Maternal-Child Nursing Midterm Exam
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 evidence-based practices in assessing, planning, implementing, and evaluating nursing interventions to support the physical and emotional well-being of mothers and children. Topics include prenatal and postnatal care, complications during pregnancy and labor, family-centered care, growth and development milestones, pediatric illnesses, and effective communication strategies with families. Students will develop critical thinking and clinical skills necessary to provide safe, compassionate, and holistic care to diverse maternal-child populations.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 6th Edition by Leifer
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34 Chapters
1021 Verified Questions
1021 Flashcards
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Page 2
Chapter 1: The Past, Present, and Future
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Sample Questions
Q1) One of the major advantages to the application of critical thinking is that it results in:
A) problem-free care.
B) limited approaches to care.
C) less need for assessment.
D) problem prevention.
Answer: D
Q2) What services does the nurse know that birthing centers are able to provide? Select all that apply.
A) Prenatal care
B) Labor and delivery services
C) Classes for new mothers
D) Adoption referrals
E) Family planning
Answer: A,B,C,E
Q3) 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.
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Chapter 2: Human Reproductive Anatomy and Physiology
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32 Verified Questions
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Sample Questions
Q1) The nurse explains that the fallopian tubes have which function(s)? Select all that apply.
A) Passage for sperm to meet ova
B) Passage for ovum to uterus
C) Safe environment for zygote
D) Restriction for only one ovum to enter uterus
E) Site for fertilization
Answer: A,B,C,E
Q2) The nurse conducting a sex education class for junior high students describes some cultural rites celebrating the entry to adulthood.Which would be included? Select all that apply.
A) Bar mitzvah
B) Displays of bravery
C) Receiving part of their inheritance
D) Ritual circumcision
E) Displays of self-defense
Answer: A,B,D,E
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Chapter 3: Fetal Development
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Sample Questions
Q1) At what point in prenatal development do the lungs begin to produce surfactant?
A) 17 weeks
B) 20 weeks
C) 25 weeks
D) 30 weeks
Answer: C
Q2) The nurse explains that the hormone responsible for converting the endometrium into decidual cells for implantation is:
A) estrogen.
B) human chorionic gonadotropin.
C) human placental lactogen.
D) progesterone.
Answer: D
Q3) The embryonic membrane that contains fingerlike projections on its surface,which attach to the uterine wall,is the:
A) amnion.
B) yolk sac.
C) chorion.
D) decidua basalis.
Answer: C
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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Sample Questions
Q1) A woman pregnant for the first time asks the nurse,"When will I begin to feel the baby move?" The nurse would answer :
A) "You may notice the baby moving around the 4th to 5th month. "
B) "Quickening varies with every woman. "
C) "You'll feel something by the end of the first trimester. "
D) "The baby will be big enough for you to feel in your 8th month. "
Q2) The nurse cautions the patient that,because of hormonal changes in late pregnancy,the pelvic joints relax.What does this result in? Select all that apply.
A) Waddling gait
B) Joint instability
C) Urinary frequency
D) Back pain
E) Aching in cervical spine
Q3) A woman tells the nurse that she is quite sure she is pregnant.The nurse recognizes which as a positive sign of pregnancy?
A) Amenorrhea
B) Uterine enlargement
C) HCG detected in the urine
D) Fetal heartbeat
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Page 6
Chapter 5: Nursing Care of Women with Complications
During Pregnancy
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Sample Questions
Q1) If the patient with gestational hypertension has all the signs below,the nurse immediately should report:
A) diarrhea.
B) urticaria.
C) blurred vision.
D) backache.
Q2) A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain.An ectopic pregnancy is confirmed by ultrasound.The statement that indicates that the woman understands the explanation of an ectopic pregnancy is:
A) "The chorionic villi develop vesicles within the uterus. "
B) "The placenta develops in the lower part of the uterus. "
C) "The fetus dies in the uterus during the first half of the pregnancy. "
D) "The embryo is implanted in the fallopian tube. "
Q3) To help prevent more placental damage,the nurse positions the prenatal patient with a placenta previa:
A) flat on her back with knees flexed to help prevent hemorrhage.
