Maternity Nursing Final Exam
Course Introduction
Maternity Nursing focuses on the comprehensive care of women during pregnancy, childbirth, and the postpartum period, as well as the care of newborns. This course explores the physiological, psychological, and social changes experienced by women and families throughout the childbearing process. Students will learn about prenatal assessment, labor and delivery management, postpartum care, newborn assessment, and breastfeeding support. Emphasis is placed on evidence-based practices, patient education, cultural sensitivity, and the promotion of maternal and infant health. The course also addresses potential complications and the nurses role in supporting families during both routine and high-risk situations.
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 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
Q2) 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
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) Maturation of the ovarian follicle is initiated by which of the following hormones?
A) Estrogen
B) Follicle-stimulating hormone
C) Progesterone
D) Luteinizing hormone
Answer: B
Q2) A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. An important point to teach her is that:
A) Milk is produced in ducts and lobules regardless of breast size.
B) Supplementing breastfeeding with formula allows the infant to receive adequate nutrition.
C) Breast size can be increased with exercise.
D) Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk.
Answer: A
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Chapter 3: Prenatal Development
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When the client asks when her baby's heart will begin to pump blood, the nurse replies that blood circulation begins at the:
A) End of week 4
B) Beginning of week 8
C) End of week 16
D) Beginning of week 24
Answer: A
Q2) The nurse explains that prior to fertilization each cell is reduced from 46 chromosomes to 23 chromosomes. This is referred to as the ____________________ number.
Answer: haploid
Explanation: When each cell reduces its chromosomes from 46 to 23 is called the haploid number.
Q3) In fetal circulation, the purpose of the ductus venosus is to bypass the:
A) Liver
B) Heart
C) Lungs
D) Kidneys
Answer: A
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Page 5
Chapter 4: Prenatal Care and Adaptations to Pregnancy
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as ____________________.
Q2) In a routine prenatal visit the nurse examines a client who is 37 weeks pregnant and notices that the fetal heart rate has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy. The nurse should:
A) Ask if the client has taken a sedative
B) Notify the physician
C) Turn the client to her right side
D) Record rate as a normal finding
Q3) The nurse cautions the patient that because of hormonal changes in late pregnancy, the pelvic joints relax, which can result in: Select all that apply.
A) Waddling gait
B) Joint instability
C) Urinary frequency
D) Back pain
E) Aching in cervical spine
Q4) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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Chapter 5: Nursing Care of Women With Complications
During Pregnancy
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, "Will I be able to deliver vaginally?" The nurse should explain:
A) "Yes, you can deliver vaginally until 36 weeks."
B) "A vaginal delivery can be attempted, but if bleeding occurs, a cesarean section is done."
C) "A cesarean section is performed when the mother has a total placenta previa."
D) "There is no reason why you cannot have a vaginal delivery."
Q2) 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
Q3) The nurse cautions that the consumption of as few as ________ alcoholic drink(s) during pregnancy can lead to the loss of fetal brain cells.
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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) The nurse explains that the "four P's" of the birth process are
Q2) To relieve perineal bruising and edema following delivery the nurse should:
A) Place an ice pack on the area for 12 hours
B) Place a warm pack on the perineal area for 24 hours
C) Administer aspirin to relieve inflammation
D) Change the perineal pad frequently
Q3) One hour postdelivery the nurse notes the new mother has saturated three perineal pads. The nurse should:
A) Check the fundus for position and firmness
B) Report to the doctor immediately
C) Change the pads and chart the time
D) Time how long it takes to soak one pad
Q4) The nurse explains that the third stage of labor ends with:
A) Full cervical dilation
B) Expulsion of the placenta and membranes
C) Birth of the baby
D) Engagement of the head
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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) A woman who is 6 cm dilated has the urge to push. The nurse would instruct the woman to:
A) Use slow-paced breathing during the contraction
B) Hold her breath and push during the contraction
C) Blow in short breaths during the contraction
D) Use rapid-paced breathing during the contraction
Q2) The nurse explains that the Dick-Read method of childbirth preparation is based on:
A) Mild sedation throughout labor
B) Relaxation techniques
C) Slow abdominal breathing
D) Deep massage
Q3) Several hours into labor, a woman complains of blurred vision, numbness, and tingling of her hands and mouth. The nurse recognizes these as symptoms of:
A) Hypertension
B) Anxiety
C) Anoxia
D) Hyperventilation
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Page 9
Chapter 8: Nursing Care of Women With Complications
During Labor and Birth
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/30425
Sample Questions
Q1) When a hypotonic labor dysfunction occurs in a patient who is dilated to 5 cm with membranes intact, the nurse informs the patient that the physician most likely will:
A) Perform an amniotomy
B) Initiate tocolytic drugs
C) Order a sedative for the patient
D) Plan to do an emergency cesarean section
Q2) After several hours of labor, a nursing assessment reveals that a woman's cervix is 5 cm dilated but contractions are becoming shorter and less frequent. The nurse knows that this labor pattern is described as:
A) Normal
B) Hypotonic
C) Hypertonic
D) False
Q3) 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 ____________________.
