Nursing Care of Children Exam Materials
Course Introduction
Nursing Care of Children focuses on the principles and practices of nursing care for pediatric patients from infancy through adolescence. The course covers growth and development, health promotion, family-centered care, and the management of common and complex childhood illnesses. Emphasis is placed on communication techniques, understanding pediatric physiological differences, and addressing the unique emotional and psychological needs of children and their families. Students will learn to perform comprehensive assessments, plan interventions, and collaborate with interdisciplinary teams to ensure safe and effective care in various pediatric settings.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 8th Edition by Leifer
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34 Chapters
1027 Verified Questions
1027 Flashcards
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Page 2
Chapter 1: The Past, Present, and Future
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision?
A) Clinical pathways
B) Nursing outcome criteria
C) Standards of care
D) Nursing care plan
Answer: A
Q2) What non-family-centered policies were prevalent in the 1960s? (Select all that apply. )
A) Waiting room for fathers
B) Sedation of mother during labor
C) Delay of reunion of mother and infant
D) Lenient visiting hours
E) Restrictions of visitations by minor children
Answer: A,B,C,E
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Chapter 2: Human Reproductive Anatomy and Physiology
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse encourages the members of a prenatal class to seriously consider breastfeeding.What does breast milk provide in addition to nourishment for the infant?
A) Maternal antibodies
B) Stimulus for red blood cell production
C) Endorphins that soothe the infant
D) Hormones that stimulate growth
Answer: A
Q2) How long does sperm remain viable in the female reproductive tract?
A) 12 hours
B) 1 day
C) 2 days
D) 4 days
Answer: D
Q3) What statement indicates a woman has correct information about oogenesis?
A) "Women make fewer ova as they age."
B) "Women have all of their ova at the time they are born."
C) "Ova production begins at birth and continues until puberty."
D) "New ova are made every month from puberty to climacteric."
Answer: B
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Page 4
Chapter 3: Fetal Development
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) During an ultrasound,two amnions and two placentas are observed.What will be the most likely result of this pregnancy?
A) Dizygotic twins
B) Monozygotic twins
C) Conjoined twins
D) High-birth weight twins
Answer: A
Q2) The nurse is educating a class of expectant parents about fetal development.What is considered fetal age of viability?
A) 14 weeks
B) 20 weeks
C) 25 weeks
D) 30 weeks
Answer: B
Q3) What is the total number of chromosomes contained in a mature sperm or ovum?
A) 22
B) 23
C) 44
D) 46
Answer: B
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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Sample Questions
Q1) A woman who is 36 weeks pregnant tells the nurse she plans to take a 12-hour flight to Hawaii.What would the nurse recommend that the patient do during the flight? (Select all that apply. )
A) Wear tight-fitting clothing to promote venous return.
B) Eat a large meal before boarding the flight.
C) Request a seat with greater leg room.
D) Drink at least 4 ounces of water every hour.
E) Get up and walk around the plane frequently.
Q2) At what age is a woman who becomes pregnant for the first time described as an "elderly primip"?
A) After 25 years old
B) After 28 years old
C) After 30 years old
D) After 35 years old
Q3) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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Chapter 5: Nursing Care of Women With Complications
During Pregnancy
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A primigravida in her first trimester is Rh negative.What will this woman receive to prevent anti-Rh antibodies from forming?
A) Rh immune globulin during labor
B) Intrauterine transfusions with O-negative blood
C) Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant
D) Rh immune globulin now and again in the last trimester
Q2) What symptom reported by a pregnant patient would lead the nurse to suspect pyelonephritis?
A) Frequency and urgency of urination
B) Nausea and weight loss
C) Burning sensation when voiding
D) Tenderness in the flank area
Q3) The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate.What is the highest priority nursing intervention?
A) Count respirations and report a rate of less than 12 breaths/minute.
B) Count respirations and report a rate of more than 20 breaths/minute.
C) Check blood pressure and report a rate of less than 100/60 mm Hg.
D) Monitor urinary output and report a rate of less than 100 mL/hr.
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) What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?
A) Fetal distress
B) Fetal maturity
C) Intact gastrointestinal tract
D) Dehydration in the mother
Q2) It is determined that the presenting part of the fetus is the buttocks.At delivery the fetus's hips are flexed and the knees are extended.How would the nurse record this presentation?
A) Complete breech
B) Frank breech
C) Double footling
D) Buttocks presentation
Q3) How should the nurse intervene to relieve perineal bruising and edema following delivery?
