Mother and Child Health Test Questions
Course Introduction
Mother and Child Health is a comprehensive course that explores the interrelated health needs and challenges of mothers and children, emphasizing the importance of maternal and child well-being as a cornerstone for community health. Students will examine key topics such as prenatal care, safe childbirth, child nutrition, immunizations, and the prevention and management of common diseases affecting mothers and children. The course also covers reproductive health, growth and development milestones, breastfeeding, and the impact of social, economic, and cultural factors on health outcomes. Through case studies and practical scenarios, students develop an understanding of effective interventions, public health policies, and healthcare services aimed at improving the health and survival of mothers and children globally.
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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Page 2
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) What is the maternity nurse's best defense against an accusation of malpractice or negligence?
A) Follows the physician's written orders
B) Acts on the advice of the nurse manager
C) Becomes certified as a nurse-midwife or nurse practitioner
D) Meets the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) standards of practice
Answer: D
Q2) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the nurse do to encourage the family to consider enrolling the child in this program?
A) Assessment of the details of the family's income and expenditures
B) Case management to limit costly, unnecessary duplication of services
C) Advocacy for the child by encouraging the family to investigate its CHIP eligibility
D) Education of the family about the need for keeping regular well-child visit appointments
Answer: C
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Chapter 2: Culture and the Family
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19 Verified Questions
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Sample Questions
Q1) The nurse is reviewing a client's use of complementary and alternative therapies. Which situations should the nurse identify as being risky for the client? Select all that apply.
A) Trying out a homeopathic medicine obtained from a friend to reduce swelling in the legs
B) Joining a group that practices tai chi weekly to help with physical fitness and movement
C) Taking an herbal preparation suggested by a health food store worker for treatment of leg pain
D) Getting a massage from a licensed massage therapist for back pain, when such treatment has been prescribed by the primary healthcare provider
E) Getting a chiropractic treatment for lower back pain due to discomforts of pregnancy without telling the primary healthcare provider
Answer: A,C,E
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Chapter 3: Genetic and Genomic Influences in Maternal, Newborn, and Child Health
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19 Verified Questions
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Sample Questions
Q1) A pregnant patient is scheduled for fetal genetic testing to determine the presence of multifactorial disorders. Which health problems can occur in the fetus from this type of genetic anomaly? Select all that apply.
A) Autism
B) Asthma
C) Cleft lip
D) Scoliosis
E) Cleft palate
Answer: A,B,C,E
Q2) The nurse determines that a newborn has a minor genetic anomaly. What did the nurse most likely assess in this infant? Select all that apply.
A) Broad face
B) Wide-set eyes
C) Single palmar crease
D) Low anterior hairline
E) Upward-slanting eyes
Answer: A,B,C,D
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Chapter 4: Reproductive Anatomy and Physiology
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20 Verified Questions
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Sample Questions
Q1) A pregnant adolescent asks about fundal height. What should the nurse say that incorporates the location of the uterine fundus?
A) It is the lower third area of the uterus.
B) It is at the uppermost (dome-shaped top) portion of the uterus.
C) It is the elongated portion of the uterus where the fallopian tubes enter.
D) It is the portion of the uterus that lies between the internal cervical os and the endometrial cavity
Q2) In preparation for teaching a women's community center class about physiologic changes during menopause, the nurse is preparing a handout for students. Which information should the nurse include in this teaching?
A) Due to changes in estrogen levels, the labia minora increase in size after menopause.
B) The ovaries remain small after puberty, but they increase in size following menopause.
C) After menopause, the endometrium continues to undergo monthly degeneration and renewal.
D) Ovarian secretion of estrogen decreases between the ages of 45 and 55, after which point ovulatory activity ceases.
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Page 6
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) During a group session of rape trauma survivors the nurse notes that one participant is in the reorganization phase of recovery. What did this participant demonstrate to cause the nurse to make this decision? Select all that apply.
A) Blames the assailant for the rape
B) Asks what she did to deserve the attack
C) Explains about constantly reliving the rape
D) Asks when the nightmares are going to stop
E) Talks about having one-night stands after bar hopping
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Chapter 6: Common Gynecologic Problems
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Sample Questions
Q1) A client undergoing infertility treatment states that her partner is angry all of the time since beginning treatment and is very negative in comments made about the likelihood of their achieving pregnancy. The client states, "I was angry and depressed, but now I am dedicated to following through with treatment and hoping we get pregnant." What statements best describe the partner's behavior? Select all that apply.
A) Showing that he will not be a good parent
B) In a different stage of grief than the client
C) Feeling guilty about not being able to father a child
D) Having difficulty accepting the reality of their infertility
E) Exhibiting signs of the anger stage of grieving the loss of their dreams of having children
Q2) A client is diagnosed with a uterine prolapse. Which treatments should the nurse prepare to discuss with this client? Select all that apply.
A) Hysterectomy
B) Kegel exercises
C) Vaginal pessary
D) Topical estrogen
E) Systemic estrogen
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Chapter 7: Conception and Fetal Development
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Sample Questions
Q1) A pregnant client who restricted the intake of fat, protein, and sugar to prevent a large weight gain delivers a small-for-gestational-age fetus. What long-term health problems is this child at risk for developing as an adult? Select all that apply.
A) Arthritis
B) Diabetes
C) Hypertension
D) Cystic fibrosis
E) Coronary heart disease
Q2) The nurse is explaining the difference between meiosis and mitosis. Which statements should the nurse include? Select all that apply.
A) Mitosis occurs in most of the cells of the body.
B) Meiotic division leads to cells that halve the original genetic material.