Q4) The nurse explains to a client that a minimum score of ____________________ on the Bishop scale is predictive of successful labor induction.
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) The hormone responsible for milk "let-down" or ejection from the breasts is ____________________.
Q2) The nurse assesses a 6-inch stain of rubra lochia on a pad that was worn for 2 hours. The nurse would document this as a ____________________ amount of lochia.
Q3) The hormone responsible for milk production is ____________________.
Q4) 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
Q5) 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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Chapter 10: Nursing Care of Women With Complications
Following Birth
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/30427
Sample Questions
Q1) 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."
Q2) If massage and putting the baby to breast is not effective in controlling a boggy uterus, the nurse explains that the physician may order:
A) Ritodrine
B) Magnesium sulfate
C) Pitocin
D) Parlodel
Q3) The nurse's first action when postpartum hemorrhage from uterine atony is suspected is to:
A) Teach the patient how to massage the abdomen and then get help
B) Start IV fluids to prevent hypovolemia, then notify the registered nurse
C) Begin massaging the fundus while another person notifies the physician
D) Ask the patient to void and reassess fundal tone and location
Page 12
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Chapter 11: The Nurses Role in Womens Health Care
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/30428
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 25-year-old woman has a family history of breast cancer. The nurse reviews the procedure for breast self-examination and tells her that the best time for a woman to perform a breast self-examination is:
A) A few days before her period
B) During her menstrual period
C) On the last day of menstrual flow
D) One week after the beginning of her period
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 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse is caring for a newborn that is being breastfed. The nurse would expect the stool color to be:
A) Yellow
B) Brown
C) Greenish brown
D) Black and tarry
Q2) A full-term newborn weighs 3600 grams at birth. When he is weighed 3 days later, the nurse would expect this newborn to weigh:
A) 2900 grams
B) 3100 grams
C) 3300 grams
D) 3800 grams
Q3) A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. The neonatal reflex that the nurse would teach the mother to elicit, in order to facilitate breastfeeding, is:
A) Sucking
B) Rooting
C) Grasp
D) Tonic neck
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Page 14
Chapter 13: Preterm and Postterm Newborns
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse carefully assesses the preterm infant for respiratory distress syndrome because of a deficiency of:
A) Protein
B) Estrogen
C) Hyaline
D) Surfactant
Q2) The nurse caring for an infant born at 43 weeks of gestation assesses tremors and a weak cry. The nurse is aware that these are symptoms of:
A) Respiratory distress syndrome
B) Hypoglycemia
C) Necrotizing enterocolitis
D) Renal failure
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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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) 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 baby and is pregnant with an Rh-positive baby
C) Has had an O-negative child and is pregnant with a B-negative child
D) Is a primipara with an O-negative child
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) The statement that indicates parents understand how to feed their infant who had surgical repair of a cleft lip is:
A) "We are feeding the baby with a dropper for two weeks."
B) "We resumed bottle feeding after discharge."
C) "We started the baby on solid food yesterday."
D) "The baby is drinking well from a straw."
