Nursing Care of Children and Families
Midterm Exam
Course Introduction
This course explores the principles and practices of nursing care for children and their families, emphasizing holistic, family-centered approaches. Students will learn to address the unique physical, emotional, and developmental needs of pediatric patients across diverse healthcare settings. Topics include growth and development, common pediatric illnesses, health promotion, disease prevention, and strategies for supporting families through acute and chronic health challenges. The course also examines effective communication, ethical and cultural considerations, and interdisciplinary collaboration to optimize health outcomes for children and their families.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 7th Edition by Leifer
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1191 Verified Questions
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Chapter 1: The Past, Present, and Future
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse reminds family members that the philosophy of family-centered care is to provide control to the family over health care decisions.What is the appropriate term for this type of control?
A) Empowerment
B) Insight
C) Regulation
D) Organization
Answer: A
Q2) What services are birthing centers able to provide?
A) Prenatal care
B) Labor and delivery services
C) Classes for new mothers
D) Adoption referrals
E) Family planning
Answer: A,B,C,E
Q3) The first White House Conference on Children and Youth was called by President
Answer: Theodore Roosevelt
Theodore Roosevelt called the first White House Conference in 1909.
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Page 3
Chapter 2: Human Reproductive Anatomy and Physiology
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Sample Questions
Q1) A 14-year-old boy is at the pediatric clinic for a checkup.What physical changes of puberty will the nurse indicate are related to the production of testosterone?
A) Stimulation of production of white cells and platelets
B) Promotion of growth of small bones
C) Increase in muscle mass and strength
D) Decrease in production of sebaceous gland secretions
Answer: C
Q2) The nurse explains that testosterone is responsible for males exceeding females in which aspects?
A) Strength
B) Height
C) Mental concentration
D) Hematocrit levels
E) Agility
Answer: A,B,D
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Chapter 3: Fetal Development
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Put the embryonic/fetal characteristics in the correct order of occurrence from week 3 to week 36 of gestation.Put a comma and space between each answer choice (a,b,c,d,etc.)
A) Subcutaneous fat is present.
B) Bone marrow forms blood cells.
C) Spinal cord and brain appear.
D) Skull and jaw ossify.
E) Neural tube closes.
Answer: C,E,D,B,A
Q2) The nurse is presenting a conference on gene dominance.What does the nurse report as the percentage of children carrying the dominant gene if one parent has a dominant gene and the other parent does not?
A) 10%
B) 25%
C) 50%
D) 100%
Answer: C
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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Sample Questions
Q1) When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease.Given this information,what lab test can the nurse anticipate the physician will order?
A) Endovaginal ultrasound
B) Pap test
C) Complete blood count
D) Hemoglobin electrophoresis
Q2) The nurse has explained physiological changes that occur during pregnancy.Which statement indicates that the woman understands the information?
A) "Blood pressure goes up toward the end of pregnancy."
B) "My breathing will get deeper and a little faster."
C) "I'll notice a decreased pigmentation in my skin."
D) "There will be a curvature in the upper spine area."
Q3) During the physical examination for the first prenatal visit,it is noted that Chadwick's sign is present.What is Chadwick's sign?
A) Bluish or purplish discoloration of the vulva, vagina, and cervix
B) Presence of early fetal movements
C) Darkening of the areola and breast tenderness
D) Palpation of the fetal outline
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Page 6
Chapter 5: Nursing Care of Women with Complications
During Pregnancy
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Sample Questions
Q1) What symptom presented by a pregnant women is indicative of abruptio placentae?
A) Painless vaginal bleeding
B) Uterine irritability with contractions
C) Vaginal bleeding and back pain
D) Premature rupture of membranes
Q2) A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain.An ectopic pregnancy is confirmed by ultrasound.Which statement indicates that the woman understands the explanation of an ectopic pregnancy?
A) "The chorionic villi develop vesicles within the uterus."
B) "The placenta develops in the lower part of the uterus."
C) "The fetus dies in the uterus during the first half of the pregnancy."
D) "The embryo is implanted in the fallopian tube."
Q3) A patient who is 30 weeks pregnant delivers a stillborn child in the emergency department (ED).What should the ED nurse offer the patient?