C) Meiosis is the division of a cell into two exact copies of the original cell.
D) Meiosis is the process by which gametes, or the sperm and ova, are formed.
E) Mitosis is splitting one cell into two, each with half the chromosomes of the original cell.
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Chapter 8: Physical and Psychologic Changes of Pregnancy
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Sample Questions
Q1) A client in labor is a Lebanese immigrant, and she explains that in the Islamic faith, the baby's name is selected after the baby is born. Which nursing response is appropriate?
A) "Are you afraid your baby will not live?"
B) "We have a very low rate of complications at this facility."
C) "In the United States, you can feel free to choose your baby's name prior to the delivery."
D) "Thank you for explaining that to me. By sharing your cultural beliefs with me, you are helping me to provide you with the best possible care."
Q2) 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."
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Chapter 9: Antepartum Nursing Assessment
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Sample Questions
Q1) The pregnant client has completed the prenatal questionnaire and asks the nurse why this form had to be filled out. Which response is the most appropriate?
A) "We occasionally identify a health problem that puts the current pregnancy at higher risk."
B) "This form is designed to predict who will develop problems with their pregnancy or delivery."
C) "The doctor wants all of the pregnant clients to fill out the form so that our records are complete."
D) "Some people have things that have happened in the past that could impact their current pregnancy."
Q2) The prenatal clinic nurse is designing a new prenatal intake information form for pregnant clients. Which question is the most important to include on this form?
A) What is the name of the baby's father?
B) Where was the father of the baby born?
C) Are you married to the father of the baby?
D) Do genetic diseases run in the family of the baby's father?
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11
Chapter 10: The Expectant Family: Needs and Care
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24 Verified Questions
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Sample Questions
Q1) A client in the third trimester of pregnancy reports frequent leg cramps. What strategy would be most appropriate for the nurse to suggest?
A) Limit activity for several days.
B) Flex the foot to stretch the calf.
C) Point the toes of the affected leg.
D) Increase intake of protein-rich foods.
Q2) The nurse is teaching an early pregnancy class for clients in the first trimester of pregnancy. Which statement requires immediate intervention by the nurse?
A) "When my nausea is bad, I will drink some ginger tea."
B) "It is normal for my vaginal discharge to get green colored."
C) "I will urinate less often during the middle of my pregnancy."
D) "The fatigue I am experiencing will improve in the second trimester."
Q3) A pregnant client in the 21st week of pregnancy is planning a vacation with family and asks which method of travel she should use. How should the nurse respond?
A) "Travel by bus."
B) "Fly on an airplane."
C) "Take an automobile."
D) "Do not travel this late in the pregnancy."
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12
Chapter 11: Maternal Nutrition
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Sample Questions
Q1) A 15-year-old primipara at 8 weeks' gestation who is 64 inches tall and weighs 115 pounds asks why she is supposed to gain so much weight. What is the best response by the nurse?
A) "Inadequate weight gain delays lactation after delivery."
B) "It's what your certified nurse-midwife recommended for you."
C) "Weight gain is important to assure that you get enough vitamins."
D) "Gaining 25 to 35 pounds is recommended for healthy fetal growth."
Q2) The nurse is caring for a pregnant teen. What should the nurse do to accurately assess the teen's nutritional intake?
A) Assess laboratory values.
B) Ask about cooking facilities.
C) Observe for clinical signs of malnutrition.
D) Ask to complete a dietary recall to identify eating patterns.
Q3) It has been identified that a pregnant client's diet is low in zinc. Which food should the nurse suggest to increase intake of this mineral?
A) Yogurt
B) Bananas
C) Cabbage
D) Shellfish
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Page 13
Chapter 12: Pregnancy in Selected Populations
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Sample Questions
Q1) The nurse notes that the majority of clients who signed up to attend prenatal classes are over the age of 35. What should the nurse consider as reasons why these clients are this age? Select all that apply.
A) Age of marriage was later.
B) More effective birth control methods.
C) Waited until financially secure before having a family.
D) Needed to care for aging parents before having a family.
E) Wanted to become established in a career before having a family.
Q2) A 38-year-old client is thrilled to learn of being pregnant with her first child. What should the nurse identify as advantages for the client having a child at this age? Select all that apply.
A) Most likely well-educated.
B) Ready to make a life change.
C) Decision was made deliberately.
D) Child care will be easier at this age.
E) Able to take on the responsibilities of a child.
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Chapter 13: Assessment of Fetal Well-Being
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20 Verified Questions
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Sample Questions
Q1) A client's amniocentesis results indicate that the fetus is at risk for respiratory distress. What testing values support this clinical decision? Select all that apply.
A) Amniotic glucose level 50 mg/dL
B) Phosphatidylglycerol (PG) negative
C) Lecithin/sphingomyelin (L/S) ratio 1:6
D) Amniotic fluid red blood cell count 5 mg/dL
E) Lamellar body counts (LBCs) 5000/counts/mcL
Q2) A pregnant woman is having a nipple-stimulated contraction stress test. Which result indicates hyperstimulation?
A) There are more than five fetal movements in a 10-minute period.
B) There are more than three uterine contractions in a 6-minute period.
C) The fetal heart rate accelerates when contractions last up to 60 seconds.
D) The fetal heart rate decelerates when three contractions occur within a 10-minute period.
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15
Chapter 14: Pregnancy at Risk: Pregestational Problems
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Sample Questions
Q1) The nurse is concerned that a pregnant client is experiencing depression. Which potential health issues should the nurse include when planning care for this client? Select all that apply.
