Maternal-Child Nursing Exam Solutions
Course Introduction
Maternal-Child Nursing focuses on the comprehensive care of women throughout pregnancy, childbirth, and the postpartum period, as well as the health and development of newborns, infants, and children. The course emphasizes the assessment and management of physiological and psychological changes during these stages, the promotion of safe and supportive environments, and the identification of risk factors affecting mothers and children. Students learn evidence-based nursing practices, family-centered care principles, cultural competence, and effective communication skills to support positive maternal and child health outcomes across diverse populations.
Recommended Textbook
Study Guide for Introduction to Maternity and Pediatric Nursing 5th Edition by Gloria Leifer
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33 Chapters
845 Verified Questions
845 Flashcards
Source URL: https://quizplus.com/study-set/1540 Page 2
Chapter 1: The Past, Present, and Future
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30418
Sample Questions
Q1) The nurse clarifies that family-centered care focuses on: Select all that apply.
A) Family integrity
B) Family as caregivers
C) Family as decision makers
D) Empowerment of the family
E) Cultural values of the family
F) None of the above
Answer: A, B, C, D, E
Q2) The nurse explains that the clinical pathway or critical pathway improves quality of care by:
A) Listing diagnosis specific implementations
B) Outlining expected progress with stated time lines
C) Prioritizing effective nursing diagnoses
D) Describing common complications
Answer: B
Q3) The first White House Conference on Children and Youth was called by ______________________________.
Answer: Theodore Roosevelt
Explanation: Theodore Roosevelt called the first White House Conference in 1909.
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Page 3
Chapter 2: Human Reproductive Anatomy and Physiology
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse has explained menstruation to a 13-year-old girl. The statement that indicates the girl needs additional education is:
A) "Periods last about 5 days."
B) "My cycle should get regular in 6 months."
C) "I should expect heavy bleeding with clots."
D) "Periods come about every 4 weeks."
Answer: C
Q2) A 10-year-old girl asks the nurse, "What is the first sign of puberty?" The correct nursing response is:
A) An increase in height
B) Breast development
C) Appearance of axillary hair
D) The first menstrual period
Answer: B
Q3) The nurse explains that the sperm are nourished by secretions from the:
A) Vas deferens
B) Epididymis
C) Cowper's glands
D) Scrotum
Answer: C
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Chapter 3: Prenatal Development
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse, while outlining the stages of fetal development, emphasizes the point in gestation when the embryo enters the third stage of prenatal development, which is:
A) 2 weeks
B) 4 weeks
C) 9 weeks
D) 16 weeks
Answer: C
Q2) The nurse clarifies that the functions of the amniotic fluid are: Select all that apply.
A) Maintaining an even temperature
B) Impeding excessive fetal movement
C) Lubricating fetal skin
D) Acting as reservoir for nutrients
E) Acting as cushion for fetus
Answer: A, E
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) An ultrasound confirms that a 16-year-old girl is pregnant. The nurse recognizes the need for prenatal care and counseling for adolescents because:
A) A pregnant adolescent is experiencing two major life transitions at the same time.
B) Adolescents who get pregnant are more likely to have other chronic health problems.
C) Adolescents are at greater risk for multifetal pregnancies.
D) At this age, a pregnant adolescent will accept the nurse's advice.
Q2) A woman who is 36 weeks pregnant tells the nurse she plans to fly to Hawaii, which is a 12-hour flight. The nurse would recommend that during the flight the patient should: Select all that apply.
A) Wear tight fitting clothing to promote venous return
B) Eat a large meal before boarding the flight
C) Request a seat with greater leg room
D) Drink at least 4 ounces of water every hour
E) Get up and walk around the plane frequently
Q3) The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as ____________________.
