Nursing Care of Children and Families
Exam Answer Key
Course Introduction
This course provides an in-depth exploration of nursing concepts and practices related to the holistic care of children and their families. Emphasizing growth and development, this course covers common pediatric health conditions, family-centered care, communication strategies, and culturally competent approaches. Students learn to assess, plan, implement, and evaluate nursing interventions for children from infancy through adolescence, considering the unique needs of families across diverse backgrounds. Practical and evidence-based methods for health promotion, disease prevention, and management of acute and chronic pediatric illnesses are included, preparing students to advocate for and support children and their families 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
Source URL: https://quizplus.com/study-set/3560
Page 2
Chapter 1: Contemporary Maternal, Newborn, and Child Health Nursing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70654
Sample Questions
Q1) The nurse is reviewing the 1973 Supreme Court decision in Roe v. Wade for a patient asking about an abortion. What should the nurse explain about the induction of a legal abortion?
A) It must be performed at a federally funded clinic.
B) It must be performed before the period of viability.
C) It must be performed at a military hospital overseas.
D) It must be performed to provide tissue for therapeutic research.
Answer: B
Q2) A female client is considering ovulation-inducing medications to achieve pregnancy. What should the nurse explain as potential adverse effects of this type of assisted reproductive technology (ART)? Select all that apply.
A) Miscarriage
B) Preterm birth
C) Neonatal morbidity
D) Multifetal pregnancy
E) Pelvic inflammatory disease
Answer: A,B,C,D
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Chapter 2: Culture and the Family
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse is working in a clinic where children from several cultures are seen. What should the nurse do as a first step toward the goal of personal cultural competence?
A) Enhance cultural skills.
B) Gain cultural awareness.
C) Seek cultural encounters.
D) Acquire cultural knowledge.
Answer: B
Q2) The nurse is preparing a teaching session for staff nurses on cultural influences of childbearing practices. Which topics should the nurse include? Select all that apply.
A) Gender of children
B) Number of children
C) Use of contraception
D) Achievement of developmental milestones
E) Pregnancy as an illness or expected condition
Answer: A,B,C,E
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Page 4
Chapter 3: Genetic and Genomic Influences in Maternal, Newborn, and Child Health
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19 Verified Questions
19 Flashcards
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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) A family is scheduled for a genetic consultation. What should the nurse explain to the family about this appointment? Select all that apply.
A) A diagnosis will be made.
B) Photographs may be taken.
C) An interview will be conducted.
D) A geneticist will examine the child.
E) The appointment can last several hours.
Answer: B,C,D,E
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Chapter 4: Reproductive Anatomy and Physiology
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A pregnant client asks, "What's the difference between the true pelvis and the false pelvis?" How should the nurse respond?
A) "The false pelvis helps support the weight of the pregnant uterus."
B) "The false pelvis consists of the inlet, the pelvic cavity, and the outlet."
C) "The true pelvis does not affect fetal passage during labor and childbirth."
D) "The true pelvis helps direct the presenting fetal part into the false pelvis."
Q2) A woman has been unable to complete a full-term pregnancy because the fertilized ovum failed to implant in the uterus. Which hormone is most likely causing this client's issues with pregnancy?
A) Estrogen
B) Progesterone
C) LH (luteinizing hormone)
D) FSH (follicle-stimulating hormone)
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Chapter 5: Health Promotion for Women
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20 Verified Questions
20 Flashcards
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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) Which client should the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?
A) 17-year-old, has never had a menstrual cycle
B) 19-year-old, regular menses for 5 years that have suddenly become painful
C) 14-year-old, irregular menses for 1 year, experiences cramping every cycle
D) 16-year-old, had regular menses for 4 years, but has had no menses in 4 months
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Chapter 6: Common Gynecologic Problems
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is discharging a client after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective? Select all that apply.
A) "Tubal pregnancy could occur after PID."
B) "My PID was caused by a yeast infection."
C) "It is important for me to finish my antibiotics."
D) "I might have infertility because of this infection."
E) "I am going to have an IUD placed for contraception."
Q2) Which statement indicates that client teaching about vaginal infections has been effective?
A) "The fishy vaginal odor I have is caused by a bacterial infection."
B) "I can use this antiyeast medication weekly to prevent another infection."
C) "My diabetes is unrelated to the frequency of my vaginal yeast infections."
D) "I should douche weekly to prevent a recurrence of my bacterial vaginosis."
Q3) The nurse is explaining a client's abnormal Pap smear results. Which statement should the nurse include?
A) "Your cervix needs to be treated with cryotherapy."
B) "The Pap smear is used to diagnose cervical cancer."
C) "Colposcopy to further examine your cervix is the next step."
D) "A loop electrosurgical excision procedure (LEEP) is needed."
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Page 8
Chapter 7: Conception and Fetal Development
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient at 18 weeks' gestation thinks she might have been exposed to a toxin at work that could affect fetal development and asks what organs might be affected at this point in the pregnancy. How should the nurse respond to this patient?
A) "The brain is developing now and could be affected."
B) "Because you are in the second trimester, there is no danger."