A) Alcohol use
B) Preterm birth
C) Poor appetite
D) Poor weight gain
E) Antenatal hemorrhage
Q2) A pregnant client is diagnosed with a cardiac problem. What should the nurse prepare to instruct this client to do, to ensure a safe pregnancy? Select all that apply.
A) Restrict activities.
B) Follow a diet high in iron and protein.
C) Restrict the intake of sodium.
D) Obtain 8 to 10 hours of sleep.
E) Obtain pneumococcal vaccination.
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Chapter 15: Pregnancy at Risk: Gestational Onset
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Sample Questions
Q1) The nurse is admitting a client at 28 weeks' gestation to the emergency department following an episode of domestic abuse resulting in ecchymosis and lacerations. Which question is most critical to ask?
A) "Do you have a safe place where you can go?"
B) "What did you do to make your spouse so angry?"
C) "How many times has this happened in the past?"
D) "Will you be pressing charges against your spouse?"
Q2) A pregnant client diagnosed with Chlamydia trachomatis infection is refusing treatment. What effects on the fetus should the nurse explain might occur if treatment is waived? Select all that apply.
A) Fetal death
B) Premature labor
C) Newborn conjunctivitis
D) Chlamydial pneumonia
E) Ophthalmia neonatorum
Q3) Which maternal-child client should the nurse see first?
A) Blood type B, Rh-positive
B) Blood type O, Rh-negative
C) Direct Coombs test positive
D) Indirect Coombs test negative
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Chapter 16: Processes and Stages of Labor and Birth
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Sample Questions
Q1) The primiparous client has asked the nurse why her cervix has only changed from 1 to 2 cm in 3 hours of contractions occurring every 5 minutes. How should the nurse respond to this client?
A) "What did you expect? You have only had contractions for a few hours. Labor takes time."
B) "When your perineal body thins out, your cervix will begin to dilate much faster than it is now."
C) "The hormones that cause labor to begin are just getting to be at levels that will change your cervix."
D) "Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress."
Q2) The nurse is teaching a prenatal class. What characteristics about false labor should the nurse include? Select all that apply.
A) Increased thin vaginal secretions
B) Pain in the abdomen that does not radiate
C) Progressive cervical effacement and dilatation
D) Contractions that do not intensify while walking
E) An increase in the intensity and frequency of contractions
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Page 18
Chapter 17: Intrapartum Nursing Assessment
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Sample Questions
Q1) The nurse is preparing to monitor the fetal heart rate (FHR) of a pregnant client. What should the nurse explain to a nursing student as being the baseline (BL) of this heart rate?
A) "The baseline FHR excludes periods of marked variability."
B) "Normal baseline FHR ranges from 100 to 180 beats per minute."
C) "The baseline FHR should include periodic or episodic changes in FHR."
D) "The baseline rate is the mean FHR during a 5-minute period rounded to increments of 5 beats per minute."
Q2) A client's fetal heart rate tracing has a consistent late deceleration pattern. What actions should the nurse take at this time? Select all that apply.
A) Prepare for cesarean birth.
B) Increase intravenous fluids.
C) Monitor maternal blood pressure.
D) Position client on the left side.
E) Apply oxygen 7 to 10 L via face mask.
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Chapter 18: The Family in Childbirth: Needs and Care
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Sample Questions
Q1) 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.
Q2) The client in labor has moderately strong contractions lasting 60 seconds every 3 minutes. The fetal head is presenting at a -2 station. The cervix is 6 cm and 100% effaced. The membranes spontaneously ruptured prior to admission, and clear fluid is leaking. Fetal heart tones are in the 140s with accelerations to
150) Which nursing action has the highest priority?
A) Obtain a clean-catch urine specimen.
B) Apply an internal fetal scalp electrode.
C) Keep the patient on bed rest at this time.
D) Encourage the husband to remain in the room.
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Page 20
Chapter 19: Pharmacologic Pain Management
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Sample Questions
Q1) A client in labor wants to have a medication-free birth. What should the nurse include when discussing alternatives to pain medication with this client?
A) Emphasize that no medication will be given.
B) Review that the use of medications allows for rest and less fatigue.
C) Explain that pain relief will allow a more enjoyable birth experience.
D) Summarize how maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.
Q2) A client in labor is concerned about needing a cesarean section and being asleep during the birth of her baby. Which nursing response is most appropriate?
A) "Your anesthesia provider will require that you go to sleep for surgery."
B) "If a cesarean section is needed, that does not necessarily mean you will need to go to sleep for surgery."
C) "We will do our best to make sure you deliver vaginally, so you do not need to have a cesarean section."
D) "If you need a cesarean section, the anesthesia provider will awaken you as soon as possible after delivery so that you can see your baby quickly."
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21
Chapter 20: Childbirth at Risk: Prelabor and Intrapartum
Complications
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Sample Questions
Q1) The nurse has received end of shift report in the high-risk maternity unit. Which client should the nurse see first?
A) 35 weeks' gestation with grade 1 abruptio placentae in labor who has a strong urge to push
B) 30 weeks' gestation with placenta previa whose fetal monitor strip shows late decelerations
C) 26 weeks' gestation with placenta previa experiencing blood on toilet tissue after a bowel movement
D) 37 weeks' gestation with pregnancy-induced hypertension whose membranes ruptured spontaneously
Q2) The nurse is counseling a newly pregnant gravida 1 at 8 weeks' gestation with twins about the need for increased caloric intake. What should the nurse emphasize as being the minimum recommended intake?
