Maternal and Child Health Nursing
Textbook Exam Questions
Course Introduction
Maternal and Child Health Nursing focuses on the principles and practices involved in caring for women, infants, and children throughout the stages of pregnancy, childbirth, postpartum, and early childhood. This course examines the physiological, psychological, and social aspects influencing maternal and child health, emphasizing preventive care, early detection of health issues, and family-centered approaches. Topics include prenatal and postnatal care, growth and development, immunizations, nutrition, common pediatric illnesses, and maternal health promotion. Students will learn to apply evidence-based nursing interventions and collaborate within multidisciplinary teams to ensure the well-being of mothers and children in diverse healthcare settings.
Recommended Textbook Wongs Essentials of Pediatric Nursing 9th Edition by Marilyn J. Hockenberry
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32 Chapters
1176 Verified Questions
1176 Flashcards
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Chapter 1: Perspectives of Pediatric Nursing
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse is admitting a toddler to the hospital.The toddler is with both parents and is currently sitting comfortably on a parent's lap.The parents state they will need to leave for a brief period.Which type of nursing diagnosis should the nurse formulate for this child?
A)Risk for anxiety
B)Anxiety
C)Readiness for enhanced coping
D)Ineffective coping
Answer: A
Q2) Which action by the nurse demonstrates use of evidence-based practice (EBP)?
A)Gathering equipment for a procedure
B)Documenting changes in a patient's status
C)Questioning the use of daily central line dressing changes
D)Clarifying a physician's prescription for morphine
Answer: C
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3
Chapter 2: Community-Based Nursing Care of the Child and Family
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A school nurse is conducting vision and hearing testing on fifth-grade children.Which level of prevention is the nurse demonstrating?
A)Primary
B)Secondary
C)Tertiary
D)Health promotion
Answer: B
Q2) A nurse is collecting subjective and objective information about target populations to diagnose problems based on community needs.This describes which step in the community nursing process?
A)Planning
B)Diagnosis
C)Assessment
D)Establishing objectives
Answer: C
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Page 4
Chapter 3: Family Influences on Child Health Promotion
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse is conducting a teaching session on the use of time-out as a discipline measure to parents of toddlers.Which are correct strategies the nurse should include in the teaching session? (Select all that apply.)
A)Time-out as a discipline measure cannot be used when in a public place.
B)A rule for the length of time-out is 1 minute per year.
C)When the child misbehaves, one warning should be given.
D)The area for time-out can be in the family room where the child can see the television.
E)When the child is quiet for the specified time, he or she can leave the room.
Answer: B,C,E
Q2) A mother brings 6-month-old Eric to the clinic for a well-baby checkup.She comments,"I want to go back to work,but I don't want Eric to suffer because I'll have less time with him." The nurse's most appropriate answer would be which statement?
A)"I'm sure he'll be fine if you get a good babysitter."
B)"You will need to stay home until Eric starts school."
C)"You should go back to work so Eric will get used to being with others."
D)"Let's talk about the child-care options that will be best for Eric."
Answer: D
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Chapter 4: Social,Cultural,and Religious Influences on Child
Health Promotion
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) When minority groups immigrate to another country,a certain degree of cultural or ethnic blending occurs through the involuntary process of:
A)acculturation.
B)ethnocentrism.
C)culture shock.
D)cultural sensitivity.
Q2) Research is being done on the development of assets in children.A community that is supportive of children has which external assets? (Select all that apply.)
A)Unstructured environments to allow for freedom of choice
B)Social competencies to make positive choices
C)Empowerment to feel safe and secure
D)Positive values to direct choice
E)Boundaries to set expectations and actions
Q3) Poverty has serious implications for children and families.Social and cultural deprivation,including limited employment opportunities,inferior educational opportunities,inferior or no access to health care,and a lack of public services,is referred to as the _______________ type of poverty.
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Page 6
Chapter 5: Developmental and Genetic Influences on Child
Health Promotion
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A 12-year-old child enjoys collecting stamps,playing soccer,and participating in Boy Scout activities.The nurse recognizes that the child is displaying which developmental task?