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Chapter 5: Nursing Care of Women With Complications
During Pregnancy
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse explains that a woman who uses oral hypoglycemic agents to control diabetes mellitus will need to take insulin during pregnancy because:
A) Insulin can cross the placental barrier to the fetus
B) Insulin does not cross the placental barrier to the fetus
C) Oral agents do not cross the placenta
D) Oral agents are not sufficient to meet maternal insulin needs
Q2) Rh incompatibility occurs in which of the following situations:
A) Rh-negative mother, Rh-positive fetus
B) Rh-positive mother, Rh-negative fetus
C) Rh-negative mother, Rh-negative fetus
D) Rh-positive mother, Rh-positive fetus
Q3) A woman who is 9 weeks pregnant is experiencing heavy bleeding and cramping. She reports passing some tissue. Cervical dilation is noted on examination. This woman most likely had:
A) An inevitable abortion
B) An incomplete abortion
C) A complete abortion
D) A missed abortion
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Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) At 1 and 5 minutes of life, a newborn's Apgar score is 9. The nurse understands that a score of 9 indicates this newborn:
A) Will require resuscitation
B) May have physical disabilities
C) Will have above average intelligence
D) Is in stable condition
Q2) The husband of a woman in labor asks, "What does it mean when the baby is at -1 station?" After giving an explanation, the nurse determines that teaching was effective when the husband states the fetal head is:
A) Above the ischial spines
B) Below the ischial spines
C) Engaged in the mother's pelvis
D) Visible at the perineum
Q3) After the pregnant woman is admitted to the labor suite, the nurse assesses the position of the baby as ROA; this means that the baby's head is ______
Q4) After the membranes have ruptured, the nurse should assess the FHR for ____________________ minute(s).
Page 8
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Chapter 7: Nursing Management of Pain During Labor and Birth
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse discussing nonpharmacological forms of pain relief will focus on methods of: Select all that apply.
A) Skin stimulation
B) Diversion and distraction
C) Breathing techniques
D) Exercise
E) Yoga
Q2) A narcotic antagonist used to reverse narcotic-induced respiratory depression is:
A) Hydroxyzine (Vistaril)
B) Phenobarbital
C) Naloxone (Narcan)
D) Nitrous oxide
Q3) Chemical substances produced in the body that act as natural pain relievers are:
A) Endorphins
B) Morphine
C) Codeine
D) Atropine
Q4) The nurse clarified that the amount of pain a person is willing to endure is referred to as _____ ______________.
Page 9
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Chapter 8: Nursing Care of Women With Complications
During Labor and Birth
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A woman who is 33 weeks pregnant is admitted to the obstetrical unit because her membranes ruptured spontaneously. She must be closely observed for signs of:
A) Chorioamnionitis
B) Hemorrhage
C) Hypotension
D) Amniotic fluid embolism
Q2) The new mother is distressed and tearful about the elevated dome over her baby's posterior fontanelle. The nurse's best response is, "This condition will resolve itself in a few days. It is caused by:
A) Prolonged pressure against the partially dilated cervix."
B) Small leak of fluid through the posterior fontanel."
C) Pressure of the forceps during delivery."
D) The effect of the vacuum extractor."
Q3) The nurse explains to a client that a minimum score of ____________________ on the Bishop scale is predictive of successful labor induction.
Q4) Following an amniotomy, the umbilical cord becomes depressed. The nurse prepares the client for an installation of a bolus of warm sterile saline into the uterus, which is called ____________________.
Page 10
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Chapter 9: The Family After Birth
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) On the second postpartum day, a mother bathed her newborn for the first time. She tells the nurse, "I don't think I did it right." Based on the mother's comment, she is most likely in the postpartum psychological stage of:
A) Taking in
B) Taking hold
C) Letting go
D) Settling down
Q2) The nurse assessing the fundus of the uterus immediately after delivery would expect to find the uterus:
A) Well-contracted with its upper border at or just below the umbilicus
B) Well-contracted with its upper border three or four fingerbreadths above the umbilicus
C) Relaxed with its upper border level with the umbilicus
D) Relaxed with its upper border two or three fingerbreadths below the umbilicus
Q3) The nurse explains that the physician will order RhoGAM in the event that a/an:
A) Unsensitized Rh-negative mother has an Rh-positive pregnancy.
