Maternal-Child Nursing Exam Bank - 1814 Verified Questions
Chapter 2: Social,cultural,religious,and Family Influences on Child
Health Promotion
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Q1) Children are taught the values of their culture through observation and feedback relative to their own behavior.In teaching a class on cultural competence,the nurse should be aware that which factor may be culturally determined?
A) Ethnicity
B) Racial variation
C) Status
D) Geographic boundaries
Answer: C
Q2) Children may believe that they are responsible for their parents' divorce and interpret the separation as punishment.At which age is this most likely to occur?
A) 1 year
B) 4 years
C) 8 years
D) 13 years
Answer: B
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Chapter 3: Hereditary Influences on Health Promotion of the
Child and Family
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Q1) Which abnormality is a common sex chromosome defect?
A) Down syndrome
B) Turner syndrome
C) Marfan syndrome
D) Hemophilia
Answer: B
Q2) Early diagnosis of congenital hypothyroidism (CH)and phenylketonuria (PKU)is essential to prevent which?
A) Obesity
B) Diabetes
C) Cognitive impairment
D) Respiratory distress
Answer: C
Q3) Phenylketonuria is a genetic disease that results in the body's inability to correctly metabolize which?
A) Glucose
B) Thyroxine
C) Phenylalanine
D) Phenylketones
Answer: C
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Chapter 4: Communication, physical, and Developmental Assessment
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Q1) With the National Center for Health Statistics criteria,which body mass index (BMI)-for-age percentiles should indicate the patient is at risk for being overweight?
A) 10th percentile
B) 75th percentile
C) 85th percentile
D) 95th percentile
Q2) When auscultating an infant's lungs,the nurse detects diminished breath sounds.What should the nurse interpret this as?
A) Suggestive of chronic pulmonary disease
B) Suggestive of impending respiratory failure
C) An abnormal finding warranting investigation
D) A normal finding in infants younger than 1 year of age
Q3) The nurse is assessing breath sounds on a child.Which are expected auscultated breath sounds?
A) Wheezes
B) Crackles
C) Vesicular
D) Bronchial
E) Bronchovesicular
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Chapter 5: Pain Assessment and Management in Children
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Q1) A 6-year-old child has patient-controlled analgesia (PCA)for pain management after orthopedic surgery.The parents are worried that their child will be in pain.What should your explanation to the parents include?
A) The child will continue to sleep and be pain free.
B) Parents cannot administer additional medication with the button.
C) The pump can deliver baseline and bolus dosages.
D) There is a high risk of overdose, so monitoring is done every 15 minutes.
Q2) A health care provider prescribes hydroxyzine (Atarax),0.6 mg/kg PO every 4 to 6 hours as needed for pruritus.The medication label states: "Hydroxyzine 10 mg/5 mL." The child weighs 20 kg.The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number.
Q3) A health care provider prescribes promethazine (Phenergan),9 mg IV every 6 to 8 hours as needed for pruritus.The medication label states: "Promethazine 25 mg/1 mL." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer using two decimal places.
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Chapter 6: Childhood Communicable and Infectious Diseases
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Q1) When giving instructions to a parent whose child has scabies,what should the nurse include?
A) Treat all family members if symptoms develop.
B) Be prepared for symptoms to last 2 to 3 weeks.
C) Carefully treat only areas where there is a rash.
D) Notify practitioner so an antibiotic can be prescribed.
Q2) The nurse is preparing to admit a 5-year-old child who developed lesions of varicella (chickenpox)3 days ago.Which clinical manifestations of varicella should the nurse expect to observe?
A) Nonpruritic rash
B) Elevated temperature
C) Discrete rose pink rash
D) Vesicles surrounded by an erythematous base
E) Centripetal rash in all three stages (papule, vesicle, and crust)
Q3) Pertussis vaccination should begin at which age?
A) Birth
B) 2 months
C) 6 months
D) 12 months
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Chapter 7: Health Promotion of the Newborn and Family
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Q1) In term newborns,the first meconium stool should occur no later than within how many hours after birth?