A)Identity
B)Industry
C)Integrity
D)Intimacy
Q2) A nurse is counseling an adolescent,in her second month of pregnancy,about the risk of teratogens.The adolescent has understood the teaching if she makes which statement?
A)"I will be able to continue taking isotretinoin (Accutane) for my acne."
B)"I can continue to clean my cat's litter box."
C)"I should avoid any alcoholic beverages."
D)"I will ask my physician to adjust my phenytoin (Dilantin) dosage."
Q3) Parents are asking the clinic nurse about an appropriate toy for their toddler.Which response by the nurse is appropriate?
A)"Your child would enjoy playing a board game."
B)"A toy your child can push or pull would help develop muscles."
C)"An action figure toy would be a good choice."
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D)"A 25-piece puzzle would help your child develop recognition of shapes."
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Chapter 6: Communication and Physical Assessment of the Child
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62 Verified Questions
62 Flashcards
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Sample Questions
Q1) The nurse is meeting a 5-year-old child for the first time and would like the child to cooperate during a dressing change.The nurse decides to do a simple magic trick using gauze.This should be interpreted as:
A)inappropriate, because of child's age.
B)a way to establish rapport.
C)too distracting, when cooperation is important.
D)acceptable, if there is adequate time.
Q2) Which is most important to document about immunizations in the child's health history?
A)Dosage of immunizations received
B)Occurrence of any reaction after an immunization
C)The exact date the immunizations were received
D)Practitioner who administered the immunizations
Q3) A nurse is preparing to perform a physical assessment on a toddler.Which approach should the nurse use for this child?
A)Always proceed in a head-to-toe direction.
B)Perform traumatic procedures first.
C)Use minimal physical contact initially.
D)Demonstrate use of equipment.
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Chapter 7: Pain Assessment and Management in Children
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A patient on an intravenous opioid analgesic has become apneic.The nurse should implement which interventions? Place the interventions in order from the highest priority (first intervention)to the lowest priority (last intervention).Provide your answer using lowercase letters separated by commas (e.g.,a,b,c,d).
A) Place the patient on continuous pulse oximetry to assess SaO?.
B) Administer the prescribed naloxone (Narcan) dose by slow IV push.
C) Ensure oxygen is available.
D) Prepare to calm the child as analgesia is reversed.
Q2) The nurse is caring for a child receiving intravenous (IV)morphine for severe postoperative pain.The nurse observes a slower respiratory rate,and the child cannot be aroused.The most appropriate management of this child is for the nurse to:
A)administer naloxone (Narcan).
B)discontinue IV infusion.
C)discontinue morphine until child is fully awake.
D)stimulate child by calling name, shaking gently, and asking to breathe deeply.
Q3) A dose of oxycodone (OxyContin)2 mg/kg has been ordered for a child weighing 33 lb.How many milligrams of OxyContin should the nurse administer? (Record your answer as a whole number.)
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Chapter 8: Health Promotion of the Newborn and Family
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) A nurse has completed an assessment on a newborn.Which finding is considered abnormal?
A)Nystagmus
B)Profuse drooling
C)Dark green or black stools
D)Slight vaginal reddish discharge
Q2) In a newborn's eyes,strabismus is a normal finding because of:
A)congenital cataracts.
B)lack of binocularity.
C)absence of red reflex.
D)inability of pupil to react to light.
Q3) The nurse is careful to place the incubator away from cold windows or air-conditioning units.This is to conserve the newborn's body heat by preventing heat loss through:
A)radiation.
B)conduction.
C)convection.
D)evaporation.
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10
Chapter 9: Health Problems of Newborns
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71 Verified Questions
71 Flashcards
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Sample Questions
Q1) A preterm newborn,after spending 8 weeks in the NICU,is being discharged. The parents of the newborn express apprehension and worry that the newborn may still be in danger.The nurse should recognize that this is:
A)normal.
