes with the affected gene.
B)Both parents are carriers.
C)One parent is a carrier and the other parent is unaffected.
D)One parent has one chromosome affected and the other parent has none.
Q2) During genetic testing, one parent is found to have a chromosomal abnormality without any physical or mental disability; however, the offspring has inherited physical and/or mental disability. During patient education, the nurse explains that the type of individual who can have a chromosomal abnormality without any disability but can cause his offspring to receive chromosomal alterations and disability is the parent with:
A)Dominant-gene structural chromosomal inversions.
B)Mosaicism.
C)Dominant-gene structural chromosomal balanced translocations.
D)Dominant-gene structural chromosomal deletions.
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Chapter 5: Concepts of Growth and Development
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A neonatal nurse who encourages parents to hold their baby and provides opportunities for kangaroo care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
A)Attachment
B)Assimilation
C)Resilience
D)Centration
Q2) As children grow and develop, their style of play changes. Place the following descriptions of play styles in order from infancy to school-age. Standard Text: Click and drag the options below to move them up or down.
A)Plays beside but not with other children
B)Plays games with other children and is able to follow the rules of the game
C)Plays alone with play directed by others
D)Plays with others in loose groups
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Chapter 6: Child and Family Communication
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78199
Sample Questions
Q1) While the nurse is admitting a pediatric patient, the mother blurts out, "I think this hospital is the most disorganized, inefficient place I have ever been in!" The most therapeutic response for the nurse to make would be:
A)"This hospital and its staff are extremely competent, and you are receiving the best possible care."
B)"Does your child have any allergies or take any medication routinely?"
C)"It happens to be very busy right now, and there are children much sicker than your child who need to be cared for first."
D)"It sounds like you are upset with the care your child has received.Is that correct?"
Q2) In order to prepare a six-year-old client for an intravenous catheter insertion, the nurse's best response would be:
A)"If I were you, I would hold very still so that it will only take one stick."
B)"It is okay to cry.I know that this hurts."
C)"Why are you crying? I thought that you were a tough kid."
D)"Don't worry a bit; this is just like a little mosquito bite."
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Chapter 7: Pediatric and Newborn Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78198
Sample Questions
Q1) While assessing a 10-month-old African American infant, the nurse notices that the sclerae have a yellowish tint. Which organ system would the nurse suspect as having an ongoing disease process?
A)Genitourinary
B)Cardiac
C)Gastrointestinal
D)Respiratory
Q2) The nurse wants to do a quick evaluation of a one-month-old infant's hearing. Which assessment will provide the best information?
A)Examining the ear canal with an otoscope
B)Using a vibrating tuning fork placed against the child's skull
C)Using tympanometry
D)Using a noisemaker in the infant's presence to evaluate the child's response
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9
Chapter 8: Concepts of Health Promotion and Health Maintenance
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/78197
Sample Questions
Q1) A four-year-old child is seen in the pediatric clinic for a well-child visit. During this visit, the nurse recognizes that appropriate assessments that should be completed at this time include: Standard Text: Select all that apply.
A)Height and weight.
B)Head circumference.
C)Four-year-old required immunizations.
D)Developmental assessment.
E)Safety counseling.
Q2) A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?
A)Asking the mother to leave the room after obtaining the history
B)Obtaining a comprehensive history, including sociodemographic data
C)Focusing exclusively on the reported illness
D)Reviewing health promotion and maintenance activities
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10
Chapter 9: Health Promotion and Maintenance of the Newborn
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78196
Sample Questions
Q1) The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which of these instructions should the nurse give as disease/injury prevention strategies? Standard Text: Select all that apply.
A)SIDS risk reduction
B)Fall prevention
C)Formula safety
D)Immunization schedule
E)Risk of poisoning
Q2) A mother asks the nurse about feeding her infant. The nurse's best response that includes the recommendation made by the American Academy of Pediatrics (AAP) concerning feeding infants is:
A)Introduce solid foods beginning at four months of age.
B)Introduce table foods only after tooth eruption.
C)Breastfeed exclusively for the first year of life.
D)Following birth, begin exclusive breastfeeding with no water, juice, or other foods.
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Chapter 10: Health Promotion and Maintenance of the Infant
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78195
Sample Questions
Q1) The home health nurse visits a home with an eight-month-old baby. Which observation is a safety issue that should be discussed with the mother?
