Maternity Nursing Textbook Exam Questions - 1275 Verified Questions

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Maternity Nursing

Textbook Exam Questions

Course Introduction

Maternity Nursing focuses on the care of women and their families throughout pregnancy, labor, birth, and the postpartum period. The course covers the physiological and psychological changes experienced by women during this time, assessment and management of normal and high-risk pregnancies, prenatal and postnatal care, and support for the newborn. Emphasis is placed on family-centered care, evidence-based practice, patient education, and the promotion of maternal and infant health. Students also learn about cultural, legal, and ethical considerations in maternity nursing, preparing them to provide compassionate and effective care in a variety of healthcare settings.

Recommended Textbook

Maternal and Child Nursing Care 5th Edition by Marcia L London

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57 Chapters

1275 Verified Questions

1275 Flashcards

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Chapter 1: Contemporary Maternal, Newborn, and Child Health Nursing

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) During the hospital admission process, a child's parent asks for information about family-centered care. What should the nurse explain to this parent?

A) Mother is the principal caregiver in each family.

B) Father is the leader in each home; thus, all communications should include him.

C) Family serves as the constant influence and continuing support in the child's life.

D) Child's physician is the key person in ensuring the health of a child is maintained.

Answer: C

Q2) What is the major focus of the nurse practitioner (NP)?

A) Leadership

B) Tertiary prevention

C) Physical and psychosocial clinical assessment

D) Independent care of the high-risk, pregnant client

Answer: C

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Chapter 2: Culture and the Family

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Sample Questions

Q1) The nurse is preparing to assess a client who is from a non-English-speaking culture. What should the nurse review about the client's culture before beginning the assessment? Select all that apply.

A) Touch

B) Employment

C) Personal space

D) Physical differences

E) Use of nonverbal communication

Answer: A,C,D,E

Q2) During an assessment, the nurse notices that an African American baby has a darker, slightly bluish patch about 5 by 7 cm on the buttocks and lower back. What should the nurse do?

A) Record the presence of a Mongolian spot.

B) Ask the mother about the cause of the bruise.

C) Confer with the physician about the possibility of a bleeding tendency.

D) Call the Department of Social Services (DSS) to report this sign of abuse.

Answer: A

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4

Chapter 3: Genetic and Genomic Influences in Maternal, Newborn, and Child Health

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Sample Questions

Q1) Through genetic testing a homosexual male learns of having two copies of a gene deleted in gene CCR5. What should the nurse prepare to discuss with this patient? Select all that apply.

A) Safe sexual practices

B) Reduced risk of contracting HIV

C) Increased risk of contracting HIV

D) Expectation to develop AIDS quickly

E) Delayed conversion of HIV to AIDS

Answer: A,B

Q2) A patient learns that Huntington disease has occurred in some family members. Which type of genetic anomaly should the nurse explain as causing this disorder?

A) Somatic mutation

B) Germline mutation

C) Single gene mutation

D) Trinucleotide repeat expansion

Answer: A

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Chapter 4: Reproductive Anatomy and Physiology

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Sample Questions

Q1) Which statement best indicates that the client understands the differences in the follicular and luteal phases of the ovarian cycle?

A) "My period will be every 28 days."

B) "The follicular phase is when the egg is fertilized."

C) "The follicular phase is the second half of my cycle."

D) "The first part of my period might vary in length, but not the second."

Q2) The nurse is preparing a presentation on the menstrual cycle for a group of high school students. Which statement should the nurse include in this presentation?

A) "One hormone controls the phases of the menstrual cycle."

B) "The secretory phase occurs when a woman is most fertile."

C) "Menstrual cycle phases vary in order from one woman to another."

D) "The menstrual cycle has five distinct phases that occur during the month."

Q3) A client desiring to become pregnant is concerned because the opening of her spouse's penis is below the tip. How should the nurse respond to this client?

A) "This is epispadias and it will cause infertility."

B) "This is hypospadias and it will cause infertility."

C) "This is epispadias and is not likely to impact fertility."

D) "This is hypospadias and is not likely to impact fertility."

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Chapter 5: Health Promotion for Women

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Sample Questions

Q1) A nurse provides a client with instructions regarding breast self-examination (BSE). Which client statements indicate an understanding of detecting lumps in the breast? Select all that apply.

A) "I should inspect my breasts in a circular manner."

B) "Knowing the texture and feel of my breasts is important."

C) "I should perform BSE 1 week prior to the start of my period."

D) "When I reach menopause, I will perform BSE every 2 months."

E) "I should inspect my breasts while in a supine position, with my arms at my sides."

Q2) What is the best indicator that the client is experiencing menopause?

A) Hot flashes and night sweats

B) No menses for 8 consecutive months

C) High serum follicle-stimulating hormone (FSH) with low serum estrogen

D) Diagnosis of osteoporosis 4 months ago

Q3) The nurse is presenting a session on intimate partner violence. Which statement indicates a need for further education?

A) "The 'honeymoon period' follows an episode of violence."

B) "Everyone experiences anger and hitting in a relationship."

C) "Abusers can be either husbands or boyfriends or wives or girlfriends."

D) "My daughter is not to blame for the violence in her marriage."

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Page 7

Chapter 6: Common Gynecologic Problems

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Sample Questions

Q1) A client asks about the difference between an abdominal hysterectomy and a laparoscopic-assisted vaginal hysterectomy (LAVH). What should the nurse explain to this client? Select all that apply.

A) Recovery will be quicker with an abdominal hysterectomy.

B) The results are nearly the same between the two surgical approaches.

C) An abdominal hysterectomy is indicated for uterine bleeding and small fibroids.

D) Hospitalization will be longer with a laparoscopic-assisted vaginal hysterectomy.

E) A laparoscopic-assisted vaginal hysterectomy does not have an abdominal incision.

Q2) The nurse learns that a client is being considered for a total abdominal hysterectomy. Which health problem should the nurse suspect this client is experiencing? Select all that apply.

A) Small fibroids

B) Ovarian cancer

C) Cervical cancer

D) Pelvic relaxation

E) Abnormal uterine bleeding

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Chapter 7: Conception and Fetal Development

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Sample Questions

Q1) The nurse instructs a patient about conception and fetal development. Which patient statement indicates understanding about transportation time of the zygote through the fallopian tube and into the cavity of the uterus?

A) "It will take 8 days for the egg to reach the uterus."

B) "It will take at least 3 days for the egg to reach the uterus."

C) "It will take 18 hours for the fertilized egg to implant in the uterus."