A) Place an ice pack on the area for 12 hours.
B) Place a warm pack on the perineal area for 24 hours.
C) Administer aspirin to relieve inflammation.
D) Change the perineal pad frequently.
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Chapter 7: Nursing Management of Pain During Labor and Birth
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) What would the nurse guide a labor coach to do to comfort a woman tensing her muscles with contractions?
A) Offer warm liquids to the patient.
B) Encourage the patient to pant.
C) Engage the patient in conversation.
D) Assist the patient to the knee-chest position.
Q2) A woman in labor will receive general anesthesia prior to cesarean section.The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery.What will this prevent?
A) Nausea and vomiting
B) Vomiting and aspiration
C) Abdominal cramping
D) Intestinal obstruction
Q3) What chemical substance(s)produced in the body acts as a natural pain reliever?
A) Endorphins
B) Morphine
C) Codeine
D) Atropine
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Chapter 8: Nursing Care of Women With Complications
During Labor and Birth
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact.What action by the physician will the nurse anticipate?
A) Perform an amniotomy.
B) Initiate tocolytic drugs.
C) Order a sedative for the patient.
D) Plan to do an emergency cesarean section.
Q2) When a woman is admitted to the labor and delivery unit,she tells the nurse that she is anxious about delivery,the welfare of her infant,and how quickly she will recover.How can anxiety affect labor?
A) By decreasing a woman's pain sensitivity
B) By reducing blood flow to the uterus
C) By increasing the ability to tolerate pain
D) By enhancing maternal pushing through greater muscle tension
Q3) What are the rationales for labor induction? (Select all that apply. )
A) Placenta previa
B) Prolapse of cord
C) High station of fetus
D) Maternal diabetes
E) Placental insufficiency
Page 10
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Chapter 9: The Family After Birth
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Sample Questions
Q1) A primipara tells the nurse,"My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?
A) "I'll get you some aspirin to relieve the cramping that you feel."
B) "Afterpains are more intense with your first baby."
C) "Breastfeeding releases a hormone that causes your uterus to contract."
D) "A change of position when you're breastfeeding might help."
Q2) What statement made by a new mother indicates she needs additional information about breastfeeding?
A) "I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other breast."
B) "The baby needs to nurse at least 5 minutes on the breast to get the hindmilk."
C) "The baby has been nursing every 2 to 3 hours."
D) "If the baby gets fussy between feedings,I give her a bottle of water."
Q3) The nurse is assessing a newborn.Which sign would indicate hypoglycemia?
A) Increased nasal mucus
B) Increased temperature
C) Active muscle movements
D) High-pitched cry
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11
Chapter 10: Nursing Care of Women With Complications
Following Birth
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed.What is the nurse's most helpful response?
A) "Stop breastfeeding until the infection clears."
B) "Pump the breasts to continue milk production,but do not give breast milk to the infant."
C) "Begin all feedings with the affected breast until the mastitis is resolved."
D) "Breastfeeding can continue unless there is abscess formation."
Q2) Five days after a spontaneous vaginal delivery,a woman comes to the emergency room because she has a fever and persistent cramping.What does the nurse recognize as the possible cause of these signs and symptoms?
A) Dehydration
B) Hypovolemic shock
C) Endometritis
D) Cystitis
Q3) The nurse weighs a saturated perineal pad and finds it to weigh 15 grams.The nurse is aware that this indicates a blood loss of _____ mL.
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Page 12
Chapter 11: The Nurses Role in Womens Health Care
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse cautions that women with a history of which disorders are not candidates for HRT? (Select all that apply. )
A) Melanoma
B) Estrogen-dependent breast cancer
C) Hepatitis C
D) Thromboembolic disease
E) Hyperthyroidism
Q2) The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD).What is the best type of diet for the nurse to recommend?
A) High protein,low fat
B) High carbohydrate,high fiber
C) Low calorie,low fat
D) Low carbohydrate,high protein
Q3) Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?
A) Super-absorbency tampons are effective for overnight absorption.
B) Tampons should be changed at least every 4 hours.
C) Gloves should be worn when changing tampons.
D) TSS can be prevented by using a pad for the first 2 days of menstrual flow.
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Page 13
Chapter 12: The Term Newborn
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A mother asks the nurse,"Do you think my baby recognized my voice?" The nurse should consider which correct information when responding?
A) Voice recognition is delayed because the ears are not well developed at birth.