A)The infant crib mattress has been lowered to its lowest level.
B)The mother cuts hot dogs into pieces for the baby to "gum."
C)The cords to the window blinds have been shortened and do not hang below the window.
D)The mother has placed infant barriers around the gas heat stove.
Q2) The nurse has been discussing behaviors to promote infant sleep with the mother of a two-month-old. Which statement by the mother indicates the need for additional discussion?
A)"I will read to my baby every night when getting him ready for bed."
B)"I will not bring him into my bed when he is having trouble falling asleep."
C)"I will have active play at bedtime to tire him out so he will sleep better."
D)"It is okay for my baby to have a "blankie" as a security object when he is put in his bed."
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Page 12
Chapter 11: Health Promotion and Maintenance of the
Toddler and Preschooler
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78194
Sample Questions
Q1) The nurse is explaining the primary purpose of performing health maintenance activities at each pediatric visit. The best explanation touches on:
A)Planning appropriate disciplinary measures for control of behavior.
B)Reviewing developmental milestones with the parents.
C)Prevention of disease and injury.
D)Teaching growth and development to the parents.
Q2) During a well-child visit, the nurse questions the mother about a toddler's food habits. The mother expresses concern that her child, who used to be a good eater and would eat all types of vegetables, now refuses all but three types of vegetables. Which is the appropriate response for the nurse to make to the mother?
A)"This is a serious concern, and we need to address this with the physician."
B)"Toddlers often go on food jags.Just continue to offer all types of vegetables without making it an issue."
C)"Don't make an issue over it.Just stop offering those favorite vegetables and the child will start eating other vegetables."
D)"Have you thought about adding a multivitamin to the child's daily routine?"
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Page 13
Chapter 12: Health Promotion and Maintenance of the School-Age Child
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78193
Sample Questions
Q1) As children grow and develop, their interests and activities change. Place the following childhood activities in order from interests of a 5-year-old to interests of a 12-year-old. Standard Text: Click and drag the options below to move them up or down.
A)Hass-defined hobbies such as model building, building with wood, needlepoint
B)Colors in coloring book, mostly staying inside the lines
C)Learns to ride a two-wheel bicycle without training wheels; reads first readers
D)Belongs to the basketball team or cheerleading squad at school
Q2) A nine-year-old child who has been followed in the same pediatric health care home since birth has come in for a well-child visit. A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data?
A)The child is obese and needs dietary counseling.
B)The child is beginning a growth spurt.
C)As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
D)The parents are most likely below the 50th percentile for height and weight.
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Chapter 13: Health Promotion and Maintenance of the Adolescent
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/78192
Sample Questions
Q1) An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too." Which takes priority when speaking with the adolescent?
A)Stressing the importance of remaining in a close parent-child relationship during these stressful times
B)Promoting healthy mental health outcomes
C)Acknowledging the fact that it takes several months to make new friends at a new school due to adolescent exclusion behaviors
D)Helping the adolescent realize the value of postsecondary education
Q2) A 17-year-old female presents at a nurse practitioner's office and requests a signature for work papers. The nurse reviews her chart and notes that the last physical examination was within the year. In addition to providing the signature for the work papers, the nurse should use this visit as:
A)A time to discuss exercise and sports participation.
B)A health supervision opportunity.
C)An opportunity to discuss birth control measures.
D)A chance to discuss the importance of pursuing postsecondary education.
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Chapter 14: Nursing Care of the Child in the Community
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/78191
Sample Questions
Q1) A pediatric nurse has accepted a position in a pediatric office. What nursing functions would the nurse expect to perform in this setting?
A)Performing minor surgical procedures
B)Providing medical care to chronically ill children
C)Planning hospital admissions
D)Identifying children in need of urgent care or isolation
Q2) Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?
A)Lists of hospitals in the area that treat children
B)Staff education related to assessment and treatment of children of all ages
C)Placement of small stretchers in emergency vehicles
D)Size-appropriate equipment and supplies
Q3) A major goal of home health care nurses working with families is:
A)Maximizing the dependency of the child on the family.
B)Curing the chronic illness of the child.
C)Prescribing and administering medication needed by the child.
D)Promoting or restoring the child's health.