A) Privacy
B) An opportunity to hold the infant
C) Materials about support groups
D) A memento (footprint or lock of hair)
E) A warm beverage
Page 7
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Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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Sample Questions
Q1) The nurse is caring for a woman in the first stage of labor.What will the nurse remind the patient about contractions during this stage of labor?
A) They get the infant positioned for delivery.
B) They push the infant into the vagina.
C) They dilate and efface the cervix.
D) They get the mother prepared for true labor.
Q2) What contraction duration and interval does the nurse recognize could result in fetal compromise?
A) Duration shorter than 30 seconds, interval longer than 75 seconds
B) Duration shorter than 90 seconds, interval longer than 120 seconds
C) Duration longer than 90 seconds, interval shorter than 60 seconds
D) Duration longer than 60 seconds, interval shorter than 90 seconds
Q3) What is the function of contractions during the second stage of labor?
A) Align the infant into the proper position for delivery
B) Dilate and efface the cervix
C) Push the infant out of the mother's body
D) Separate the placenta from the uterine wall
Q4) After the membranes have ruptured,the nurse should assess the fetal heart rate (FHR)for ________ minute(s).
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Chapter 7: Nursing Management of Pain During Labor and Birth
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Sample Questions
Q1) The ______________ ___________,also called the psychoprophylactic method,is the basis of most childbirth preparation classes in the United States.
Q2) What chemical substance(s)produced in the body acts as a natural pain reliever?
A) Endorphins
B) Morphine
C) Codeine
D) Atropine
Q3) What assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman?
A) Bladder for distention
B) Blood pressure
C) Sensation in the lower extremities
D) Intravenous fluid flow rate
Q4) Which narcotic antagonist is used to reverse narcotic-induced respiratory depression?
A) Hydroxyzine (Vistaril)
B) Phenobarbital
C) Naloxone (Narcan)
D) Nitrous oxide
9
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Chapter 8: Nursing Care of Women with Complications
During Labor and Birth
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Sample Questions
Q1) What nursing assessment should be reported immediately after an amniotomy?
A) Fetal heart rate is regular at 154 beats/min.
B) Amniotic fluid is clear with flecks of vernix.
C) Amniotic fluid is watery and pale green.
D) Maternal temperature is 37.8° C.
Q2) A frustrated patient in labor has been affected by decreased uterine muscle tone and reports,"My doctor won't induce my labor because of some silly score.He said I was a
4.What kind of magic number do I need?" What is the lowest Bishop score the patient should have prior to induction?
A) 6
B) 8
C) 10
D) 12
Q3) A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP).What position will the nurse promote to encourage fetal rotation and pain relief?
A) Prone with legs supported and give her a back massage
B) Supine with legs bent at the knee
C) Standing with support
D) Sitting up and leaning forward on the over-bed table
Page 10
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Chapter 9: The Family After Birth
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Sample Questions
Q1) A woman has given birth to an unresponsive newborn that NICU staff are attempting to revive.The patient and her husband are grief stricken and request the child be baptized immediately.What is the nurse's most appropriate action?
A) Contact the hospital chaplain.
B) Request the couple's clergy.
C) Baptize the newborn.
D) Ask the physician to baptize the newborn.
Q2) After birth,the nurse quickly dries and wraps the newborn in a blanket.How does this action prevent heat loss?
A) Conduction
B) Radiation
C) Evaporation
D) Convection
Q3) In what situation will the physician order RhoGAM?
A) An unsensitized Rh-negative mother has an Rh-positive infant.
B) An Rh-negative mother becomes sensitized.
C) A sensitized infant has a rising bilirubin level.
D) An unsensitized infant exhibits no outward signs.
Q4) The hormone responsible for milk production is ____________________.
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Chapter 10: Nursing Care of Women with Complications
After Birth
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33 Verified Questions
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Sample Questions
Q1) The nurse assesses a positive Homans sign when the patient's leg is flexed and foot sharply dorsiflexed.Where does the patient report that the pain is felt?
A) Groin
B) Achilles tendon
C) Top of the foot
D) Calf of the leg
Q2) The nurse instructs the postpartum patient that her nutritional intake should include which food(s)particularly supportive to healing?