A) 6
B) 8
C) 12
D) 24
Q2) Which should the nurse use when assessing the physical maturity of a newborn?
A) Length
B) Apgar score
C) Posture at rest
D) Chest circumference
Q3) Why are rectal temperatures not recommended in newborns?
A) They are inaccurate.
B) They do not reflect core body temperature.
C) They can cause perforation of rectal mucosa.
D) They take too long to obtain an accurate reading.
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Chapter 8: Health Problems of Newborns
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Q1) A pregnant client asks the nurse to explain the meaning of "cephalopelvic disproportion." Which explanation should the nurse give to the client?
A) "It means a large for gestational age fetus."
B) "It is the narrow opening between the ischial spines."
C) "There is an uneven size between the fetus' presenting part and the pelvis."
D) "The shape of the pelvis is an android shape and is unfavorable for vaginal delivery."
Q2) Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?
A) Positive scarf sign
B) Asymmetric Moro reflex
C) Swelling of fingers on affected side
D) Paralysis of affected extremity and muscles
Q3) Which term is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?
A) Hydrocephalus
B) Cephalhematoma
C) Caput succedaneum
D) Subdural hematoma
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Chapter 9: The High-Risk Newborn and Family
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Q1) The nurse is caring for a 3-week-old boy born at 29 weeks of gestation.While taking vital signs and changing his diaper after stooling,the nurse observes his color is pink but slightly mottled,his arms and legs are limp and extended,he has the hiccups,his respirations are deep and rapid,and his heart rate is regular and rapid.The nurse should recognize these behaviors as signs of what?
A) Stress
B) Subtle seizures
C) Preterm behaviors
D) Onset of respiratory distress
Q2) A woman in premature labor delivers an extremely low-birth-weight (ELBW)infant.Transport to a neonatal intensive care unit is indicated.The nurse explains that which level of service is needed?
A) Level I
B) Level IA
C) Level II
D) Level IIIB
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Chapter 10: Health Promotion of the Infant and Family
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Q1) The nurse is interviewing the father of a 10-month-old girl.The child is playing on the floor when she notices an electrical outlet and reaches up to touch it.Her father says "no" firmly and moves her away from the outlet.The nurse should use this opportunity to teach the father what?
A) That the child should be given a time-out
B) That the child is old enough to understand the word "no"
C) That the child will learn safety issues better if she is spanked
D) That the child should already know that electrical outlets are dangerous
Q2) At a well-child visit,parents ask the nurse how to know if a daycare facility is a good choice for their infant.Which observation should the nurse stress as especially important to consider when making the selection?
A) Developmentally appropriate toys
B) Nutritious snacks served to the children
C) Handwashing by providers after diaper changes
D) Certified caregivers for each of the age groups at the facility
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Chapter 11: Health Problems of the Infant
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Q1) The community health nurse is reviewing risk factors for vitamin D deficiency.Which children are at high risk for vitamin D deficiency?
A) Children with fair pigmentation
B) Children who are overweight or obese
C) Children who are exclusively bottle fed
D) Children with diets low in sources of vitamin D
E) Children of families who use milk products not supplemented with vitamin D
Q2) The nurse is teaching parents about potential causes of colic in infancy.Which should the nurse include in the teaching session?
A) Overeating
B) Understimulation
C) Frequent burping
D) Parental smoking
E) Swallowing excessive air
Q3) Where do eczematous lesions most commonly occur in an infant?
A) Abdomen, cheeks, and scalp
B) Buttocks, abdomen, and scalp
C) Back and flexor surfaces of the arms and legs
D) Cheeks and extensor surfaces of the arms and legs
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Chapter 12: Health Promotion of the Toddler and Family
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Q1) A parent tells the nurse,"My toddler tries to undo the car seat harness and climb out of the seat." What strategies should the nurse recommend to the parent to encourage the child to stay in the seat?
A) Allow your child to hold a favorite toy.