A) 2500 kcal and 120 g protein
B) 3000 kcal and 150 g protein
C) 3500 kcal and 175 g protein
D) 4000 kcal and 190 g protein
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Chapter 21: Childbirth at Risk: Labor-Related Complications
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Sample Questions
Q1) 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.
Q2) A client who delivered 30 minutes ago is being prepared for manual removal of the placenta. What should the nurse complete as a priority?
A) Bottle-feed the infant.
B) Send the placenta to pathology.
C) Start an IV of lactated Ringer solution.
D) Apply antiembolism stockings.
Q3) The multiparous client at 33 weeks has experienced an intrauterine fetal demise. What finding requires immediate intervention?
A) Temperature 99°F
B) Fibrinogen level 50 mg/dL
C) Platelet count 210,000/cmm
D) Family refusing fetal autopsy
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Chapter 22: Birth-Related Procedures
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Sample Questions
Q1) A client at 40 weeks' gestation is being considered for cervical ripening. Which criteria should the nurse use to determine the client's success for induction? Select all that apply.
A) Position
B) Effacement
C) Consistency
D) Fetal heart rate
E) Cervical dilatation
Q2) A client who received a mediolateral episiotomy to facilitate vacuum extraction birth asks what kind of episiotomy was performed. How should the nurse explain the location of the episiotomy?
A) "It goes straight back toward your rectum."
B) "It is from your vagina toward the urethra."
C) "It is cut diagonally away from your vagina."
D) "It extends from your vagina into your rectum."
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24
Chapter 23: The Physiologic Responses of the Newborn to Birth
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Q1) The nurse manager of the neonatal intensive care unit is preparing a handout for new parents. Which statement should the nurse include?
A) Neonates have a tendency to become dehydrated.
B) Sugar is always present in the urine of a newborn.
C) The kidneys are fully functional by 30 weeks' gestation.
D) Newborns can eliminate excess fluid as quickly as an adult.
Q2) A new grandfather is marveling over his 12-hour-old newborn grandson. Which statement indicates that the grandfather needs additional education?
A) "I cannot believe he can already digest fats, carbohydrates, and proteins."
B) "It is amazing that his whole digestive tract moves things along at birth."
C) "Incredibly, his stomach capacity is already a cupful when he was born."
D) "He will lose some weight but then miraculously regain it by about 10 days."
Q3) The nurse is planning the care of a 1-day-old infant. Which intervention would protect the newborn from heat loss by convection?
A) Drying the newborn thoroughly
B) Prewarming the examination table
C) Removing wet linens from the isolette
D) Placing the newborn away from air currents
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Chapter 24: Nursing Assessment of the Newborn
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Sample Questions
Q1) The nurse notes that a newborn has tremor-like movements. For which health problems should this newborn be further assessed? Select all that apply.
A) Seizures
B) Bilirubinemia
C) Hypocalcemia
D) Hypoglycemia
E) Substance withdrawal
Q2) The nurse assesses the newborn's ears to be parallel to the outer and inner canthus of the eye. How should the nurse interpret this finding?
A) Prematurity
B) Facial paralysis
C) A normal position
D) A possible chromosomal abnormality
Q3) The nurse is making an initial assessment of a newborn. Which data would be considered normal? 1. Chest circumference 30 cm, head circumference 29 cm
A) Chest circumference 38 cm, head circumference 31.5 cm
B) Chest circumference 32.5 cm, head circumference 38 cm
C) Chest circumference 31.5 cm, head circumference 33.5 cm
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Chapter 25: The Normal Newborn: Needs, Care, and Feeding
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Sample Questions
Q1) Which actions must a nurse perform before weighing the newborn during the admission procedure? Select all that apply.
A) Zero the scale.
B) Clean the scale.
C) Cover the scale.
D) Take the infant's temperature.
E) Wrap the infant tightly in a blanket to prevent heat loss.
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
Q3) Which information is least likely recorded as a part of the initial newborn assessment?
A) Presence or absence of meconium-stained fluid
B) Blood draw for phenylketonuria (PKU) screening
C) Resuscitative measures required in the birthing area
D) Parents' desires regarding circumcision for a male infant
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Chapter 26: The Newborn at Risk: Conditions Present at Birth
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Sample Questions
Q1) The nurse is caring for a newborn born to a client who abused drugs while pregnant. Which assessment findings would be common for this newborn? Select all that apply.
A) Hyperirritability
B) Transient tachypnea
C) Exaggerated reflexes
D) Decreased muscle tone
E) Depressed respiratory effort
Q2) The nurse is assessing a 36-week gestational age newborn. What assessment findings indicate that a cardiac defect is present? Select all that apply.
A) Cyanosis
B) Abdominal bruit
C) Peripheral pulses
D) Signs of heart failure
E) Presence of a heart murmur
Q3) The nurse is preparing teaching for the parents of a premature infant weighing 4.4 lb. How much urine in ounces should the nurse instruct the parents that the infant will produce in 1 day if the rate of production is 2 mL/kg/hr? (Calculate to the nearest whole number.)
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Chapter 27: The Newborn at Risk: Birth-Related Stressors
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Sample Questions
Q1) The day after a vaginal delivery, a client develops painful vesicular lesions on the perineum and vulva which are diagnosed as a primary herpes type 2 infection. What care should the newborn receive?
A) Intravenous acyclovir (Zovirax) and contact precautions
B) Cultures of blood and cerebrospinal fluid and serial chest x-rays every 12 hours
C) Parental rooming-in and four intramuscular injections of penicillin
D) Meticulous hand washing and antibiotic eye ointment administration
Q2) 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.)