D) "It will only take 12 hours for the egg to go through the fallopian tube."

Q2) A pregnant patient asks about the differences between monozygotic and dizygotic twins. Which should the nurse include during this teaching?

A) Dizygotic twins share one placenta and one chorion.

B) Monozygotic twins are also referred to as "fraternal" twins.

C) Dizygotic twinning occurs less frequently than does monozygotic twinning.

D) Monozygotic twins originate from division of the fertilized ovum at different stages.

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9

Chapter 8: Physical and Psychologic Changes of Pregnancy

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Sample Questions

Q1) During an interview the nurse asks the partner of a woman in the second trimester of pregnancy what changes they have noticed during the pregnancy. Which answer would indicate a typical response to pregnancy?

A) "She daydreams about what kind of parent she is going to be."

B) "I have not noticed anything. I just found out she is pregnant."

C) "She has been having dreams at night about misplacing the baby."

D) "She has been more tense and anxious than usual, and she is not sleeping well."

Q2) A patient with a normal prepregnancy weight asks why she has been told to gain 25 to 35 pounds during her pregnancy, but her underweight friend was told to gain 28 to 40 pounds. What should the nurse explain as being the recommended weight gain during pregnancy?

A) More than 25 to 35 pounds for an overweight patient

B) More than 25 to 35 pounds for an underweight woman

C) 25 to 35 pounds, regardless of a patient's prepregnancy weight

D) The same for a normal-weight woman as for an overweight woman

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Page 10

Chapter 9: Antepartum Nursing Assessment

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Sample Questions

Q1) The nurse is working with a prenatal client. Which statement indicates that additional teaching about prenatal screening tests is necessary?

A) "My blood will be checked for hemoglobin level."

B) "Because I am married, I won't have the STI screening."

C) "My vagina will be cultured at 36 weeks for group B strep."

D) "I will have Rh testing, even though this is my first pregnancy."

Q2) The nurse explains to a pregnant woman that her antepartum assessment will include assessment of clinical pelvimetry. Which client response reflects understanding of the reason for this test?

A) "It will help me understand how big a baby I can have."

B) "It will be used to screen for gestational diabetes."

C) "It will be used to find out whether my baby has a chromosomal abnormality."

D) "It will help tell whether my pelvis is big enough to deliver my baby vaginally."

Q3) Which phone call should the prenatal clinic nurse return first?

A) Primipara at 32 weeks, reports headache and blurred vision

B) Primipara at 16 weeks, reports increased urinary frequency

C) Multipara at 18 weeks, reports no fetal movement this pregnancy

D) Multipara at 40 weeks, reports sudden gush of fluid and contractions

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11

Chapter 10: The Expectant Family: Needs and Care

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Sample Questions

Q1) The nurse is teaching a couple pregnant for the first time. Which statement made by the couple about prenatal classes indicates that additional information is necessary?

A) "Facilitate better communication between both partners."

B) "Eliminate the risk of needing a vacuum extraction or cesarean birth."

C) "Help parents cope with the discomforts and unknowns of childbirth."

D) "Encourage participants to write a list of their requests for labor and birth."

Q2) A pregnant client asks what kinds of medications cause birth defects. Which statement would best answer this question?

A) "Almost all medications will cause birth defects in the first trimester."

B) "To be safe, do not take any medication without talking to your doctor."

C) "Too much vitamin C is one of the most common issues but is avoidable."

D) "Birth defects are very rare. Do not worry; your healthcare provider will watch for problems."

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Chapter 11: Maternal Nutrition

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Sample Questions

Q1) The nurse is preparing a prenatal class about infant feeding methods to include maternal nutritional requirements for breastfeeding and formula-feeding. What statement should the nurse include?

A) "Formula-feeding mothers need a high protein intake to avoid fatigue."

B) "Producing breast milk requires calories, but any source of food is fine."

C) "Breastfeeding requires a continued high intake of protein and calcium."

D) "Formula-feeding mothers should protect their health with a lot of calcium."

Q2) Being aware that several pregnant students have been diagnosed with iron-deficiency anemia, the school nurse plans a class about nutrition for pregnant teens. What should the nurse encourage the teens to consume to increase iron absorption?

A) Milk

B) Green tea

C) Gatorade

D) Orange juice

Q3) A client who became pregnant at a weight of 60 kg and a BMI of 16 has gained 4 kg at the end of the 5th gestational month. How many more pounds of weight should the nurse counsel this client to gain to achieve the least amount of weight that an underweight person should gain while pregnant?

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Page 13

Chapter 12: Pregnancy in Selected Populations

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Sample Questions

Q1) While developing a conference for adolescents, the nurse prepares a handout describing socioeconomic and cultural factors that contribute to adolescent pregnancy. Which information should the nurse include in the handout?

A) Poverty is a major risk factor for teen pregnancy.

B) All cultures share an aversion to early pregnancy.

C) A child born to a teenage mother is at a lower risk for teen pregnancy.

D) The younger the teen when she first gets pregnant, the less likely she is to have another pregnancy in her teens.

Q2) The nurse has been asked by a community organization to give a presentation on prevention of teen pregnancy. Which statement indicates appropriate steps toward reduction of the local teen pregnancy rate?

A) Classes on how to parent will be mandatory in high school.

B) Plans are made to create a low-cost reproductive health clinic.

C) Parents will be encouraged to avoid discussing sexual activity.

D) Abstinence-only education will be offered in the school and clinics.

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14

Chapter 13: Assessment of Fetal Well-Being

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Sample Questions

Q1) A pregnant client's fundal height is 26 cm at 32 weeks' gestation. Why would the healthcare provider schedule this client for sonograms every 2 weeks?

A) Evaluate fetal growth

B) Determine fetal presentation

C) Assess for congenital anomalies

D) Rule out a suspected hydatidiform mole

Q2) During a non-stress test, the nurse notes that the fetal heart rate decelerates about 15 beats during a period of fetal movement. The decelerations occur twice during the test and last 20 seconds each. What should the nurse expect the outcome of this test will be?

A) A reactive test

B) A negative test

C) An equivocal test

D) A nonreactive test

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15

Chapter 14: Pregnancy at Risk: Pregestational Problems

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Sample Questions

Q1) A 31-year-old woman who is at high risk for diabetes is at 18 weeks' gestation. During her first antenatal visit, which is the accurate approach to evaluate the client for diabetes?

A) Conduct screening for type 2 diabetes mellitus as soon as possible.

B) Begin serial testing of the client's serum glucose and HA<sub>1c</sub> at 24 weeks' gestation.