A) Legumes
B) Potatoes and pasta
C) Citrus fruits
D) Rice
E) Cantaloupe
Q3) What should the nurse's first action be when postpartum hemorrhage from uterine atony is suspected?
A) Teach the patient how to massage the abdomen and then get help.
B) Start IV fluids to prevent hypovolemia and then notify the registered nurse.
C) Begin massaging the fundus while another person notifies the physician.
D) Ask the patient to void and reassess fundal tone and location.
Page 12
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Chapter 11: The Nurses Role in Womens Health Care
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Sample Questions
Q1) The nurse cautions that women with a history of which disorders are not candidates for HRT?
A) Melanoma
B) Estrogen-dependent breast cancer
C) Hepatitis C
D) Thromboembolic disease
E) Hyperthyroidism
Q2) A 48-year-old woman tells the nurse,"I missed my period last month.Am I in menopause?" The nurse knows that at which point is a woman considered to be menopausal?
A) Her periods have stopped for 1 year.
B) Her periods have been irregular and light for 12 months.
C) She has symptoms of vasomotor instability.
D) She experiences symptoms of decreased estrogen, such as dyspareunia.
Q3) The nurse is providing an informational session on oral contraceptives.Which of the following decrease effectiveness of oral contraceptives?
A) Antihistamines for seasonal allergies
B) Iron preparations for treatment of anemia
C) Appetite suppressants for weight reduction
D) Anticonvulsants for treatment of epilepsy
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Chapter 12: The Term Newborn
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Sample Questions
Q1) Which interventions would be included in the nursing care of the newly circumcised infant?
A) Wash penis with warm water.
B) Wipe with alcohol swab.
C) Gently remove the yellow crust formation.
D) Apply diaper loosely.
E) Dress with simple bandage.
Q2) What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?
A) "Molding doesn't cause any problems. Don't worry about it."
B) "Did you deliver vaginally or by cesarean section?"
C) "The baby's head conformed to the shape of the birth canal. It will go away soon."
D) "A traumatic delivery can cause molding."
Q3) The nurse is assessing Apgar score on a newborn.What will be evaluated?
A) Reflexes
B) Color
C) Heart rate
D) Respiration
E) Weight
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Page 14
Chapter 13: Preterm and Postterm Newborns
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Sample Questions
Q1) What nursing action is appropriate to prevent possible retinopathy in a preterm infant requiring oxygen therapy?
A) Monitor arterial oxygen levels with a pulse oximeter.
B) Position the head slightly lower than the body.
C) Administer low concentrations of oxygen.
D) Keep the infant's eyes covered at all times.
Q2) Why is the postterm neonate at risk for cold stress?
A) Inadequate vernix caseosa
B) Hypoxia from a deteriorated placenta
C) Polycythemia
D) Fat stores have been used in utero for nourishment
Q3) The nurse explains that the _____________ ___________ is a tool used to determine the gestational age of a neonate based on appearance and neuromuscular criteria.
Q4) The nurse encourages the anxious mother of a preterm infant to consider the warming technique of holding the infant between her breasts with skin-to-skin contact under a blanket.This technique is the __________ care method.
Q5) Bronchopulmonary dysplasia is the toxic response of the lung to _______ therapy.
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Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation
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Sample Questions
Q1) Phototherapy is instituted for an infant.What is the most appropriate nursing action for the infant having phototherapy?
A) Cover the infant's head with a hat.
B) Dress the infant lightly in a T-shirt.
C) Keep the infant's eyes covered.
D) Reposition the infant at least every 4 to 8 hours.
Q2) An 18-month-old child had a surgical repair of a cleft palate and is now allowed to eat a regular diet.What nursing action is the most appropriate?
A) Feed solid foods with the spoon at the side of the mouth.
B) Puree foods and offer them through a straw.
C) Place small bites of food in the mouth with a tongue blade.
D) Offer small, frequent meals of finger foods.
Q3) The nurse is caring for an infant with hydrocephalus.What nursing action is most important for this nurse to implement?
A) Align the limbs.
B) Support the head.
C) Keep the head lower than the hip.
D) Check intake and output.