B) on her side to prevent supine hypotension.
C) in the semi-Fowler's position to prevent supine hypotension.
Page 7
D) in the knee-chest position to reduce pressure on placenta.
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Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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Sample Questions
Q1) It is determined that the presenting part of the fetus is the buttocks.At delivery the fetus's hips are flexed and the knees are extended.The nurse would record this presentation as:
A) complete breech.
B) frank breech.
C) double footling.
D) buttocks presentation.
Q2) What are the advantages of a free-standing birth center? Select all that apply.
A) Home-like setting
B) Designed for high-risk pregnancies
C) Lower costs
D) Attended by certified obstetricians
E) Immediate emergency access
Q3) When the infant is in a vertex presentation,meconium-stained amniotic fluid indicates:
A) fetal distress.
B) fetal maturity.
C) intact gastrointestinal tract.
D) dehydration in the mother.
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Chapter 7: Nursing Management of Pain During Labor and Birth
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Sample Questions
Q1) Several hours into labor,a woman complains of dizziness,numbness,and tingling of her hands and mouth.The nurse recognizes these as symptoms of:
A) hypertension.
B) anxiety.
C) anoxia.
D) hyperventilation.
Q2) When the patient who received an epidural block asks why her blood pressure is taken so often,the nurse's best response would be to explain that the frequent blood pressure assessments:
A) ensure that unsafe levels of hypertension do not occur.
B) help assess for the need for further pain relief.
C) monitor the progress of labor.
D) ensure adequate placental perfusion.
Q3) Chemical substances produced in the body that act as natural pain relievers are:
A) endorphins.
B) morphine.
C) codeine.
D) atropine.
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Chapter 8: Nursing Care of Women with Complications
During Labor and Birth
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Sample Questions
Q1) 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.The nurse should:
A) give the pain remedy.
B) notify the charge nurse immediately.
C) turn patient to her back and flex her knees.
D) suggest that the coach give her a back rub.
Q2) A(n)_______________ is a narrow cone inserted into the cervix to "ripen" the cervix to increase uterine contractions.
Q3) What is(are)the rationales for labor induction? Select all that apply.
A) Placenta previa
B) Prolapse of cord
C) High station of fetus
D) Maternal diabetes
E) Placental insufficiency
Q4) The nurse would assess an infant delivered with the use of forceps for:
A) loss of hair from contact with forceps.
B) sacral hematoma.
C) facial asymmetry.
D) shoulder dislocation.
Page 10
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Chapter 9: The Family After Birth
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Sample Questions
Q1) While instructing a new mother on formula preparations,what type(s)would the nurse include? Select all that apply.
A) Ready-to-feed formula
B) Concentrated liquid formula
C) Powdered formula
D) Cow's milk
E) Canned evaporated milk
Q2) The nurse instructed a postpartum woman about storing and freezing breast milk.The nurse determines that the teaching was effective when the woman says:
A) "I can thaw frozen breast milk in the microwave. "
B) "I'll put enough breast milk for one day in a container. "
C) "Breast milk can be stored in glass containers. "
D) "Breast milk can be kept in the refrigerator for up to 3 months. "
Q3) When a woman asks about resumption of her menstrual cycle after childbirth,the nurse responds that:
A) a woman will not ovulate in the absence of menstrual flow.
B) most nonlactating women resume menstruation about 2 months postpartum.
C) generally, a woman does not ovulate in the first few cycles after childbirth.
D) the return of menstruation is delayed when a woman does not breastfeed.
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Page 11
Chapter 10: Nursing Care of Women with Complications
After Birth
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Sample Questions
Q1) By flexing the patient's leg and dorsiflexing the foot,the nurse is:
A) assessing for edema in the lower limb.