B)a reason to postpone discharge.
C)suggestive of maladaptation.
D)suggestive of inadequate bonding.
Q2) Several types of seizures can occur in the newborn.Which is characteristic of clonic seizures?
A)Apnea
B)Tremors
C)Rhythmic jerking movements
D)Extensions of all four limbs
Q3) Which is an important nursing consideration in the care of the newborn with PKU?
A)Suggest ways to make formula more palatable.
B)Teach proper administration of phenylalanine hydroxylase.
C)Encourage the breastfeeding mother to adhere to low-phenylalanine diet.
D)Give reassurance that dietary restrictions are a temporary inconvenience.
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Chapter 10: Health Promotion of the Infant and Family
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) A parent asks the nurse "when will my infant start to teethe?" The nurse responds that the earliest age at which an infant begins teething with eruption of lower central incisors is _____ months.
A)4
B)6
C)8
D)12
Q2) A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections.The nurse should explain that:
A)this cannot be prevented.
B)infants do not feel pain as adults do.
C)this is not a good reason for refusing immunizations.
D)a topical anesthetic, EMLA, can be applied before injections are given.
Q3) Austin,age 6 months,has six teeth.The nurse should recognize that this is:
A)normal tooth eruption.
B)delayed tooth eruption.
C)unusual and dangerous.
D)earlier-than-normal tooth eruption.
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Chapter 11: Health Problems of Infants
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS)infant? (Select all that apply.)
A)Allow parents to say goodbye to their infant.
B)Once parents leave the hospital, no further follow-up is required.
C)Arrange for someone to take the parents home from the hospital.
D)Avoid requesting an autopsy of the deceased infant.
E)Conduct a debriefing session with the parents before they leave the hospital.
Q2) A nurse is preparing to feed a 12-month-old infant with failure to thrive.Which intervention should the nurse implement?
A)Provide stimulation during feeding.
B)Avoid being persistent during feeding time.
C)Limit feeding time to 10 minutes.
D)Maintain a face-to-face posture with the infant during feeding.
Q3) Which describes marasmus?
A)Deficiency of protein with an adequate supply of calories
B)Not confined to geographic areas where food supplies are inadequate
C)Syndrome that results solely from vitamin deficiencies
D)Characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites)
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Page 13
Chapter 12: Health Promotion of the Toddler and Family
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The child of 15 to 30 months is likely to be struggling with which developmental task?
A)Trust
B)Initiative
C)Autonomy
D)Intimacy
Q2) A parent of an 18-month-old boy tells the nurse that he says "no" to everything and has rapid mood swings.If he is scolded,he shows anger and then immediately wants to be held.The nurse's best interpretation of this behavior is included in which statement?
A)This is normal behavior for his age.
B)This is unusual behavior for his age.
C)He is not effectively coping with stress.
D)He is showing he needs more attention.
Q3) Which statement is correct about toilet training?
A)Bladder training is usually accomplished before bowel training.
B)Wanting to please the parent helps motivate the child to use the toilet.
C)Watching older siblings use the toilet confuses the child.
D)Children must be forced to sit on the toilet when first learning.
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Chapter 13: Health Promotion of the Preschooler and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides,and I don't want anyone taking them out." Which is the nurse's best interpretation of this?
A)Child is being overly dramatic.
B)Child has a disturbed body image.
C)Preschoolers have poorly defined body boundaries.
D)Preschoolers normally have a good understanding of their bodies.
Q2) The parent of a 4-year-old boy tells the nurse that the child believes that monsters and boogeymen are in his bedroom at night.The nurse's best suggestion for coping with this problem is to:
A)let the child sleep with his parents.
B)keep a night-light on in the child's bedroom.
C)help the child understand that these fears are illogical.
D)tell the child frequently that monsters and boogeymen do not exist.
Q3) The recommendation for calcium for children 1 to 3 years of age is _____ milligrams.(Record your answer in a whole number.)
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Page 15
Chapter 14: Health Problems of Toddlers and Preschoolers
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which describes a child who is abused by the parent(s)?