C) "It's best to not worry about possible problems with your baby."
D) "The internal organs like the heart and lungs could be impacted."
Q2) A patient who has experienced a fetal death in utero at 20 weeks asks what her baby will look like when it is delivered. How should the nurse respond to this patient?
A) "The genitals of the baby will be ambiguous."
B) "Your baby will be covered in fine hair called lanugo."
C) "Your child will have arm and leg buds, but not fully formed limbs."
D) "A white, cheesy substance called vernix caseosa will be on the skin."
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9
Chapter 8: Physical and Psychologic Changes of Pregnancy
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20 Verified Questions
20 Flashcards
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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 in the prenatal clinic believes she is pregnant because she has not menstruated for 3 months, and her breasts are getting bigger. What response by the nurse is best?
A) "Lack of menses and breast enlargement are presumptive signs of pregnancy."
B) "The changes you are describing are definitely indicators that you are pregnant."
C) "Lack of menses can be caused by many things. We need to do a pregnancy test."
D) "Breast and menstrual changes are positive signs of pregnancy. Congratulations."
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Page 10
Chapter 9: Antepartum Nursing Assessment
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse learns that a pregnant client's religion is Judaism. Why is this information important?
A) Religious and cultural background can impact what a client eats during pregnancy.
B) Knowing the client's beliefs and behaviors regarding pregnancy is important.
C) Clients sometimes encounter problems in their pregnancies based on what religion they practice.
D) It provides a baseline from which to ask questions about the client's religious and cultural background.
Q2) The nurse provides teaching on the signs of impending labor with a client at week 37 of gestation. Which client statements indicate that additional teaching would be beneficial? Select all that apply.
A) "A bloody show means labor will begin within 2 days."
B) "Having uterine contractions that increase over time is a sign of labor."
C) "Uterine contractions that do not radiate to the back are a sign of labor."
D) "Having a spontaneous flow of water from my vagina is a sign of labor."
E) "Expulsion of a plug of mucus means the baby has dropped into the pelvis."
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11
Chapter 10: The Expectant Family: Needs and Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client who is at 10 weeks' gestation is concerned about the amount of saliva that is in her mouth since she seems to be spitting when she talks. How should the nurse respond?
A) "You should avoid astringent mouthwashes and chewing gum."
B) "That's called ptyalism, and it's usually caused by increased salt intake during the second trimester."
C) "Excess salivation commonly occurs during the first trimester, although the cause is unknown."
D) "Let's schedule you for a doctor's appointment, because excessive salivation can signal a complication of pregnancy."
Q2) A pregnant couple would like their 5-year-old to attend the birth. Which should the nurse say in response to this couple's plan?
A) "Bring some toys to keep your child occupied."
B) "Children under 12 are not allowed to be present at the birth."
C) "You should let your child stay home because you will be focusing on the birth."
D) "You should bring someone who will only tend to any specific needs of your child."
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Chapter 11: Maternal Nutrition
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A pregnant 14-year-old client confides having problems with bulimia nervosa. Which nursing observation best supports the client's statement?
A) The client reports dietary cravings for soil and clay.
B) In terms of food variety and quantity, the client's diet is extremely restrictive.
C) Despite being extremely underweight, the client describes herself as being fat.
D) The client is of normal weight for her height and reports binge eating followed by purging.
Q2) Which statement is best to include when teaching a pregnant adolescent about nutritional needs?
A) "You just need to pay attention to what you eat now."
B) "Folic acid intake is the key to having a healthy baby."
C) "It is important eat iron-rich foods like meat every day."
D) "Calcium and milk aren't needed until the third trimester."
Q3) A newly pregnant client weighs 75.0 kg and has a body mass index of 28.5. What is the maximum amount of weight in pounds that this client should weigh during the pregnancy?
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Chapter 12: Pregnancy in Selected Populations
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which statement from the mother of a pregnant 13-year-old would be an expected response?
A) "We had such high hopes for you."
B) "I told you that boy was up to no good."
C) "But she was always an easygoing child."
D) "This is just one of those things that happen."
Q2) The nurse is planning a community adolescent pregnancy prevention program aimed toward parents. Which recommendation should be included in the program in order to be effective?
A) Parents should encourage steady dating.
B) Parents should not allow their son to develop an intense relationship with a girl who is much younger.
C) Rather than embarrassing an adolescent by addressing specific topics related to sex, parents should speak in broad, general terms.
D) Instead of bringing up the topic of sex, parents should allow their children to reach a point where the children initiate the discussion.
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Chapter 13: Assessment of Fetal Well-Being
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A woman who is at 15 weeks' gestation received normal chorionic villus sampling (CVS) results and abnormal quadruple screen test results. For detection of congenital anomalies, which test should the nurse expect the woman to be offered next?
A) Ultrasound
B) Amniocentesis
C) Non-stress test (NST)
D) Contraction stress test (CST)
Q2) A client at 20 weeks' gestation is scheduled for a transabdominal ultrasound. What should the nurse instruct this client about the examination? Select all that apply.
A) "The entire procedure takes between 20 and 30 minutes."