B) Allow your child out of the seat occasionally.
C) Avoid using rewards to encourage cooperative behavior.
D) When child tries to unbuckle the seat harness, firmly say, "No."
E) It may be necessary to stop the car to reinforce the expected behavior.
Q2) Exclude meat from their diet but consumes dairy products with some fish and poultry
A)Lacto-ovo vegetarians
B)Lactovegetarians
C)Pure vegetarians (vegans)
D)Macrobiotics
E)Semi-vegetarians
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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Q1) During a well-child visit,the father of a 4-year-old boy tells the nurse that he is not sure if his son is ready for kindergarten.The boy's birthday is close to the cut-off date,and he has not attended preschool.What is the nurse's best recommendation?
A) Start kindergarten.
B) Talk to other parents about readiness.
C) Perform a developmental screening.
D) Postpone kindergarten and go to preschool.
Q2) The nurse is teaching parents of a 3-year-old child about language developmental milestones.What milestones should the nurse include in the teaching session?
A) Asks many questions
B) Names one or more colors
C) Repeats sentence of six syllables
D) Uses primarily "telegraphic" speech
E) Has a vocabulary of 1500 words or more
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Chapter 14: Health Problems of Early Childhood
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Q1) A health care provider prescribes flumazenil (Romazion),0.2 mg IV once,stat for a benzodiazepine poisoning.The medication label states: "Flumazenil (Romazion),1 mg/10 ml." The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number.
Q2) An awake,alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home.The practitioner has ordered activated charcoal.The nurse administers charcoal in which manner?
A) Giving half of the solution and then repeating the other half in 1 hour
B) Mixing with a flavorful beverage in an opaque container with a straw
C) Serving it in a clear plastic cup so the child can see how much has been drunk
D) Administering it through a nasogastric tube because the child will not drink it because of the taste
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Chapter 15: Health Promotion of the School-Age Child and Family
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Q1) A 9-year-old girl often comes to the school nurse complaining of stomach pains.Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom.The school nurse should recognize this as which?
A) Signs of stress
B) Developmental delay
C) Lack of adjustment to school environment
D) Physical problem that needs medical intervention
Q2) The nurse is developing a teaching pamphlet for parents of school-age children.What anticipatory guidelines should the nurse include in the pamphlet?
A) At age 6 years, parents should be certain that the child is reading independently with books provided by school.
B) At age 8 years, parents should expect a decrease in involvement with peers and outside activities.
C) At age 10 years, parents should expect a decrease in admiration of the parents with little interest in parent-child activities.
D) At age 12 years, parents should be certain that the child's sex education is adequate with accurate information.
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Chapter 16: Health Problems of the School-Age Child
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Q1) The nurse understands that medications delivered by which route are more likely to cause a drug reaction?
A) Oral
B) Topical
C) Intravenous
D) Intramuscular
Q2) The nurse is teaching parents of a school-age child how to cleanse small wounds.What should the nurse advise the parents to avoid using to cleanse a wound?
A) Alcohol
B) Normal saline
C) Tepid water
D) Povidone-iodine
E) Hydrogen peroxide
Q3) Excessive sensitiveness
A)Pruritus
B)Anesthesia
C)Hyperesthesia
D)Hypesthesia
E)Paresthesia
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Page 18
Chapter 17: Health Promotion of the Adolescent and Family
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Q1) What are characteristics of middle adolescence (15-17 years)with regard to relationships with peers?
A) Behavioral standards set by peer group
B) Acceptance of peers extremely important
C) Seeks peer affiliations to counter instability
D) Exploration of ability to attract opposite sex
E) Peer group recedes in importance in favor of individual friendship
Q2) In girls,what is the initial indication of puberty?
A) Menarche
B) Growth spurt
C) Breast development
D) Growth of pubic hair
Q3) What is most descriptive of the spiritual development of older adolescents?
A) Beliefs become more abstract.
B) Rituals and practices become increasingly important.
C) Strict observance of religious customs is common.