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Chapter 15: Nursing Care of the Hospitalized Child
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78190
Sample Questions
Q1) The nurse is caring for a client in the pediatric intensive care unit. The parents have expressed anger over the nursing care their child is receiving. The nursing intervention most appropriate for these parents would be to:
A)Explain to the parents that their anger is affecting their child, and they will not be allowed to visit the child until they calm down.
B)Ask the physician to talk with the family.
C)Acknowledge the parents' concerns and collaborate with them regarding the care of their child.
D)Call the chaplain to sit with the family.
Q2) A five-year-old child is admitted to the pediatric unit for surgery. The parents request to stay with their child. Which is the best response by the nurse?
A)Tell the parents they can stay in the hospital but not on the unit.
B)Read the rules and regulations of rooming in with the child.
C)Let the parents know they are allowed to stay with the child.
D)Explain to the parents why they cannot stay with the child.
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Chapter 16: Nursing Care of the Child With a Chronic Condition
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78189
Sample Questions
Q1) A family actively participates in school functions with all their children, one of whom is paraplegic and requires a wheelchair for mobility. The nurse evaluates this family to be working on the process of:
A)Stagnation.
B)Isolation.
C)Normalization.
D)Interaction.
Q2) The nurse recommends to the family of a child with severe cerebral palsy that they enroll their child in hippotherapy. The nurse would explain that hippotherapy includes:
A)Water exercises to increase muscular strength.
B)Use of braces and walkers to support walking.
C)Dietary therapy to maintain a normal weight.
D)Horseback riding, or hippotherapy, improves posture and balance and allows the child to participate in a physical activity.
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18
Chapter 17: Nursing Care of the Child With a Life-Threatening Illness or Injury
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78188
Sample Questions
Q1) A child is admitted to the PICU following an accident. The parents ask the nurse about bringing the siblings to visit. The nurse will meet with the siblings and the parents and: Standard Text: Select all that apply.
A)Describe the sights, sounds, and smells of the pediatric intensive care unit.
B)Provide a simple explanation of the other children being cared for in the PICU.
C)Explain the child's injuries in ways that are appropriate to the ages of the siblings.
D)Describe how the child looks.
E)Explain why the siblings will not be able to visit until the child has stabilized and is progressing.
Q2) An adolescent with a gunshot wound presents to the emergency department with his distraught parents. He states that he saw a classmate shoot his teacher and several other students. As a result of the shooting incident, the nurse expects this adolescent to be at risk for which disorder?
A)Conduct disorder
B)Depression
C)Post-traumatic stress disorder
D)School phobia
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Page 19
Chapter 18: End-Of-Life Care and Bereavement
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78187
Sample Questions
Q1) The nurse is working in a PICU with several children with life-threatening illnesses. The children come from a variety of cultural and religious groups. Because of their religious beliefs, the parents of which religious group should not be contacted regarding organ and tissue donation?
A)Jehovah's Witness
B)Islam
C)Hinduism
D)Buddhism
Q2) The nurse is speaking with a preschool-age child whose sibling recently died. The nurse understands that preschool-age siblings might feel that the death was due to:
A)The child's being bad, and the sibling is being punished.
B)The child's having a fight with their sibling.
C)The child's having thoughts about their sibling dying.
D)Their parents' not liking that sibling.
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Chapter 19: Infant, Child, and Adolescent Nutrition
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78186
Sample Questions
Q1) The mother of a six-week-old infant tells the nurse that her baby has had colic for several days, crying for up to three hours and drawing his legs up on his abdomen. The mother says she is at "wits end" and wonders what she can do. The nurse learns that the infant is formula fed and gaining weight satisfactorily. The nurse would recommend: Standard Text: Select all that apply.
A)Breastfeeding the infant.
B)Switching to a bottle that has a collapsible bag inside.
C)Putting the infant in a baby swing after feeding.
D)Burping the baby more frequently.
E)Giving the baby a suppository once each morning.
Q2) A nurse is talking to the mother of an exclusively breastfed, African American infant who is three months old and was born in late fall. The nurse would want to make sure that this child is receiving:
A)Iron
B)Vitamin D
C)Calcium
D)Fluoride
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Chapter 20: Social and Environmental Influences on Child and
Adolescent Health
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/78185
Sample Questions
Q1) A young infant is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
A)"I was walking up the steps and slipped on the ice, falling while carrying my baby."
B)"The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor."