B) "Arrive 30 minutes before the examination so pain medication will be effective."
C) "Transmission gel will be spread over the abdomen during the examination."
D) "Use an over-the-counter enema to empty the colon before the examination."
E) "Drink 1.5 quarts of water 2 hours before the exam and refrain from voiding."
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15
Chapter 14: Pregnancy at Risk: Pregestational Problems
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) After completing a physical assessment the nurse determines that a laboring client is experiencing a panic attack. What findings did the nurse use to make this clinical determination? Select all that apply.
A) Flat affect
B) Monotone replies
C) Heart rate 120 bpm
D) Respiratory rate 28/minute
E) Disoriented to place and time
Q2) A woman at 30 weeks' gestation and a history of sickle cell anemia is experiencing fever, chills, and diarrhea for 3 days. What are the most serious potential complications that this client faces?
A) Severe lethargy
B) Sickle cell crisis
C) Electrolyte imbalance
D) Fetal neural tube defects
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16
Chapter 15: Pregnancy at Risk: Gestational Onset
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is preparing teaching on maternal-fetal ABO incompatibility for antepartum clients. Which statement should the nurse include in the teaching information?
A) In most cases, ABO incompatibility is limited to type A mothers with a type B or O fetus.
B) In most cases, ABO incompatibility is limited to type O mothers with a type A or B fetus.
C) ABO incompatibility occurs as a result of the fetal serum antibodies present and interaction between the antigen sites on the maternal red blood cells (RBCs).
D) Group A infants, because they have no antigenic sites on the red blood cells (RBCs), are never affected regardless of the mother's blood type.
Q2) 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 nurse is caring for laboring clients. Which women are experiencing problems related to a critical factor of labor? Select all that apply.
A) Multipara at 3 cm, fetus in longitudinal lie
B) Primipara at 7 cm, fetus in military attitude
C) Multipara at 6 cm, fetus at 2 station, mild contractions
D) Primipara at 5 cm, fetal presenting part is right shoulder
E) Primipara at 4 cm, fetus with macrocephaly due to hydrocephalus
Q2) The nurse suspects that a pregnant client is experiencing true labor. What did the nurse assess to make this clinical determination? Select all that apply.
A) Contractions increase in intensity.
B) Discomfort occurs in the abdomen.
C) Contractions occur at regular intervals.
D) Walking has no effect on the contractions.
E) Time between contractions gradually becomes shorter.
Q3) Which client requires immediate intervention by the labor and delivery nurse?
A) Primipara in active labor with urine output of 100 mL/hour
B) Primipara that delivered 1 hour ago with white blood cells (WBCs) of 50,000
C) Multipara at 8 cm, systolic blood pressure has increased 35 mm Hg
D) Multipara at 5 cm with a respiratory rate of 22 between contractions
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Page 18
Chapter 17: Intrapartum Nursing Assessment
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Sample Questions
Q1) Which pattern, if seen on an electronic fetal monitoring strip, should the nurse explain to a client in labor as being a change in the baseline fetal heart rate?
A) Tachycardia
B) Acceleration
C) Late deceleration
D) Sinusoidal pattern
Q2) The nurse is preparing to assess a client who has just arrived in the labor and birth unit. Which statement indicates that additional education is needed?
A) "When you check my cervix, you will find out how thinned out it is."
B) "After you assess my pelvis, you will be able to tell when I will deliver."
C) "You are going to do a vaginal examination to see how far dilated my cervix is."
D) "The reason for a pelvic examination is to determine how low in the pelvis my baby is."
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Chapter 18: The Family in Childbirth: Needs and Care
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Sample Questions
Q1) The nurse is assisting with a precipitous birth. In which order should the nurse perform the following actions after the birth of the fetal head?
A) Instruct the client to push.
B) Suction the baby's mouth, throat, and nose.
C) Exert upward traction to the fetal head to facilitate birth of the posterior shoulder.
D) Exert downward traction on the fetal head to facilitate movement of the anterior shoulder.
Q2) The nurse encounters a woman giving birth at the local shopping mall. What should the nurse do first?
A) Visualize the perineum.
B) Apply counterpressure to the perineum.
C) Ask a bystander for a dry piece of clothing.
D) Determine if the membranes have ruptured.
Q3) Upon delivery of the newborn, which action most promotes parental attachment?
A) Placing the newborn under the radiant warmer
B) Placing the newborn on the maternal abdomen
C) Taking the newborn to the nursery for the initial assessment
D) Allowing the mother a chance to rest immediately after delivery
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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) Which nursing action can prevent or detect common side effects of epidural anesthesia? Select all that apply.
A) Preloading the client with a rapid infusion of IV fluids
B) Continuing the client on oral fluids only to prevent hypotension
C) Assisting the client to empty the bladder before the anesthesia is started
D) Use of intermittent fetal heart rate (FHR) monitoring so the client can use the birthing ball
E) Monitoring the fetal heart rate (FHR) for late deceleration and decrease in rate
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21
Chapter 20: Childbirth at Risk: Prelabor and Intrapartum
Complications
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Sample Questions
Q1) When caring for a client with oligohydramnios, on what should the nurse focus? Select all that apply.