D) Emphasis is placed on external manifestations, such as whether a person goes to church.
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Chapter 18: Health Problems of the Adolescent
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Q1) The nurse is preparing to administer danazol (Danocrine)to a patient with endometriosis.What are the side effects of this medication?
A) Insomnia
B) Hot flashes
C) Amenorrhea
D) Increased libido
E) Vaginal secretions
Q2) What statement is true concerning adolescent suicide?
A) A sense of hopelessness and despair is a normal part of adolescence.
B) Gay and lesbian adolescents are at a particularly high risk for suicide.
C) Problem-solving skills are of limited value to the suicidal adolescent.
D) Previous suicide attempts are not an indication for completed suicides.
Q3) An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant.What should the nurse explain?
A) It is too late to prevent an unwanted pregnancy.
B) An abortion may be the best option if she is pregnant.
C) The risk of pregnancy is minimal, so no action is necessary.
D) Postcoital contraception is available to prevent implantation and therefore pregnancy.
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Page 20
Chapter 19: Family-Centered Care of the Child With Chronic Illness or Disability
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Q1) The nurse has been assigned as a home health nurse for a child who is technology dependent.The nurse recognizes that the family's background differs widely from the nurse's own.The nurse believes some of their lifestyle choices are less than ideal.What nursing intervention is most appropriate to institute?
A) Change the family.
B) Respect the differences.
C) Assess why the family is different.
D) Determine whether the family is dysfunctional.
Q2) What is the single most prevalent cause of disability in children and responsible for the recent increase in childhood disability?
A) Cancer
B) Asthma
C) Seizures
D) Heart disease
Q3) What finding by the nurse is most characteristic of chronic sorrow?
A) Lack of acceptance of child's limitation
B) Lack of available support to prevent sorrow
C) Periods of intensified sorrow when experiencing anger and guilt
D) Periods of intensified sorrow at certain landmarks of the child's development
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Chapter 20: Family-Centered Palliative Care
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Q1) A health care provider prescribes OxyContin (oxycodone),3 mg PO every 4 to 6 h as needed for pain for a child with a terminal illness.The medication label states: "OxyContin 5 mg/1 ml." The nurse prepares to administer one dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer using one decimal place.
Q2) A school-age child is diagnosed with a life-threatening illness.The parents want to protect their child from knowing the seriousness of the illness.The nurse should provide which explanation?
A) This attitude is helpful to give parents time to cope.
B) This will help the child cope effectively by denial.
C) Terminally ill children know when they are seriously ill.
D) Terminally ill children usually choose not to discuss the seriousness of their illness.
Q3) What characterizes a preschooler's concept of death?
A) Belief their thoughts can cause death.
B) They have a concrete understanding of death.
C) Death is seen as temporary and gradual.
D) Death is seen as a departure, a kind of sleep.
E) They usually have some sense of the meaning of death.
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Page 22
Chapter 21: The Child With Cognitive, sensory, or Communication Impairment
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Q1) What risk factors can cause a sensorineural hearing impairment in an infant?
A) Cat scratch disease
B) Bacterial meningitis
C) Childhood case of measles
D) Childhood case of chicken pox
E) Administration of aminoglycosides for more than 5 days
Q2) The nurse should plan which actions to assist the stuttering child?
A) Ask the child to stop and start over.
B) Promise a reward for proper speech.
C) Set a good example by speaking clearly.
D) Give the child plenty of time to finish sentences.
E) Look directly at the child while he or she is speaking.
Q3) Secondary prevention for cognitive impairment includes what activity?
A) Genetic counseling
B) Avoidance of prenatal rubella infection
C) Preschool education and counseling services
D) Newborn screening for treatable inborn errors of metabolism
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Chapter 22: Family-Centered Care of the Child During
Illness and Hospitalization
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Q1) The nurse is assessing a family's use of complementary medicine practices.What practices are classified as nutrition,diet,and lifestyle or behavioral health changes?