B) performing range-of-motion exercises.
C) stimulating circulation to limbs.
D) assessing for deep vein thrombus.
Q2) Three weeks after delivering her first child,a woman tells the nurse,"I waited so long for this baby and now that she is here,I can't believe how different my life is from what I expected." The best nursing response to the woman's statement is:
A) "How is your partner adjusting to the change?"
B) "I hear this from a lot of first-time mothers. "
C) "Have you told anyone else about your feelings?"
D) "Tell me how things are different. "
Q3) A woman had a vaginal delivery two days ago and is preparing for discharge.To help prevent postpartum complications,the nurse plans to teach the woman to report any:
A) fever.
B) change in lochia from red to white.
C) contractions.
D) fatigue and irritability.
Page 12
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Chapter 11: The Nurses Role in Womens Health Care
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Sample Questions
Q1) The nurse warns that the effectiveness of oral contraceptives is decreased in women who are taking:
A) antihistamines for seasonal allergies.
B) iron preparations for treatment of anemia.
C) appetite suppressants for weight reduction.
D) anticonvulsants for treatment of epilepsy.
Q2) The nurse planning to teach a woman about perimenopause would include that lowered estrogen levels:
A) prevent osteoporosis.
B) decrease vaginal lubrication.
C) raise the level of low-density lipoproteins.
D) raise the level of high-density lipoproteins.
Q3) What are anonymous sperm donors screened for? Select all that apply.
A) Particular physical features
B) Genetic defects
C) Infections
D) High-risk behaviors
E) Nationality
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13
Chapter 12: The Term Newborn
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Sample Questions
Q1) The nurse advises the nursing mother that the immune globulin that is found in breast milk is ______________.
Q2) The nurse explains to an anxious parent that the dark areas over the sacrum of the newborn are a transitory skin discoloration called:
A) Epstein's pearls.
B) milia.
C) stork bites.
D) Mongolian spots.
Q3) The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin.The finding that needs to be reported promptly to the child's pediatrician is:
A) the hands and feet feel cooler than the rest of the body.
B) skin is peeling on several parts of the infant's body.
C) there is a small pink patch on the left eyelid and one on the neck.
D) today, the infant's skin has a yellowish tinge.
Q4) The nurse in the nursery may use CRIES,PIPP,NIPS,or NPASS as a guide to _____________ assessment.
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Chapter 13: Preterm and Postterm Newborns
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Sample Questions
Q1) The nurse explains that when a preterm delivery is anticipated,fetal lung maturity can be accelerated before delivery by the administration of:
A) prostaglandins.
B) oxytocin.
C) magnesium sulfate.
D) corticosteroids.
Q2) The nurse caring for a preterm infant in an incubator will record the temperature of the infant and the incubator every:
A) hour.
B) 2 hours.
C) 4 hours.
D) 8 hours.
Q3) The nurse clarifies that a preterm infant born at 34 weeks of gestation is placed in an incubator because:
A) the infant has a small body surface-to-weight ratio.
B) heat increases the flow of oxygen to the extremities.
C) the infant's temperature control mechanism is immature.
D) heat within the incubator facilitates drainage of mucus.
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15
Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation
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Sample Questions
Q1) The nurse is caring for a macrosomic newborn whose mother has diabetes.The nurse would assess the neonate for:
A) hypoglycemia.
B) erythroblastosis fetalis.
C) intracranial hemorrhage.
D) pancreatic failure.
Q2) The nurse explains that the Rh-negative mother who should receive RhoGAM is the mother who:
A) has had one Rh-negative child and is pregnant with an Rh-negative child.
B) had an Rh-positive infant and is pregnant with an Rh-positive fetus.
C) has had an O-negative child and is pregnant with a B-negative child.
D) is a primipara with an O-negative child.
Q3) The nurse clarifies to the parents of a child with spina bifida that their child has a portion of the spinal cord in the sac in addition to the meninges.This type of spina bifida is known as a(n)____________________.