A) Induction is typically scheduled.
B) Early decelerations are more likely.
C) Fetal pulmonary hypoplasia can develop.
D) There is an increased risk of cord compression.
E) Labor progress is often more rapid than average.
Q2) 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
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Page 22
Chapter 21: Childbirth at Risk: Labor-Related Complications
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Sample Questions
Q1) After a lengthy labor and delivery, a client suddenly complains of chest pain and dyspnea. The client is cyanotic, has tachycardia and blood pressure decreased to 78/36 mmHg. Based on these assessment findings, which health problem is the client experiencing?
A) Infection
B) Placenta accreta
C) Hypertensive crisis
D) Amniotic fluid embolus
Q2) For delivery, a client received a midline episiotomy, which extended into a third-degree laceration. What should the nurse include when explaining the location of the episiotomy to the client?
A) "Up near your urethra."
B) "Into the muscle layer."
C) "Through your rectal mucosa."
D) "Through your rectal sphincter."
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Chapter 22: Birth-Related Procedures
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Sample Questions
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 risk management nurse is reviewing labor and delivery statistics over the last 2 years in an effort to decrease costs of maternity care. What finding contributes to increased healthcare costs in clients undergoing cesarean birth by request?
A) Prolonged anemia, requiring blood transfusions every few months
B) Increased abnormal placenta implantation in subsequent pregnancies
C) Decreased use of general anesthesia with greater use of epidural anesthesia
D) Coordination of career projects of both partners leading to increased income
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Chapter 23: The Physiologic Responses of the Newborn to Birth
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Sample Questions
Q1) The nurse is reviewing the medical records of several newborns. Which infant requires immediate intervention?
A) 24-hour-old term male with total bilirubin level of 2
B) 3-day-old term bottle-fed female with bilirubin of 11
C) 2-week-old postterm breastfed male with bilirubin of 10
D) 12-hour-old preterm female exhibiting icterus and lethargy
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) The nurse is planning an educational presentation on hyperbilirubinemia for nursery nurses. Which statement is most important to include in the presentation?
A) Antibiotics decrease the incidence of hyperbilirubinemia.
B) Total bilirubin is the sum of the direct and indirect levels.
C) Conjugated bilirubin is eliminated in the conjugated state.
D) Unconjugated bilirubin is neurotoxic and cannot cross the placenta.
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Chapter 24: Nursing Assessment of the Newborn
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Sample Questions
Q1) The nurse explains normal newborn behavior to new parents who are concerned about the baby's desire to be held. Which statement indicates that teaching has been effective?
A) "Some babies are easier to deal with than others."
B) "Our baby spends more time in the active alert phase."
C) "We are lucky to have a baby with a calm disposition."
D) "Cuddliness is a social behavior that some babies have."
Q2) 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
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) An infant weighing 8 lb, 4 oz at birth weighs 7 lb, 15 oz 3 days later. What should the nurse explain to the parents about this change in the newborn's weight?
A) "This weight loss is unusual."
B) "This weight loss is less than expected."
C) "This weight loss is excessive."
D) "This weight loss is within normal limits."
Q2) The nurse is discussing parent-infant attachment with a prenatal class. Which statement indicates that teaching was successful?
A) "Giving the baby his first bath can really give me a chance to get to know him."
B) "Newborns cannot focus their eyes, so it does not matter how I hold my new baby."
C) "My baby will be very sleepy immediately after birth, so he can go to the nursery."
D) "I should avoid looking directly into the baby's eyes to prevent frightening the baby."
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Chapter 26: The Newborn at Risk: Conditions Present at Birth
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Sample Questions
Q1) A newborn is diagnosed with fetal alcohol syndrome (FAS). Which statement indicates that the parents require additional teaching about this health problem?
A) "He might be a fussy baby because of this."
B) "His face looks like it does due to this problem."
C) "Cuddling and rocking will help him stay calm."
D) "Our baby's heart murmur is from this syndrome."
Q2) 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.)
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.)
Q4) An infant of a diabetic mother (IDM) weighing 11 lb is prescribed to receive an infusion of dextrose 10% and water at the rate of 5 mg/kg/min until blood glucose level remains about 45 mg/dL. How many milligrams of dextrose will the infant receive in 30 minutes? (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) Place the following nursing interventions related to resuscitation in the correct order according to complexity of the method and seriousness of the infant's condition.
A) Perform chest compressions.
B) Administer epinephrine.
C) Rub the infant's back with a blanket.
D) Administer 21% oxygen in a positive-pressure ventilator.
E) Administer 100% oxygen in a positive-pressure ventilator.
Q2) The nurse is caring for an infant who delivered in a car on the way to the hospital and has developed cold stress. Which finding requires immediate intervention?
A) Blood glucose level of 45
B) Vasoconstriction and pallor
C) Room temperature IV running
D) Positioned under radiant warmer
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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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) On the first postpartum day, the nurse teaches a client about breastfeeding. Two hours later, the mother seems to remember very little of the teaching. What should the nurse identify as the reason for the client's memory lapse?