Q3) A newborn is diagnosed with sepsis. What finding should the nurse use to suspect this health problem?
A) Irritability and flushing of the skin at 8 hours of age
B) Respiratory distress syndrome developed 48 hours after birth
C) Bradycardia and tachypnea develop when the infant is 36 hours old
D) Temperature of 97.0°F 2 hours after warming the infant from 97.4°F
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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) A new mother rarely interacts with the infant unless the infant begins to cry vigorously and she appears relieved when the nurse comes to check on the infant. What is the appropriate nursing intervention for this patient?
A) Contact Social Services with concerns of neglect.
B) Teach the client how to interact appropriately with the infant.
C) Take the infant to the nursery so the baby can receive more consistent care.
D) Provide the care the infant needs while continuing to evaluate the mother's actions.
Q2) The nurse is observing a graduate nurse's assessment of a postpartum client. For which action by the graduate nurse should the nurse intervene?
A) Asking the client to void before applying clean gloves
B) Instructing visitors to leave the room prior to beginning the assessment
C) Requesting the client lie flat in bed with the head on a pillow prior to the fundal assessment
D) Discussing the effectiveness of comfort measures while performing the perineal assessment
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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 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.' "
Q2) The nurse is caring for an adolescent client who gave birth to her first child yesterday. Which nursing action indicates accurate understanding of adolescent parenting concepts?
A) The client's mother is included in all discussions and demonstrations.
B) The father of the baby is encouraged to change a diaper and give a bottle.
C) The nurse explains the characteristics and cues of the baby during the assessment.
D) A discussion on contraceptive methods is the first topic of teaching.
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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 postpartum client who delivered a newborn 2 days ago develops endometritis. Which entry in the medical record would the nurse expect to find when reviewing the client's history?
A) "Cesarean birth performed secondary to arrest of dilation."
B) "Rupture of membranes occurred 2 hours prior to delivery."
C) "External fetal monitoring used throughout labor."
D) "History of pregnancy-induced hypertension."
Q2) The postpartum client is diagnosed with thrombophlebitis in the right leg. Which assessment finding requires immediate intervention by the nurse?
A) Acute pain
B) Redness
C) Chest pressure
D) Edema
Q3) Which method of initial assessment would best indicate whether a postpartum client is experiencing a urinary complication?
A) Urine pH
B) Calculation of urine output
C) Urine specific gravity
D) Calculation of intake
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Chapter 31: Growth and Development
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Two hospitalized pediatric clients are working on a puzzle together in the hospital playroom. Which type of play are the clients exhibiting?
A) Solitary play
B) Associative play
C) Parallel play
D) Cooperative play
Q2) The parents of a toddler are concerned that their child seems different from their other child, stating, "He just doesn't seem to like new people and wants us with him in these situations." Which response by the nurse is appropriate when using the temperament theory to respond to the toddler's parents?
A) "Your child seems to withdraw from new situations. This is typical with slow-to-warm-up children."
B) "Your child is having an intense reaction to the environment and new people and we will need to investigate this more closely."
C) "Difficult children often display a negative mood. Does your child often throw temper tantrums?"
D) "Slow-to-warm-up children are often diagnosed with autism spectrum disorder."
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Chapter 32: Infant, Child, and Adolescent Nutrition
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20 Flashcards
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Sample Questions
Q1) An adolescent is admitted to the eating disorders unit with a 2-year history of anorexia nervosa. Assessment data indicate that the adolescent has recently sustained additional weight loss and electrolyte imbalances. Which is the priority when planning care for this client?
A) Individual counseling
B) Family therapy
C) Regulation of antidepressant drugs
D) Nutritional support
Q2) A vegetarian adolescent is prescribed iron supplementation secondary to a diagnosis of iron-deficiency anemia. Which food will the nurse encourage the adolescent to increase intake of based on the current diagnosis?
A) Black tea
B) Eggs
C) Fresh fruit
D) Milk
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Chapter 33: Pediatric Assessment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70686
Sample Questions
Q1) The nurse is conducting a health history for the family of a 3-year-old child. Which statements or questions by the nurse would establish rapport and elicit an accurate response from the family? Select all that apply.
A) "Hello, I would like to talk with you and get some information on you and your child."
B) "Does any member of your family have a history of asthma, heart disease, or diabetes?"
C) "Tell me about the concerns that brought you to the clinic today."
D) "You will need to fill out these forms; make sure that the information is as complete as possible."
E) Asking the child, "What is your doll's name?"
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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Page 35
Chapter 34: Health Promotion and Maintenance: General
Concepts, the Newborn, and the Infant
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is educating the parents of a 2-month-old infant when to contact the healthcare provider. Which statements by the parents indicate the need for further instruction? Select all that apply.
A) "We will contact the doctor if our baby does not have a bowel movement each day."
B) "We will contact the doctor if our baby is vomiting."
C) "We will contact the doctor if our baby has a temperature greater than 99°F."
D) "We will contact the doctor if our baby does finish each bottle."
E) "We will contact the doctor if our baby develops a skin rash."
Q2) While interviewing the parents of a toddler-age client, the nurse notes that the mother is pregnant. At the end of the visit, the nurse decides to give a new pamphlet to the parents about car seat usage for newborns. Which is the purpose of this action by the nurse?
A) Secondary preventative health maintenance
B) Developmental health screening
C) Tertiary preventative health maintenance
D) Primary preventative health maintenance
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Page 36
Chapter 35: Health Promotion and Maintenance: the
Toddler and the Preschooler
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Sample
Questions
Q1) The nurse is conducting a physical assessment for a preschool-age child. When plotting the child's body mass index (BMI) the nurse notes that the child's is at the 90th percentile. Which action by the nurse is appropriate?