C) If diabetes is diagnosed, consider this condition to be gestational diabetes mellitus (GDM).

D) Recognize HA<sub>1c</sub> equal to or greater than4.5% or a fasting plasma glucose level equal to or greater than 90 mg/dL as being diagnostic of diabetes.

Q2) The nurse is doing preconception counseling with a 28-year-old woman with no prior pregnancies. Which client statement indicates that teaching has been effective?

A) "A beer once a week will not damage the fetus."

B) "I can continue to drink alcohol until I am diagnosed as being pregnant."

C) "I can drink alcohol while breastfeeding since it does not pass into breast milk."

D) "I need to stop drinking alcohol completely when I start trying to get pregnant."

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16

Chapter 15: Pregnancy at Risk: Gestational Onset

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Sample Questions

Q1) A pregnant client is in a motor vehicle crash and needs surgery to repair a fractured lower leg. What special precautions will this client need during and after the surgery? Select all that apply.

A) Prepare for intubation.

B) Insert a nasogastric tube.

C) Maintain on strict bed rest.

D) Insert an indwelling urinary catheter.

E) Apply sequential compression devices (SCDs).

Q2) Which situation in the high-risk antepartal unit requires immediate intervention?

A) Fetal monitoring is being performed on a client in her third trimester who is scheduled for a cholecystectomy tomorrow.

B) A third-trimester client pregnant with twins who required an appendectomy yesterday is positioned in a supine position.

C) Oxygen is being administered at 2 L via nasal cannula to a client in her third trimester who underwent a urolithotomy today.

D) The client in her third trimester who returned from bowel resection surgery has a nasogastric tube attached to intermittent suction.

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Page 17

Chapter 16: Processes and Stages of Labor and Birth

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Sample Questions

Q1) The spouse is concerned that the client in labor will be hungry since the last time any food was eaten was several hours ago. What should the nurse explain as effects of the labor process on the client's gastrointestinal system? Select all that apply.

A) Reduced gastric motility

B) Increased gastric volume

C) Increased gastric motility

D) Reduced absorption of food

E) Prolonged gastric emptying time

Q2) A healthy 18-year-old client who is at 40 weeks' gestation experiences vaginal expulsion of stringy mucus followed by blood-tinged secretions unaccompanied by discomfort or any other changes. Based upon these findings, what is most likely to occur within the next 24 to 48 hours?

A) Onset of labor

B) Cesarean section

C) Chorioamnionitis

D) Spontaneous abortion

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Chapter 17: Intrapartum Nursing Assessment

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Sample Questions

Q1) While palpating contractions, the nurse determines that a client is in the latent phase of labor. What findings did the nurse use to make this determination? Select all that apply.

A) Contractions rated as being moderate to strong

B) Contractions rated as being mild to moderate

C) Contractions occur every 6 minutes lasting for 40 seconds

D) Contractions occur every 2 minutes lasting for 50 seconds

E) Contraction occurs every 10 minutes lasting for 30 seconds

Q2) The nurse explains to a client in labor that the fetal heart rate baseline is 150, with accelerations to 165, variable decelerations to 140, and moderate long-term variability. Which statement about the most important part of fetal heart monitoring indicates that the client understands the nurse's teaching?

A) "Presence of variability"

B) "Depth of decelerations"

C) "Fetal heart rate baseline"

D) "Absence of variable decelerations"

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19

Chapter 18: The Family in Childbirth: Needs and Care

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Sample Questions

Q1) Ketones are present in a urine specimen of a client in the beginning phases of labor. What should the nurse consider as the reason for this laboratory finding? Select all that apply.

A) Edema

B) Vomiting

C) Dehydration

D) Preeclampsia

E) Insulin resistance

Q2) An expectant father has been at the bedside of his laboring partner for more than 12 hours. What would be an appropriate nursing intervention?

A) Insist that he leave the room for at least the next hour.

B) Offer to remain with his partner while he takes a break.

C) Suggest that the patient's mother might be of more help.

D) Tell him he is not being as effective as he was and that he needs to let someone else take over.

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20

Chapter 19: Pharmacologic Pain Management

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Sample Questions

Q1) A client in labor who rates pain as 9 on a scale from 1 to 10 requests pain medication after refusing epidural anesthesia. What action should the nurse take prior to administering butorphanol tartrate (Stadol) as prescribed?

A) Offer epidural anesthesia again.

B) Administer oxygen via face mask at 6 to 10 L per minute.

C) Obtain maternal vital signs and assess the fetal heart rate (FHR).

D) Instruct on the actions and contraindications associated with the medication.

Q2) A client in labor is being prepared for epidural anesthesia. What should the nurse expect to perform in order to prevent the most common complication associated with this anesthesia?

A) Observe fetal heart rate variability.

B) Place the client in the semi-Fowler position.

C) Teach the client appropriate breathing techniques.

D) Rapidly infuse 500 to 1000 mL of intravenous fluids.

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Chapter 20: Childbirth at Risk: Prelabor and Intrapartum

Complications

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Q1) The nurse is caring for a client at 30 weeks' gestation who is experiencing preterm premature rupture of membranes (PPROM). Which statement indicates that the client needs additional teaching?

A) "If I have bleeding in the third trimester of my next pregnancy, I might rupture membranes again."

B) "If I want to become pregnant again, I will have to plan on being on bed rest for the whole pregnancy."

C) "If I develop a urinary tract infection in my next pregnancy, I might rupture membranes early again."

D) "If I were having a singleton pregnancy instead of twins, my membranes would probably not have ruptured."

Q2) A client with premature rupture of membranes received 4 g of magnesium sulfate at 1600 hours, followed by 2 g/hr beginning at 1700 hours. Birth occurred at 0130 hours. How many grams of magnesium sulfate did this client receive? Calculate to the nearest whole number.

Q3) A client who weighed 60 kg before becoming pregnant with twins is having a routine prenatal examination at gestational week 24. What should be this client's weight in kilograms at this time? (Round to the nearest whole number.)

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Chapter 21: Childbirth at Risk: Labor-Related Complications

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Sample Questions

Q1) A multiparous client at term is in active labor with intact membranes. A Leopold maneuver indicates the fetus is in a transverse lie with a shoulder presentation. What healthcare provider order is most important?

A) Artificially rupture membranes.

B) Apply internal fetal scalp electrode.

C) Alert the surgical team of urgent cesarean.

D) Monitor maternal blood pressure every 15 minutes.