A) Epidural anesthesia
B) The taking-in phase
C) The taking-hold phase
D) Postpartum hemorrhage
Q3) What should the nurse assess to determine healing of the uterus at the placental site?
A) Laboratory values
B) Uterine size
C) Blood pressure
D) Type, amount, and consistency of lochia
Page 30
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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 caring for a client who plans to relinquish her baby for adoption. Which nursing actions are appropriate based on this information? Select all that apply.
A) Encourage the client to see and hold her infant.
B) Encourage the client to express her emotions.
C) Respect any special requests for the birth.
D) Acknowledge the grieving process in the client.
E) Allow for access to the infant if the client requests it.
Q2) The hospital is developing a new maternity unit. What aspects should be included in the planning of this new unit to best promote family wellness?
A) Normal newborn nursery centrally located to all client rooms
B) A kitchen with refrigerator stocked with juice and sandwiches
C) Small, cozy rooms with a client bed and rocking chair
D) A nursing model based on providing couplet care
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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 presents to the maternity clinic with complaints of urinary urgency and dysuria 3 days after hospital discharge. Which statement is most important for the nurse to make?
A) "Void into this sterile cup without touching the inside of the cup."
B) "Be sure to wipe from back to front after you have a bowel movement."
C) "Call the clinic if you develop nausea and vomiting or constipation."
D) "Decrease your fluid intake for a few days, but eat a lot of vegetables."
Q2) 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
Q3) 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
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Page 32
Chapter 31: Growth and Development
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70684
Sample Questions
Q1) Which nursing actions are developmentally appropriate when caring for a hospitalized school-age child? Select all that apply.
A) Knocking on the school-age child's hospital room door prior to entering
B) Giving clear instructions about details of treatment
C) Providing brochures regarding sexuality
D) Offering medical equipment to play with prior to a procedure
E) Using toys for distraction during a painful procedure
Q2) The nurse is preparing to administer an intramuscular injection to a toddler-age client. Which is the most appropriate statement by the nurse prior to this procedure?
A) "It is all right to cry. After we are done, you can go to the box and pick out your favorite sticker."
B) "We will give you your shot when your mommy comes back."
C) "I will wipe your skin with a magic wipe and then hold the needle like this and say 'one, two, three, go' and give you your shot. Are you ready?"
D) "This is a magic sword that will give you your medicine and make you all better."
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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) The nurse is providing nutritional guidance to the parents of a school-age child. Which comment by a parent would prompt the nurse to provide further education?
A) "We use separate utensils for food preparation and for eating."
B) "We allow our child to drink only pasteurized apple cider."
C) "We let our child sample cookie dough while making cookies."
D) "We always wash our hands well before any food preparation."
Q2) Which assessment findings would cause the nurse to believe that a school-age child is not receiving enough vitamin C in the diet? Select all that apply.
A) Dermatitis
B) Bleeding gums
C) Scaling of the skin
D) Muscle weakness
E) Headaches
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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) The nurse is taking a health history from the family of a 3-year-old child. Which statement or question by the nurse would be most likely to establish rapport and elicit an accurate response from the family?
A) "Tell me about the concerns that brought you to the clinic today."
B) "Does any member of your family have a history of asthma, heart disease, or diabetes?"
C) "Hello, I would like to talk with you and get some information about you and your child."
D) "You will need to fill out these forms; make sure that the information is as complete as possible."
Q2) The nurse prepares to conduct a quick evaluation of a 1-month-old infant's hearing. Which action will provide the best information?
A) Examining the child's ear canal with an otoscope
B) Using a vibrating tuning fork placed against the child's skull
C) Using tympanometry to assess the child's hearing
D) Using a noisemaker to evaluate the child's response
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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 clinic administrator has asked each nurse to classify the nursing activities as a beginning step of clinic reorganization. Which of these strategies can be classified as health promotion and health maintenance? Select all that apply.
A) Instructing on how to use dental floss
B) Treating a child with a diagnosis of acute otitis media
C) Administering the flu vaccine to infants 6 to 23 months old
D) Working with new parents to create daily feeding schedules for infants
E) Conducting developmental screening examinations for toddlers
Q2) Parents are in the pediatric clinic with their infant for a 1-month checkup. Which assessment question regarding immunizations should the nurse ask the infant's parents?
A) "Did your baby receive the influenza vaccine prior to hospital discharge?"
B) "Did your baby receive the hepatitis B vaccine prior to hospital discharge?"
C) "Did your baby receive the rubella vaccine prior to hospital discharge?"
D) "Did your baby receive the rotavirus vaccine prior to hospital discharge?"
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Page 36
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 will the nurse assess in the family of a 3-year-old child during a pediatric clinic visit scheduled due to regressive behavior? Select all that apply.
A) Change in parental marital status
B) Level of education for each parent
C) Health of child's siblings
D) Maternal depression
E) Child's exposure to communicable diseases
Q2) The visiting nurse is evaluating the home environments of several preschool-age children as they relate to child safety. The nurse visits the home of each child and gathers the following data. Which activity noted during the visit places a child at the greatest risk for bodily harm?