Q4) After feeding a baby with hydrocephalus, the nurse will take special care to:
A) Sit the baby upright in an infant seat
B) Place the baby over the shoulder to "burp"
C) Leave the baby in a side-lying position
D) Stimulate the baby by rubbing its feet
Page 16
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Chapter 15: An Overview of Growth, Development, and Nutrition
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) When the nurse asks the 10-year-old American Indian if he is ready to go to therapy, he does not answer immediately. The nurse assesses this as:
A) Indecision
B) Considering the answer in silence
C) Shyness with strangers
D) Fear of medical personnel
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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 explains that a baby's prehensile development is progressive and logical. Arrange the development in the order from the simplest to the most complex.
A) Hands held open most of the time
B) Grasps with thumb on one side and three fingers on the other
C) Picks up toy with squeeze action
D) Thumb and forefinger hold object
E) Hands held closed most of the time
Q2) The nurse is aware that the 7-month-old can signal feeding readiness by: Select all that apply.
A) Pulling spoon toward mouth
B) Biting at spoon with upper and lower incisors
C) Pointing to food bowl
D) Bouncing up and down with excitement at sight of food
E) Manipulating finger foods
Q3) 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).
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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 parent of a toddler tells the nurse, "My daughter's appetite has decreased. Thank goodness she loves to drink milk." The most appropriate response for the nurse to make is:
A) "Has your daughter been sick recently?"
B) "How much milk does she drink in a day?"
C) "Has she become a fussy eater, too?"
D) "Have you tried offering her finger foods?"
Q2) 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
Q3) How would the nurse advise a parent who states, "I never know how much food to feed my child"?
A) Serving sizes should not exceed 1 teaspoon of each type of food.
B) Food quantities must be carefully measured to avoid overfeeding.
C) Use 1 tablespoon of each food for each year of age as a guideline.
D) A toddler should eat three balanced meals. Snacks are not necessary.
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Page 19
Chapter 18: The Preschool Child
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse suggests measures that might be helpful for the child with enuresis, such as:
A) Apply an electric pad that gently shocks the child.
B) Wake the child several times during the night to urinate.
C) Decrease fluid intake after the evening meal.
D) Increase dietary fiber intake.
Q2) The parent of a 3 1/2 -year-old child tells the nurse, "My daughter points whenever she wants me to get something for her but she understands me when I ask her to do something." Based on the parent's comment, the nurse recognizes that:
A) The child's language development is age-appropriate.
B) The child may have expressive language delay.
C) The child has a receptive language delay.
D) The child should have her hearing tested.
Q3) The nurse understands that a fear unique to the preschool period is:
A) Fear of water
B) Fear of animals
C) Fear of bodily harm
D) Fear of death
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Chapter 19: The School-Age Child
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is aware that, in general, the school-age child will:
A) Grow 3 to 6 inches/year
B) Gain 5 to 7 pounds/year
C) Increase head circumference by 1 inch/year
D) Reach a visual acuity of 20/20 by 9 years of age
Q2) A parent states, "My 7-year-old really wants a dog. His 10-year-old brother has allergies to animal dander. I don't know what to do." The nurse could advise this parent to:
A) Choose a small breed of dog because the large dogs produce more allergens.
B) An older unneutered dog produces fewer allergens than a younger one.
C) A cat may be a good choice since it requires less care and is less allergenic.
D) Poodles do not shed, making this dog a good choice for people with allergies.
Q3) 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 ____________________.
Q4) The nurse advises the parents of a 6-year-old to try and ensure at least ____________________ hours of sleep daily.
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21
Chapter 20: The Adolescent
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse considers the "rites of passage" that are valued by the adolescent in American society, which are: Select all that apply.
A) Attaining legal drinking age
B) Selection of a career
C) Religious affiliation
D) Obtaining a driver's license
E) High school graduation
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 knows that an adolescent may find making a career choice difficult because there is less clarity in ____________________ roles.
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22
Chapter 21: The Childs Experience of Hospitalization
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse understands that no matter the reason for the young child being hospitalized, the basic fears are: Select all that apply.
A) Separation
B) Permanent scarring
C) Pain
D) Cost
E) Body intrusion
Q2) The nurse, preparing to collect an admission history from parents who have recently immigrated from Russia, would keep in mind that:
A) Eye-to-eye contact is considered disrespectful.
B) Touching the child's head means the nurse is superior.
C) Smiling is inappropriate in a serious situation.