A) Reflexology
B) Macrobiotics
C) Megavitamins
D) Health risk reduction
E) Chiropractic medicine
Q2) A parent needs to leave a hospitalized toddler for a short period of time.What action should the nurse suggest to the parent to ease the separation for the toddler?
A) Bring a new toy when returning.
B) Leave when the child is distracted.
C) Tell the child when they will return.
D) Leave a favorite article from home with the child.
Q3) What choice of words or phrases would be inappropriate to use with a child?
A) "Rolling bed" for "stretcher"
B) "Special medicine" for "dye"
C) "Make sleepy" for "deaden"
D) "Catheter" for "intravenous"
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Chapter 23: Pediatric Nursing Interventions and Skills
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Q1) Guidelines for intramuscular administration of medication in school-age children include what standard?
A) Inject medication as rapidly as possible.
B) Insert needle quickly, using a dartlike motion.
C) Have the child stand if at all possible and if the child is cooperative.
D) Penetrate the skin immediately after cleansing the site while the skin is moist.
Q2) What is a priority intervention for an infant with a temporary colostomy for Hirschsprung disease?
A) Teaching how to irrigate the colostomy
B) Protecting the skin around the colostomy
C) Discussing the implications of a colostomy during puberty
D) Using simple, straightforward language to prepare the child
Q3) A 2-year-old child is being admitted to the hospital for possible bacterial meningitis.When preparing for a lumbar puncture,what should the nurse do?
A) Set up a tray with equipment the same size as for adults.
B) Apply EMLA to the puncture site 15 minutes before the procedure.
C) Prepare the child for conscious sedation being used for the procedure.
D) Reassure the parents that the test is simple, painless, and risk free.
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Chapter 24: The Child With Fluid and Electrolyte Imbalance
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Q1) A child is admitted with extensive burns.The nurse notes burns on the child's lips and singed nasal hairs.The nurse should suspect what condition in the child?
A) A chemical burn
B) A hot-water scald
C) An electrical burn
D) An inhalation injury
Q2) What clinical manifestation(s)should the nurse expect to see as shock progresses in a child and becomes decompensated shock?
A) Thirst
B) Irritability
C) Apprehension
D) Confusion and somnolence
Q3) What is an approximate method of estimating output for a child who is not toilet trained?
A) Have parents estimate output.
B) Weigh diapers after each void.
C) Place a urine collection device on the child.
D) Have the child sit on a potty chair 30 minutes after eating.
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Chapter 25: The Child With Renal Dysfunction
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Q1) The nurse is caring for a child with acute renal failure.What laboratory findings should the nurse expect to find?
A) Hyponatremia
B) Hyperkalemia
C) Metabolic alkalosis
D) Elevated blood urea nitrogen level
E) Decreased plasma creatinine level
Q2) What urine test result is considered abnormal?
A) pH 4.0
B) WBC 1 or 2 cells/ml
C) Protein level absent
D) Specific gravity 1.020
Q3) Inflammation of the bladder
A)Persistent urinary tract infection
B)Cystitis
C)Urethritis
D)Pyelonephritis
E)Urosepsis
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27
Chapter 26: The Child With Gastrointestinal Dysfunction
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Q1) The nurse is evaluating the laboratory results of a stool sample.What is a normal finding?
A) The laboratory reports a stool pH of 5.0.
B) The laboratory reports a negative guaiac.
C) The laboratory reports low levels of enzymes.
D) The laboratory reports reducing substances present.
Q2) A 3-day-old infant presents with abdominal distention,is vomiting,and has not passed any meconium stools.What disease should the nurse suspect?
A) Pyloric stenosis
B) Intussusception
C) Hirschsprung disease
D) Celiac disease
Q3) What clinical manifestation should be the most suggestive of acute appendicitis?
A) Rebound tenderness
B) Bright red or dark red rectal bleeding
C) Abdominal pain that is relieved by eating
D) Colicky, cramping, abdominal pain around the umbilicus
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Chapter 27: Overview of Oxygen and Carbon Dioxide Exchange
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Q1) The continuous administration of mist,or aerosolized water,for the treatment of inflammatory conditions of the airways is a common practice that functions in which manner?