A) The parents are in a methadone program.
B) The parents consume alcohol on a daily basis.
C) The child watches television for 2 hours each day.
D) The child is permitted to swim in the family pool unsupervised.
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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) The nurse is planning care for an overweight adolescent. Which topic may also be appropriate for the nurse to include in the adolescent's plan of care?
A) Substance abuse
B) School phobia
C) Spiritual distress
D) Negative self-esteem
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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 child who has had a tracheostomy for several years is scheduled to begin kindergarten in the fall. The teacher is concerned about this child being in the class, and consults the school nurse. Which nursing action is appropriate?
A) Making arrangements for the child to go to a special school
B) Recommending that the child be home schooled
C) Asking the parents of the child to provide a caregiver during school hour
D)Teaching the teacher how to care for the child in the classroom
Q2) 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.
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 nurse is partnering with the family of a hospitalized premature neonate who suffered an intraventricular hemorrhage (IVH). After 3 months in the neonatal intensive care unit (NICU), the infant is being discharged. Which activities will the nurse suggest to the family to help stimulate the infant's development? Select all that apply.
A) Using a day care for stimulation
B) Discouraging sibling interaction
C) Holding and rocking the infant
D) Interacting face to face
E) Talking softly and singing to the infant
Q2) An adolescent diagnosed with type 1 diabetes mellitus (DM) is prescribed dietary restrictions and daily insulin injections. Which behavior does the nurse anticipate from the adolescent upon return to school?
A) Administering medication in front of peers
B) Teaching peers about the diagnosis
C) Acknowledging the condition to classmates
D) Exhibiting poor adherence to the prescribed treatment plan
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Chapter 39: Nursing Considerations for the Hospitalized Child
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29 Flashcards
Source URL: https://quizplus.com/quiz/70692
Sample Questions
Q1) Prior to discharging the child from the hospital, what routine discharge instructions should the nurse discuss with the family?
A) Monitoring signs and symptoms specific to condition
B) Instruction on performing a medical examination on the child
C) No instructions are needed; the family is familiar with the child.
D) A list of all diagnostic tests obtained during the hospitalization and their results
Q2) A school-age client is in the playroom when the respiratory therapist arrives to give a scheduled breathing treatment. Which is the most appropriate nursing action?
A) Escorting the child to his room and asking the child-life specialist to bring toys to the bedside
B) Rescheduling the treatment for a later time
C) Assisting the child back to his room for the treatment but reassuring him that he may return when the procedure is completed
D) Showing the respiratory therapist to the playroom so the treatment can be performed
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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) 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.
Q2) The nurse is caring for a postoperative toddler-age child. Which pain assessment tool should the nurse use to assess this child's pain?
A) Poker Chip Tool
B) Oucher Scale
C) Faces Pain Rating Scale
D) FLACC Behavioral Pain Assessment Scale
Q3) Which pediatric diagnoses require the nurse to include interventions to treat chronic pediatric client pain in the plan of care? Select all that apply.
A) Juvenile idiopathic arthritis
B) Sickle cell disease
C) Attention deficit hyperactivity disorder (ADHD)
D) Cancer
E) Human immunodeficiency virus (HIV)
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42
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) Which topics should the nurse include in a discussion with parents of a terminally ill child regarding parental feelings that may occur upon the child's death? Select all that apply.
A) Loneliness
B) Guilt
C) Anger
D) High energy
E) Depression
Q2) An adolescent experiencing status asthmaticus is rushed to the emergency department by ambulance. The parents arrive and ask to see their child. The triage nurse at the reception desk knows that the adolescent was pronounced dead on arrival. Which is the best action by the triage nurse at this time?
A) Ask the parents to please take a seat in the waiting room.
B) Immediately escort the parents to a quiet, private room.
C) Tell the parents that they must wait because only the healthcare provider can talk with them.
D) Immediately tell the parents, "I'm sorry, but your child didn't make it."
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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) The nurse is providing care to a 3-year-old client whose mother states, "I am not sure that I have enough money to buy both food for the rest of the month and the antibiotic for my child's ear infection." Which nursing intervention would be beneficial for the child and this family?
A) Talking with the mother about keeping the child's ear clean by using a Q-tip
B) Putting the mother in contact with a local agency that provides food on a regular basis to needy families and helps them access other resources in the community
C) Providing the mother with samples of food and food stamps for the child
D) Giving the mother free samples of an antibiotic
Q2) A child is admitted to the emergency department (ED) for scald burns to the buttocks and thighs. According to the mother, she was preparing the child's bath and before she could test the water, the child fell in and was scalded. Which would cause the nurse to suspect abuse?
A) The burns are uneven, with some burns deeper than others.
B) The child's hands and feet are free of burns.
C) In addition to the main burn site, there are splash burns surrounding the area.
D) The mother was home alone with the child.
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Page 44
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) The pediatric clinic has set a goal that 95% or more of the children attending the clinic will be fully immunized. Which should the clinic nurses teach the families to meet this goal?
