Maternal-Child Health Nursing Solved Exam Questions
Course Introduction
Maternal-Child Health Nursing focuses on the principles, concepts, and practices essential to caring for women, infants, children, and their families throughout pregnancy, childbirth, postpartum, infancy, and childhood. The course emphasizes the promotion of family-centered care, health education, and disease prevention within diverse populations. Students will explore topics such as reproductive health, prenatal and postnatal care, growth and development, pediatric illnesses, common complications, and the psychosocial aspects of maternal and child health. Evidence-based nursing interventions, advocacy, and collaboration with interdisciplinary healthcare teams are highlighted to ensure holistic and competent care in a variety of clinical settings.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 7th Edition by Leifer
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34 Chapters
1191 Verified Questions
1191 Flashcards
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Chapter 1: The Past, Present, and Future
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse reviewing the specific recovery goals set out on a clinical pathway observed that two goals were not met by their designated timeline.The nurse records a negative _____________ for these two goals.
Answer: variance
Using a clinical pathway model with goals and associated timelines,the nurse must record a negative variance when a timeline is not met and consider a new approach or an extended timeline.
Q2) The first White House Conference on Children and Youth was called by President
Answer: Theodore Roosevelt
Theodore Roosevelt called the first White House Conference in 1909.
Q3) What services are birthing centers able to provide?
A) Prenatal care
B) Labor and delivery services
C) Classes for new mothers
D) Adoption referrals
E) Family planning
Answer: A,B,C,E
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3
Chapter 2: Human Reproductive Anatomy and Physiology
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Sample Questions
Q1) A group of nursing students plans to teach a class of sixth-grade girls about menstruation.What correct information will the nursing students teach to the class?
A) Menarche usually occurs around 12 years of age.
B) Ovulation occurs regularly from the very first cycle.
C) A regular cycle is established by the third period.
D) Typically, menstrual flow is heavy and lasts up to 10 days.
Answer: A
Q2) A mother asks the nurse,"When will I know my child has entered puberty?" What will the nurse state based on an understanding of changes associated with puberty?
A) "Your daughter will have her first period."
B) "You'll recognize puberty by the mood swings."
C) "The child becomes interested in the opposite sex."
D) "Secondary sex characteristics, such as pubic hair, appear."
Answer: D
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4
Chapter 3: Fetal Development
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Sample Questions
Q1) A woman missed her menstrual period 1 week ago and has come to the doctor's office for a pregnancy test.Which placental hormone is measured in pregnancy tests?
A) Progesterone
B) Estrogen
C) Human chorionic gonadotropin
D) Human placental lactogen
Answer: C
Q2) The nurse explains that prior to fertilization each cell is reduced from 46 chromosomes to 23 chromosomes.This is referred to as the __________ number.
Answer: haploid
When each cell reduces its chromosomes from 46 to 23,it is called the haploid number.
Q3) Where is the usual location for implantation of the zygote?
A) Upper section of the posterior uterine wall
B) Lower portion of the uterus near the cervical os
C) Inner third of the fallopian tube near the uterus
D) Lateral aspect of the uterine wall
Answer: A
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5
Chapter 4: Prenatal Care and Adaptations to Pregnancy
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Sample Questions
Q1) The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.
Q2) The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father?
A) Goes fishing every afternoon
B) Has revised his financial plan
C) Spends leisure time with his friends
D) Traded his sports car for a sedan
E) Helped select a crib
Q3) When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease.Given this information,what lab test can the nurse anticipate the physician will order?
A) Endovaginal ultrasound
B) Pap test
C) Complete blood count
D) Hemoglobin electrophoresis
Q4) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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Chapter 5: Nursing Care of Women with Complications
During Pregnancy
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Sample Questions
Q1) A woman seeking prenatal care relates a history of macrosomic infants,two stillbirths,and polyhydramnios with each pregnancy.What does the nurse recognize these factors highly suggest?
A) Toxoplasmosis
B) Abruptio placentae
C) Hydatidiform mole
D) Diabetes mellitus
Q2) The nurse finds a woman crying after she has undergone a dilation and evacuation (D&E)for a missed abortion.What is the most appropriate statement by the nurse?