A) Has no proven benefit
B) Decreases the viscosity of mucus
C) Decreases bronchoconstriction
D) Reduces the inflammation of the lower airways
Q2) A nurse is calculating the correlation of Pao<sub>2</sub> with Sao<sub>2</sub> according to the oxyhemoglobin dissociation curve.What parameter should indicate that the Pao<sub>2</sub> is less than 50 to 60 mm Hg?
A) Coarse lung sounds
B) Temperature of 100° F
C) Respiratory rate of 58
D) Pulse oximetry reading of 90% or less
Q3) What test measures the amount of air inhaled and exhaled during any respiratory cycle?
A) Tidal volume
B) Vital capacity
C) Dynamic compliance
D) Pulmonary resistance
Page 29
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Chapter 28: The Child With Respiratory Dysfunction
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Q1) The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible.What is the primary rationale for this action?
A) Mothers of hospitalized toddlers often experience guilt.
B) The mother's presence will reduce anxiety and ease the child's respiratory efforts.
C) Separation from the mother is a major developmental threat at this age.
D) The mother can provide constant observations of the child's respiratory efforts.
Q2) Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection.Instructions for nose drops should include which information?
A) Do not use for more than 3 days.
B) Keep drops to use again for nasal congestion.
C) Administer drops after feedings and at bedtime.
D) Give two drops every 5 minutes until nasal congestion subsides.
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Chapter 29: The Child With Cardiovascular Dysfunction
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Q1) A 1-year-old has been admitted for complete repair of a tetralogy of Fallot.What assessment finding should the nurse expect to be documented?
A) Weight gain
B) Pale skin color
C) Increasing cyanosis
D) Decrease in hemoglobin and hematocrit
Q2) A parent of a 7-year-old girl with a repaired ventricular septal defect (VSD)calls the cardiology clinic and reports that the child is just not herself.Her appetite is decreased,she has had intermittent fevers around 38° C (100.4° F),and now her muscles and joints ache.Based on this information,how should the nurse advise the mother?
A) Immediately bring the child to the clinic for evaluation.
B) Come to the clinic next week on a scheduled appointment.
C) Treat the signs and symptoms with acetaminophen and fluids because it is most likely a viral illness.
D) Recognize that the child is trying to manipulate the parent by complaining of vague symptoms.
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Chapter 30: The Child With Hematologic or Immunologic Dysfunction
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Sample Questions
Q1) The clinic nurse is evaluating causes for iron deficiency caused by inadequate supply of iron.What should the nurse recognize as causes for iron deficiency caused by an inadequate iron supply?
A) Prematurity
B) Slow growth rate
C) Excessive milk intake
D) Severe iron deficiency in the mother
E) Exclusive breastfeeding of infant from birth to 3 months
Q2) The clinical manifestations of sickle cell anemia (SCA)are primarily the result of which physiologic alteration?
A) Decreased blood viscosity
B) Deficiency in coagulation
C) Increased red blood cell (RBC) destruction
D) Greater affinity for oxygen
Q3) A child with hemophilia A will have which abnormal laboratory result?
A) PT (ProTime)
B) Platelet count
C) Fibrinogen level
D) PTT (partial thromboplastin time)
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Chapter 31: The Child With Cancer
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Sample Questions
Q1) What childhood cancer may demonstrate patterns of inheritance that suggest a familial basis?
A) Leukemia
B) Retinoblastoma
C) Rhabdomyosarcoma
D) Osteogenic sarcoma
Q2) Total-body irradiation is indicated for what reason?
A) Palliative care
B) Lymphoma therapy
C) Definitive therapy for leukemia
D) Preparation for bone marrow transplant
Q3) The nurse is caring for a child with retinoblastoma that was treated with an enucleation.What interventions should the nurse plan for care of an eye socket after enucleation?