B) Rh-negative mother becomes sensitized.
C) Sensitized infant has a rising bilirubin level.
D) Unsensitized infant exhibits no outward signs.
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Page 11
Chapter 10: Nursing Care of Women With Complications
Following Birth
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse assesses a boggy uterus with the fundus above the umbilicus and deviated to the side. The nurse should next assess:
A) Fullness of the bladder
B) Amount of lochia
C) Blood pressure
D) Level of pain
Q2) The first sign of hypovolemic shock from postpartum hemorrhage is likely to be:
A) Cold, clammy skin
B) Tachycardia
C) Hypotension
D) Decreased urinary output
Q3) When the 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed, the nurse's most helpful response is:
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 any abscess formation.
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Chapter 11: The Nurses Role in Womens Health Care
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A 17-year-old girl comes to the emergency department complaining of severe pain in her left lower quadrant. When an ovarian cyst is suspected, the nurse explains that the diagnosis is confirmed by:
A) Laparotomy
B) Oophorectomy
C) Transvaginal ultrasound
D) Hysteroscopy
Q2) A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse would respond that a woman is considered to be menopausal when:
A) Her periods have stopped for 1 year
B) Her periods have been irregular and light for 12 months
C) She has symptoms of vasomotor instability
D) She experiences symptoms of decreased estrogen, such as dyspareunia
Q3) The nurse outlines the process of ova being mixed with sperm and then the resulting embryos being returned to the mother's uterus. This process of infertility treatment is
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Chapter 12: The Term Newborn
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25 Flashcards
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Sample Questions
Q1) While assessing the head of a healthy, full-term newborn, the nurse anticipates that the anterior fontanelle is:
A) Depressed and sunken
B) Triangular shaped
C) Smaller than the posterior fontanelle
D) Open and flat
Q2) The nurse is measuring the vital signs of a full-term newborn. An abnormal finding would be:
A) Axillary temperature of 98° F
B) Apical pulse rate of 178 beats/min
C) Respirations of 35 breaths/min
D) Blood pressure of 80/50 mm Hg
Q3) Parents express concern about the milia on the face and nose of their baby. The nurse's most helpful response would be to instruct the parents to:
A) Contact a pediatric dermatologist for topical medication.
B) Squeeze out the white material after cleansing the face.
C) Wash the baby's face with a mild astringent several times a day.
D) Leave the milia alone; it will disappear spontaneously. No treatment is needed.
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Chapter 13: Preterm and Postterm Newborns
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The parent of a 4-month-old infant, born prematurely, asks the nurse if her daughter will always be small for her age. An appropriate nursing response would be:
A) "Preterm infants usually remain smaller than term infants throughout childhood."
B) "Your daughter will be the same size as other children by the time she goes to kindergarten."
C) "Prematurity is associated with short stature, but does not affect weight gain."
D) "It takes about two years for the preterm infant to catch up to a full-term infant."
Q2) To prevent possible retinopathy in a preterm infant requiring oxygen therapy, the nurse will:
A) Monitor arterial oxygen levels with a pulse oximeter
B) Position with the head slightly lower than the body
C) Administer low concentrations of oxygen
D) Keep the infant's eyes covered at all times
Q3) Assessment of altered skin integrity in the preterm infant is made difficult because of the immature immune system that cannot produce an ____________________ reaction.
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Chapter 14: The Newborn With a Perinatal Injury or Congenital Malformation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Parents of a newborn with a unilateral cleft lip are concerned about having the defect repaired. The nurse explains that a child with a cleft lip usually undergoes surgical repair:
A) Immediately after birth
B) By 3 months of age
C) After 12 months of age
D) Varies in every case
Q2) The nurse demonstrates how to flush the ventriculoperitoneal shunt by the use of the ____________________ that is in place behind the baby's ear.