Q4) The nurse demonstrates how to flush the ventriculoperitoneal shunt by the use of the ____________________ that is in place behind the infant's ear.
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Chapter 15: An Overview of Growth, Development, and Nutrition
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Sample Questions
Q1) The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime.The nurse recognizes that being able to self feed is important to the toddler in developing:
A) good nutrition.
B) a sense of independence.
C) adequate height and weight.
D) healthy teeth.
Q2) To entertain a 5-year-old child,the nurse would suggest the developmentally appropriate choice of a:
A) Jack-in-the-box.
B) book of nursery rhymes.
C) model airport with toy planes.
D) model car construction kit.
Q3) An assessment of a child's nutritional status reveals the child is alert,with shiny hair,firm gums,firm mucous membranes,and regular elimination.This child's nutritional status would be described as:
A) overnourished.
B) undernourished.
C) well nourished.
D) borderline.
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Chapter 16: The Infant
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Sample Questions
Q1) The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal.This behavior is evidence that the infant has developed:
A) the pincer grasp.
B) a grasp reflex.
C) prehension ability.
D) the parachute reflex.
Q2) The nurse would advise a mother who is concerned because her 10-month-old is lethargic to:
A) keep the infant's room well lit.
B) rub the infant's soles vigorously.
C) offer the infant a pacifier.
D) handle the infant slowly and gently.
Q3) The nurse is aware that the earliest age at which the infant should be able to walk independently is _____ months.
A) 8 to 10
B) 12 to 15
C) 15 to 18
D) 18 to 21
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18
Chapter 17: The Toddler
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Sample Questions
Q1) The nurse explains to frustrated parents that toddlers will test their own power with:
A) negativism.
B) dawdling.
C) tantrums.
D) food fads.
Q2) When selecting a potty chair the parents are encouraged to select one that has which characteristic(s)? Select all that apply.
A) Small enough for the child's feet to touch floor
B) Sturdy and stable
C) Supportive of child's back and arms
D) Made of plastic or fiberglass
E) Capable of being taken apart easily
Q3) The nurse considers the appropriate snack for a 2-year-old child to be:
A) hot dog sections.
B) grapes.
C) popcorn.
D) applesauce.
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Chapter 18: The Preschool Child
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Sample Questions
Q1) The nurse's best advice to a parent about a preschooler's "imaginary friend" would be that:
A) having imaginary friends is a sign that the child has a low self-esteem.
B) it is common for preschoolers to have imaginary friends.
C) the preschooler invents an imaginary friend when he feels overwhelmed.
D) the best approach to dealing with an imaginary friend is to ignore them.
Q2) When planning an activity for a 3-year-old,the nurse bases the plan on the average attention span of _____ minutes.
Q3) Play that is designed to retrain muscles or improve eye-hand coordination is considered ____________________ play.
Q4) The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.The nurse would base a response on the knowledge that:
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.
Q5) ____________ is a preschooler's idea that the world and all of its contents are created by people.
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Chapter 19: The School-Age Child
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Sample Questions
Q1) The nurse reminds the parents who are trying to select a dog for their allergic child that the best selection would be a female dog that is ______________ and _______________.
Q2) The parents of an 8-year-old tell the nurse the child wakes the household crying out during his frequent nightmares.The nurse's most helpful response is to explain that nightmares are a(n):
A) normal extension of the child's fear of mutilation.
B) abnormal response to repressed feelings.
C) common result of latent sexuality.
D) side effect of overactivity and stimulation.
Q3) A seventh-grade girl tells the school nurse that her art teacher,a woman,is her hero.The most appropriate interpretation of the girl's comment is:
A) the student may be exploring her career options.
B) the comment is cause for concern about sexual abuse.
C) the child may have difficulty interacting with her peers.
D) hero worship is a normal phenomenon.
Q4) When the fifth-grade class collected geckos in a special aquarium in the classroom,the school nurse cautioned the teacher to be alert for symptoms of ____________________ that can be carried by the reptiles.