A) "There is usually something wrong with the fetus when this happens early in pregnancy."
B) "Now there. You can try to conceive on your next cycle."
C) "I'm here if you need to talk."
D) "You are young and strong. I know you can have a healthy pregnancy."
Q3) The nurse explains that ___________ is a procedure in which an incompetent cervix is sutured closed to prevent its opening when the fetus presses against it.
Q4) ________________________ ________________________ is the leading cause of perinatal infections that have a high mortality rate.
Page 7
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Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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Sample Questions
Q1) What is the most important nursing intervention during the fourth stage of labor?
A) Monitor the frequency and intensity of contractions.
B) Provide comfort measures.
C) Assess for hemorrhage.
D) Promote bonding.
Q2) The nurse explains that the "four Ps" of the birth process are __________,__________,__________,and __________.
Q3) Why is the relaxation phase between contractions important?
A) The laboring woman needs to rest.
B) The uterine muscles fatigue without relaxation.
C) The contractions can interfere with fetal oxygenation.
D) The infant progresses toward delivery at these times.
Q4) The nurse observes the patient bearing down with contractions and crying out,"The baby is coming!" What is the best nursing intervention?
A) Find the physician.
B) Stay with the woman and use the call bell to get help.
C) Send the woman's partner to locate a registered nurse.
D) Assist with deep breathing to slow the labor process.
Page 8
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Chapter 7: Nursing Management of Pain During Labor and Birth
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Sample Questions
Q1) The physician has ordered Fentanyl (Sublimaze)for a woman in labor and has asked the nurse to provide patient education.What will the nurse include in the educational plan?
A) Onset is slow.
B) Duration is short.
C) Administration is by mouth.
D) No known side effects.
E) It is not the same drug as sufentanil.
Q2) The nurse who encourages the gate control theory of pain control would advise a woman in labor and her partner to use which nonpharmacological method of pain management?
A) Slow abdominal breathing
B) Guided relaxation
C) Listening to music
D) Massage
Q3) The massage technique that stimulates the large-diameter fibers in order to block impulses from the small-diameter fibers is ____________________.
Q4) The ______________ ___________,also called the psychoprophylactic method,is the basis of most childbirth preparation classes in the United States.
Page 9
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Chapter 8: Nursing Care of Women with Complications
During Labor and Birth
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Sample Questions
Q1) What nursing care should be provided to a woman with a third-degree laceration immediately after delivery?
A) Warm compresses to the perineum
B) Cold pack to the perineum
C) Warm sitz bath
D) Elevation of hips to prevent edema
Q2) During a strenuous labor,the woman asks for some pain remedy for the sudden pain between her scapulae that seems to occur with every breath she takes.What is the best nursing action?
A) Give the pain remedy.
B) Notify the charge nurse immediately.
C) Turn the patient to her back and flex her knees.
D) Suggest that the coach give her a back rub.
Q3) A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate.What side effect should the nurse inform the patient that she might experience?
A) Nausea and vomiting
B) Headache
C) Warm flush
D) Urinary frequency
Page 10
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Chapter 9: The Family After Birth
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Sample Questions
Q1) A primipara tells the nurse,"My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?
A) "I'll get you some aspirin to relieve the cramping that you feel."
B) "Afterpains are more intense with your first baby."
C) "Breastfeeding releases a hormone that causes your uterus to contract."
D) "A change of position when you're breastfeeding might help."
Q2) A woman has given birth to an unresponsive newborn that NICU staff are attempting to revive.The patient and her husband are grief stricken and request the child be baptized immediately.What is the nurse's most appropriate action?
A) Contact the hospital chaplain.
B) Request the couple's clergy.
C) Baptize the newborn.
D) Ask the physician to baptize the newborn.
Q3) What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?
A) Ask, "Is this your band number?"
B) Confirm room number of mother.
C) Ask the mother to identify herself verbally.
D) Check the band number of the infant with that of the mother.
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Page 11
Chapter 10: Nursing Care of Women with Complications
After Birth
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Sample Questions
Q1) A 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed.What is the nurse's most helpful response?
A) "Stop breastfeeding until the infection clears."