Q3) Parents of a 2-month-old Down syndrome infant should be instructed, because of the generalized hypotonicity of the child, that special attention should be given to:
A) Careful feeding
B) Respiratory care
C) Range of motion
D) Incontinent care
Q4) The nurse uses a diagram to show that when the CSF is obstructed in the subarachnoid space rather than in the ventricles, the resulting hydrocephalus is diagnosed as ____________________ hydrocephalus.
Page 16
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Chapter 15: An Overview of Growth, Development, and Nutrition
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27 Flashcards
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Sample Questions
Q1) The nurse has discussed with the mother about introducing solid foods to the 6-month-old infant. The nurse determines that the mother understands the information when she states the first food she will give to the infant is:
A) Rice cereal
B) Yellow vegetables
C) Egg yolks
D) Fruits
Q2) A unique organization of characteristics that determines an individual's pattern of behavior is known as:
A) Environment
B) Heredity
C) Personality
D) Experience
Q3) When demonstrating a bath procedure to parents of Vietnamese origin, the nurse should avoid:
A) Talking directly to the mother
B) Exposing the child's genitals
C) Touching the child's head
D) Using cool water
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Chapter 16: The Infant
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse cautions parents to place their baby in the ____________________ or ____________________ positions, rather than on its stomach, to reduce the risk of sudden infant death syndrome (SIDS).
Q2) The parent of a 3-month-old infant asks the nurse, "At what age do infants usually begin drinking from a cup?" The nurse would reply:
A) 5 months
B) 9 months
C) 1 year
D) 2 years
Q3) The nurse explains the second process of self-mobility a baby learns is seen at the age of 9 months, when the baby begins to ____________________.
Q4) The nurse would expect a 4-month-old to be able to:
A) Hold a cup
B) Stand with assistance
C) Lift head and shoulders
D) Sit with back straight
Q5) The nurse reminds the parents that the first DPT, oral polio, and flu immunizations should be given when the child is ____________________ months old.
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Chapter 17: The Toddler
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse assessing vital signs on a 2-year-old would be concerned about the finding of:
A) Temperature 98.8° F
B) Pulse 100 beats/min
C) Respirations 36 breaths/min
D) Blood pressure 90/60 mm Hg
Q2) When the previously potty-trained 3-year-old wets the bed after admission to the hospital, the nurse assesses this event is caused by a ____________________ related to the new environment.
Q3) The nurse observed three toddlers playing side by side with dolls. Closer observation revealed that the children were not interacting with one another. This type of play would be characterized as:
A) Solitary
B) Parallel
C) Associative
D) Cooperative
Q4) The nurse assessing a 2-year-old is satisfied to see that the present weight of the child has ____________________ the birthweight.
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Chapter 18: The Preschool Child
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A parent is concerned about her children's reaction should their grandmother die. In planning a response, the nurse is guided by the understanding that:
A) Children are unlikely to notice their grandmother's absence if no one reminds them.
B) Young children often understand that other people die, but do not equate it with themselves.
C) The children's response will depend entirely on whether they have been acquainted with death before this.
D) Children can understand the concept of a higher being much like adults can.
Q2) The nurse planning a seminar on safety for the preschooler will focus on: Select all that apply.
A) Poison
B) Burns
C) Falls
D) Abduction
E) Car-pedestrian
F) None of the above
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Chapter 19: The School-Age Child
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Sample Questions
Q1) The nurse, planning to teach a class on nutrition to fourth-grade students, would keep in mind that school-age children:
A) Can concentrate on only one aspect of a situation
B) Can think abstractly
C) Are egocentric in their thinking
D) Think logically and concretely
Q2) A 9-year-old boy is often cranky and irritable and his school performance has declined. All the options are true about the child. The possible factor causing this behavior is that he:
A) Sleeps only 6 to 7 hours a night
B) Eats eggs every day
C) Has a new dog
D) Plays about 1 to 3 hours each evening
Q3) The nurse suggests an appropriate toy for a hospitalized 6-year-old boy would be a:
A) Game Boy game
B) Compact disc player
C) Adventure book
D) Jigsaw puzzle
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21
Chapter 20: The Adolescent
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Sample Questions
Q1) The nurse explains that the restlessness seen in the adolescent is, in part, attributable to: Select all that apply.