B) Infants respond to voice by increasing movements and sucking.
C) Infants initially respond to low-pitched voices.
D) Neonates can distinguish a mother's voice from other sounds in the first days of life.
Q2) Parents express concern about the milia on the face and nose of their infant.What is the nurse's most helpful response when instructing the parents?
A) Contact a pediatric dermatologist for topical medication.
B) Squeeze out the white material after cleansing the face.
C) Wash the infant's face with a mild astringent several times a day.
D) Leave the milia alone;it will disappear spontaneously.No treatment is needed.
Q3) Which assessment of the newborn should be reported?
A) Head circumference is 5 cm greater than the chest circumference.
B) Hands and feet are warm with a blue color.
C) Temperature is 36.6° C (97.8° F).
D) Head has a longer than normal shape to it.
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Chapter 13: Preterm and Postterm Newborns
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The mother of a 4-month-old infant,born prematurely,asks the nurse if her daughter will always be small for her age.What is the most appropriate nursing response?
A) "Preterm infants usually remain smaller than term infants throughout childhood."
B) "Your daughter will be the same size as other children by the time she is 1 year old."
C) "Prematurity is associated with short stature but does not affect weight gain."
D) "It takes about two years for the preterm infant to catch up to a full-term infant."
Q2) The nurse is caring for an infant born at 42 weeks.What would the physical assessment reveal?
A) Dry,peeling skin
B) Minimal hair on the head
C) Short,rough nails
D) Abundant lanugo on the body
Q3) The nurse clarifies that a fetus has enough surfactant to breathe on its own at the age of _____ weeks.
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15
Chapter 14:
The Newborn With a Perinatal Injury or Congenital Malformation
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is caring for a macrosomic newborn whose mother has diabetes.What should the nurse assess for with this neonate?
A) Hypoglycemia
B) Erythroblastosis fetalis
C) Intracranial hemorrhage
D) Pancreatic failure
Q2) The nurse is providing education to parents of a child with cleft palate.What will the nurse instruct the parents to report immediately?
A) Facial paralysis
B) Ear infections
C) Increased intracranial pressure (ICP)
D) Drooling
Q3) What would the nurse include when instructing parents about positioning their toddler who has just had a body spica cast applied?
A) Prop the child upright with pillows for meals.
B) Use the bar between the legs to turn the child.
C) Put the child on her abdomen to sleep.
D) Change the child's position frequently.
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Chapter 15: An Overview of Growth, Development, and Nutrition
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Sample Questions
Q1) An infant's birth weight is 7 pounds,8 ounces.What can the nurse project the weight to be at 6 months?
A) 12 pounds
B) 15 pounds
C) 18 pounds
D) 22 pounds
Q2) What does the nurse calculate the basal metabolic index (BMI)of an 8-year-old child who is 48 inches tall (1.2 meters)and weighs 100 pounds (45.4 kg)to be?
A) 28.9
B) 32.4
C) 34.8
D) 37.6
Q3) A mother reports that she and her husband have had one child together,but both have children from previous marriages living in their home.The nurse will base the care planning on what type of family?
A) Nuclear
B) Blended
C) Alternate
D) Extended
17
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Chapter 16: The Infant
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Sample Questions
Q1) The nurse is preparing to outline principles of discipline for parents of an infant.What information should the nurse include? (Select all that apply. )
A) Firmly say "No."
B) Distract the child to another activity.
C) Bribe the child with a sweet treat.
D) Remain consistent.
E) Ignore the child until behavior improves.
Q2) Which statement indicates the mother of an 8-month-old infant understands infant sleep patterns?
A) "I put the baby in my bed until she falls asleep,then I put her in her crib."
B) "I let the baby skip an afternoon nap so that she will fall asleep earlier."
C) "I put the pacifier in the crib so that she can find it when she wakes up."
D) "I rock the baby back to sleep if she wakes up at night."
Q3) How might the nurse demonstrate the parachute reflex with an infant?
A) Lifting the infant high in the air above her head
B) Holding the infant in a football hold,cradling the head
C) Seating the infant in a stroller in an upright position
D) Placing the infant downward into the crib
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Chapter 17: The Toddler
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Sample Questions
Q1) Which behavior reported by a parent of an 18-month-old toddler would the nurse report to the pediatrician as a cause for concern?
A) Has temper tantrums.
B) Feeds self sloppily.
C) Walks by holding onto furniture.