A) Clean the prosthesis.
B) Change the eye pad daily.
C) Keep the opposite eye covered initially.
D) Irrigate the socket daily with a prescribed solution.
E) Apply a prescribed antibiotic ointment after irrigation.
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Page 33
Chapter 32: The Child With Cerebral Dysfunction
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Sample Questions
Q1) If an intramuscular (IM)injection is administered to a child who has Reye syndrome,the nurse should monitor for what?
A) Bleeding
B) Infection
C) Poor absorption
D) Itching at the injection site
Q2) The nurse is caring for a 10-year-old child who has an acute head injury,has a pediatric Glasgow Coma Scale score of 9,and is unconscious.What intervention should the nurse include in the child's care plan?
A) Elevate the head of the bed 15 to 30 degrees with the head maintained in midline.
B) Maintain an active, stimulating environment.
C) Perform chest percussion and suctioning every 1 to 2 hours.
D) Perform active range of motion and nontherapeutic touch every 8 hours.
Q3) What statement is descriptive of a concussion?
A) Petechial hemorrhages cause amnesia.
B) Visible bruising and tearing of cerebral tissue occur.
C) It is a transient and reversible neuronal dysfunction.
D) It is a slight lesion that develops remote from the site of trauma.
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Chapter 33: The Child With Endocrine Dysfunction
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Q1) What is a common clinical manifestation of juvenile hypothyroidism?
A) Insomnia
B) Diarrhea
C) Dry skin
D) Rapid growth
Q2) The nurse is discussing with a child and family the various sites used for insulin injections.What site usually has the fastest rate of absorption?
A) Arm
B) Leg
C) Buttock
D) Abdomen
Q3) The nurse is preparing to assist with a growth hormone provocative test for a child with short stature.The nurse recognizes that which pharmacologics should be used to provoke the release of growth hormone (GH)?
A) Larodopa (levodopa)
B) Clonidine (Catapres)
C) Propranolol (Inderal)
D) Cortisone (hydrocortisone)
E) Biosynthetic growth hormone
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Chapter 34: The Child With Musculoskeletal or Articular Dysfunction
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Q1) What nursing intervention is most appropriate when caring for the child with osteomyelitis?
A) Encourage frequent ambulation.
B) Administer antibiotics with meals.
C) Move and turn the child carefully and gently to minimize pain.
D) Provide active range of motion exercises for the affected extremity.
Q2) What term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine?
A) Scoliosis
B) Lordosis
C) Kyphosis
D) Ankylosis
Q3) The nurse is teaching infant care to parents with an infant who has been diagnosed with osteogenesis imperfecta (OI).What should the nurse include in the teaching session?
A) "Bisphosphonate therapy is not beneficial for OI."
B) "Physical therapy should be avoided as it may cause damage to bones."
C) "Lift the infant by the buttocks, not the ankles, when changing diapers."
D) "The infant should meet expected gross motor development without assistive devices."
Page 36
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Chapter 35: The Child With Neuromuscular or Muscular Dysfunction
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Sample Questions
Q1) A 4-month-old with significant head lag meets the criteria for floppy infant syndrome.A diagnosis of progressive infantile spinal muscular atrophy (Werdnig-Hoffmann disease)is made.What should be included in the nursing care for this child?
A) Infant stimulation program
B) Stretching exercises to decrease contractures
C) Limited physical contact to minimize seizures
D) Encouraging parents to have additional children
Q2) The most important nursing intervention when caring for an infant with myelomeningocele in the preoperative stage is which?
A) Take vital signs every hour.
B) Place the infant on the side to decrease pressure on the spinal sac.
C) Watch for signs that might indicate developing hydrocephalus.
D) Apply a heat lamp to facilitate drying and toughening of the sac.
Q3) What is the rationale for orthopedic surgery for a child with cerebral palsy?
A) To cure spasticity
B) To improve function
C) For cosmetic purposes
D) To prevent the need of physical therapy
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