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Chapter 15: An Overview of Growth, Development, and Nutrition
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Sample Questions
Q1) An educational program is being presented to pediatric nurses on the relationship of play to childhood development.What information should be included in this presentation?
A) Art play should be used sparingly.
B) Use of computer/video games is detrimental.
C) Understanding of child/parent relationships can be gained by observing play.
D) Play encourages self-expression.
E) Play provides a sense of accomplishment.
Q2) A mother asks the nurse how much food should be offered to her 2-year-old.What is a good rule of thumb for serving size (in tablespoons)per year of age?
A) 2
B) 3
C) 4
D) 5
Q3) __________ refers to standing measurement,whereas _______ refers to measurement while the infant is in a recumbent position.
Q4) The nurse includes in the care plan for a Hispanic family to encourage visits from the ____________ ____________,or _______________ for a healing ceremony.
Page 17
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Chapter 16: The Infant
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Sample Questions
Q1) A new mother is voicing concern she is breastfeeding her newborn too frequently.How often does the nurse instruct this mother she should expect her newborn to feed?
A) Every 2 to 3 hours
B) Every 4 to 6 hours
C) Every 6 to 8 hours
D) Every 8 to 10 hours
Q2) When does the posterior fontanelle close?
A) 2 to 3 months
B) 3 to 6 months
C) 6 to 9 months
D) 9 to 12 months
Q3) What is the earliest age at which the infant should be able to walk independently?
A) 8 to 10 months
B) 12 to 15 months
C) 15 to 18 months
D) 18 to 21 months
Q4) The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months,when the infant begins to ___________.
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Chapter 17: The Toddler
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Sample Questions
Q1) Parents tell the nurse they are frustrated with their toddler's recent behavior and refusal to agree with anything they ask of them.What does the nurse explain as the term for when a toddler tests their own power?
A) Negativism
B) Dawdling
C) Tantrums
D) Food fads
Q2) On a home visit,the nurse notes that the parents require teaching intervention to protect the 15-month-old child who lives there.What observation would lead the nurse to this conclusion?
A) The fireplace has a screen.
B) The dining room table has a tablecloth on it.
C) There are paintings on the wall.
D) The kitchen floor is clean but not shiny.
Q3) The nurse recognizes that when the toddler claims everything in the environment as "mine," it is an example of the toddler trait of ____________________.
Q4) _________________________ is when toddlers increase their sense of security by making compulsive routines of simple tasks.
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Page 19
Chapter 18: The Preschool Child
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Sample Questions
Q1) The parent of a 4½ -year-old child tells the nurse,"Bedtime is difficult.I can't get my son to go to bed at night." The nurse and the child's mother discuss options.What intervention is the most appropriate choice?
A) Allow the child to put himself to bed when he is tired.
B) Let the child read in his room until he falls asleep.
C) Establish a bedtime routine and use it consistently.
D) Tire him out with physical activity before bedtime.
Q2) Which is an example of associative play?
A) Two children playing house, one playing the role of the dad and the other playing the mom
B) Two children playing in a sand box, one building a wall and the other digging a hole
C) Two children playing with sports-associated items, one with a football and the other with a bat
D) Two children playing with a coloring book, one coloring pictures and the other looking at pictures
Q3) Play that is designed to retrain muscles or improve eye-hand coordination is considered ____________________ play.
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Page 20
Chapter 19: The School-Age Child
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Sample Questions
Q1) The _____________________________maintains that every sex education program should present the topic from six aspects: biological,social,health,personal adjustment and attitudes,interpersonal associations,and establishment of values.
Q2) The school nurse is preserving a tooth that was knocked out on the school playground.What will the nurse be especially careful to do?
A) Wrap the tooth loosely in a clean cloth.
B) Rinse the tooth with alcohol.
C) Handle the tooth only by the crown.
D) Place the tooth in a warm environment.
Q3) When the fifth-grade class collected geckos in a special aquarium in the classroom,the school nurse cautioned the teacher to be alert for symptoms of ____________________ that can be carried by the reptiles.
Q4) The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child.
Q5) The pediatric nurse assesses the 9-year-old child who has been diagnosed with diabetes to ensure that he does not come to believe that his disease is a form of
Q6) The nurse is aware that by the age of _____,the first permanent teeth erupt.