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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;this program should be directed to girls of the age of _____ years.
A) 16
B) 14
C) 12
D) 10
Q2) The nurse points out that prior to a big exam,what is the best breakfast to provide high levels of alertness and increased memory? Select all that apply.
A) Pancakes and syrup
B) Coffee and chocolate-covered donuts
C) Bacon and fried eggs
D) Whole grain cereal and yogurt
E) Oatmeal and sliced apples
Q3) The nurse knows that an adolescent may find making a career choice difficult because there is less clarity in ______________ roles.
Q4) The nurse stresses the need for using a sunscreen with a Sun Protection Factor (SPF)of at least _____.
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Chapter 21: The Childs Experience of Hospitalization
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Q1) When a 2-year-old returns to her hospital room following a diagnostic procedure,her parents are not available,and the child is crying loudly.The technique that is most appropriate to alleviate the child's distress is to:
A) rock the child gently to sleep.
B) play with the child using pop-up toys.
C) role play with the child to act out her feelings.
D) ask the child to draw a picture about her feelings.
Q2) The parents of a hospitalized toddler are upset because she seems more interested in her toys when they come to visit her.The toddler is most likely in which stage of separation anxiety?
A) Protest
B) Despair
C) Denial
D) Attachment
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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Q1) The restraint that is most appropriate for the insertion of an intravenous line in a scalp vein of an infant is the:
A) mummy.
B) clove hitch.
C) jacket.
D) elbow.
Q2) 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.
Q3) The intervention that would be correct when a nurse is administering a gastrostomy feeding by gravity is to:
A) discard the residual and increase the volume of feeding by the amount of residual.
B) flush the gastrostomy tube with 2 to 4 ounces of water before the feeding.
C) refill the syringe with formula after it has completely emptied.
D) position the child on the right side after a feeding.
Q4) The physician has ordered phenytoin syrup 20 mg PO bid for a child who weighs 15 pounds.The PDR states that 10 mg/kg/day is the maximum daily dose.The safe daily dose of this medication is _____ mg.
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Chapter 23: The Child with a Sensory or Neurological Condition
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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 sign that suggests possible damage to the cortex of the brain is ____________ posturing.
Q3) A child is brought to the emergency department after he fell and hit his head on the ground.The nursing assessment that suggests the child has a concussion is:
A) sleepy but easily arousable.
B) complaining of a stiff neck.
C) cannot remember what happened to him.
D) pupils react sluggishly to light.
Q4) The nurse records the finding of ______________ _____________ when the child with meningitis cries out in pain when his head is flexed toward his chest.
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Chapter 24: The Child with a Musculoskeletal Condition
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Sample Questions
Q1) On entering the room of a child in Buck's traction the nurse makes all of the following observations.The observation that requires nursing intervention is the:
A) child's heels are placed firmly against the foot of the bed.
B) head of bed is elevated 20 degrees.
C) weights are hanging freely.
D) ropes are on pulleys.
Q2) The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.
Q3) The nurse caring for a child with Duchenne's muscular dystrophy notes a characteristic manifestation,which is that the child:
A) ambulates by holding onto furniture.
B) exhibits atrophy of the calf muscles.
C) falls frequently and is clumsy.
D) has delayed fine-motor development.
Q4) The nurse reviewing the characteristics of Ewing's sarcoma would point out that:
A) amputation is the accepted treatment.
B) the disease is sensitive to radiation and chemotherapy.
C) metastasis is rare.
D) the disease is more prevalent among toddlers and preschoolers.
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Chapter 25: The Child with a Respiratory Disorder
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Sample Questions
Q1) 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.
Q2) The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely.The nurse recognizes these symptoms as:
A) severe asthma attack.
B) allergic response to theophylline.
C) onset of bronchitis.
D) drug toxicity.
Q3) The nurse explains to the parent of a child with exercise-induced asthma that Cromolyn,an antiinflammatory drug,should be inhaled:
A) before exercise to prevent attacks.