A) Referring the child to a nutritionist
B) Conducting a developmental assessment
C) Assessing the child's level of activity
D) Checking a blood glucose level
Q2) The nurse is teaching the parents of a toddler-age child information regarding toy and playground safety. Which parental statement indicates the need for further education?
A) "I allow my child to play with the packaging material for new toys."
B) "I will avoid buying my child toys that are battery operated."
C) "I allow my child to play with age-appropriate toys as indicated on the packaging."
D) "I don't let my child play on the playground without supervision."
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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) A mother reports that her adolescent daughter is always late. The mother states, "She was born late and has been late every day of her life." Which response by the nurse is appropriate?
A) "Setting specific alarms and reinforcing the value of being 'on-time' may assist her to be more of an 'on-time' individual."
B) "Just let it go for now. Teachers and, in the future, employers will be the best people to help her be 'on-time.' "
C) "You need to establish specific time frames for your adolescent and be certain she adheres to them."
D) "You have a major problem. There must be a lot of screaming in your home."
Q2) During the psychosocial portion of the nursing assessment a school-age child states, "I know I am not as good as them, so I just play by myself at recess every day." Which conclusion by the nurse is accurate?
A) The child has a good sense of self-worth.
B) The child has a poor body image.
C) The child has decreased self-esteem.
D) The child has a self-determined concept.
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Page 38
Chapter 37: Family Assessment and Concepts of Nursing
Care in the Community
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20 Flashcards
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Sample Questions
Q1) In which situation will the school nurse collaborate with the family and other members of the healthcare team in order to develop an individualized health plan (IHP)?
A) For a child who recently developed a penicillin allergy
B) For a child who has been treated for head lice
C) For a child who has missed 2 weeks of school due to mononucleosis
D) For a child who is newly diagnosed with insulin-dependent diabetes mellitus.
Q2) A 2-month-old infant with bronchopulmonary dysplasia (BPD) is being prepared for discharge from the neonatal intensive care unit. The infant will continue to receive oxygen via nasal cannula at home. Prior to discharge, the home health nurse assesses the home. Which finding poses the greatest risk to this infant?
A) Paint peeling on the walls
B) A wood stove used for heating
C) A sibling who has an ear infection
D) Small toys strewn on the floor
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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 nurse is providing care to a pediatric client who is newly diagnosed with a chronic condition. The parents ask, "When will our child be able to assume more responsibility for managing the disease?" Which age group will the nurse include in the response to the parents?
A) Preschooler
B) School-age
C) Adolescent
D) Toddler
Q2) The nurse provides care to pediatric clients with chronic disease process. Which diagnoses does the nurse categorize as dependent on medications or special diets? Select all that apply.
A) Diabetes mellitus
B) Epilepsy
C) Celiac disease
D) Down syndrome
E) Traumatic brain injury
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Chapter 39: Nursing Considerations for the Hospitalized Child
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29 Flashcards
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Sample Questions
Q1) A 6-year-old child is hospitalized for a surgical procedure. The parents ask if the child's four siblings can visit. Which response by the nurse is the most appropriate?
A) "Let's plan their visit for a time when the child has received pain medication."
B) "Only those siblings over 16 will be allowed to visit."
C) "I don't think the other children should visit because it might scare them to see their sibling so sick."
D) "Very young children shouldn't visit as they may carry germs."
Q2) Which changes can a nurse manager implement to reduce the stress experienced by hospitalized pediatric clients?
A) Having only female nurses on the unit
B) Assigning nurses one-on-one with clients
C) Allowing the nurses to wear colored scrubs in place of white uniforms
D) Having the nurses avoid entering the client's room unless a procedure is to be performed
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Chapter 40: Pain Assessment and Management in Children
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Sample Questions
Q1) ) While making rounds, the nurse observes all of the following client behaviors. Which child should the nurse further evaluate for postoperative pain?
A) The 6-month-old in deep sleep.
B) The 2-year-old who is cooperative when the nurse takes vital signs.
C) The 4-year-old who is actively watching cartoons.
D) The 14-month-old who is thrashing his arms and legs.
Q2) 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.
Q3) The healthcare provider prescribes hydromorphine (Dilaudid) intravenously for the postoperative 4-year-old child. The therapeutic range for Dilaudid has been determined to be 0.01 to 0.015 mg/kg/dose every 3 to 4 hours. What is the maximum therapeutic dose of Dilaudid if the child weighs 30 pounds? Round your answer to the nearest hundredth.
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Page 42
Chapter 41: The Child With a Life-Threatening Condition and
End-Of-Life Care
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27 Verified Questions
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Sample Questions
Q1) Which defense mechanisms should the nurse include in the parental teaching session regarding common pediatric responses to a life-threatening illness? Select all that apply.
A) Regression
B) Anticipating
C) Denial
D) Repression
E) Bargaining
Q2) The nurse is taking care of a child who is showing signs of imminent death. Which manifestations should the nurse expect to assess related to the cardiovascular system?
A) An increase in the volume of Korotkoff sounds
B) Cool and clammy skin, mottling
C) Peripheral pulses will remain when the heart beat is not heard on auscultation.
D) An increase in cardiac output
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43
Chapter 42: Social and Environmental Influences on the Child
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Sample Questions
Q1) Which adolescent behavior, reported by a parent, would cause the nurse to suspect possible substance abuse?