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Chapter 20: The Adolescent
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Sample Questions
Q1) A parent comments that her adolescent daughter seems to be daydreaming a lot.What does the nurse understand this behavior to indicate regarding their daughter?
A) She is bored.
B) She is not getting enough rest.
C) She is trying to block out stress and anxiety.
D) She is mentally preparing for real situations.
Q2) ______________ is frequently delayed in girls who are involved in activities that require a lean body and a high level of physical activity.
Q3) What are the best breakfast choices for the nurse to point out prior to a big exam,to provide high levels of alertness and increased memory?
A) Pancakes and syrup
B) Coffee and chocolate-covered donuts
C) Bacon and fried eggs
D) Whole grain cereal and yogurt
E) Oatmeal and sliced apples
Q4) The nurse understands that as adolescents strive for individuality,the strongest need of any adolescent in society is that of _______________.
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Chapter 21: The Childs Experience of Hospitalization
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Sample Questions
Q1) An 8-year-old child will be hospitalized for several weeks in skeletal traction to treat a fractured femur.What does the nurse realize immobilization in this age-group can generate feelings of in planning care of this child?
A) Loss of control
B) Altered body image
C) Shame and guilt
D) Fear of bodily harm
Q2) A hospitalized toddler was drinking from a cup at home but now refuses to drink from anything except his favorite bottle.What is the most likely reason for this behavior?
A) He is dealing with the anxiety of hospitalization by regressing.
B) He is demonstrating attention-seeking behaviors because of an overabundance of attention in the hospital.
C) He is attempting to refocus the attention of the adults around him to avoid further painful procedures.
D) He is exhibiting normal behavior for his age, as children often stop new behaviors after they believe they have mastered them.
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Chapter 22: Health Care Adaptations for the Child and Family
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Sample Questions
Q1) The nurse is caring for a 4-year-old child.What will the nurse expect the child's daily urinary output to be?
A) 400 to 500 mL
B) 500 to 600 mL
C) 600 to 700 mL
D) 700 to 1000 mL
Q2) Which strategy might the nurse use when administering oral medications to a young child who is reluctant?
A) Mix the medication with chocolate milk.
B) Tell the child that the medication is candy.
C) Give the medication quickly if the child is crying.
D) Offer the child fruit juice after the medication is swallowed.
Q3) An infant's dry diaper weighs 2.5 grams.The wet diaper weighs 47 grams.How would the nurse record the infant's urine output?
A) 47 mL
B) 44.5 mL
C) 43.5 mL
D) 40.5 mL
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Chapter 23: The Child with a Sensory or Neurological Condition
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Sample Questions
Q1) The nurse observes that the legs of a child with cerebral palsy cross involuntarily,and the child exhibits jerky movements with his arms as he tries to eat.The nurse recognizes that he has which type of cerebral palsy?
A) Athetoid
B) Ataxic
C) Spastic
D) Mixed
Q2) The nurse urges the mother of a 6-month-old to get her child inoculated with Haemophilus influenzae type B.What does this immunization protect against?
A) Encephalitis
B) Influenza
C) Bacterial meningitis
D) Otitis media
Q3) The sign that suggests possible damage to the cortex of the brain is ____________ posturing.
Q4) __________________ occurs when there is a change in the atmospheric pressure between the internal body systems and the surrounding environment.
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Chapter 24: The Child with a Musculoskeletal Condition
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Sample Questions
Q1) The parent of a child with osteomyelitis asks why his child is in so much pain.What will the nurse respond causes the pain experienced with osteomyelitis?
A) "Pressure of inelastic bone"
B) "Purulent drainage in the bone marrow"
C) "The cast applied on the extremity"
D) "Circulatory congestion of the skin"
Q2) What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?
A) Ambulates by holding onto furniture
B) Exhibits atrophy of the calf muscles
C) Falls frequently and is clumsy
D) Has delayed fine-motor development
Q3) What will the nurse include when caring for a child in Buck's extension?
A) Positioning the child with hips flexed 90 degrees at all times
B) Keeping the weights in contact with the floor
C) Checking for skin irritation from traction equipment
D) Releasing the weights on a schedule
Q4) The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.
