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Maternal and Child Health Nursing is a comprehensive course designed to provide students with the knowledge and skills necessary to care for women during pregnancy, childbirth, and the postpartum period, as well as for infants and children from birth through adolescence. The course emphasizes the principles of health promotion, disease prevention, and family-centered care, focusing on the physical, emotional, and social needs of mothers and children. Key topics include prenatal and postnatal care, normal and high-risk pregnancies, growth and development milestones, immunizations, pediatric health conditions, and strategies for fostering a holistic approach to maternal and child well-being.
Recommended Textbook
Wongs Essentials of Pediatric Nursing 10th Edition by Hockenberry
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1126 Verified Questions
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Sample Questions
Q1) Which factor most impacts the type of injury a child is susceptible to, according to the child's age?
A) Physical health of the child
B) Developmental level of the child
C) Educational level of the child
D) Number of responsible adults in the home
Answer: B
Q2) A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering?
A) Taking over total care of the child to reduce stress on the family
B) Encouraging family dependence on health care systems
C) Recognizing that the family is the constant in a child's life
D) Excluding families from the decision-making process
Answer: C
Q3) Which is the leading cause of death in infants younger than 1 year?
A) Congenital anomalies
B) Sudden infant death syndrome
C) Respiratory distress syndrome
D) Bacterial sepsis of the newborn
Answer: A
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Q1) A parent of a school-age child is going through a divorce. The parent tells the school nurse the child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as which implication?
A) Indication of maladjustment
B) Common reaction to divorce
C) Lack of adequate parenting
D) Unusual response that indicates need for referral
Answer: B
Q2) Which term best describes the emotional attitude that one's own ethnic group is superior to others?
A) Culture
B) Ethnicity
C) Superiority
D) Ethnocentrism
Answer: D
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Page 4
Health Promotion
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Sample Questions
Q1) 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."
D) "A 25-piece puzzle would help your child develop recognition of shapes."
Answer: B
Q2) An infant gains head control before sitting unassisted. The nurse recognizes that this is which type of development?
A) Cephalocaudal
B) Proximodistal
C) Mass to specific
D) Sequential
Answer: A
Q3) How is a child's skeletal age best determined?
A) Assessment of dentition
B) Assessment of height over time
C) Facial bone development
D) Radiographs of the hand and wrist
Answer: D

Page 5
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Sample Questions
Q1) Which is most likely to encourage parents to talk about their feelings related to their child's illness?
A) Be sympathetic.
B) Use direct questions.
C) Use open-ended questions.
D) Avoid periods of silence.
Q2) A nurse is preparing to test a school-age child's vision. Which eye chart should the nurse use?
A) Denver Eye Screening Test
B) Allen picture card test
C) Ishihara vision test
D) Snellen letter chart
Q3) When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. How should the nurse assess this diet?
A) Indicates they live in poverty
B) Is lacking in protein
C) May provide sufficient amino acids
D) Should be enriched with meat and milk
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Sample Questions
Q1) 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.)
Q2) A nurse is using the FLACC scale to evaluate pain in a preverbal child. The nurse makes the following assessment: Face: occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed. The nurse records the FLACC assessment as which number? (Record your answer as a whole number.)
Q3) Physiologic measurements in children's pain assessment are:
A) the best indicator of pain in children of all ages.
B) essential to determine whether a child is telling the truth about pain.
C) of most value when children also report having pain.
D) of limited value as sole indicator of pain.
Q4) A nurse recognizes which physiologic responses as a manifestation of pain in a neonate? (Select all that apply.)
A) Decreased respirations
B) Diaphoresis
C) Decreased SaO<sub>2</sub>
D) Decreased blood pressure
E) Increased heart rate
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Sample Questions
Q1) The nurse should implement which prescribed treatment for a child with warts?
A) Vaccination
B) Local destruction
C) Corticosteroids
D) Specific antibiotic therapy
Q2) The nurse should expect to assess which causative agent in a child with warts?
A) Bacteria
B) Fungus
C) Parasite
D) Virus
Q3) Which is an important nursing consideration when caring for a child with herpetic gingivostomatitis (HGS)?
A) Apply topical anesthetics before eating.
B) Drink from a cup, not a straw.
C) Wait to brush teeth until lesions are sufficiently healed.
D) Explain to parents how this is sexually transmitted.