A)Unintentionally contributes to the abusing situation
B)Belongs to a low socioeconomic population
C)Is healthier than the nonabused siblings
D)Abuses siblings in the same way as child is abused by the parent(s)
Q2) Airborne isolation is required for a child who is hospitalized with:
A)mumps.
B)chickenpox.
C)exanthema subitum (roseola).
D)erythema infectiosum (fifth disease).
Q3) Vitamin A supplementation may be recommended for the young child who has which disease?
A)Mumps
B)Rubella
C)Measles (rubeola)
D)Erythema infectiosum
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Chapter 15: Health Promotion of the School-Age Child and Family
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The school nurse has been asked to begin teaching sex education in the fifth grade.The nurse should recognize that:
A)children in fifth grade are too young for sex education.
B)children should be discouraged from asking too many questions.
C)correct terminology should be reserved for children who are older.
D)sex can be presented as a normal part of growth and development.
Q2) Teasing can be common during the school-age years.The nurse should recognize that which applies to teasing?
A)Can have a lasting effect on children
B)Is not a significant threat to self-concept
C)Is rarely based on anything that is concrete
D)Is usually ignored by the child who is being teased
Q3) Generally,the earliest age at which puberty begins is _____ years in girls,_____ in boys.
A)13; 13
B)11; 11
C)10; 12
D)12; 10
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Chapter 16: Health Promotion of the Adolescent and Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The estimated average requirement of calcium for an adolescent is _____ milligrams.(Record your answer in a whole number.)
Q2) A 14-year-old boy seems to be always eating,although his weight is appropriate for his height.What is the best explanation for this?
A)This is normal because of increase in body mass.
B)This is abnormal and suggestive of future obesity.
C)His caloric intake would have to be excessive.
D)He is substituting food for unfilled needs.
Q3) A nurse is planning a teaching session for a group of adolescents.The nurse understands that by adolescence the individual is in which stage of cognitive development?
A)Formal operations
B)Concrete operations
C)Conventional thought
D)Post-conventional thought
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18
Chapter 17: Health Problems of School-Age Children and Adolescents
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Sample Questions
Q1) A 12-year-old male has short stature because of a constitutional growth delay.The nurse should be the most concerned about which of the following?
A)Proper administration of thyroid hormone
B)Proper administration of human growth hormones
C)Child's self-esteem and sense of competence
D)Helping child understand that his height is most likely caused by chronic illness and is not his fault
Q2) An adolescent has been diagnosed with lactose maldigestion intolerance.The nurse teaches the adolescent about lactose maldigestion intolerance and notes the teen needs further teaching if which statement is made?
A)"I will limit my milk consumption to one to two glasses a day."
B)"I should drink the milk alone and not with other foods."
C)"Hard cheese, cottage cheese, or yogurt can be substituted for milk."
D)"I will take a calcium supplement daily."
Q3) Which syndrome involves a common sex chromosome defect?
A)Down
B)Turner
C)Marfan
D)Hemophilia
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Chapter 18: Quality of Life for Children Living with Chronic or Complex Diseases
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A cure is no longer possible for a young child with cancer.The nursing staff recognizes that the goal of treatment must shift from cure to palliation.Which is an important consideration at this time?
A)The family is included in the decision to shift the goals of treatment.
B)The decision must be made by the health professionals involved in the child's care.
C)The family needs to understand that palliative care takes place in the home.
D)The decision should not be communicated to the family because it will encourage a sense of hopelessness.
Q2) Approach behaviors are those coping mechanisms that result in a family's movement toward adjustment and resolution of the crisis of having a child with a chronic illness or disability.Which is considered an approach behavior?
A)Is unable to adjust to a progression of the disease or condition
B)Anticipates future problems and seeks guidance and answers
C)Looks for new cures without a perspective toward possible benefit
D)Fails to recognize seriousness of child's condition despite physical evidence
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Page 20
Chapter 19: Impact of Cognitive or Sensory Impairment on the Child and Family
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38 Verified Questions
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Sample Questions
Q1) When caring for a newborn with Down syndrome,the nurse should be aware that the most common congenital anomaly associated with Down syndrome is:
A)hypospadias.