A) Becoming very involved with friends and in activities related to basketball
B) Becoming moody, crying, and weeping one minute and then cheerful and excited the next
C) Receiving numerous detentions for sleeping in class
D) Wearing baggy, oversized clothing and dyeing hair black
Q2) The pediatric public health nurse visits a facility for the homeless. Which types of medical issues will the nurse assess these children for based on the current data? Select all that apply.
A) Dental caries
B) Infections secondary to tattoos
C) Lack of immunizations
D) Nutritional deficits
E) Munchausen syndrome by proxy
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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) Which nursing action is most appropriate to decrease the risk of transmitting viral infections by clients and family members at a local clinic?
A) Sanitizing toys, telephones, and doorknobs to kill pathogens
B) Teaching parents safe food preparation and storage
C) Withholding immunizations for children with compromised immune systems
D) Allowing all children to congregate in the same waiting room
Q2) Which communicable diseases, preventable through childhood immunization, should the nurse include in a presentation to families at a local community center wellness fair? (Select all that apply.)
A) Measles
B) Chickenpox
C) Fifth disease
D) Mononucleosis
E) Whooping cough
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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Page 45
Chapter 44: The Child With Alterations in Fluid, Electrolyte, and Acidbase Balance
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Sample Questions
Q1) Which is the priority nursing assessment when providing care for an infant at risk for dehydration?
A) Urine output
B) Urine specific gravity
C) Vital signs
D) Daily weight
Q2) The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?
A) 0.9% normal saline (NS)
B) D5 0.2% (¼) normal saline
C) D5W
D) Albumin
Q3) As a result of opioid administration, a child's respirations are slow and shallow. Which should the nurse anticipate when assessing the child's arterial blood gas?
A) Increased PCO<sub>2 </sub>and respiratory acidosis
B) Decreased PCO<sub>2</sub> and respiratory alkalosis
C) Low pH and low PCO<sub>2</sub>
D) High pH and high PCO<sub>2</sub>
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Chapter 45: The Child With Alterations in Eye, Ear, Nose, and Throat Function
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Sample Questions
Q1) A nurse is caring for a visually impaired 20-month-old client who has not begun to walk. Which nursing diagnosis would be appropriate for this child?
A) Self-care Deficit
B) Impaired Physical Mobility
C) Impaired Home Maintenance
D) Delayed Development
Q2) Which topics should the nurse include in a teaching session to the parents of a 10-month-old infant who experiences frequent ear infections? Select all that apply.
A) Prohibiting tobacco smoke in the home
B) Avoiding use of a pacifier while the child is sleeping
C) Breastfeeding the infant
D) Cleaning the child's ears nightly with peroxide
E) Avoiding use of wood-burning stoves
Q3) Which assessment finding is considered normal for a school-age client?
A) Tonsils are large and seem to fill the throat
B) Child is complaining of sore throat and drooling
C) White patches are observed on the tonsils
D) Throat appears red, and child has a low-grade fever
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Chapter 46: The Child With Alterations in Respiratory Function
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21 Flashcards
Source URL: https://quizplus.com/quiz/70699
Sample Questions
Q1) Which assessment data would cause the nurse to suspect that a newborn requires further testing for cystic fibrosis?
A) Rectal prolapse
B) Constipation
C) Steatorrheic stools
D) Meconium ileus
Q2) Which parental statement at the conclusion of a teaching session regarding environmental controls for childhood asthma indicates correct understanding of the information presented?
A) "We're glad the dog can continue to sleep in our child's room."
B) "We'll keep the plants in our child's room dusted."
C) "We'll be sure to use the fireplace often to keep the house warm in the winter."
D) "We will replace the carpet in our child's bedroom with tile."
Q3) Which is the priority nursing action for a premature neonate who is experiencing apnea?
A) Administering oxygen
B) Performing back blows and chest thrusts
C) Calling a code blue
D) Providing stimulation by stroking the back
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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) Which is the priority action by the school nurse for an adolescent who drops to the ground and is unresponsive during a high school basketball game?
A) Initiating cardiopulmonary resuscitation (CPR)
B) Calling 911
C) Offering the parents comfort
D) Assessing for hemorrhage
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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Chapter 48: The Child With Alterations in Immune Function
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Source URL: https://quizplus.com/quiz/70701
Sample Questions
Q1) The nurse is planning care for a child with acquired immune deficiency syndrome (AIDS). Which vaccines should be avoided in the child with AIDS?
A) Inactivated polio vaccine
B) Tetanus toxoid vaccination
C) Varicella vaccine
D) Acellular pertussis vaccine
Q2) Which is the rationale for ensuring the irrigation of blood products and ensuring that they are cytomegalovirus (CMV)-negative prior to administering a blood transfusion for a pediatric client diagnosed with severe combined immune deficiency (SCID)?
A) Transfusion reaction from lymphocytes and platelets in the donor blood.
B) Transfusion reaction and infection from lymphocytes in the donor blood.
C) Infection and graft-versus-host disease from lymphocytes in the donor blood.
D) Infection and graft-versus-host disease from erythrocytes in the donor blood.
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Chapter 49: The Child With Alterations in Hematologic Function
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Sample Questions
Q1) The nurse is providing care to a child diagnosed with hemophilia who states, "I am going to join a bike club at school." Which recommendation should the nurse give to the child?
A) Wear knee pads, elbow pads, and a helmet while bicycling.
B) Consider a swim club instead of the bicycling club.
C) Do not join the club.
D) Participate only in the social activities of the club.
Q2) Which parental statements regarding precipitating factors for sickle-cell disease indicate correct understanding of the discharge information presented by the nurse? Select all that apply.