A) Drive to be accepted by society as an individual
B) Surge for independence
C) Establishment of a personal identity
D) Intense libido
E) Rapid body changes
F) None of the above
Q2) The nurse is leading a discussion group with parents of adolescents. One parent comments, "My son can't do anything without checking with his friends first. My opinion doesn't count anymore." The nurse would formulate a response on the knowledge that this behavior is:
A) Unusual for adolescent boys
B) Often more apparent in boys than girls
C) A normal phenomenon during adolescence
D) Suggestive of feelings of low self-worth
Q3) The nurse is amused, but understands that as adolescents strive for individuality, the strongest need of any adolescent in society is that of ____________________.
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Chapter 21: The Childs Experience of Hospitalization
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Sample Questions
Q1) The nursing action that would facilitate rapport with a child and the child's parents during the admission process is:
A) Direct the parents to undress the child.
B) Answer questions in a calm and matter-of-fact way.
C) Perform assessments and ask questions as quickly as possible.
D) Express concern about the seriousness of the child's condition.
Q2) The nurse notices that the mother of a child with cerebral palsy corrects and redoes many of the things the nurse does for her child. The most appropriate response to this mother would be:
A) "Would you like to do all of your child's care?"
B) "I'm doing the very best job that I can with your child."
C) "Why don't you go have a cup of coffee. You are going to be exhausted if you don't take a break."
D) "I'd be happy if you would share with me some of the special things you do for your child."
Q3) When the preschooler who is hospitalized for surgery to correct a poorly healed fracture says, "My doctor is going to unscrew my bent arm and screw on a new one," the nurse should ____________________ this misconception.
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Chapter 22: Health Care Adaptations for the Child and Family
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Sample Questions
Q1) A child who has a continuous intravenous infusion should be assessed every:
A) Hour
B) Two hours
C) Three hours
D) Four hours
Q2) When suctioning a tracheostomy, the nurse will:
A) Suction for a period of 2 to 3 breaths.
B) Clear the catheter with water after suctioning for reuse.
C) Apply suction for no more than 15 seconds.
D) Establish a regular schedule for suctioning.
Q3) The nurse instructed an adolescent female about collecting a clean-catch urine specimen. The nurse determined the adolescent understood the instructions when she stated:
A) "I should wash my perineum with soap and water, then begin to urinate."
B) "I clean the perineum from front to back with an antiseptic wipe before I urinate."
C) "I'll collect the first stream of urine in a sterile container."
D) "I will discard the first void and collect a freshly voided specimen 30 minutes later."
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Page 24
Chapter 23: The Child With a Sensory or Neurological Condition
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Sample Questions
Q1) The nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms as he tries to eat. The nurse recognizes that he has which type of cerebral palsy?
A) Athetoid
B) Ataxic
C) Spastic
D) Mixed
Q2) The nurse caring for a 5-month-old with viral influenza suspects the development of Reye's syndrome when the child:
A) Has respirations drop from 18 to 14 breaths/min
B) Goes to sleep after feeding
C) Suddenly vomits
D) Develops a macular rash
Q3) The nurse planning postoperative teaching for a child who has had a tympanostomy with insertion of tubes would include:
A) Keep the infant flat after feeding.
B) Give over-the-counter anticongestants.
C) Avoid getting water in the ears.
D) Clean the ear canal with cotton-tipped applicators.
Page 25
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Chapter 24: The Child With a Musculoskeletal Condition
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Sample Questions
Q1) The nurse reminds the adolescent boy with Ewing's sarcoma that he is prohibited from vigorous weight-bearing during treatment with radiation to reduce the risk of a ____________________ fracture.