B) "Pump the breasts to continue milk production, but do not give breast milk to the infant."
C) "Begin all feedings with the affected breast until the mastitis is resolved."
D) "Breastfeeding can continue unless there is abscess formation."
Q2) Although the nurse has massaged the uterus every 15 minutes,it remains flaccid,and the patient continues to pass large clots.What does the nurse recognize these signs indicate?
A) Uterine atony
B) Uterine dystocia
C) Uterine hypoplasia
D) Uterine dysfunction
Q3) A(n) is a collection of blood within the tissues.
Q4) The nurse explains that a slower than expected return of the uterus to the nonpregnant state is called _______________.
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Chapter 11: The Nurses Role in Womens Health Care
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Sample Questions
Q1) The nurse is providing sexual education to a group of high school students.What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
A) Abstain from sex.
B) Use the male condom.
C) Use the female condom.
D) Use the barrier method.
Q2) The nurse is discussing cervical mucus changes with a woman who wishes to use natural family planning methods.What information about cervical mucus at ovulation will the woman indicate to the nurse,demonstrating that learning has taken place?
A) Cervical mucus enhances the motility of the sperm.
B) Cervical mucus indicates endometrial readiness for implantation.
C) Cervical mucus facilitates movement of the ovum through the fallopian tube.
D) Cervical mucus provides vaginal lubrication during intercourse.
Q3) When intraabdominal pressure increases from laughing or sneezing in a woman with a cystocele,__________ ___________ results.
Q4) ______________________ is the presence of tissue that resembles endometrium outside the uterus.
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Page 13
Chapter 12: The Term Newborn
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Sample Questions
Q1) Which statement indicates the parents understand when to contact the pediatrician or nurse practitioner?
A) Infant refuses a feeding
B) Infant has an axillary temperature of 97° F
C) Infant has three pasty, yellow-brown stools in 24 hours
D) Infant's diaper is not wet after 8 hours
Q2) The nurse compared the birth weight of a 3-day-old with her current weight and determined the infant had lost weight.What is the most appropriate intervention by the nurse?
A) Do nothing because this is a normal occurrence.
B) Report the discrepancy to the pediatrician immediately.
C) Decrease the interval between the infant's feedings.
D) Try feeding the infant a different type of formula.
Q3) What noninvasive forms of pain relief might a nurse implement with a newborn?
A) Swaddling
B) Rocking
C) Offering a pacifier
D) Distraction
E) Cuddling
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Page 14
Chapter 13: Preterm and Postterm Newborns
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Sample Questions
Q1) The mother of a postterm infant asks the nurse why the infant is being watched so closely.What is the nurse's most appropriate response?
A) "The placenta does not function adequately as it ages."
B) "Infants born postmaturely are generally large."
C) "Delivery of the postterm infant is more difficult."
D) "There is less amniotic fluid."
Q2) What nursing action is appropriate to prevent possible retinopathy in a preterm infant requiring oxygen therapy?
A) Monitor arterial oxygen levels with a pulse oximeter.
B) Position the head slightly lower than the body.
C) Administer low concentrations of oxygen.
D) Keep the infant's eyes covered at all times.
Q3) The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry.The nurse is aware that these symptoms indicate what?
A) Respiratory distress syndrome
B) Hypoglycemia
C) Necrotizing enterocolitis
D) Renal failure
Q4) Bronchopulmonary dysplasia is the toxic response of the lung to _______ therapy.
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Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation
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Sample Questions
Q1) What will the nurse include in the plan of care when caring for an infant with an intracranial hemorrhage?
A) Keep positioned with head elevated.
B) Feed slowly to reduce possibility of vomiting.
C) Stimulate often to maintain level of consciousness.
D) Hold and coddle frequently to stimulate.
E) Observe for increased intracranial pressure.
Q2) The parents of a child diagnosed with cystic fibrosis ask the nurse what caused this disorder.What is the most appropriate response?
A) "Cystic fibrosis is a chromosomal defect."
B) "Cystic fibrosis is a metabolic defect."
C) "Cystic fibrosis is a malformation present at birth."
D) "Cystic fibrosis is a blood disorder."