C)"I placed the baby in the infant swing.His six-year-old brother was running through the house and tripped over the swing, causing it to fall."
D)"I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."
Q2) The nurse recognizes that the person guilty of child abuse may have which symptoms?
A)Physical illness
B)Alcoholism
C)Many friends and families nearby
D)Unrealistic expectations for their child
E)The abuser has no relationship to the child.
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Page 22
Chapter 21: Pain Assessment and Management
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78184
Sample Questions
Q1) The postoperative unit of the pediatric hospital has several children who had surgery this morning. While making rounds, the nurse observes all of the following behaviors. Which child should be further evaluated as to postoperative pain?
A)The six-month-old in deep sleep
B)The two-year-old who is cooperative when the nurse takes his vital signs
C)The four-year-old who is actively watching cartoons
D)The 14-month-old who is thrashing his arms and legs
Q2) An analgesic is ordered for a post-surgical patient to be given every three to four hours. The nurse knows that a delay in giving the medication will cause a(n):
A)Decrease in the chance of withdrawal symptoms.
B)Decrease in the chance of addiction.
C)Increase in the chance of breakthrough pain.
D)Increase in the child's pain tolerance.
Q3) A child who has chronic pain of long duration will exhibit which behavior?
A)Increased respiratory rate
B)Normal temperature
C)Normal heart rate
D)Decreased blood pressure
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23
Chapter 22: Immunizations and Communicable Diseases
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/78183
Sample Questions
Q1) A mother refuses to have her child immunized with the measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. The nurse's most appropriate response to this mother is to:
A)Tell the mother that by not immunizing her child she may be exposing pregnant women to the virus, which could cause fetal harm.
B)Honor her request because she is the parent.
C)Tell the mother that she is wrong and should have her child immunized.
D)Explain the potential complications of measles, mumps, and rubella infections.
Q2) The school nurse wants to protect the students from Reye disease. To this end, the nurse creates a pamphlet that advises the parents to avoid giving which medication to a sick child?
A)Antibiotics
B)Acetaminophen
C)Ibuprofen
D)Aspirin
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Chapter 23: Alterations in Fluid, Electrolyte, and Acid-Base
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/78182
Sample Questions
Q1) The nurse is caring for a child on bed rest who has severe edema in a left lower leg due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
A)Risk for impaired skin integrity
B)Risk for altered body image
C)Risk for imbalanced nutrition: less than body requirements
D)Risk for activity intolerance
Q2) In the morning, a nurse receives a report on four pediatric clients, each of whom has some form of fluid-volume excess. Which of the children should the nurse see first?
A)The child with tachypnea and pulmonary congestion
B)The child with hepatomegaly and normal respiratory rate
C)The child with dependent and sacral edema and regular pulse
D)The child with periorbital edema and normal respiratory rate
Q3) A nurse is taking care of four different pediatric clients. Which of the following children is at greatest risk for dehydration?
A)Seven-year-old child with migraine headaches
B)Four-year-old child with a broken arm
C)Two-year-old child with cellulitis of the left leg
D)18-month-old child with tachypnea
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Chapter 24: Alterations in Eye, Ear, Nose, and Throat
Function
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal finding in this age group?
A)Tonsils are large and seem to fill the throat.
B)Child is complaining of sore throat and drooling
C)White patches are observed on the tonsils.
D)Throat appears red, and child has a low-grade fever
Q2) A 10-month-old infant has had numerous ear infections since birth. The nurse will discuss with the parents ways that might reduce the incidence of otitis media and will include which strategies? Standard Text: Select all that apply.
A)Prohibiting tobacco smoke in the home
B)Avoiding use of a pacifier while the child is sleeping
C)Breastfeeding the infant
D)Cleaning the child's ears nightly with peroxide
E)Avoiding use of wood-burning stoves
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Chapter 25: Alterations in Respiratory Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78180
Sample Questions
Q1) The nurse stops at the scene of an accident and finds a child conscious but with a sucking wound of the chest. The immediate action by the nurse would be to:
A)Place the child in trendelenburg.
B)Begin rescue breathing.
C)Begin cardiac resuscitation.
D)Cover the wound with an air occlusive dressing.
Q2) A two-year-old male child arrived in the emergency department with complaints of sore throat, difficulty swallowing, and suspected diagnosis of acute epiglottitis. Which of the following interventions should not be included in the child's immediate care and assessment?