Q2) The nurse demonstrates how all traction devices: Select all that apply.
A) Pull the limb into extension
B) Decrease muscle spasm
C) Reduce pain
D) Align two bone fragments
E) Immobilize the limb
Q3) When a 13-year-old girl is diagnosed with functional scoliosis, the nurse would explain the spinal curvature defect is usually caused by:
A) Juvenile rheumatoid arthritis
B) Poor posture
C) Heredity
D) Myelomeningocele
Q4) The nurse recognizes the signs of ____________________ syndrome in a child in a "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.
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Chapter 25: The Child With a Respiratory or Cardiovascular Disorder
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Sample Questions
Q1) The nurse would observe a child for frequent swallowing following a tonsillectomy and adenoidectomy (T & A) because this is indicative of:
A) Bleeding from the surgical site
B) Pain at the incision area
C) Sore throat from postnasal drip
D) Potential vomiting
Q2) The nurse tells the parents of a child who has a positive throat culture for group A hemolytic streptococcus that the treatment most likely will be:
A) Acetaminophen and plenty of fluids
B) Oral penicillin for 10 days
C) Penicillin until his sore throat is gone
D) Streptococcus immunization
Q3) The nurse is caring for a toddler with acute laryngotracheobronchitis. The assessment finding that would indicate the child is experiencing increased respiratory obstruction is:
A) Restlessness
B) Tachycardia
C) Brassy cough
D) Expiratory wheezing
Page 27
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Chapter 26: The Child With a Condition of the Blood, Blood-Forming
Organs, or Lymphatic System
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Sample Questions
Q1) The nurse would include in a teaching plan about mouth care of a child receiving chemotherapy to:
A) Use commercial mouthwash
B) Clean teeth with a soft toothbrush
C) Avoid use of a Waterpik
D) Inspect the mouth weekly for ulcerations
Q2) A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis for severe abdominal pain. The nurse recognizes that the type of crisis the child is most likely experiencing is:
A) Aplastic
B) Hyperhemolytic
C) Vaso-occlusive
D) Splenic sequestration
Q3) The most recent blood count for a child who received chemotherapy last week shows neutropenia. The priority nursing diagnosis for this child is:
A) Risk for infection
B) Risk for hemorrhage
C) Altered skin integrity
D) Disturbance in body image
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Chapter 27: The Child With a Gastrointestinal Condition
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Sample Questions
Q1) The nurse explains that the treatment of choice for a child with intussusception is:
A) A barium enema
B) Immediate surgery
C) IV fluids until the spasms subside
D) Gastric lavage
Q2) The finding in a newborn assessment suggestive of tracheoesophageal fistula is:
A) Failure to pass meconium in 24 hours
B) Choking on the first feeding
C) Palpable mass in the sternal area
D) Visible peristalsis across abdomen
Q3) The nurse interviewing parents of an infant with pyloric stenosis would expect the parents to report the infant has had:
A) Diarrhea
B) Projectile vomiting
C) Poor appetite
D) Constipation
Q4) The nurse, assessing an elevated erythrocyte sedimentation rate (ESR) for a baby with gastroenteritis, recognizes that this confirms the ____________________ process that is part of this disease.
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Chapter 28: The Child With a Genitourinary Condition
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Sample Questions
Q1) The 6-year-old scheduled for an orchiopexy shyly asks the nurse, "What are they going to do to me 'down there'?" The nurse's best response would be:
A) "They are going to fix you up 'down there'"
B) "They will move your testicle from your abdomen to your scrotum."
C) "What do you think your doctor is going to do?"
D) "You shouldn't worry. Your doctor knows exactly what to do."
Q2) The physical assessment that the nurse would omit in caring for a 2-year-old who has a Wilms' tumor is:
A) Performing ROM on lower extremities
B) Palpating the abdomen
C) Assessing for bowel sounds
D) Percussing ankle and knee reflexes
Q3) 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 ____________________.