Q3) The nurse is advising parents about feeding their infant with phenylketonuria.What formula and/or diet should the nurse suggest?
A) Lifelong high-protein diet
B) A formula that is low in the amino acid leucine
C) A soy-based formula
D) Substitute Lofenalac for some protein foods
Page 16
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Chapter 15: An Overview of Growth, Development, and Nutrition
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Sample Questions
Q1) A mother tells the nurse,"My 11-month-old son is not as active as my other children were at this age.He is the youngest of four and the older children love to dote on him." Which factor is influencing this child's language development?
A) Heredity
B) Sex
C) Mother's health during pregnancy
D) Ordinal position
Q2) A mother asks the nurse how much food should be offered to her 2-year-old.What is a good rule of thumb for serving size (in tablespoons)per year of age?
A) 2
B) 3
C) 4
D) 5
Q3) __________ refers to standing measurement,whereas _______ refers to measurement while the infant is in a recumbent position.
Q4) The correct term for the child aged 4 weeks to 1 year is ______________.
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Chapter 16: The Infant
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Sample Questions
Q1) What is the earliest age at which an infant is able to sit steadily alone?
A) 4 months
B) 5 months
C) 8 months
D) 15 months
Q2) The parent of a 3-month-old infant asks the nurse,"At what age do infants usually begin drinking from a cup?" What is the nurse's most accurate response?
A) 5 months
B) 9 months
C) 1 year
D) 2 years
Q3) The mother of an infant born prematurely tells the nurse,"The baby is irritable. She cries during diaper changes and feedings.Can you make some suggestions about what I should do to soothe her?" What is the most appropriate recommendation to help this parent?
A) Play the radio or TV while you feed the infant.
B) Put the infant in a room with sunlight.
C) Wrap the infant snugly when you hold them.
D) Change the infant's position quickly.
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Page 18
Chapter 17: The Toddler
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Sample Questions
Q1) _________________________ is when toddlers increase their sense of security by making compulsive routines of simple tasks.
Q2) Put the developmental milestones in order from first achieved to last achieved. Put a comma and space between each answer choice (a,b,c,d,etc.)
A) Jumps with both feet
B) Holds a cup by the handle
C) Social smile
D) Babbles
E) Understands "no"
Q3) The toddler is in Erikson's stage of _______________versus_______________.
Q4) The nurse assessing a 2-year-old is satisfied to see that the present weight of the child is _____________ the birth weight.
Q5) Which finding would concern the nurse assessing vital signs on a 2-year-old?
A) Temperature of 37.1° C (98.8° F)
B) Pulse at 100 beats/min
C) Respirations of 36 breaths/min
D) Blood pressure of 90/60 mm Hg
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Chapter 18: The Preschool Child
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Sample Questions
Q1) What does including play in the plan of care for a 5-year-old allow the child to do?
A) Exercise his imagination
B) Assume a role and act it out
C) Offers an emotional outlet
D) Avoid magical thinking
E) Interact with other children
Q2) The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.What knowledge would act as the basis for the nurse's response?
A) This behavior indicates a normal curiosity about sexuality.
B) Masturbation suggests the boy has an excessive fear of castration.
C) It is usually a result of discomfort from a penile rash or irritation.
D) The behavior is abnormal and the child should be referred for counseling.
Q3) What will children who are unable to express themselves with words often do?
A) Become reclusive and introspective
B) Develop other methods of verbal communication
C) Engage in more creative play
D) Have tantrums and act out
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Chapter 19: The School-Age Child
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Sample Questions
Q1) When asked about her activities,a 10-year-old girl responded,"I like school.I play the flute in the school band,and I take tennis lessons." What does the nurse know these activities will help this child develop?
A) Initiative
B) Industry
C) Identity
D) Intimacy
Q2) What statement by an 11-year-old leads the nurse to determine he has moved from the mind set of egocentrism?
A) "I am a member of the best Cub Scout group in the world."
B) "I must do my homework before I can play."
C) "My dad can do anything!"
D) "I'm sorry. I bet that hurt your feelings."
Q3) The nurse explains that the term _______________ refers to a sex role that incorporates both male and female traits.
Q4) The nurse is aware that by the age of _____,the first permanent teeth erupt.