Q2) A client's fetus is estimated to weigh 4500 g (9 lb, 14 oz). Which statement indicates that additional teaching about the size of the baby is needed?

A) "His blood sugars could be high after he is born."

B) "I am at risk for excessive bleeding after delivery."

C) "My perineum could experience trauma during the birth."

D) "His shoulders could get stuck and a collar bone broken."

Q3) A primiparous client is at 42 weeks' gestation. What order should the nurse question?

A) Begin non-stress test now.

B) Return to the clinic in 1 week.

C) Obtain biophysical profile today.

D) Schedule labor induction for tomorrow.

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Chapter 22: Birth-Related Procedures

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Q1) A client experiencing a difficult labor has a vacuum extraction birth. What is expected with this type of delivery?

A) The head is delivered after eight pulls during contractions.

B) The location of the vacuum is apparent on the fetal scalp after birth.

C) A bruise is present on the occiput that does not cross the suture line.

D) Positive pressure is applied by the vacuum extraction during contractions.

Q2) The nurse is scheduling a client for an external cephalic version (ECV). Which finding in the client's chart requires immediate intervention?

A) "Multipara, transverse lie."

B) "Primipara failed ECV last week."

C) "Primipara, frank breech ballotable."

D) "Multipara, 32 weeks, complete breech."

Q3) The nurse is completing discharge teaching for a client who delivered 2 days ago. Which statement indicates that further information is required?

A) "I can take ibuprofen (Motrin) when my perineum starts to hurt."

B) "Soaking in the tub will help my mediolateral episiotomy to heal."

C) "The tear I have through my rectum is unrelated to my episiotomy."

D) "Because I have a midline episiotomy, I should keep my perineum clean."

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Chapter 23: The Physiologic Responses of the Newborn to Birth

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Q1) The nurse is instructing a group of new parents about normal newborn behavior. Which attendee's statement indicates that teaching was effective?

A) "My baby will be able to hear very well immediately after birth."

B) "My baby will have difficulty seeing me close up right after delivery."

C) "My baby should be discouraged from sucking on a pacifier if being bottle fed."

D) "My baby should be trained to breastfeed by being encouraged to suck on a pacifier before feedings."

Q2) A postpartum client calls the nursery to report that her 3-day-old newborn has passed a bright green stool. How should the nurse respond to the client?

A) "Your newborn has diarrhea."

B) "This is a normal occurrence."

C) "There may be a possible food allergy."

D) "Take your newborn to the pediatrician."

Q3) A newborn weighing 8.8 lb is prescribed bottle-feedings every 3 hours to achieve the caloric intake of 120 calories/kg each day. How many calories should be in each ounce of feeding? (Calculate to the nearest whole number.)

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Page 25

Chapter 24: Nursing Assessment of the Newborn

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Sample Questions

Q1) The nurse is assessing newborns in the nursery. Which assessment finding places a newborn at risk for developing physiologic jaundice?

A) Molding

B) Mongolian spots

C) Cephalohematoma

D) Telangiectatic nevi

Q2) A new mother is concerned because the anterior fontanelle swells when the newborn cries. What normal findings should the nurse include when teaching the new mother about this concern? Select all that apply.

A) The fontanelles might bulge.

B) The fontanelles might be depressed.

C) The fontanelles can swell with crying.

D) The fontanelles can pulsate with the heartbeat.

E) The fontanelles can swell when stool is passed.

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Chapter 25: The Normal Newborn: Needs, Care, and Feeding

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Q1) The parents of a newborn are concerned that their baby continues to lose weight despite being held and cuddled. What should the nurse tell these parents? Select all that apply.

A) Excessive handling increases caloric use.

B) Permit the newborn to rest quietly when eyelids flutter.

C) Constant handling increases metabolic rate.

D) Gently flick the sole of the foot to stimulate.

E) Avoid stimulating when eye contact is absent.

Q2) A change in skin color requires further assessment of which physiologic functions? Select all that apply.

A) Hematocrit

B) Oxygenation

C) Glucose levels

D) Blood pressure

E) Bilirubin levels

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Chapter 26: The Newborn at Risk: Conditions Present at Birth

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Q1) A 38-week newborn is small for gestational age (SGA). Which nursing intervention should be included in the care of this newborn?

A) Assess for facial paralysis

B) Maintain a warm environment

C) Monitor for feeding difficulties

D) Monitor for signs of hyperglycemia

Q2) A newborn has just been admitted to the special care nursery. What criteria should the nurse use to determine this newborn's classification and neonatal mortality risk? Select all that apply.

A) Length

B) Birth weight

C) Gestational age

D) Amount of lanugo

E) Occipital-frontal head circumference

Q3) A small-for-gestational-age (SGA) newborn weighing 2000 g is prescribed to receive 130 kcal/kg/day of oral feeding to achieve a daily weight gain of 30 g.What should this newborn weigh after 2 weeks of receiving these feedings? (Calculate to the nearest whole number.)

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Chapter 27: The Newborn at Risk: Birth-Related Stressors

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70680

Sample Questions

Q1) The nurse is caring for a newborn born to a client who experienced abruptio placentae. Which assessment findings suggest that the infant is experiencing anemia? Select all that apply.

A) Pallor

B) Tachypnea

C) Tachycardia

D) Elevated blood pressure

E) Capillary refill 6 seconds

Q2) The mother of a 4-day-old infant is concerned that the infant's skin tone is yellow and asks if the baby should be hospitalized. What should the nurse consider as being the cause of this infant's skin color change?

A) Pathologic jaundice

B) Physiologic jaundice

C) Acute bilirubin encephalopathy

D) Hemolytic disease of the newborn

Q3) A newborn weighing 8 lb, 4 oz is prescribed intravenous vancomycin 30 mg/kg/day in divided doses every 8 hours. How many milligrams of the medication should the nurse prepare to administer to this infant for every dose? (Calculate to the nearest tenth decimal point.)

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Page 29

Chapter 28: Postpartum Adaptation and Nursing Assessment

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/70681

Sample Questions

Q1) The nurse is making a visit to the home of a new mother. Which observation indicates that the mother and infant are in the phase of mutual regulation?

A) The infant grasps the mother's finger while nursing.

B) The mother vocalizes feelings of frustration with her infant.

C) The infant begins to seek out the mother over other individuals.

D) The mother spends more time making eye-to-eye contact with the infant.

Q2) The nurse is preparing to assess assigned clients on a postpartum unit. Which client should be seen first?