A) The benefits of immunizations outweigh the risks of communicable diseases.
B) Immunizations should be completed by the time the child starts school.
C) Once a child receives a vaccination, that individual has lifelong immunity against that disease.
D) Vaccinations are 100% safe.
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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
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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 assessing an infant brought to the clinic because of diarrhea. The infant is alert but has dry mucous membranes. Which additional assessment data indicates to the nurse that the infant is experiencing an early to moderate stage of dehydration?
A) Bradycardia
B) Tachycardia
C) Increased blood pressure
D) Normal fontanels
Q3) 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
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Chapter 45: The Child With Alterations in Eye, Ear, Nose, and Throat Function
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Sample Questions
Q1) Which information should the nurse include in a teaching session regarding treatment for the common cold in the pediatric population?
A) Aspirin should be taken for alleviation of fever if the common cold is contracted.
B) Antibiotics will eliminate the nasopharyngitis virus.
C) Vaccinations can prevent contraction of a nasopharyngitis virus.
D) Proper hand washing can prevent the spread of the common cold.
Q2) Which common eye disorders should the nurse include in a teaching session for the parents of pediatric clients? Select all that apply.
A) Hyperopia
B) Myopia
C) Astigmatism
D) Strabismus
E) Cataracts
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 nursing actions are appropriate when providing care to a pediatric client who has sustained a smoke-inhalation injury? Select all that apply.
A) Assessing for respiratory distress
B) Auscultating the lungs for wheezing
C) Prescribing oxygen for low saturations
D) Administering prescribed prophylactic antibiotic therapy
E) Providing support to the family
Q2) Which pediatric clients would require a nursing assessment for blunt chest trauma? Select all that apply.
A) A preschool-age client who is admitted after a house fire.
B) A toddler-age client who is admitted for injuries sustained in a motor vehicle accident.
C) A school-age client who is admitted for observation after a skateboarding accident.
D) An adolescent client admitted for an asthma exacerbation.
E) An infant admitted to rule out cystic fibrosis.
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Chapter 47: The Child With Alterations in Cardiovascular Function
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29 Verified Questions
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Source URL: https://quizplus.com/quiz/70700
Sample Questions
Q1) A child is admitted to the pediatric medical unit with a diagnosis of Kawasaki disease. Which provider prescription should the nurse question?
A) Contact isolation
B) Oral aspirin every 8 hours
C) Echocardiogram
D) Vital signs every 4 hours
Q2) Which teaching point should the nurse include in the discharge instructions for a pediatric client who has undergone cardiac surgery?
A) Should not receive routine immunizations.
B) Should be restricted from most play activities.
C) Fever is expected for several weeks following the surgery.
D) Prophylactic antibiotics are required for any dental, oral, or upper respiratory tract procedures.
Q3) The nurse is teaching a pregnant client about fetal circulation. Which is the correct sequence of blood flow that indicates the pregnant client understands the information presented?
A) Ductus arteriosus
B) Ductus venosus
C) Foramen ovale
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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 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) The nurse is providing care to a child who experienced an anaphylactic reaction to an unknown allergen. Which high-risk foods should the nurse question the family about regarding recent consumption?
A) Peanut butter
B) Shrimp
C) Eggs
D) Milk
E) Soda
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Chapter 49: The Child With Alterations in Hematologic Function
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Sample Questions
Q1) Which is the priority nursing intervention when providing care to a pediatric client who is experiencing disseminated intravascular coagulation (DIC)?
A) Preparing the child for radiographic procedures
B) Implementing the prescribed fluid restriction for the child
C) Encouraging the child to frequently ambulate
D) Monitoring the child's oxygen saturation and vital signs
Q2) The heatlthcare provider prescribes a unit of packed red blood cells for a pediatric client. Which intravenous fluid should the nurse hang during the blood transfusion?
A) D<sub>5</sub>W
B) D<sub>5</sub>LR
C) D<sub>5</sub> 1/4NS
D) NS
Q3) Which is the priority nursing diagnosis for the child diagnosed with idiopathic thrombocytopenic purpura (ITP)?
A) Ineffective Breathing Pattern
B) Nausea
C) Fluid Volume Deficit
D) Risk for Injury
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Chapter 50: The Child With Cancer
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27 Verified Questions
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Source URL: https://quizplus.com/quiz/70703
Sample Questions
Q1) A child diagnosed with cancer is prescribed chemotherapy. Recent laboratory data show a low white blood cell (WBC) count. Which prescription should the nurse anticipate based on the current data?
A) Epoetin alfa (Epogen)
B) Ondansetron (Zofran)
C) Oprelvekin (Neumega)
D) Filgrastim (Neupogen)
Q2) A child with rhabdomyosarcoma is prescribed radiation therapy after surgical removal of the tumor. Which intervention should the nurse include in the child's plan of care?
A) Apply lotion to the area before radiation therapy.
B) Apply sunscreen to the area when the child is exposed to sunlight.
C) Remove any markings left after each radiation treatment.
D) Vigorously scrub the area when bathing the child.