B)pyloric stenosis.
C)congenital heart disease.
D)congenital hip dysplasia.
Q2) Parents of a child with Down syndrome ask the nurse about techniques for introducing solid food to their 8-month-old child's diet.The nurse should give the parents which priority instruction?
A)It is too early to add solids; the parents should wait for 2 to 3 months.
B)A small but long, straight-handled spoon should be used to push the food toward the back and side of the mouth.
C)If the child thrusts the food out, the feeding should be stopped.
D)Solids should be offered only three times a day.
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Chapter 20: Family-Centered Home Care
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Sample Questions
Q1) A priority intervention the home-care nurse should teach parents to do to maintain infection control is:
A)sterilize equipment.
B)reuse equipment to decrease costs.
C)use proper hand hygiene.
D)use gloves when repositioning the child.
Q2) A child dependent on medical technology is preparing to be discharged from the hospital to home.Which predischarge assessments should the nurse ensure? (Select all that apply.)
A)Emergency care and transport plan
B)Reliance on private duty nurses to teach the family infection control practices
C)Financial arrangements
D)Individualized home plan to be completed within the first month of the child's discharge
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22
Chapter 21: Family-Centered Care of the Child During
Illness and Hospitalization
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Sample Questions
Q1) A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized.The nurse should reassure the parents that this is normal because of which reason?
A)Regression is seen during hospitalization.
B)Developmental delays occur because of the hospitalization.
C)The child is experiencing urinary urgency because of hospitalization.
D)The child was too young to be "potty-trained."
Q2) A child is playing in the playroom.The nurse needs to do a blood pressure on the child.Which is the appropriate procedure for obtaining the blood pressure?
A)Take the blood pressure in the playroom.
B)Ask the child to come to the exam room to obtain the blood pressure.
C)Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom.
D)Document that the blood pressure was not obtained because the child was in the playroom.
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Page 23
Chapter 22: Pediatric Variations of Nursing Interventions
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Sample Questions
Q1) Which is an important nursing consideration when performing a bladder catheterization on a young boy?
A)Clean technique, not standard precautions, is needed.
B)Insert 2% lidocaine lubricant into the urethra.
C)Lubricate catheter with water-soluble lubricant such as K-Y Jelly.
D)Delay catheterization for 20 minutes while anesthetic lubricant is absorbed.
Q2) The nurse is preparing to insert a nasogastric tube into a 4-year-old child for intermittent suctioning after abdominal surgery.Place in correct sequence the steps for inserting a nasogastric tube.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d,e,f).
A) Lubricate the nasogastric tube with water-soluble lubricant.
B) Tape the nasogastric tube securely to the child's face.
C) Check the placement of the tube by aspirating stomach contents.
D) Place the child in the supine position with head slightly hyperflexed.
E) Insert the nasogastric tube through the nares. f. Measure the tube from the tip of the nose to the ear lobe to midpoint between the xiphoid process and the umbilicus
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24
Chapter 23: The Child with Respiratory Dysfunction
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Sample Questions
Q1) Which consideration is the most important in managing tuberculosis (TB)in children?
A)Skin testing annually
B)Pharmacotherapy
C)Adequate nutrition
D)Adequate hydration
Q2) A child is being admitted to the hospital to be tested for cystic fibrosis (CF).Which tests should the nurse expect?
A)Sweat chloride test, stool for fat, chest radiograph films
B)Stool test for fat, gastric contents for hydrochloride, chest radiograph films
C)Sweat chloride test, bronchoscopy, duodenal fluid analysis
D)Sweat chloride test, stool for trypsin, biopsy of intestinal mucosa
Q3) Which explains why cool-mist vaporizers rather than steam vaporizers are recommended in home treatment of childhood respiratory tract infections?
A)They are safer.