A) Multipara, second day postcesarean, moderate lochia serosa

B) Primipara, day of delivery, fundus firm 2 cm above umbilicus

C) Multipara, first postpartum day, 4 cm diastasis recti abdominis

D) Primipara, first postpartum day, hypoactive bowel sounds all quadrants

Q3) A client weighing 80 kg lost 5 kg of body weight immediately after delivery. In 2 days, another 3 kg has been lost. During a 6-week postpartum examination the client was pleased to learn of returning to her prepregnancy weight of 143 lb. How many kilograms of weight did the client lose during the 6 weeks postpartum? (Calculate to the nearest whole number.)

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Page 30

Chapter 29: The Postpartum Family: Early Care Needs and Home Care

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/70682

Sample Questions

Q1) The nurse is caring for a client who delivered by cesarean birth and during which she received a general anesthetic. Which will the nurse encourage to prevent or minimize abdominal distention? Select all that apply.

A) Increasing intake of cold beverages

B) Participating in leg exercises every 2 hours

C) Tightening the abdominal muscles

D) Ambulating as often as possible

E) Eating a high-protein general diet

Q2) The nurse is instructing a postpartum client on the use of perineal pads. Which statements should the nurse include in the teaching session? Select all that apply.

A) "Apply the pad from back to front."

B) "Change the pad after each perineal cleansing."

C) "Place the pad so that it applies pressure to the perineum."

D) "Change the pad each time you use the bathroom."

E) "Your pad should be loose to allow the perineum to 'breathe.' "

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Chapter 30: The Postpartum Family at Risk

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70683

Sample Questions

Q1) The charge nurse is reviewing the plan of care for maternal clients currently admitted for postpartum care. During the course of the medical record review, which intervention requires immediate consideration for revision?

A) Daily prothrombin time (PT) measurements for coagulation assessment in a client receiving heparin for treatment of thrombophlebitis.

B) Use of the REEDA (redness, edema, ecchymosis, discharge, approximation) scale for assessment every 8 hours in the care of a client diagnosed with puerperal infection.

C) Misoprostol (Cytotec) administration to a client who demonstrates uterine atony and bleeding after receiving oxytocic medications.

D) Inserting a straight catheter to drain the overdistended bladder of a client during the early postpartum period of her care.

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Chapter 31: Growth and Development

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/70684

Sample Questions

Q1) The nurse provides education to the parents of a 7-month-old infant regarding play. Which parental responses indicate accurate understanding of the information presented? Select all that apply.

A) "I should offer my baby toys that are black and white."

B) "My baby will prefer stuffed animals during this stage of development."

C) "I should offer my baby a teething ring during this stage of development."

D) "My baby will want to interact with other people."

E) "I should offer my baby large blocks to stack while sitting on the floor."

Q2) The home health nurse is conducting a home visit for a family. The toddler-age child, who is potty training, has an "accident." The mother becomes angry with the child and calls him a baby for messing himself. Which is the nurse concerned with regarding the toddler's development, based on the mother's reaction?

A) The child's cognitive development

B) The child's sense of independence

C) The child's conscience

D) The child's superego

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33

Chapter 32: Infant, Child, and Adolescent Nutrition

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70685

Sample Questions

Q1) Which statement should the nurse include when teaching parents of an infant about normal growth and development regarding weight gain?

A) "Your baby's weight should triple by 9 months of age."

B) "Your baby's weight should double by 5 months of age."

C) "Your baby's weight should triple by 6 months of age."

D) "Your baby's weight should double by 1 year of age."

Q2) The nurse is presenting a program on healthy eating habits to the parents of children attending the clinic. Which parental comment indicates the need for more information about safe food preparation?

A) "We always wash our hands well before any food preparation."

B) "We use separate utensils for preparing raw meat and for preparing fruits, vegetables, and other foods."

C) "We take the meat out of the freezer and then allow it to thaw on the counter for 2 to 3 hours before cooking it thoroughly."

D) "If our baby doesn't drink all the formula in his bottle, we throw the rest out."

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34

Chapter 33: Pediatric Assessment

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) While assessing a school-age child, the nurse notices a regular-irregular heartbeat. The nurse listens carefully and notes that the heart rate increases on inspiration and decreases on expiration. Which nursing action is appropriate based on these data?

A) Record the finding as normal.

B) Notify the healthcare provider.

C) Schedule an electrocardiogram (ECG) immediately.

D) Ask the mother if a murmur has been detected before.

Q2) While assessing a 10-month-old infant, the nurse notices that the sclerae have a yellowish tint. Which organ system would require more in-depth assessment based on this finding?

A) Hepatic

B) Cardiac

C) Genitourinary

D) Respiratory

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35

Chapter 34: Health Promotion and Maintenance: General

Concepts, the Newborn, and the Infant

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70687

Sample Questions

Q1) The nurse is preparing for a health maintenance visit for a 9-month-old infant. Which teaching topics are appropriate for the nurse to include during the scheduled visit?

Select all that apply.

A) Using iron-fortified formula

B) Encouraging self-feeding of finger foods

C) Increasing the number of daily milk feedings

D) Encouraging cups for all feedings

E) Introducing burping techniques

Q2) Which observation in a health supervision visit leads the nurse to have concerns about the infant's mental health?

A) A 1-month-old is swaddled by the parent because of crying after an immunization.

B) A 7-month-old infant grabs her mother and cries when the nurse attempts touch.

C) A 9-month-old avoids eye contact with parents and the nurse.

D) A 10-month-old reportedly sleeps about 12 hours total per night.

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Chapter 35: Health Promotion and Maintenance: the

Toddler and the Preschooler

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70688

Sample Questions

Q1) Which recommendations will the nurse make to the parents of a preschool-age child who is experiencing frequent nightmares? Select all that apply.

A) Reassure the child by back rubbing.

B) Repeat a nighttime routine, such a reading a story.

C) Bring the child to the parental bed.

D) Allow the child time to settle back into sleep.

E) Place a television in the child's room for distraction.

Q2) Which is the priority nursing action when performing a physical assessment on a toddler?

A) Leaving intrusive procedures such as eye and ear examinations until the end

B) Explaining each part of the examination to the child before performing it

C) Performing the assessment from head to toe

D) Asking the mother to tell the child not to be afraid

Q3) Which action by the nurse is appropriate when teaching the parents of a 2-year-old child during a scheduled health maintenance visit?