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Chapter 51: The Child With Alterations in Gastrointestinal Function
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Sample Questions
Q1) The nurse is planning care for a school-age client who is postoperative for the surgical removal of the appendix. In addition to pharmacologic pain management, which should the nurse include in the plan of care to address pain?
A) Applying a warm, moist pack every 4 hours
B) Applying EMLA cream to the incision site prior to ambulation
C) Applying a cold, moist pack every 2 hours
D) Applying a pillow against the abdomen to splint the incision site when coughing
Q2) Which gastrointestinal defects, often diagnosed shortly after birth, should the nurse include in the assessment process of all newborns? Select all that apply.
A) Pyloric stenosis
B) Biliary atresia
C) Hirschsprung disease
D) Umbilical hernia
E) Diaphragmatic hernia
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Chapter 52: The Child With Alterations in Genitourinary Function
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Sample Questions
Q1) A preschool-age child is admitted to the hospital with acute postinfectious glomerulonephritis (APIGN) and is admitted to the hospital. Which is the priority nursing diagnosis for this child?
A) Risk for Injury related to hypertension.
B) Altered Growth and Development related to a chronic disease.
C) Risk for Infection related to hypertension.
D) Fluid Volume Excess related to decreased plasma filtration.
Q2) Which is the appropriate nursing intervention when providing care to a child, diagnosed with nephrotic syndrome, who is edematous and on bed rest?
A) Monitor blood pressure every 30 minutes.
B) Reposition every 2 hours.
C) Limit visitors.
D) Encourage fluids.
Q3) Which clinical manifestations should the nurse anticipate upon assessment for a preschool-age child with a urinary tract infection (UTI)?
A) Headache, hematuria, and vertigo
B) Foul-smelling urine, elevated blood pressure (BP), and hematuria
C) Urgency, dysuria, and fever
D) Severe flank pain, nausea, and headache
Page 54
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Chapter 53: The Child With Alterations in Endocrine Function
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Sample Questions
Q1) The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). Which healthcare provider prescription should the nurse question?
0)1 unit/kg per hour
A) Neurologic checks hourly
B) Insert urinary catheter and measure output hourly
C) NPH insulin IV at
D) Stat serum electrolytes
Q2) 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
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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 clinical manifestations support the diagnosis of viral meningitis? Select all that apply.
A) Abrupt onset of fever
B) Headache
C) Myalgia
D) Hemorrhagic rash
E) Purpura
Q2) A 9-month-old infant who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
A) Hypotonia and muscle instability
B) Hypertonia and persistence primitive reflexes
C) Tremors and exaggerated posturing
D) Hemiplegia and hypertonia
Q3) Which assessment finding for a 4-month-old infant would require further action by the nurse?
A) The posterior fontanel is open.
B) The infant has good head control when held upright.
C) The infant is able to roll only from abdomen to back.
D) The anterior fontanel is open and soft.
Page 56
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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 factor, noted by the nurse during the pediatric health history portion of the assessment process, would indicate the child is at risk for attention deficit/hyperactivity disorder (ADHD)?
A) Measles, mumps, and rubella vaccine
B) Advanced parental age
C) Prenatal exposure to smoke
D) Immune response
Q2) The mother of a 22-month-old child states, "My child does not seem to be developing like my sister's daughter, who is the same age." Which screening test should the nurse plan to conduct based on the current data?
A) Magnetic resonance imaging (MRI) of the head
B) An electroencephalogram (EEG)
C) A Denver II
D) Chromosomal study
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Chapter 56: The Child With Alterations in Musculoskeletal Function
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/70709
Sample Questions
Q1) Which assessment finding for a toddler-age child in balanced Bryant traction for a fractured right femur would require immediate action by the nurse?
A) The child keeps trying to turn and lie on his belly.
B) The ropes are unequal in length.
C) The child's buttocks are resting on the bed.
D) The Ace bandage wrapping the legs is wrinkled.
Q2) The nurse is providing care to a child who is diagnosed with Legg-Calvé-Perthes disease. Which parental statement regarding the child's care required further teaching from the nurse?
A) "We're glad this will only take about 6 weeks to correct."
B) "We understand abduction of the affected leg is important."
C) "We know to watch for areas on the skin that the brace might rub."
D) "We understand swimming is a good sport for Legg-Calvé-Perthes."
Q3) 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
Page 58
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Chapter 57: The Child With Alterations in Skin Integrity
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25 Verified Questions
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Source URL: https://quizplus.com/quiz/70710
Sample Questions
Q1) The toddler pulled a pot of boiling water off the stove and suffered partial- and full-thickness burns to the chest. The child is now in the recovery-management phase of burn treatment. Which common complication should the nurse assess this client for based on the current data?
A) Asphyxia
B) Metabolic acidosis
C) Shock
D) Wound infection
Q2) Which topics should be included in a teaching session with parents of school-age children to prevent frostbite? Select all that apply.
A) Dressing in layers
B) Having extra clothing available
C) Removing wet gloves immediately
D) Applying sunscreen twice per day
E) Wearing sunglasses while outside
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