A)Throat culture
B)Medical history
C)Vital signs
D)Assessment of breath sounds
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Chapter 26: Alterations in Cardiovascular Function
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/78179
Sample Questions
Q1) An infant with tetralogy of Fallot (TOF) is having a hypercyanotic episode ("tet" spell). Which nursing interventions should the nurse implement? Standard Text: Select all that apply.
A)Administer oxygen.
B)Place the child in knee-chest position.
C)Administer morphine and propranolol intravenously as ordered.
D)Draw blood for a serum hemoglobin.
E)Administer Benadryl as ordered.
Q2) A two-month-old infant with a congenital heart defect has been admitted to the pediatric intensive care unit with congestive heart failure. Nursing care for this child should include which intervention?
A)Monitor respirations during active periods.
B)Give larger feedings less often to conserve energy.
C)Organize activities to allow for uninterrupted sleep.
D)Force fluids appropriate for age.
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Chapter 27: Alterations in Immune Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78178
Sample Questions
Q1) The nurse is caring for a child with rheumatoid arthritis. Which is an appropriate nonpharmacologic measure to reduce the joint pain associated this disease?
A)Elevation of the extremity
B)Immobilization
C)Massage
D)Application of moist heat
Q2) The nurse is discussing the immune protection of the newborn with a pregnant woman. The nurse tells the mother that her body will provide her baby with what type of antibodies?
A)IgM
B)IgA
C)IgD
D)IgG
Q3) The nurse is caring for a child who experiences an anaphylactic shock reaction. In which position will the nurse place the child?
A)In Trendelenburg position
B)Flat, with legs slightly elevated
C)In high Fowler's position
D)In reverse Trendelenburg position
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Chapter 28: Alterations in Hematologic Function
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/78177
Sample Questions
Q1) A seven-year-old child is admitted in sickle-cell crisis. The nurse is concerned with reducing the child's pain. Recognizing that any activity that reduces the sickling will reduce the pain, nursing activities will include: Standard Text: Select all that apply.
A)Administration of narcotics.
B)Administration of NSAIDs.
C)Cold application.
D)Encouraging oral fluids.
E)Maintaining bed rest.
Q2) For which complication(s) should the nurse observe during administration of Factor VIII to a child with hemophilia?
A)Fever and chills
B)Fat emboli
C)Nausea and vomiting
D)Congestive heart failure
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Chapter 29: The Child With Cancer
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/78176
Sample Questions
Q1) The antiemetic drug ondansetron (Zofran) is being administered to a child receiving chemotherapy. It should be administered:
A)Only if the child experiences nausea.
B)Before chemotherapy administration, as a prophylactic measure.
C)After the chemotherapy has been administered.
D)Never; this antiemetic is not effective for controlling nausea and vomiting associated with chemotherapy.
Q2) The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. For which symptoms should the nurse monitor this child?
A)Respiratory distress and cyanosis
B)Thrombocytopenia and leukocytosis
C)Oliguria and altered levels of consciousness
D)Upper-extremity edema and neck vein distension
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Chapter 30: Alterations in Gastrointestinal Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78175
Sample Questions
Q1) A child with inflammatory bowel disease is taking prednisone daily. The family should be taught to administer the prednisone at what time?
A)Between meals
B)At bedtime
C)One hour before meals
D)With meals
Q2) An adolescent complains of recurrent abdominal pain with diarrhea and bloody stools. The nurse should recognize these as symptoms of which inflammatory bowel disease?
A)Necrotizing enterocolitis
B)Ulcerative colitis
C)Crohn's disease
D)Appendicitis
Q3) A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment should the nurse prepare for use?
A)Appropriate bag-valve-mask system
B)Sterile gauze and saline
C)Soft arm restraints
D)Equipment for intubation
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Chapter 31: Alterations in Genitourinary Function
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A child with acute renal failure is being treated with peritoneal dialysis. Following medical orders, the dialysate has been infused into the child's abdomen. When the dialysate is drained, the nurse notes the following findings. Which finding requires notification of the physician?
A)The dialysate is clear on return.
B)The volume of drained dialysate is less than the volume infused.
C)The child is restless, wanting to get up and play.
D)The child's vital signs are basically the same as were noted on infusion.