B) at the initial onset of the attack.
C) during the attack to relieve symptoms.
D) as often as 4 times a day.
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Chapter 26: The Child with a Cardiovascular Disorder
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Sample Questions
Q1) The nurse explains that a ventricular septal defect will allow:
A) blood to shunt left to right, causing increased pulmonary flow and no cyanosis.
B) blood to shunt right to left, causing decreased pulmonary flow and cyanosis.
C) no shunting because of high pressure in the left ventricle.
D) increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume.
Q2) The nurse clarifies to the parents of a 4-year-old child recovering from rheumatic fever that the child will need to receive monthly injections of penicillin G for a minimum of _____ year(s).
A) 1
B) 2
C) 5
D) 10
Q3) The nurse is aware that the characteristics of high-density lipoproteins (HDLs)are that they:
A) have high amounts of triglycerides.
B) have only small amounts of protein.
C) have little cholesterol.
D) aid in steroid production.
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Page 28
Chapter 27: The Child with a Condition of the Blood,
Blood-Forming Organs, or
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Q1) The nurse shows slides of red blood cells from a child with sickle cell disease,noting that in addition to their sickle shape,the cells contain the abnormal element of ______________ _____.
Q2) A child has just been diagnosed with acute lymphoblastic leukemia.The nurse is aware that the result of an overproduction of immature white blood cells in the bone marrow is:
A) decreased T-cell production.
B) decreased hemoglobin.
C) increased blood clotting.
D) increased susceptibility to infection.
Q3) When dealing with a preschool-age child with a life-threatening illness,the nurse should remember that at this age the child's concept of death includes:
A) that it is final.
B) only a fear of separation from her parents.
C) that a person becomes alive again soon after death.
D) an understanding based on simple logic.
Q4) The nurse confirms that sickle cell trait can be distinguished from sickle cell disease by a lab test called ________________.
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Chapter 28: The Child with a Gastrointestinal Condition
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Q1) On the second day of hospitalization for a 3-month-old brought in for treatment for gastroenteritis,the nurse makes all of the assessments listed below.Which assessment finding indicates ineffectiveness of treatment?
A) Weight loss of 4 ounces
B) Dry mucous membranes
C) Decreased skin turgor
D) Depressed fontanelle
Q2) One reason that infants are more vulnerable to fluid and electrolyte imbalances than adults is that:
A) they have a smaller surface area than adults in proportion to body weight.
B) water needs and losses per kilogram are lower than those for adults.
C) a greater percentage of body water in infants is extracellular.
D) infants have a lower metabolic turnover of water.
Q3) The nurse interviewing parents of an infant with pyloric stenosis would expect the parents to report if the infant has had:
A) diarrhea.
B) projectile vomiting.
C) poor appetite.
D) constipation.
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Chapter 29: The Child with a Genitourinary Condition
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Q1) When diuresis has not occurred after a month on corticosteroids,the nurse explains to the parents of a child with nephrotic syndrome that diuresis can be brought about by a protocol of:
A) ibuprofen, an antiinflammatory agent.
B) furosemide (Lasix), a diuretic.
C) ciprofloxacin (Cipro), an antibiotic.
D) cyclophosphamide (Cytoxan), an antisuppressant.
Q2) Because of the hyperkalemia associated with acute glomerulonephritis,the nurse recommends that the child avoid foods such as:
A) dairy products.
B) whole-grain cereals.
C) organ meats.
D) bananas.
Q3) A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed.An appropriate nursing intervention for this child would be:
A) providing activities for the child on restricted activity.
B) feeding the child a protein-restricted diet.
C) carefully handling edematous extremities.
D) observing the child for evidence of hypotension.
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Chapter 30: The Child with a Skin Condition
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Q1) At a 2-month well-child visit,parents ask the nurse about the red area on the infant's neck.They tell the nurse that the mark appeared a few weeks after birth.The nurse recognizes this skin lesion as:
A) a port wine nevus.