D) Staring is a sign of the nurse's rudeness.
Q3) Which child would have the most difficulty in coping with separation from parents because of hospitalization?
A) The 3-month-old child
B) The 16-month-old child
C) The 4-year-old child
D) The 7-year-old child
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Chapter 22: Health Care Adaptations for the Child and Family
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) When the nurse starts to administer a medication to a 2-month-old child, the nurse discovers there is no ID bracelet on the child. The nurse should:
A) Give the medication after confirming the child's name from the foot of the crib.
B) Ask the charge nurse to give the medicine.
C) Confirm the identity with the charge nurse, make a new bracelet, and give the medicine.
D) Delay the medication until the admissions office can supply a new ID bracelet.
Q2) A parent tells the nurse, "I'm not sure how to give this medicine to my infant." The nurse would teach the parent to best administer an oral suspension by:
A) Pouring the medication into a small cup and allowing the infant to drink it
B) Placing the medication in a nipple and having the infant suck the nipple
C) Using an oral syringe and placing the medication in the side of the infant's mouth
D) Administering the medication with a dropper onto the back of the infant's tongue
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24
Chapter 23: The Child With a Sensory or Neurological Condition
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26 Flashcards
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Sample Questions
Q1) The nurse explains that febrile seizures:
A) Occur when the body temperature exceeds 103°F
B) Can be prevented by anticonvulsant medication
C) Usually lead to the development of epilepsy
D) Occur when the temperature rises quickly
Q2) An adolescent has just had a generalized seizure lasting 1 minute. Following the seizure, the nurse should:
A) Help the patient to sit upright
B) Turn on the side
C) Offer ice chips
D) Assist to ambulate
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.
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Page 25
Chapter 24: The Child With a Musculoskeletal Condition
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) 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
Q2) The child with Duchenne's muscular dystrophy must push on his legs and "walk up the leg" in order to rise to a standing position. The nurse recognizes this characteristic behavior as ____________________ maneuver.
Q3) 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.
Q4) The nurse reviewing the characteristics of Ewing's sarcoma would point out that with Ewing's sarcoma:
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 in toddlers and preschoolers.
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Page 26
Chapter 25: The Child With a Respiratory or Cardiovascular Disorder
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). Significant information would be to:
A) Wrap the infant snugly for rest periods.
B) Position the infant prone for sleep.
C) Sit the baby up in an infant seat.
D) Place infants on their back or side for sleep.
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) An infant is hospitalized with RSV bronchiolitis. The priority nursing diagnosis is:
A) Fatigue related to increased work of breathing
B) Ineffective breathing pattern related to airway inflammation and increased secretions
C) Risk for fluid volume deficit related to tachypnea and decreased oral intake
D) Fear/anxiety related to dyspnea and hospitalization
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Page 27
Chapter 26: The Child With a Condition of the Blood, Blood-Forming
Organs, or Lymphatic System
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28 Flashcards
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Sample Questions
Q1) The family of a child receiving chemotherapy for leukemia should be taught to focus on the child's care in regard to the need to: Select all that apply.
A) Use a support group
B) Stimulate appetite
C) Maintain adequate hydration
D) Delay immunizations
E) Report exposure to infectious diseases
F) None of the above
Q2) When the child receiving a transfusion complains of back pain and itching, the nurse's initial action would be to:
A) Notify the charge nurse
B) Disconnect IV lines immediately
C) Give Benadryl
D) Clamp off blood and keep line open with NS
Q3) The nurse shows slides of red blood cells from a child with sickle cell anemia, noting that in addition to their sickle shape, the cells contain the abnormal element of
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28
Chapter 27: The Child With a Gastrointestinal Condition
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse instructing a mother how to administer oral nystatin suspension, prescribed to treat thrush, would teach to:
A) Pour the prescribed amount into a nipple and have the infant suck the medication.
B) Squirt the prescribed dose into the back of the mouth and have the infant swallow.
C) Give the medication mixed with a small amount of juice in a bottle.
D) Use a sterile applicator to swab the medication on the oral mucosa.
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
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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) Parents are speaking with the urologist about their son's undescended testicle. The nurse determines the child's father understands the information presented when he states:
A) "An undescended testicle can reduce fertility."