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Chapter 25: The Child with a Respiratory Disorder
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Sample Questions
Q1) What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?
A) Pancreatic enzymes
B) Water-soluble minerals
C) Fat-soluble vitamins
D) Salt supplements
Q2) After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications,the nurse explains that routine immunizations will need to be delayed for _______ months.
Q3) Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?
A) Provide chest physiotherapy before meals every day.
B) Assess weight monthly.
C) Administer pancrease with protein food at mealtime.
D) Ensure high-protein, high-calorie diet.
Q4) The nurse reviews Accolate and Zyflo,which are _______________ _______________; they are capable of blocking the inflammatory response as well as providing bronchodilation.
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Chapter 26: The Child with a Cardiovascular Disorder
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Sample Questions
Q1) A child has an elevated antistreptolysin O (ASO)titer.Which combination of symptoms,in conjunction with this finding,would confirm a diagnosis of rheumatic fever?
A) Subcutaneous nodules and fever
B) Painful, tender joints and carditis
C) Erythema marginatum and arthralgia
D) Chorea and elevated sedimentation rate
Q2) A pediatric patient is scheduled for a noninvasive procedure to determine if his heart is structurally normal and to localize a murmur.What diagnostic test does the nurse anticipate?
A) Barium swallow
B) Chest x-ray
C) Electrocardiogram
D) Echocardiogram
Q3) Which comment made by a parent of a 1-month-old would alert the nurse about the presence of a congenital heart defect?
A) "He is always hungry."
B) "He tires out during feedings."
C) "He is fussy for several hours every day."
D) "He sleeps all the time."
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Page 28
Chapter 27: The Child with a Condition of the Blood, Blood-Forming
Organs, or Lymphatic System
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Q1) A 2-year-old child has been diagnosed with hemophilia A.What information should the nurse include in a teaching plan about home care?
A) If bleeding occurs, apply pressure, ice, elevate, and rest the extremity.
B) Children's aspirin in lowered doses may be given for joint discomfort.
C) A firm, dry toothbrush should be used to clean teeth at least twice a day.
D) Do not permit interactive play with other children.
Q2) A school-aged child is living with a chronic disease process.How would the nurse anticipate chronic illness will effect growth and development?
A) Delayed bonding with parents
B) Delayed toilet training
C) Impaired sense of belonging
D) Decreased feelings of independence
E) Impaired speech development
Q3) A child is diagnosed with iron deficiency anemia.What will the nurse explain can occur if this disorder goes untreated?
A) Hemorrhage
B) Heart failure
C) Infection
D) Pulmonary embolism
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Chapter 28: The Child with a Gastrointestinal Condition
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Q1) Which statement by a mother may indicate a cause of her son's vitamin C deficiency?
A) "We get our fruits from homemade preserves."
B) "We use milk from our own goats."
C) "We grow all our own vegetables."
D) "We're not big meat eaters."
Q2) A child is brought to the pediatric clinic because he has been vomiting for the past 2 days.What acid-base imbalance would the nurse expect to occur from this persistent vomiting?
A) Hyperkalemia
B) Hypernatremia
C) Acidosis
D) Alkalosis
Q3) What description of a child's stool characteristic leads the nurse to suspect intussusception?
A) Currant jelly
B) Black and tarry
C) Green liquid
D) Greasy and foul-smelling
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Chapter 29: The Child with a Genitourinary Condition
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Q1) A 7-year-old child has a BUN of 25 mg/dL.What is the nurse aware this lab value might indicate?
A) Dehydration
B) Renal disease
C) Need for steroid therapy
D) Diabetes
E) Pituitary malfunction
Q2) What special considerations are related to long-term prednisone therapy in preschoolers?
A) Delayed immunization
B) Hypertension
C) Enlargement of the sex organs
D) Alteration in nutrition
E) Increased risk for infection
Q3) The nurse is providing information to parents of a child born with bilateral cryptorchidism.What information is accurate to include?
A) This is the most common form.
B) Fertility will be unaffected.
C) Surgical intervention is not recommended.
D) An inguinal hernia may be present.