B) a strawberry nevus.
C) exanthem.
D) intertrigo.
Q2) The best first action to take when a child sustains a second-degree deep thermal burn to the hand is to:
A) immerse the burned area in cold water.
B) apply ice to the burned area.
C) break any blisters that are present.
D) apply petroleum jelly to the burned skin.
Q3) The statement made by a parent indicating the need for further teaching about strategies to control itching for the infant with eczema is:
A) "Wool is the best fabric for the infant's clothing. "
B) "I should avoid laundry detergents with fragrances. "
C) "I put cotton gloves on the infant's hands. "
D) "The infant's fingernails are kept short. "
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Chapter 31: The Child with a Metabolic Condition
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Q1) The laboratory result indicating good metabolic control for a child with type 1 diabetes mellitus is:
A) glycosylated hemoglobin value of 8%.
B) fasting blood glucose level less than 140 mg/dL.
C) glucose tolerance test result of 190 mg/dL.
D) no glucose or ketones present in the urine.
Q2) A mother reports that her 4-month-old infant is lethargic,sleeps 18 hours a day,and snores.The nurse recognizes that these signs are characteristic of:
A) hypothyroidism.
B) hyperthyroidism.
C) type 1 diabetes mellitus.
D) Tay-Sachs disease.
Q3) The nurse instructs the 11-year-old diabetic child to use the side of the finger for blood testing because the side of the finger:
A) has fewer capillaries.
B) is easier to puncture.
C) is less likely to become infected.
D) has fewer nerve endings.
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Chapter 32: The Child with a Communicable Disease
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Q1) The nurse takes into consideration that the child most susceptible to an opportunistic infection is the one taking a(n):
A) anticonvulsant.
B) beta-adrenergic agent.
C) antibiotic.
D) corticosteroid.
Q2) The priority nursing diagnosis for a hospitalized infant who is HIV positive would be: A) risk for injury.
B) altered nutrition.
C) impaired skin integrity.
D) risk for infection.
Q3) The nurse would document a rash that has erythematous circular raised lesions as: A) macular.
B) papular.
C) vesicular.
D) pustular.
Q4) The nurse explains that the ______________ test determines the child's susceptibility to tuberculosis.
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Chapter 33: The Child with an Emotional or Behavioral Condition
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Q1) When a parent asks the nurse to describe what is meant by a "learning disability," the nurse's most helpful response would be:
A) "A child may have difficulty with perception, language, comprehension, or memory. "
B) "It is characterized by inattention, impulsiveness, and hyperactivity. "
C) "The child's intellectual ability limits his learning. "
D) "The child has difficulty learning because of brain damage. "
Q2) The nurse states that the members of a mental health team for child guidance include which member(s)? Select all that apply.
A) Psychiatrist
B) Pediatrician
C) Psychologist
D) Dietitian
E) Social worker
Q3) The nurse reminds concerned parents that gateway substance is defined as a:
A) recreational drug used occasionally.
B) nonaddictive drug used daily.
C) drug used to wean from stronger drugs.
D) substance that can lead to use of stronger drugs.
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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Q1) A 12-year-old with rheumatoid arthritis finds aromatherapy helpful for relieving her joint discomfort.The essential oil useful for children with chronic pain is:
A) lavender.
B) ephedra.
C) ginseng.
D) kava-kava.
Q2) The nurse clarifies that a person who is ____________ _____________ demonstrates sensitivity and respect for different practices and philosophies.
Q3) A pregnant woman wishes to use aromatherapy during her labor and delivery.The nurse would recommend the essential oil of: A) juniper.
B) wintergreen.
C) thyme.
D) citrus.
Q4) The practice of ____________ is a process of fascia pressure and stretching.
Q5) The nurse explains that _______________ are areas of skin that are innervated by the dorsal roots of the spinal cord,which are the basis of acupressure therapy.
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