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Sample Questions
Q1) Early this morning, a baby boy was circumcised by using the Plastibell method. When should the nurse tell the mother that the baby can be discharged?
A) The newborn voids
B) Receiving vitamin K
C) Yellow exudate forms over glans
D) The Plastibell rim falls off
Q2) A newborn is being discharged at age 48 hours. The parents ask how the newborn should be bathed this first week home. How should the nurse recommend to bathe the newborn?
A) Daily with mild soap
B) Daily with an alkaline soap
C) Two or three times this week with plain water
D) Two or three times this week with mild soap
Q3) Which is the name of the suture separating the parietal bones at the top center of a newborn's head?
A) Frontal
B) Coronal
C) Sagittal
D) Occipital
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Q1) To whom is RhIG (RhoGAM) administered to prevent Rh isoimmunization?
A) Rh-negative women who deliver an Rh-positive newborn
B) Rh-positive women who deliver an Rh-negative newborn
C) Rh-negative newborns whose mothers are Rh positive
D) Rh-positive fathers before conception of second newborn when first newborn was Rh positive
Q2) What does nursing care of the newborn with oral candidiasis (thrush) include?
A) Avoiding use of pacifier
B) Removing characteristic white patches with a soft cloth
C) Continuing medication for a prescribed number of days
D) Applying medication to oral mucosa, being careful that none is ingested
Q3) A nurse is assessing a preterm newborn. Which assessment findings are consistent with prematurity? (Select all that apply.)
A) Abundant lanugo over the body
B) Ear cartilage soft and pliable
C) Flexed body posture
D) Deep creases on the sole of the foot
E) Skin is bright pink, smooth, and shiny.
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Q1) Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?
A) Playing peek-a-boo
B) Playing pat-a-cake
C) Imitating animal sounds
D) Showing how to clap hands
Q2) A nurse is teaching a parent about administration of iron supplements to a 7-month-old infant. Which should the nurse include in the teaching session? (Select all that apply.)
A) Administer the iron supplement with a dropper toward the side and to the back of the mouth
B) Administer the iron supplement with feedings.
C) Your infant's stools may look tarry green.
D) Your infant may have some diarrhea initially.
E) Follow the iron supplement with 4 ounces of juice.
Q3) What is the best age for solid food to be introduced into the infant's diet?
A) 2 to 3 months
B) 4 to 6 months
C) When birth weight has tripled
D) When tooth eruption has started
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Sample Questions
Q1) Parent guidelines for relieving colic in an infant include:
A) avoiding touching abdomen.
B) avoiding using a pacifier.
C) changing infant's position frequently.
D) placing infant where family cannot hear the crying.
Q2) The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their child. Which is most likely lacking in their particular diet?
A) Fat
B) Protein
C) Vitamins C and A
D) Complete protein
Q3) 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.
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Q1) Which gross motor milestones should the nurse assess in an 18-month-old child?
(Select all that apply.)
A) Jumps in place with both feet
B) Takes a few steps on tiptoe
C) Throws ball overhand without falling
D) Pulls and pushes toys
E) Stands on one foot momentarily
Q2) The nurse is teaching parents of toddlers about animal safety. Which should be included in the teaching session?
A) Petting dogs in the neighborhood should be encouraged to prevent fear of dogs.
B) The toddler is safe to approach an animal if the animal is chained.
C) It is permissible for your toddler to feed treats to a dog.
D) Teach your toddler not to disturb an animal that is eating.
Q3) Which is descriptive of a toddler's cognitive development at age 20 months?
A) Searches for an object only if he or she sees it being hidden
B) Realizes that "out of sight" is not out of reach
C) Puts objects into a container but cannot take them out
D) Understands the passage of time, such as "just a minute" and "in an hour"
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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) A nurse is teaching parents about language development for preschool children. Which dysfunctional speech pattern is a normal characteristic the parents might expect?
A) Lisp
B) Stammering
C) Echolalia
D) Repetition without meaning
Q3) In terms of fine motor development, which should the 3-year-old child be expected to do?
A) Lace shoes and tie shoelaces with a bow.
B) Use scissors to cut pictures, and print a few numbers.
C) Draw a person with seven parts and correctly identify the parts.
D) Draw a circle and name what has been drawn.
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Sample Questions
Q1) Which is a common characteristic of those who sexually abuse children?