A) Encouraging the parents to allow the child to pour liquids using a pitcher

B) Being sure that all major foods group have been introduced to the child

C) Teaching the parents that it is appropriate to switch from whole to 2% milk

D) Educating the child about food groups

Page 37

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Chapter 36: Health Promotion and Maintenance: the

School-Age Child and the Adolescent

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/70689

Sample Questions

Q1) The school nurse is assessing an adolescent who reports getting less than 6 hours of sleep at night. Which consequences of inadequate sleep will the nurse include when responding to the adolescent? Select all that apply.

A) Hyperactivity

B) Increased nocturnal emissions

C) Increased risk of automobile accidents when driving

D) Moodiness

E) An inability to perform well at school

Q2) A school nurse is performing annual height and weight screening. The nurse notes that three adolescent girls who are close friends each lost 15 pounds over the past year. Which is the priority nursing action?

A) Obtaining a nutritional history for each of these adolescents

B) Referring these adolescents to the school psychologist

C) Calling the respective parents to discuss the eating patterns of each adolescent

D) Speaking with the adolescents in a group to discuss the problems associated with anorexia nervosa

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38

Chapter 37: Family Assessment and Concepts of Nursing

Care in the Community

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70690

Sample Questions

Q1) A community assessment conducted by the nurse reveals that the number of serious injuries in children has doubled in the past year. Which is the most appropriate nursing diagnosis when planning care to address the increased number of injuries?

A) Altered Family Processes related to hospitalization of an injured child

B) Risk for Injury related to inadequate use of bicycle helmets

C) Noncompliance related to inappropriate use of child safety seats

D) Knowledge Deficit related to injury prevention in children

Q2) Which is the priority topic the nurse will include when teaching newly hired teachers at a child care center within the community?

A) How to take a temperature

B) The schedule for immunizations

C) How to interpret healthcare records

D) Principles of infection control

Q3) Which pediatric client will the community health nurse assess first?

A) A 6-year-old who is wheezing and short of breath.

B) A 2-year-old who has been pulling at his ear.

C) A 2-month-old with a 2-day history of diarrhea.

D) A 10-year-old with a sore throat and low-grade fever.

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Chapter 38: Nursing Considerations for the Child and

Family With a Chronic Condition

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/70691

Sample Questions

Q1) The parents of a 4-month-old child learn that there will be long-term consequences due to the head injury sustained in a motor vehicle accident, including intellectual disability and cerebral palsy. The parents express anger at the diagnosis and project that anger on the nursing staff. Which responses by the nursing staff are appropriate? Select all that apply.

A) Referring the family to the hospital administrator

B) Recognizing that the parents' anger is a normal response to the news

C) Continuing to provide physical and emotional care to the child and family

D) Offering hospital resources to the parents in addition to continued nursing support

E) Explaining to the family that you are sorry about their child's injury but suggest they transfer the child to another hospital for their own comfort

Q2) The nurse is planning care for a school-age child who requires oxygen, enteral tube feedings, and IV medications during the school day. To which category of chronic illness does this child belong?

A) Dependent on special diet

B) Dependent on medical technology

C) Increased use of healthcare services

D) Functional limitations

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Chapter 39: Nursing Considerations for the Hospitalized Child

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/70692

Sample Questions

Q1) A child is being discharged from the hospital requiring complex, long-term care with medication administration through a central line and maintenance of oxygen administration by nasal cannula. A home health nurse will be visiting each day. What should the nurse teach the family members prior to hospital discharge?

A) How to insert an IV line

B) Nothing, the family is familiar with the care

C) Instruction on oxygen administration

D) How to remove a central line

Q2) Which is a common fear, in addition to separation anxiety, for the hospitalized pediatric client between the ages of 6 and 18 months?

A) Disfigurement

B) Death

C) Stranger anxiety

D) Bodily injury

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Chapter 40: Pain Assessment and Management in Children

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/70693

Sample Questions

Q1) During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of

10) The child is lying quietly in bed watching television. Which nursing action is appropriate?

A) Reassess the child in 15 minutes to see if the pain rating has changed.

B) Administer the prescribed analgesic.

C) Do nothing, since the child appears to be resting.

D) Ask the child's parents if they think the child is hurting.

Q2) The nurse is providing care to a pediatric client who is receiving sedation for a painful procedure. Which are the priority nursing actions? Select all that apply.

A) Monitoring respirations

B) Assessing for manifestations of deep sedation

C) Ensuring a crash cart is available

D) Administering the prescribed opioid

E) Administering the prescribed benzodiazepine

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Chapter 41: The Child With a Life-Threatening Condition and

End-Of-Life Care

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/70694

Sample Questions

Q1) A school-age child is admitted to the hospital with a fractured femur and head trauma. The child was not wearing a helmet while riding a new bicycle on the highway, and collided with a car. Which nursing diagnoses should the nurse include in the plan of care with regard to the child's parents? Select all that apply.

A) Compromised Family Coping related to the critical injury of the child

B) Parental Role Conflict related to child's injuries and pediatric intensive care unit (PICU) policies

C) Guilt related to lack of child supervision and safety precautions

D) Knowledge Deficit related to home care of fractured femur

E) Anger related to feelings of helplessness

Q2) A preschool-age age child with severe head trauma is intubated and on a respirator. The child has three flat electroencephalograms (EEGs) completed 24 hours apart. The electrocardiogram (ECG) shows a rate of 90 beats per minute in a normal sinus rhythm. Which term should the nurse use when documenting these findings?

A) Imminent death

B) Brain death

C) Natural death

D) Heart-lung death

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Chapter 42: Social and Environmental Influences on the Child

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/70695

Sample Questions

Q1) A high school student calls to ask the nurse for advice on how to care for a new navel piercing. Which response by the nurse is appropriate?

A) "Avoid contact with another person's bodily fluids until the area is well healed."

B) "Do not move or turn the jewelry for the first 3 days."

C) "Apply lotion to the area, rubbing gently, to prevent skin from becoming dry and irritated."

D) "Apply warm soaks to the area for the first 2 days to minimize swelling."

Q2) A parent is concerned about her 8-year-old child's recent behavior and calls the nurse for advice. According to the parent, her child is constantly crying, is not sleeping well, has withdrawn from activities, and does not want to attend school. Which should the nurse explore in more detail with the parent?

A) Bullying

B) Sexual abuse

C) Lead poisoning

D) Drug abuse

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Chapter 43: Immunizations and Communicable Diseases

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/70696

Sample Questions

Q1) A 2-year-old child with a fever is prescribed amoxicillin clavulanate 250 mg/5 mL 3 times daily by mouth for 10 days for otitis media. Which is the priority teaching instruction for the parents of this child?