B) "The testicle usually descends spontaneously during the first month of life."
C) "Surgical correction reduces the risk for testicular tumors."
D) "The optimal time to surgically correct the condition is at diagnosis."
Q3) The nurse uses a diagram to show how the ____________________, the working unit of the kidney, filters and regulates fluids.
Q4) The nurse explains that the test that measures the pressure and volume of the urine stream is called the ____________________.
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Chapter 29: The Child With a Skin Condition
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Sample Questions
Q1) When the nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet, the nurse should:
A) Report this sign immediately
B) Place a warm towel over the extremities
C) Gently sponge with cool water
D) Medicate for pain
Q2) Before the 17-year-old boy starts a protocol of Accutane for his acne, the nurse should instruct him to:
A) Get a prescription for oral contraceptives.
B) Increase the dose if his acne worsens.
C) Limit intake of chocolate, cola, and peanuts.
D) Increase exposure to sunlight.
Q3) The nurse differentiates a type of topical medication that is an oil-based emulsion to be used on dry skin as a(n) ____________________.
Q4) A 5-year-old boy is brought to the emergency department with a second-degree burn of his entire right arm and hand, anterior trunk and genital area, and front of right thigh. The nurse assesses the BSA percentage burn as ____________________.
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Chapter 30: The Child With a Metabolic Condition
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Sample Questions
Q1) What would be the most appropriate nursing response to a woman who says, "My sister had a child with Tay-Sachs disease. I want to know if I could have a child with this condition."
A) "The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease."
B) "A screening test can be done to determine if you are a carrier of the gene."
C) "The gene for Tay-Sachs disease is transmitted by the father."
D) "The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus."
Q2) The nurse explains that the diagnosis of diabetes is made when the fasting blood glucose level is ____________________ mg/dl on two separate occasions, and the history is positive for indication of the disease.
Q3) The general dietary measure the nurse will include in a teaching plan for the child with type 1 diabetes mellitus is:
A) Control intake of carbohydrates and consume fewer calories.
B) Restrict concentrated carbohydrates and eat foods high in fiber.
C) Calories must come from proteins and fats.
D) Eat a diet low in fat and low in complex carbohydrates.
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Chapter 31: The Child With a Communicable Disease
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Sample Questions
Q1) The nurse uses a diagram showing how the wood tick acts as a ____________________ in the transmission of Lyme disease.
Q2) The nurse explains to the parents that their child is in the prodromal stage of varicella. This means that the child:
A) Is now immune to varicella
B) Has varicella, but has not yet broken out
C) Is infected with varicella, but is not contagious
D) Does not have varicella, but has been exposed to it
Q3) 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
Q4) 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 ____________________.
Q5) The nurse explains ____________________ test determines the child's susceptibility to tuberculosis.
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Chapter 32: The Child With an Emotional or Behavioral Condition
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Sample Questions
Q1) A nurse planning to speak with a parent support group about childhood autism would include the information:
A) Significant signs of the disorder manifest by 1 year of age.
B) The earliest signs of autism are impulsivity and overactivity.
C) Autism is usually diagnosed when the child goes to elementary school.
D) Medications can cure childhood autism.
Q2) The statement made by a parent of an adolescent with anorexia nervosa indicating an understanding of this condition is:
A) "There really isn't anything to worry about. Don't they say you can never be too thin?"
B) "My daughter just doesn't have much of an appetite."
C) "She is just trying to punish me for divorcing her father."
D) "She seems to see herself as fat, even though her weight is below normal."
Q3) 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
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Chapter 33: Complementary and Alternative Therapies in Maternity
and Pediatric Nursing
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Q1) While taking care of a Navajo child, the nurse welcomes their folk healer, called a
Q2) The nurse caring for a patient takeing warfaren would report to the physician that the patient has disclosed that he also takes the herbal remedy of:
A) Angelica ( dong quai)
B) Chamomile
C) Gensing
D) Kava-kava
Q3) A pregnant woman wishes to use aromatherapy during her labor and delivery. The nurse would recommend the esentail oil of:
A) Juniper
B) Wintergreen
C) Thyme
D) Citrus
Q4) 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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