B)They are less expensive.
C)Respiratory secretions are dried.
D)A more comfortable environment is produced.
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Chapter 24: The Child with Gastrointestinal Dysfunction
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Sample Questions
Q1) A histamine-receptor antagonist such as cimetidine (Tagamet)or ranitidine (Zantac)is ordered for an infant with GER.The purpose of this is to:
A)prevent reflux.
B)prevent hematemesis.
C)reduce gastric acid production.
D)increase gastric acid production.
Q2) The nurse is caring for a neonate with a suspected tracheoesophageal fistula.Nursing care should include:
A)elevating the head but give nothing by mouth.
B)elevating the head for feedings.
C)feeding glucose water only.
D)avoiding suctioning unless infant is cyanotic.
Q3) Pyloric stenosis can best be described as:
A)dilation of the pylorus.
B)hypertrophy of the pyloric muscle.
C)hypotonicity of the pyloric muscle.
D)reduction of tone in the pyloric muscle.
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26
Chapter 25: The Child with Cardiovascular Dysfunction
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Sample Questions
Q1) Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion.The nurse's reply should be based on which statement?
A)Child needs opportunities to play with peers.
B)Child needs to understand that peers' activities are too strenuous.
C)Parents can meet all of the child's needs.
D)Constant parental supervision is needed to avoid overexertion.
Q2) A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting.Once the airway is established,the nurse should do which action? Place in correct sequence.Provide answer using lowercase letters separated by commas (e.g., a,b,c).
a. Administer epinephrine.
b. Keep child warm and calm.
c. Obtain vascular access.
Q3) Which defect results in increased pulmonary blood flow?
A)Pulmonic stenosis
B)Tricuspid atresia
C)Atrial septal defect
D)Transposition of the great arteries
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Page 27
Chapter 26: The Child with Hematologic or Immunologic Dysfunction
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Sample Questions
Q1) The nurse has initiated a blood transfusion on a preschool child.The child begins to exhibit signs of a transfusion reaction.Place in order the interventions the nurse should implement sequencing from the highest priority to the lowest.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d).
a. Take the vital signs.
b. Stop the transfusion.
c. Notify the practitioner.
d. Maintain a patent IV line with normal saline.
Q2) Which immunization should be given with caution to children infected with human immunodeficiency virus (HIV)?
A)Influenza
B)Varicella
C)Pneumococcal
D)Inactivated poliovirus (IPV)
Q3) Which is most descriptive of the pathophysiology of leukemia?
A)Increased blood viscosity occurs.
B)Thrombocytopenia (excessive destruction of platelets) occurs.
C)Unrestricted proliferation of immature white blood cells (WBCs) occurs.
D)First stage of coagulation process is abnormally stimulated.
Page 28
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Chapter 27: The Child with Genitourinary Dysfunction
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/22393
Sample Questions
Q1) The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate.Which urine test is the most useful clinical indication of glomerular filtration rate?
A)pH
B)Osmolality
C)Creatinine
D)Protein level
Q2) A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria.Which dietary menu items should be allowed for this child? (Select all that apply.)
A)Apples
B)Bananas
C)Cheese
D)Carrot sticks
E)Strawberries
Q3) Which is a major complication in a child with chronic renal failure?
A)Hypokalemia
B)Metabolic alkalosis
C)Water and sodium retention
D)Excessive excretion of blood urea nitrogen
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Chapter 28: The Child with Cerebral Dysfunction
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/22394
Sample Questions
Q1) A 5-year-old boy is being prepared for surgery to remove a brain tumor.Nursing actions should be based on which statement?
A)Removal of tumor will stop the various symptoms.
B)Usually the postoperative dressing covers the entire scalp.
C)He is not old enough to be concerned about his head being shaved.
D)He is not old enough to understand the significance of the brain.
Q2) Which position should the nurse place a 10-year-old child after a large tumor was removed through a supratentorial craniotomy?