Q5) The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child.
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Chapter 20: The Adolescent
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Sample Questions
Q1) The school nurse is planning a program for girls about the physical changes of puberty.Toward what age girl should this program be directed?
A) 10 years
B) 12 years
C) 14 years
D) 16 years
Q2) The school nurse is educating high school students about guidelines to be followed when participating in sports.Which statement by a student alerts the nurse of the need for further information?
A) "I will eat carbohydrates before practice."
B) "I drink large amounts of fluid when working out."
C) "I wear protective gear every time I play sports."
D) "I avoid caffeine when participating in sports."
Q3) The nurse is assessing a 13-year-old boy.With what do physical changes in the pubertal male begin?
A) Development of axillary and facial hair
B) Enlargement of penis
C) Enlargement of testicles
D) Pigmentation of the scrotum
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Page 22
Chapter 21: The Childs Experience of Hospitalization
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Sample Questions
Q1) What will the nurse include when documenting the discharge of a pediatric patient?
A) Time of discharge
B) Adult(s) accompanying the child and the relationship to the child
C) Condition of the child
D) Method of transportation
E) Instructions that were given to physician
Q2) The nurse explains to the parents of a hospitalized child that their child will receive fentanyl for an upcoming procedure.What advantage of fentanyl will the nurse explain?
A) It is specifically designed for children.
B) It has a rapid onset.
C) It is nonaddicting.
D) It has a long duration.
Q3) What are the basic fears of a young child being hospitalized?
A) Separation
B) Permanent scarring
C) Pain
D) Cost
E) Body intrusion
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23
Chapter 22: Health Care Adaptations for the Child and Family
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Sample Questions
Q1) The order reads,"Give ampicillin oral suspension 400 mg PO every day." The vial reads,"Ampicillin 125 mg/5 mL." The nurse will give a dose of ______ mL.
Q2) After instilling nose drops,the nurse will keep the infant in the head down position for at least _________ seconds.
Q3) An ________________________ implies that the parent or legal guardian is capable of understanding information given to him or her,including the purpose and risks of the procedure,and voluntarily agrees to that procedure.
Q4) Why is a tympanic thermometer considered more accurate than other types of thermometers?
A) The thermometer probe is blunt and wide.
B) It takes a brief time to register.
C) The tympanic membrane shares circulation with the hypothalamus.
D) The tympanic membrane and the brain have the same temperature.
Q5) The nurse is aware that for the 3-month-old who has a surgery time of 2:30 PM,the start order for NPO should be no earlier than ____________________.
Q6) The nurse is aware that because of the function of the mist tent that a child is at risk for ________________.
Page 24
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Chapter 23: The Child with a Sensory or Neurological Condition
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Sample Questions
Q1) What will the nurse include then documenting a grand mal seizure?
A) Presence of incontinence
B) Current dose of antispasmodic medication
C) Activity level prior to and following seizure
D) Level of consciousness following seizure
E) Length of seizure
Q2) What would the nurse include when creating a teaching plan that includes the long-term administration of phenytoin (Dilantin)?
A) The medication should be given on an empty stomach.
B) Insomnia can be a significant side effect.
C) Gums should be massaged regularly to prevent hyperplasia.
D) Blood pressure should be closely monitored.
Q3) The nurse is educating parents on prevention of eyestrain in their 5-year-old child.What information will the nurse include?
A) Encourage books with large type.
B) Words in books should be closely spaced.
C) Provide adequate lighting without glare.
D) Be sure desks and chairs are adequate height.
E) Instruct child to squint when reading.
Page 25
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Chapter 24: The Child with a Musculoskeletal Condition
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Sample Questions
Q1) The nurse is providing instructions about how to treat a sprained ankle.What statement by the mother does the nurse recognize as indicative of a need for additional teaching?
A) "Apply warm compresses to the ankle for the first 24 hours."
B) "Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off."
C) "Wrap the ankle in an Ace bandage for support."
D) "Keep the leg elevated when sitting."
Q2) What nursing action will significantly decrease the risk of serious complications for a child in Bryant's traction?
A) Neurovascular checks are done frequently.
B) Bandages are wrapped tightly.