A) Pressure victim into secrecy
B) Are usually unemployed and unmarried
C) Are unknown to victims and victims' families
D) Have many victims that are each abused once only
Q2) A young boy is found squirting lighter fluid into his mouth. His father calls the emergency department. The nurse taking the call should know that the primary danger is which result?
A) Hepatic dysfunction
B) Dehydration secondary to vomiting
C) Esophageal stricture and shock
D) Bronchitis and chemical pneumonia
Q3) What is the result of acute salicylate (ASA, aspirin) poisoning?
A) Chemical pneumonitis
B) Hepatic damage
C) Retractions and grunting
D) Disorientation and loss of consciousness
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Sample Questions
Q1) An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that if she dies, she will go to hell. How should the nurse interpret this statement?
A) A common belief at this age
B) A belief that forms the basis for most religions
C) Suggestive of excessive family pressure
D) Suggestive of a failure to develop a conscience
Q2) The school nurse has been asked to begin teaching sex education in the fifth grade. What should the nurse recognize about this age group?
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.
Q3) Which statement best describes fear in the school-age child?
A) They are increasingly fearful for body safety.
B) Most of the new fears that trouble them are related to school and family.
C) They should be encouraged to hide their fears to prevent ridicule by peers.
D) Those who have numerous fears need continuous protective behavior by parents to eliminate these fears.
Page 16
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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) Place in order the sequence of maturational changes for girls. Begin with the first change seen, sequencing to the last change. Provide answer in using lowercase letters, separated by commas (e.g., a, b, c, d, e).
A) Growth of pubic hair
B) Rapid increase in height and weight
C) Breast changes
D) Menstruation
E) Appearance of axillary hair
Q3) A nurse is reviewing hormone changes that occur during adolescence. What is the hormone responsible for the growth of beard, mustache, and body hair in the male?
A) Estrogen
B) Pituitary
C) Androgen
D) Progesterone
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Sample Questions
Q1) The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include what information?
A) Mode of administration
B) Drug's actual content
C) Function the drug plays in the adolescent's life
D) Adolescent's level of interest in rehabilitation
Q2) The nurse is assisting the family of a child with a history of encopresis. Which should be included in the nurse's discussion with this family?
A) Instruct the parents to sit the child on the toilet at twice-daily routine intervals.
B) Instruct the parents that the child will probably need to have daily enemas.
C) Suggest the use of stimulant cathartics weekly.
D) Reassure the family that most problems are resolved successfully, with some relapses during periods of stress.
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Q1) A nurse is caring for a child who is near death. Which physical signs indicate the child is approaching death? (Select all that apply.)
A) Body feels warm
B) Tactile sensation decreasing
C) Speech becomes rapid
D) Change in respiratory pattern
E) Difficulty swallowing
Q2) A new nurse is caring for a child who will require palliative care. Which statement made by the new nurse would indicate a correct understanding of palliative care?
A) "Palliative care serves to hasten death and make the process easier for the family."
B) "Palliative care provides pain and symptom management for the child."
C) "The goal of palliative care is to place the child in a hospice setting at the end of life."
D) "The goal of palliative care is to act as the liaison between the family, child, and other health care professionals."
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Q1) Trisomy 13, trisomy 18, and trisomy 21 have which in common?
A) Viability is rare.
B) They are considered deletion syndromes.
C) Diagnosis is difficult, time-consuming, and expensive.
D) Diagnosis can be made early, based on physical characteristics.
Q2) What is one of the major physical characteristics of the child with Down syndrome?
A) Excessive height
B) Spots on the palms
C) Inflexibility of the joints
D) Hypotonic musculature
Q3) When a child with mild cognitive impairment reaches the end of adolescence, which characteristic should be expected?
A) Achieves a mental age of 5 to 6 years
B) Achieves a mental age of 8 to 12 years
C) Unable to progress in functional reading or arithmetic
D) Acquires practical skills and useful reading and arithmetic to an eighth-grade level
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Sample Questions
Q1) A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices? (Select all that apply.)
A) Use of acetaminophen (Tylenol) for fever
B) Administration of chamomile tea at bedtime
C) Hypnotherapy for relief of pain
D) Acupressure to relieve headaches
E) Cool mist vaporizer at the bedside for "stuffiness"
Q2) A nurse is caring for four patients; three are toddlers and one is a preschooler. Which represents the major stressor of hospitalization for these four patients?