A) Giving the antibiotic for the full 10 days

B) Measuring the prescribed dose in a household teaspoon

C) Spreading the dose evenly during daylight hours

D) Stopping the antibiotic when the child is afebrile

Q2) Which medication should the nurse include in a pamphlet to educate parents about methods to reduce the risk of children developing Reye syndrome?

A) Antibiotics

B) Acetaminophen

C) Ibuprofen

D) Aspirin

Q3) Which should the nurse use when reconstituting vaccines?

A) The diluents provided

B) Normal saline

C) Any solution available

D) Sterile water

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Chapter 44: The Child With Alterations in Fluid, Electrolyte, and Acidbase Balance

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/70697

Sample Questions

Q1) A child with croup has an increased PCO<sub>2</sub>, a decreased pH, and a normal HCO<sub>3</sub> blood gas value. Which does the nurse report to the healthcare provider based on these data?

A) Uncompensated metabolic alkalosis

B) Uncompensated metabolic acidosis

C) Uncompensated respiratory acidosis

D) Uncompensated respiratory alkalosis

Q2) A nurse is taking care of four different pediatric clients. Which child is at greatest risk for dehydration?

A) 7-year-old child with migraine headaches

B) 4-year-old child with a broken arm

C) 2-year-old child with cellulitis of the left leg

D) 18-month-old child with tachypnea

Q3) A nurse is planning care for a child with hyperkalemia. Which manifestation associated with the documented hyperkalemia requires immediate intervention by the nurse?

A) Hyperthermia

B) Respiratory distress

C) Seizures

D) Cardiac arrhythmias

Page 46

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Chapter 45: The Child With Alterations in Eye, Ear, Nose, and Throat Function

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/70698

Sample Questions

Q1) Which is the rationale for why young children are more prone to otitis media that the nurse should include in the teaching session with a parent?

A) The eustachian tube is shorter, wider, and horizontal in younger children.

B) The eustachian tube is shorter, more narrow, and horizontal in younger children.

C) The eustachian tube is longer, wider, and vertical in younger children.

D) The eustachian tube is longer, more narrow, and vertical in younger children.

Q2) Which nursing action is appropriate when providing care to a child with a mild hearing loss who reads lips to enhance adaptation during hospitalization?

A) Touching the child lightly before speaking

B) Using a picture board as the main means of communication

C) Speaking in a loud voice while facing the child

D) Speaking directly to the parents for communication

Q3) Which screening tool should the nurse use to screen a pediatric client for esotropia?

A) Examine the eye with an otoscope.

B) Check for the "red reflex" in the eyes.

C) Perform the cover-uncover test.

D) Use a tonometer to evaluate the eyes.

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Page 47

Chapter 46: The Child With Alterations in Respiratory Function

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/70699

Sample Questions

Q1) Which statements should the nurse include in the discharge medication teaching for a child diagnosed with asthma who is prescribed cromolyn sodium (a mast cell stabilizer)? Select all that apply.

A) "The medication works to prevent exacerbations."

B) "The medication should be administered at the first symptom of an asthmatic attack."

C) "The medication should be taken on a daily basis."

D) "The medication should not be administered if the child has a cold."

E) "The medication desensitizes the child against specific allergens."

Q2) Which is the priority nursing action for a child who presents in the emergency department after a motor vehicle accident with a sucking wound of the chest?

A) Placing the child in a Trendelenburg position

B) Beginning rescue breathing for the child

C) Beginning cardiac resuscitation for the child

D) Covering the child's wound with an air occlusive dressing

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Chapter 47: The Child With Alterations in Cardiovascular Function

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/70700

Sample Questions

Q1) An infant who is diagnosed with a mild heart defect will not have surgical correction for at least 2 years. Which information should the nurse include in the discharge teaching regarding management in the home environment?

A) "Your child will have a low-grade fever until the defect is repaired."

B) "It is important for your child to maintain normal activity."

C) "Your child is not at risk for congestive heart failure."

D) "It is important to avoid antipyretics for the treatment of fever."

Q2) Which parental statement indicates correct understanding for the reason a cardiac catheterization is needed for a child who is diagnosed with a congenital heart defect?

A) "This procedure will keep the ductus arteriosus open and oxygenated and unoxygenated blood mixed."

B) "This procedure is used to close the ductus arteriosus to prevent mixing of arterial and venous blood."

C) "This procedure will redirect the blood so that blood bypasses the right ventricle."

D) "This procedure connects the ventricle to the atrium."

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Page 49

Chapter 48: The Child With Alterations in Immune Function

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/70701

Sample Questions

Q1) The nurse is providing discharge instructions to the family of a child who experienced an anaphylactic reaction. Which parental statements indicate accurate understanding of the action that histamine plays during this type of reaction? Select all that apply.

A) "Histamine releases IgE antibodies, which help to stop the reaction."

B) "Histamine causes smooth muscle contraction, which causes the wheezing."

C) "Histamine causes increased capillary permeability, which is what causes difficulty breathing."

D) "Histamine causes vasoconstriction leading to respiratory issues."

E) "Histamine causes the destruction of red blood cells, which is why we administer the EpiPen."

Q2) An adolescent female client is diagnosed with systemic lupus erythematosus (SLE). Which action by the client indicates acceptance of the body changes that occur because of SLE?

A) Attends school but does not stay for after-school activities

B) Discusses the body changes with healthcare providers only

C) Discusses the body changes with her best friend

D) Only attends small parties at friends' homes

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Chapter 49: The Child With Alterations in Hematologic Function

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/70702

Sample Questions

Q1) A school-age child diagnosed with classic hemophilia is admitted to the hospital for hemorrhage into the knee joint. Which nursing diagnosis should the nurse use to plan care for this child?

A) Risk for Impaired Physical Mobility related to joint stiffness and contractures

B) Risk for Impaired Tissue Perfusion (cerebral) related to blood loss.

C) Activity Intolerance related to bleeding

D) Disturbed Body Image related to swollen knee

Q2) Which parental statement indicates correct understanding of information presented regarding the treatment for infant anemia?

A) "We will add green leafy vegetables to our child's low-iron formula."

B) "We will discontinue the use of vitamin C supplements by 6 months of age."

C) "We will begin an iron-fortified infant cereal at 4 to 6 months of age."

D) "We will introduce cow's milk by 6 months of age."

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Chapter 50: The Child With Cancer

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/70703

Sample Questions

Q1) The nurse is providing care to a pediatric client who will require surgery as a portion of the treatment regimen. Which topics should the nurse include in the teaching session related to long- term ramifications associated with this treatment option?