Q2) Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now four hours since the child's surgery. Which assessment finding should be reported to the surgeon?
A)The infant has bloody urine.
B)The infant has voided one time since returning from surgery.
C)The infant seems to be having bladder spasms that respond favorably to anticholinergic medications.
D)Double diapering the infant has resulted in the stent being free from stool contamination.
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Page 33
Chapter 32: Alterations in Endocrine and Metabolic Function
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A teenager has arrived in the emergency department (ED) with confusion. The physician suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 76l5 mg/dL. The nurse expects that this teen has which symptoms?
A)Tachycardia, dehydration, and abdominal pain
B)Sweating, photophobia, and tremors
C)Dry mucous membranes, blurred vision, and weakness
D)Dry skin, shallow rapid breathing, and dehydration
Q2) A hospitalized child has been diagnosed with SIADH (syndrome of inappropriate antidiuretic hormone), a complication of his meningitis. What would the nurse expect to see on this child's lab results?
A)Hyponatremia
B)Hypocalcemia
C)Hyperglycemia
D)Hypernatremia
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Chapter 33: Alterations in Neurologic Function
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/78172
Sample Questions
Q1) A young child admitted to the pediatric unit has fever, irritability, and vomiting. The physician suspects bacterial meningitis. The nurse would expect the cerebrospinal fluid (CSF) to show:
A)Decreased protein count.
B)Clear, straw-colored fluid.
C)Positive for RBCs.
D)Decreased glucose level.
Q2) A child has been diagnosed with a basilar skull fracture. The nurse should monitor this child for:
A)Periorbital ecchymosis.
B)Subdural hematoma.
C)Protruding bone.
D)Epidural hematoma.
Q3) The nurse is doing an assessment on a four-month-old infant. Which assessment finding would the nurse consider abnormal?
A)The posterior fontanel is open.
B)The infant has good head control when held upright.
C)The infant is able to roll only from abdomen to back.
D)The anterior fontanel is open and soft.
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Page 35
Chapter 34: Alterations in Mental Health and Cognition
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/78171
Sample Questions
Q1) A child with autism is being admitted to the hospital with dehydration. Upon admission, the nurse should:
A)Encourage the parents to avoid bringing favorite toys from home that might be lost.
B)Take the child on a tour of the pediatric unit.
C)Assign the child to his single-bed hospital room.
D)Take the child to the playroom for arts and crafts.
Q2) The nurse is working with the mother of a child with autism. The goal of the session is to plan strategies to increase the child's socialization. The nurse is explaining behavior modification as a treatment process. The nurse will encourage the mother to:
A)Create a reward system when the child interacts with a person.
B)Punish the child when the child's social behaviors are inappropriate.
C)Use dolls to demonstrate appropriate social interactions to the child.
D)Enroll the child in a day care to encourage interaction with other children.
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Chapter 35: Alterations in Musculoskeletal Function
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/78170
Sample Questions
Q1) An infant returns to the unit following casting of the leg for talipes equinovarus. Standing orders include monitoring the neurovascular status. In addition to color, for what will the nurse monitor the infant's foot? Standard Text: Select all that apply.
A)Warmth
B)Capillary refill
C)Pedal pulse
D)Sensation
E)Movement of the toes
Q2) A child must wear a brace for correction of scoliosis. Which nursing diagnosis takes priority at this time?
A)Impaired gas exchange, risk for
B)Altered growth and development, risk for
C)Impaired skin integrity, risk for
D)Impaired mobility, risk for
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Chapter 36: Alterations in Skin Integrity
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19 Verified Questions
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Source URL: https://quizplus.com/quiz/78169
Sample Questions
Q1) The mother of several children is talking with the nurse. She asks the nurse why her younger child seems to sunburn easier than her older children. The nurse would explain that the skin of younger children:
A)Is thinner than that of adolescents.
B)Has less melanin.
C)Has smaller, nonfunctional apocrine sweat glands.
D)More readily absorbs chemicals.
Q2) The clinic nurse has completed teaching the teenager about skin care and acne prevention. Which statement by the teenager indicates the need for additional teaching?
A)"I shouldn't squeeze my blackheads or pimples."
B)"I need to watch my diet and cut out all chocolates."
C)"I should avoid applying drying materials, such as astringents, to my face"
D)"I should wash my hands frequently and avoid touching my face."
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