A) Separation anxiety
B) Loss of control
C) Fear of bodily injury
D) Fear of pain
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Q1) When teaching a mother how to administer eye drops, where should the nurse tell her to place them?
A) In the conjunctival sac that is formed when the lower lid is pulled down
B) Carefully under the eye lid while it is gently pulled upward
C) On the sclera while the child looks to the side
D) Anywhere as long as drops contact the eye's surface
Q2) A nurse is caring for a child in droplet precautions. Which instructions should the nurse give to the unlicensed assistive personnel caring for this child? (Select all that apply.)
A) Wear gloves when entering the room.
B) Wear an isolation gown when entering the room.
C) Place the child in a special air handling and ventilation room.
D) A mask should be worn only when holding the child.
E) Wash your hands upon exiting the room.
Q3) A physician's prescription reads, "ampicillin sodium 125 mg IV every 6 hours." The medication label reads, "1 g = 7.4 ml." A nurse prepares to draw up _____ milliliters to administer one dose. (Round your answer to two decimal places.)
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Q1) Which type of croup is always considered a medical emergency?
A) Laryngitis
B) Epiglottitis
C) Spasmodic croup
D) Laryngotracheobronchitis (LTB)
Q2) Pancreatic enzymes are administered to the child with cystic fibrosis (CF). What nursing considerations should be included?
A) Do not administer pancreatic enzymes if the child is receiving antibiotics.
B) Decrease dose of pancreatic enzymes if the child is having frequent, bulky stools.
C) Administer pancreatic enzymes between meals if at all possible.
D) Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.
Q3) The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant displays which clinical manifestation?
A) Fussiness
B) Coughing
C) A fever over 99° F
D) Signs of an earache
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Sample Questions
Q1) A nurse is conducting an in-service on childhood gastrointestinal disorders. Which statement is most descriptive of Meckel diverticulum?
A) It is more common in females than in males.
B) It is acquired during childhood.
C) Intestinal bleeding may be mild or profuse.
D) Medical interventions are usually sufficient to treat the problem.
Q2) Which is used to treat moderate to severe inflammatory bowel disease?
A) Antacids
B) Antibiotics
C) Corticosteroids
D) Antidiarrheal medications
Q3) Which is an important nursing consideration in the care of a child with celiac disease?
A) Refer to a nutritionist for detailed dietary instructions and education.
B) Help child and family understand that diet restrictions are usually only temporary.
C) Teach proper hand washing and standard precautions to prevent disease transmission.
D) Suggest ways to cope more effectively with stress to minimize symptoms.
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Q1) What clinical manifestation is included in toxic shock syndrome?
A) Severe hypertension
B) Subnormal temperature
C) Erythematous macular rash
D) Papular rash over extremities
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 the answer using lowercase letters separated by commas (e.g., a, b, c).
A) Administer epinephrine.
B) Keep the child warm and calm.
C) Obtain vascular access.
Q3) The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
A) Administering penicillin
B) Avoiding salicylates (aspirin)
C) Imposing strict bed rest for 4 to 6 weeks
D) Administering corticosteroids if chorea develops
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Q1) Which is caused by a virus that primarily infects a specific subset of T lymphocytes, the CD4? T cells?
A) Wiskott-Aldrich syndrome
B) Idiopathic thrombocytopenic purpura
C) Acquired immunodeficiency syndrome (AIDS)
D) Severe combined immunodeficiency disease
Q2) When both parents have sickle cell trait, which is the chance their children will have sickle cell anemia?
A) 25%
B) 50%
C) 75%
D) 100%
Q3) Which should the nurse include when teaching the mother of a 9-month-old infant about administering liquid iron preparations?
A) They should be given with meals.
B) They should be stopped immediately if nausea and vomiting occur.
C) Adequate dosage will turn the stools a tarry green color.
D) Allow preparation to mix with saliva and bathe the teeth before swallowing.
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Q1) A clinic nurse is conducting a staff in-service for other clinic nurses about signs and symptoms of a rhabdomyosarcoma tumor. Which should be included in the teaching session? (Select all that apply.)
A) Bone fractures
B) Abdominal mass
C) Sore throat and ear pain
D) Headache
E) Ecchymosis of conjunctiva
Q2) A family wants to begin oral feeding of their 4-year-old son, who is ventilator-dependent and currently tube-fed. They ask the home health nurse to feed him the baby food orally. The nurse recognizes a high risk of aspiration and an already compromised respiratory status. The most appropriate nursing action is to:
A) refuse to feed him orally because the risk is too high.