A) "My child should avoid regular exercise."
B) "We should provide acetaminophen or ibuprofen to treat fever."
C) "Our child needs to drink lots of fluid to avoid dehydration when playing sports."
D) "High altitudes can cause exacerbation and should be avoided."
E) "Fluid restriction is necessary to avoid exacerbations from occurring."
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Chapter 50: The Child With Cancer
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27 Flashcards
Source URL: https://quizplus.com/quiz/70703
Sample Questions
Q1) Which assessment findings, indicative of a hematologic emergency, should the nurse report to the healthcare provider due to the need for immediate intervention? Select all that apply.
A) Anemia
B) Thrombocytopenia
C) Disseminated intravascular coagulation
D) Cardiac arrhythmias
E) Tetany
Q2) 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
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Chapter 51: The Child With Alterations in Gastrointestinal Function
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Sample Questions
Q1) A child returns from exploratory surgery following a gunshot wound to the abdomen. Which nursing intervention should be excluded for the plan of care?
A) Immediate initiation of oral feedings
B) Assessment of the surgical site
C) Administration of opioid narcotics for pain management
D) Visitation at the bedside
Q2) Which statements, made by the adolescent following dietary teaching for Crohn disease, indicate correct understanding of the content presented by the nurse? Select all that apply.
A) "I can promote solid stools by increasing fiber in my diet."
B) "Small, frequent meals are preferred over three meals a day."
C) "I should identify foods that cause distress and eliminate them from my diet."
D) "High-calorie dietary supplement shakes can help me to meet my nutritional requirements."
E) "Socialization during my meal times is important even if my parents do not agree with my food choices."
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Chapter 52: The Child With Alterations in Genitourinary Function
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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 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 to prevent infection? 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.
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54
Chapter 53: The Child With Alterations in Endocrine Function
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Sample Questions
Q1) A child weighing
18)2 kg with a history of diabetes insipidus (DI) has been admitted to the hospital. Which healthcare provider prescription should the nurse question?
A) Stat electrolytes
B) Urine specific gravity with each void
C) DDAVP (desmopressin) PO
D) Restrict oral fluids to 500 mL every 24 hours
Q2) Which changes should the school nurse implement to decrease the risk for the development of type 2 diabetes mellitus for a population who is identified as being at risk? Select all that apply.
A) Increase the amount of daily physical activity.
B) Meet with all parents and explain the risk that is associated with obesity.
C) Test each child's urine monthly.
D) Teach the parents to avoid administering aspirin to their children.
E) Work with the cafeteria to decrease the amount of fat in the foods served.
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Chapter 54: The Child With Alterations in Neurologic Function
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Source URL: https://quizplus.com/quiz/70707
Sample Questions
Q1) Which nursing diagnoses should the nurse include in the plan of care for a pediatric client diagnosed with hydrocephalus? Select all that apply.
A) Risk for Infection
B) Impaired Physical Mobility
C) Risk for Caregiver Role Strain
D) Risk for Injury
E) Risk for Constipation
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
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56
Chapter 55: The Child With Alterations in Mental Health and Cognitive Function
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Sample Questions
Q1) Which clinical manifestations should the nurse expect when conducting an assessment for a child who is diagnosed with attention deficit/ hyperactivity disorder (ADHD)? Select all that apply.
A) Arm flapping
B) Language delays
C) Ritualistic behavior
D) Impulsive behavior
E) Sleep disturbances
Q2) A child diagnosed with autism spectrum disorder (ASD) is admitted to the hospital with dehydration. Which should the nurse include in the plan of care for this child?
A) Discourage the parents from bringing favorite toys from home that might be lost.
B) Take the child on a tour of the pediatric unit.
C) Assign the child to a single-bed hospital room.
D) Take the child to the playroom for arts and crafts.
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Chapter 56: The Child With Alterations in Musculoskeletal Function
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Sample Questions
Q1) Which teaching topic is the priority for the nurse who is teaching the family of an infant diagnosed with osteogenesis imperfecta?
A) Cast care
B) Trunk and extremity support during everyday care
C) Postoperative spinal surgery care
D) Traction care
Q2) Which clinical manifestations should the nurse expect when assessing a pediatric client who is diagnosed with Legg-Calvé-Perthes disease? Select all that apply.
A) Limited abduction of the affected hip
B) Asymmetry of thigh fat folds
C) Telescoping of the thigh
D) Muscle weakness
E) Atrophy of the muscles
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Chapter 57: The Child With Alterations in Skin Integrity
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Sample Questions
Q1) Which is the priority nursing diagnosis during the acute phase of a third-degree circumferential burn of the right arm for a pediatric client?
A) Altered Tissue Perfusion, Risk for
B) Infection, Risk for
C) Impaired Physical Mobility
D) Altered Nutrition: Less than Body Requirements, Risk for
Q2) Which parental statement indicates to the nurse accurate understanding regarding the care of their child with tinea capitis (ringworm of the scalp)?
A) "We will give the griseofulvin with milk or peanut butter."
B) "We're glad ringworm isn't transmitted from person to person."
C) "Once the lesion is gone, we can stop the griseofulvin."
D) "Well, at least we don't have to worry about the family cat getting the ringworm."
Q3) Which nursing action is accurate when applying a 5% permethrin lotion to a toddler with scabies?
A) Applying the lotion to the scalp, forehead, and everywhere below the chin
B) Applying the lotion only on the areas with evidence of activity
C) Applying the lotion only to the hands
D) Applying the lotion only to the scalp only
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