C) The child is restrained from rolling over.
D) The child's buttocks are resting on the bed.
Q3) How does Russell traction provide adequate skin traction?
A) Subluxates the tibia
B) Does not interfere with range of motion
C) Prevents the knee from flexing
D) Supplies continuous pull in two directions
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Chapter 25: The Child with a Respiratory Disorder
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Sample Questions
Q1) Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?
A) Take the child outside in the cool air.
B) Bring the child directly to the emergency department.
C) Take the child to the bathroom and turn on a hot shower.
D) Have the child drink plenty of fluids.
Q2) When auscultating breath sounds of an infant with respiratory syncytial virus,which assessment would the nurse immediately report?
A) Respiration rate decrease from 40 to 32 breaths/min
B) Heart rate decrease from 110 to 100 beats/min
C) "Quiet chest" from previous assessment of wheezing
D) Oxygen saturation of 90%
Q3) Place the three stages of smoke inhalation injury in the correct order (first to last).Put a comma and space between each answer choice (a,b,c,d,etc.)
A) Bronchopneumonia
B) Pulmonary insufficiency
C) Pulmonary edema
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Chapter 26: The Child with a Cardiovascular Disorder
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Sample Questions
Q1) What should the school nurse recommend when encouraging a heart-healthy diet for a child with high cholesterol?
A) A fat intake reduction of 5-10% of total calories
B) A fat intake reduction of 10-15% of total calories
C) A fat intake reduction of 15-20% of total calories
D) A fat intake reduction of 25-35% of total calories
Q2) The nurse is planning a hypertension-prevention program.What should be the main focus of the nurse when presenting information?
A) Pharmacological treatment
B) Surgical interventions available
C) Patient education
D) Reduction of aerobic exercise
Q3) The parent of a 1-year-old child with tetralogy of Fallot asks the nurse,"Why do my child's fingertips look like that?" On what understanding does the nurse base a response?
A) Clubbing occurs as a result of untreated congestive heart failure.
B) Clubbing occurs as a result of a left-to-right shunting of blood.
C) Clubbing occurs as a result of decreased cardiac output.
D) Clubbing occurs as a result of chronic hypoxia.
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Chapter
Organs, or Lymphatic System
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Sample Questions
Q1) Place the stages of dying in the usual order as detailed by Kübler-Ross (1975).Put a comma and space between each answer choice (a,b,c,d,etc.)
A) Bargaining
B) Acceptance
C) Denial
D) Anger
E) Reaching out to help others
F)Depression
Q2) What will the nurse teach the parents of a child with a low platelet count to avoid?
A) Ibuprofen
B) Aspirin
C) Caffeine
D) Prednisone
Q3) What are the classic symptoms of thalassemia major (Cooley's anemia)?
A) Hepatomegaly
B) Jaundice
C) Protruding teeth
D) Pathological fractures
E) Renal failure
29
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Chapter 28: The Child with a Gastrointestinal Condition
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Q1) What interventions will the nurse perform when feeding a child with pyloric stenosis?
A) Give a formula thinned with water.
B) Burp the infant before and during feeding.
C) Give the feeding slowly.
D) Refeed if the infant vomits.
E) Position infant on left side after feeding.
Q2) The nurse,assessing an elevated erythrocyte sedimentation rate (ESR)for an infant with gastroenteritis,recognizes that this confirms the _______________ process that is part of this disease.
Q3) The nurse is planning a parent education program about lead poisoning prevention.What will be included regarding primary sources of lead in the community?
A) Increased lead content of air
B) Use of aluminum cookware
C) Deteriorating paint in older buildings
D) Inhaling smog
Q4) The nurse explains that because _________________ beverages cause diuresis,they are not good choices for fluid replacement in a child who is dehydrated.
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Chapter 29: The Child with a Genitourinary Condition
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Q1) When a child's ureter becomes completely obstructed from scarring,the nurse explains that urinary diversion may be necessary to prevent the reflux back into the renal pelvis from causing ____________________.
Q2) During a physical assessment of a hospitalized 5-year-old,the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis.What action should the nurse implement?
A) Forcibly push the foreskin down over the head of the penis.