B) explain the risks involved, and then let the family decide what should be done.
C) feed him orally because the family has the right to make this decision for their child.
D) acknowledge their request, explain the risks, and explore with the family the available options.
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Q1) A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?
A) Spironolactone (Aldactone)
B) Sodium polystyrene sulfonate (Kayexalate)
C) Lactulose (Cephulac)
D) Calcium carbonate (Calcitab)
Q2) A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions?
A) WBC <1; specific gravity 1.008
B) WBC <2; specific gravity 1.025
C) WBC >2; specific gravity 1.016
D) WBC >2; specific gravity 1.030
Q3) Which is a common side effect of short-term corticosteroid therapy?
A) Fever
B) Hypertension
C) Weight loss
D) Increased appetite
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Q1) A child is brought to the emergency department after experiencing a seizure at school. There is no previous history of seizures. The father tells the nurse that he cannot believe the child has epilepsy. What is the nurse's best response?
A) "Epilepsy is easily treated."
B) "Very few children have actual epilepsy."
C) "The seizure may or may not mean that your child has epilepsy."
D) "Your child has had only one convulsion; it probably won't happen again."
Q2) The nurse has received report on four children. Which child should the nurse assess first?
A) A school-age child in a coma with stable vital signs
B) A preschool child with a head injury and decreasing level of consciousness
C) An adolescent admitted after a motor vehicle accident is oriented to person and place
D) A toddler in a persistent vegetative state with a low-grade fever
Q3) Which statement best describes a subdural hematoma?
A) Bleeding occurs between the dura and the skull.
B) Bleeding occurs between the dura and the cerebrum.
C) Bleeding is generally arterial, and brain compression occurs rapidly.
D) The hematoma commonly occurs in the parietotemporal region.
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Q1) To help the adolescent deal with diabetes, the nurse must consider which characteristic of adolescence?
A) Desire to be unique
B) Preoccupation with the future
C) Need to be perfect and similar to peers
D) Need to make peers aware of the seriousness of hypoglycemic reactions
Q2) The nurse is implementing care for a school-age child admitted to the pediatric intensive care in diabetic ketoacidosis (DKA). Which prescribed intervention should the nurse implement first?
A) Begin 0.9% saline solution intravenously as prescribed.
B) Administer regular insulin intravenously as prescribed.
C) Place child on a cardiac monitor.
D) Place child on a pulse oximetry monitor.
Q3) The nurse should teach parents of a preschool child with type 1 diabetes that which can raise the blood glucose level?
A) Exercise
B) Steroids
C) Decreased food intake
D) Lantus insulin
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32 Verified Questions
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Source URL: https://quizplus.com/quiz/4159
Sample Questions
Q1) A 4-year-old child is newly diagnosed with Legg-Calvé-Perthes disease. Nursing considerations should include which action?
A) Encouraging normal activity for as long as is possible
B) Explaining the cause of the disease to the child and family
C) Preparing the child and family for long-term, permanent disabilities
D) Teaching the family the care and management of the corrective appliance
Q2) A child is upset because when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. Which should the nurse suggest to remove this material?
A) Soak in a bathtub.
B) Vigorously scrub leg.
C) Apply powder to absorb material.
D) Carefully pick material off leg.
Q3) Which medication is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JIA)?
A) Aspirin
B) Corticosteroids
C) Cytotoxic drugs such as methotrexate
D) Nonsteroidal antiinflammatory drugs (NSAIDs)
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Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/4160
Sample Questions
Q1) The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled the next day. Which describes the most appropriate way to position and feed this neonate?
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 admitting a school-age child with suspected Guillain-Barré syndrome (GBS). Which is a priority in the care for this child?
A) Monitoring intake and output
B) Assessing respiratory efforts
C) Placing on a telemetry monitor
D) Obtaining laboratory studies
Q3) A child steps on a nail and sustains a puncture wound of the foot. Which is the most appropriate method for cleansing this wound?
A) Wash wound thoroughly with chlorhexidine.
B) Wash wound thoroughly with povidone-iodine.
C) Soak foot in warm water and soap.
D) Soak foot in solution of 50% hydrogen peroxide and 50% water.
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