A)On the inoperative side with the bed flat
B)On the inoperative side with the head of bed elevated 20 to 30 degrees
C)On the operative side with the bed flat and pillows behind the head
D)On the operative side with the head of bed elevated 45 degrees
Q3) The nurse is performing a Glasgow Coma Scale on a school-age child with a head injury.The child opens eyes spontaneously,obeys commands,and is oriented to person,time,and place.Which is the score the nurse should record?
A)8
B)11
C)13
D)15
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Chapter 29: The Child with Endocrine Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/22395
Sample Questions
Q1) A child eats some sugar cubes after experiencing symptoms of hypoglycemia.This rapid-releasing sugar should be followed by:
A)fat.
B)fruit juice.
C)several glasses of water.
D)complex carbohydrate and protein.
Q2) Which clinical manifestation may occur in the child who is receiving too much methimazole (Tapazole)for the treatment of hyperthyroidism (Graves disease)?
A)Seizures
B)Enlargement of all lymph glands
C)Pancreatitis or cholecystitis
D)Lethargy and somnolence
Q3) The nurse is caring for a preschool child with suspected diabetes insipidus.Which clinical manifestation should the nurse expect to observe?
A)Oliguria
B)Glycosuria
C)Nausea and vomiting
D)Polyuria and polydipsia
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Chapter 30: The Child with Integumentary Dysfunction
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) A young child has sustained a minor burn to the foot.Which is recommended for treatment of a minor burn?
A)Apply ice to foot.
B)Apply cortisone ointment.
C)Apply an occlusive dressing.
D)Cleanse the wound with a mild soap and tepid water.
Q2) An adolescent girl is cooking on a gas stove when her bathrobe catches fire.Her father smothers the flames with a rug and calls an ambulance.She has sustained major burns over much of her body.Which is important in her immediate care?
A)Wrap her in a blanket until help arrives.
B)Encourage her to drink clear liquids.
C)Place her in a tub of cool water.
D)Remove her burned clothing and jewelry.
Q3) Herpes zoster is caused by the varicella virus and has an affinity for:
A)sympathetic nerve fibers.
B)parasympathetic nerve fibers.
C)posterior root ganglia and posterior horn of the spinal cord.
D)lateral and dorsal columns of the spinal cord.
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Chapter 31: The Child with Musculoskeletal or Articular Dysfunction
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37 Verified Questions
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Sample Questions
Q1) Four-year-old David is placed in Buck extension traction for Legg-Calvé-Perthes disease.He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse.Which action should the nurse take first?
A)Notify the practitioner of the changes noted.
B)Give the child medication to relieve the pain.
C)Reposition the child and notify physician.
D)Chart the observations and check the extremity again in 15 minutes.
Q2) A young girl has just injured her ankle at school.In addition to calling the child's parents,the most appropriate,immediate action by the school nurse is to:
A)apply ice.
B)observe for edema and discoloration.
C)encourage child to assume a position of comfort.
D)obtain parental permission for administration of acetaminophen or aspirin.
Q3) The nurse uses the palms of the hands when handling a wet cast for which reason?
A)To assess dryness of the cast
B)To facilitate easy turning
C)To keep the patient's limb balanced
D)To avoid indenting the cast
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Chapter 32: The Child with Neuromuscular or Muscular Dysfunction
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/22398
Sample Questions
Q1) The nurse is caring for a neonate born with a myelomeningocele.Surgery to repair the defect is scheduled the next day.The most appropriate way to position and feed this neonate is which position?
A)Prone and tube-fed
B)Prone, head turned to side, and nipple-fed
C)Supine in an infant carrier and nipple-fed
D)Supine, with defect supported with rolled blankets, and nipple-fed
Q2) The nurse is conducting a staff in-service on common problems associated with myelomeningocele.Which common problem is associated with this defect?
A)Hydrocephalus
B)Craniosynostosis
C)Biliary atresia
D)Esophageal atresia
Q3) How much folic acid is recommended for women of childbearing age?
A)1.0 mg
B)0.4 mg
C)1.5 mg
D)2.0 mg
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