B) Place a warm compress on the penis.
C) Notify the charge nurse.
D) Wait a few hours and try again.
Q3) The strong urge to void,often despite the inability to do so,is known as
Q4) The nurse explains that the device that measures the pressure and volume of the urine stream is called the _________________.
Q5) The nurse uses a diagram to show how the _______________,the working unit of the kidney,filters and regulates fluids.
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Chapter 30: The Child with a Skin Condition
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Q1) An adolescent is at the pediatrician's office because he has been experiencing intense itching,particularly in the axilla and between the fingers.The itching is worse during the night and he has not been sleeping well.With what is this symptom associated?
A) Scabies
B) Pediculosis capitis
C) Tinea corporis
D) Eczema
Q2) The nurse assesses a major burn as a _____-thickness burn involving _____% or more of the body surface.
Q3) The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks.Which complication does the nurse document and report?
A) Diverticulitis
B) Stress diarrhea
C) Curling's ulcer
D) Perforated bowel
Q4) The nurse recognizes the characteristic circular hairless patches of tinea capitis,which is called _____________.
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Chapter 31: The Child with a Metabolic Condition
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Q1) The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid).Which symptoms does the nurse recognize as signs of overdose?
A) Tachycardia
B) Irritability
C) Vomiting
D) Weight gain
E) Diaphoresis
Q2) The parents of a child newly diagnosed with diabetes mellitus tell the nurse,"Our son's body is resistant to insulin." With what does the nurse recognize this description is consistent?
A) Type 1, insulin-dependent diabetes mellitus
B) Type 2, non-insulin-dependent diabetes mellitus
C) Maturity-onset diabetes of youth
D) Drug-induced diabetes
Q3) Long-acting types of insulin are seldom given to children because of the danger of ___________________ during sleep.
Q4) The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every ______ hours.
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Chapter 32: Childhood Communicable Diseases,
Bioterrorism, Natural Disasters and the Maternal-Child Patient
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Sample Questions
Q1) How would the nurse document a rash that has erythematous,circular raised lesions?
A) Macular
B) Papular
C) Vesicular
D) Pustular
Q2) A parent is concerned because her son was exposed to varicella at preschool.The nurse would tell this parent that the incubation period for varicella is _____ days.
Q3) What type of precautions are necessary when caring for a toddler with varicella?
A) Contact
B) Protective
C) Airborne infection
D) Large droplet infection
Q4) Children are generally more vulnerable to biological warfare,because their ____________________ are not fully developed.
Q5) The school nurse recognizes the presence of macules,papules,vesicles,pustules,and scabs on the child as the particular sign of the communicable disease of
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Chapter 33: The Child with an Emotional or Behavioral Condition
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Sample Questions
Q1) Put the 5 steps of the SAFE-T program in the correct order.Put a comma and space between each answer choice (a,b,c,d,etc.)
A) Determine risk level
B) Document and follow up
C) Identify risk
D) Identify protective factors
E) Suicide inquiry
Q2) A young child on the pediatric unit cannot express himself well.What therapeutic intervention might the nurse implement that allows children to act out their feelings?
A) Art therapy
B) Play therapy
C) Music therapy
D) Bibliotherapy
Q3) How does the nurse describe a person who is bulimic?
A) Severely underweight
B) Alternates binge eating with purging
C) Introverted perfectionist
D) Has extremely close family relationships
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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Q1) The nurse uses a diagram to show the location of meridians.How will the nurse explain the definition of meridians?
A) They are lymph nodes.
B) They are invisible pathways for energy.
C) They are lines that divide the body into 10 zones.
D) They are areas of skin that are specifically innervated.
Q2) The nurse points out that light therapy is used in the treatment of patients with which disorder(s)?
A) Digestive disorders
B) Seasonal affective disorder
C) Inflammatory diseases
D) Stress disorders
E) Jaundice
Q3) In 1992 the National Institutes of Health (NIH)created the Office of Alternative Medicine to evaluate the various CAM therapies.It has since been renamed the_________________________________________________.
Q4) While taking care of a Navajo child,the nurse welcomes their folk healer,called a
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Q5) The practice of ____________ is a process of fascia pressure and stretching.