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Chapter 30: The Child with a Skin Condition
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Q1) A child had a burn,evidenced by pink skin and blistering.The child complains of pain and is crying.How does the nurse classify this burn when documenting?
A) First-degree
B) Second-degree superficial
C) Second-degree deep dermal
D) Third-degree
Q2) A child is brought to the emergency department with severe frostbite.Which body parts should be warmed first?
A) Hands and arms
B) Feet and legs
C) Fingers and toes
D) Head and torso
Q3) The nurse recognizes the characteristic circular hairless patches of tinea capitis,which is called _____________.
Q4) The nurse differentiates a type of topical medication that is an oil-based emulsion to be used on dry skin as a(n)_________________.
Q5) The nurse assesses a major burn as a _____-thickness burn involving _____% or more of the body surface.
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Chapter 31: The Child with a Metabolic Condition
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Q1) A mother reports that her 4-month-old infant is lethargic,sleeps 18 hours a day,and snores.The nurse recognizes these signs are characteristic of what?
A) Hypothyroidism
B) Hyperthyroidism
C) Type 1 diabetes mellitus
D) Tay-Sachs disease
Q2) Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?
A) Control intake of carbohydrates and consume fewer calories.
B) Focus on complex carbohydrates and eat foods high in fiber.
C) Obtain most calories from proteins and fats.
D) Eat a diet low in fat and low in complex carbohydrates.
Q3) What is an important consideration for the school-age child taking DDAVP for diabetes insipidus?
A) Observe for signs of water deprivation.
B) Restrict his physical education program.
C) Arrange for the child to use the bathroom when needed.
D) Limit fluid intake other than during the lunch period.
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Chapter 32: Childhood Communicable Diseases,
Bioterrorism, Natural Disasters and the Maternal-Child Patient
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Q1) Which statement made by a sexually active adolescent girl indicates an understanding of the prevention of sexually transmitted diseases?
A) "I always douche after intercourse."
B) "I think you can get a vaccination for STDs now."
C) "I insist that my partner wear a condom."
D) "I am protected because I take the pill."
Q2) An adolescent is taking tetracycline for a sexually transmitted disease.What would the nurse stress when providing instruction about this medication?
A) Finish all of the medication.
B) Get plenty of fresh air and sunlight.
C) Take the medication with food.
D) Take an antacid if the medication causes an upset stomach.
Q3) An infant is hospitalized for RSV bronchiolitis.Which type of precautions would the nurse use when caring for the infant?
A) Large-droplet infection precautions
B) Airborne-infection precautions
C) Contact precautions
D) Protective precautions
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Chapter 33: The Child with an Emotional or Behavioral Condition
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Q1) A nurse is hired to work in a psychiatric facility on a unit specializing in obsessive compulsive disorders (OCD).Which diagnoses might the nurse expect to encounter?
A) Trichotillomania
B) Hoarding disorder
C) Excoriation disorder
D) Body dysmorphic disorder
E) Oppositional defiant disorder
Q2) What would be the appropriate response to an adolescent who states,"This has been the worst day of my life"?
A) "You should focus your mind on positive thoughts."
B) "Everybody has a bad day now and then."
C) "You're young. What could be so terrible?"
D) "Tell me about the worst day of your life."
Q3) The nurse assists with the intervention of ____________ therapy,which provides a physical and social environment that is stable and therapeutic.
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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Q1) A parent asks the nurse,"What is guided imagery?" Which statement is the most accurate response?
A) "It is a technique where the patient focuses on an image to relieve stress."
B) "It involves using water to promote relaxation."
C) "The patient enters a hypnotic state of sleep to promote relaxation."
D) "It helps the patient recognize tension in the muscles with responses on an electronic machine."
Q2) A patient is providing history information to the admitting nurse about treatment used for chronic pain.The patient reports she participates in a type of relaxation therapy that enables her to recognize tension in the muscles via responses on an electronic machine and visual electromyography responses.What type of therapy does the nurse record on admission record?
A) Guided imagery
B) Biofeedback
C) Hypnotherapy
D) Chiropractic care
Q3) In 1992 the National Institutes of Health (NIH)created the Office of Alternative Medicine to evaluate the various CAM therapies.It has since been renamed the_________________________________________________.
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