Q4) The nurse uses a diagram to show how the ____________________, the working unit of the kidney, filters and regulates fluids.
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Chapter 29: The Child With a Skin Condition
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Sample Questions
Q1) The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old because the infant's skin, compared to the adult's, has:
A) Less perfusion
B) Greater moisture
C) More perspiration
D) Greater absorption
Q2) A mother is concerned about what might have caused a heat rash on her infant. The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla. The nurse explains the cause of this rash is most likely:
A) Sun exposure
B) Allergic reaction
C) Infection
D) Heat and moisture
Q3) The nurse assesses a major burn as:
A) Partial-thickness burn involving 25% of the body surface
B) Partial-thickness burn involving 12% of the body surface
C) Full-thickness burn involving 20% of the body surface
D) Full-thickness burn involving 5% of the body surface
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Chapter 30: The Child With a Metabolic Condition
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Sample Questions
Q1) The home health nurse monitoring an 8-month-old hypothyroid child taking Synthroid, recognizes signs of overdose when the assessment reveals: Select all that apply.
A) Tachycardia
B) Irritability
C) Vomiting
D) Weight loss
E) Diaphoresis
Q2) The condition the nurse suspects when a child with type 1 diabetes mellitus has hyperglycemia, diaphoresis, and headaches in the morning is:
A) Dawn phenomenon
B) Somogyi phenomenon
C) Honeymoon effect
D) Ketoacidosis
Q3) The nurse explains that because of an inadequate secretion of insulin:
A) Protein synthesis is increased.
B) Increased fat breakdown leads to ketonemia.
C) Serum glucose levels are markedly decreased.
D) More rapid conversion and storage of carbohydrates to glucose occurs.
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Page 32
Chapter 31: The Child With a Communicable Disease
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Q1) The nurse uses a diagram showing how the wood tick acts as a ____________________ in the transmission of Lyme disease.
Q2) The nurse would choose to administer the immunization injection of:
A) DTaP subcutaneously
B) Hib vaccine prepared in a separate syringe
C) Varicella intramuscularly
D) Varicella 1 week after the MMR vaccine
Q3) The nurse explains ____________________ test determines the child's susceptibility to tuberculosis.
Q4) The nurse takes into consideration that the child most susceptible to an opportunistic infection is the one taking:
A) Anticonvulsants
B) A beta-adrenergic agent
C) An antibiotic
D) Corticosteroids
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 32: The Child With an Emotional or Behavioral Condition
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Sample Questions
Q1) As the pediatric nurse listens to a 9-year-old child read to his 6-year-old roommate, the nurse assesses possible dyslexia when the child:
A) Becomes hyperactive and ceases to read
B) Reads the word GOD as DOG
C) Makes up a story rather than reading the text
D) Stutters as he reads
Q2) When the nurse is collecting a nursing history, an adolescent states that she has tried speed. The nurse recognizes this as the street name for:
A) Barbiturates
B) Cocaine
C) Methamphetamine
D) Marijuana
Q3) A 9-year-old has been admitted to the hospital after "huffing" lighter fluid. The nurse should assess for:
A) Depressed respirations
B) Severe vomiting
C) Frightening hallucinations
D) Elevation of temperature
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Chapter 33: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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Sample Questions
Q1) The nurse points out that in the CAM technique of light, healing is used in the treatment of persons with:
A) Digestive disorders
B) Seasonal affective disorders
C) Inflammatory diseases
D) Stress disorders
E) Liver diseases
Q2) The nurse would caution parents that massage should NOT be considered as an alternative therapy for a child with:
A) Fractured femur
B) Diabetes mellitus
C) Down syndrome
D) Eating disorder
Q3) A parent asks the nurse, "What is guided imagery?" The nurse explains:
A) It is a technique where the patient focuses on an image to relieve stress.
B) It involves using water to promote relaxation.
C) The patient enters a hypnotic state of sleep to promote relaxation.
D) It helps the patient recognize tension in the muscles with responses on an electronic machine.
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