A) Scoliosis

B) Adhesions

C) Hypothyroidism

D) Visual impairment

E) Cardiotoxicity

Q2) The nurse is preparing to assist with a lumbar puncture for a pediatric client who is diagnosed with cancer. Which statements should the nurse include in the teaching session for the client and family? Select all that apply.

A) "This procedure assesses the bone marrow."

B) "This procedure assesses cerebrospinal fluid."

C) "This procedure confirms the diagnosis of acute lympoblastic leukemia."

D) "The procedure determines if malignant cells are affecting the nervous system."

E) "This procedure assesses cellular components of the blood."

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Chapter 51: The Child With Alterations in Gastrointestinal Function

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/70704

Sample Questions

Q1) Which topics should the nurse include in discharge instructions related to enhanced safety for a pediatric client who experienced an abdominal injury after a biking accident? Select all that apply.

A) Use of hand signals

B) Age-appropriate use of child safety seats

C) Age-appropriate bicycles

D) Use of a helmet

E) Avoid assigning blame

Q2) Which statements should the nurse include in a presentation related to the general function of the gastrointestinal (GI) system for parents of pediatric clients? Select all that apply.

A) "The GI tract is responsible for the ingestion and absorption of food."

B) "Newborns have smaller stomachs but increased peristalsis."

C) "All children require smaller, more frequent feedings."

D) "Infants lack certain digestive enzymes which increases the risk for regurgitation."

E) "By the second year of life a child is able to accommodate three meals each day."

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Chapter 52: The Child With Alterations in Genitourinary Function

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Source URL: https://quizplus.com/quiz/70705

Sample Questions

Q1) Which nutritional interventions should the nurse include in the plan of care for a pediatric client who is receiving peritoneal dialysis in the treatment of chronic renal failure? Select all that apply.

A) Provide small, frequent meals.

B) Avoid battles over nutritional intake.

C) Administer supplements by tube feedings, if needed.

D) Implement hand hygiene frequently.

E) Perform daily catheter site care.

Q2) Which parental statement indicates understanding of the process involved with a kidney transplant for a child with renal failure?

A) "We are happy our child will not have to take any more medicine after the transplant."

B) "We understand our child will not be at risk anymore for catching colds from other children at school."

C) "We will be glad we will not have to bring our child in to see the doctor again."

D) "We know it is important to see that our child takes prescribed medications after the transplant."

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54

Chapter 53: The Child With Alterations in Endocrine Function

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/70706

Sample Questions

Q1) Which diagnostic tests should the nurse include in the plan of care for a pediatric client who is at risk for short stature? Select all that apply.

A) Thyroid function studies

B) Adrenocorticotropic hormone (ACTH) and cortisol levels

C) Complete blood count

D) Blood culture

E) Urine creatinine

Q2) A 5-year-old child with a history of hypopituitarism presents with complaints of right hip and leg pain. Which prescribed medication for the diagnosis should the nurse identify as the cause for the current symptoms?

A) Daily growth hormone

B) Insulin before meals and bedtime

C) DDAVP (desmopressin) at bedtime

D) Cortisone injections

To view all questions and flashcards with answers, click on the resource link above.

Chapter 54: The Child With Alterations in Neurologic Function

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/70707

Sample Questions

Q1) The nurse is teaching a mother of a young child with a newly diagnosed seizure disorder. The child is prescribed valproic acid (Depakote) for control of seizures. Which parental statement indicates the need for further education?

A) "I will not use carbonated beverages to dilute his medication."

B) "I will give his medicine on an empty stomach so he will absorb it better."

C) "I will not let him chew his tablet."

D) "I will bring him to the physician's office for regular blood work to check bleeding times."

Q2) The nurse is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?

A) Vital signs and neurologic checks hourly

B) Small, frequent formula feedings

C) Elevate head of bed

D) Daily head circumference

To view all questions and flashcards with answers, click on the resource link above.

Chapter 55: The Child With Alterations in Mental Health and Cognitive Function

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/70708

Sample Questions

Q1) Which statement from the parent of a child diagnosed with attention deficit/hyperactivity disorder (ADHD) indicates the need for further education by the nurse?

A) "I will develop a reward system for desired behaviors."

B) "I will take my child to the physician every 3 months for a weight and height check."

C) "I will let him do his homework while he is watching his favorite television show."

D) "I will stick to the same routine each day after school."

Q2) Which child should the nurse refer for further assessment due to a probable diagnosis for autism spectrum disorder (ASD)?

A) A 4-year-old girl who doesn't make eye contact with mother and resists the mother's touch

B) A 3-year-old boy who joins one group of children, then moves to another group of children without joining their activities

C) An 18-month-old child who walks around the area using the furniture to provide balance

D) A 6-year-old boy who chatters constantly to anyone who will listen

To view all questions and flashcards with answers, click on the resource link above. Page 57

Chapter 56: The Child With Alterations in Musculoskeletal Function

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/70709

Sample Questions

Q1) Which assessment data obtained by the nurse during the health history portion of the assessment process support the current diagnosis of Duchenne muscular dystrophy (MD) for an 18-month-old child?

A) Infant was postmature by almost 2 weeks.

B) The child seems very muscular.

C) The child walked early and without support at 10 months.

D) The child's older sister developed scoliosis in the fourth grade.

Q2) Which clinical manifestations should the nurse monitor for when conducting a scoliosis screening for a school-age child? Select all that apply.

A) Lordosis

B) Prominent scapula

C) Pain

D) A one-sided rib hump

E) Uneven shoulders and hips

To view all questions and flashcards with answers, click on the resource link above.

58

Chapter 57: The Child With Alterations in Skin Integrity

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/70710

Sample Questions

Q1) Which is the priority intervention when planning care for an infant who is diagnosed with eczema?

A) Applying antibiotics to lesions

B) Keeping the baby content

C) Maintaining adequate nutrition

D) Preventing infection of lesions

Q2) Which adolescent statements indicate the need for further education related to the prevention and treatment of acne? Select all that apply.

A) "I should wash my face each day with an approved cleanser."

B) "I should wash my hands frequently and avoid touching my face."

C) "I should stay away from greasy foods, such as pizza."

D) "I should shampoo my hair only once per week."

E) "I should use my topical medication only when acne is present."

Q3) Which is the priority nursing action when providing care to a child who is bitten by a snake?

A) Measuring the circumference of the extremity twice per hour

B) Monitoring respiratory status

C) Assessing vital signs

D) Evaluating response to pain medication

To view all questions and flashcards with answers, click on the resource link above.

Page 59

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