D) Speaks in short sentences.
Q2) What would the nurse assessing growth and development of a 2-year-old child expect to find?
A) The child jumps with both feet.
B) Twenty deciduous teeth have erupted.
C) The child can hop on one foot.
D) The child has a vocabulary of 900 words.
Q3) What is the best advice the nurse can offer a parent concerned because her 2-year-old child is very active and does not eat much?
A) Insist that the child eat one food on the plate.
B) Help the child wind down with a quiet activity before mealtime.
C) Maintain a consistent eating schedule for the family.
D) Serve the meal with a variety of interesting plates,cups,and utensils.
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Chapter 18: The Preschool Child
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Sample Questions
Q1) A preschool child is asked,"Why do trees have leaves?" Which response would be an example of animism?
A) "So I can have shade over my sandbox."
B) "Because God made them that way."
C) "To hide behind when they are scared."
D) "For the squirrels to play in."
Q2) A 4-year-old child insists he has more money with a nickel than his father has with a dime.What is this perception,as described in Piaget's theory?
A) Egocentrism
B) Artificialism
C) Animism
D) Intuition
Q3) What intervention might the nurse suggest as helpful for the child with enuresis?
A) Applying an electric pad that gently shocks the child
B) Waking the child several times during the night to urinate
C) Decreasing fluid intake after the evening meal
D) Increasing dietary fiber intake
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Chapter 19: The School-Age Child
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Sample Questions
Q1) A mother is concerned because her 9-year-old boy has developed the habit of twitching his eyes and flipping his hair while communicating with anyone.What is the best nursing response to this parent?
A) "This may indicate that he needs eyeglasses."
B) "Children sometimes do these things for attention."
C) "This behavior suggests low self-esteem."
D) "Tics appear when a child is under stress."
Q2) What basic "feeling" words should the nurse use in attempting to help a 7-year-old girl express her feelings about being in a new school? (Select all that apply. )
A) Mad
B) Glad
C) Sad
D) Scared
E) Jealous
Q3) The nurse advises the parents of a 6-year-old child to try and ensure at least ______ hours of sleep daily for the child.
Q4) 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) What statement made by a parent indicates an understanding about helping a 13-year-old adult manage his allowance?
A) "I set amounts he can earn for particular chores."
B) "I give him a certain amount of money for each day."
C) "I put money into his bank account each month."
D) "I told him to ask me when he needs money."
Q2) The school nurse is planning a program for girls about the physical changes of puberty.What is the target age the nurse should choose for this program?
A) 10 years
B) 12 years
C) 14 years
D) 16 years
Q3) The school nurse is educating high school students about guidelines to be followed when participating in sports.Which statement by a student alerts the nurse of the need for further information?
A) "I will eat carbohydrates before practice."
B) "I drink large amounts of fluid when working out."
C) "I wear protective gear every time I play sports."
D) "I avoid caffeine when participating in sports."
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Page 22
Chapter 21: The Childs Experience of Hospitalization
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Sample Questions
Q1) Parents are preparing their child for admission to the pediatric unit for minor surgery.What should they expect to see when visiting the pediatric unit? (Select all that apply. )
A) Nurses wearing all white
B) Formal atmosphere
C) Availability of a playroom
D) Dim lighting
E) Colored bedding
Q2) The mother of a 3-year-old child tells the nurse that she will be in to visit tomorrow around 12:00 PM.The next morning,the child asks the nurse,"When is my mommy coming?" What is the nurse's best response?
A) "Your mommy will be here around noon."
B) "Your mommy will be here when you have lunch."
C) "Mommy will be here very soon."
D) "Your mommy is coming in 4 hours."
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Chapter 22: Health Care Adaptations for the Child and Family
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Q1) A 4-year-old child asks tearfully if the IM injection will hurt.What is the nurse's most effective response?
A) "No.It is over before you know it."
B) "Yes.It will sting a little."
C) "No.Would you like to see the syringe?"
D) "Yes.Your mom and I are going to hold you to help you be still."
Q2) Where is the best site for giving an IM injection to a 15-month-old child?
A) Ventrogluteal muscle
B) Dorsogluteal muscle
C) Deltoid muscle
D) Vastus lateralis muscle
Q3) 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
Q4) The order reads,"Give ampicillin oral suspension 400 mg PO every day." The vial reads,"Ampicillin 125 mg/5 mL." The nurse will give a dose of ______ mL.
Page 24
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Chapter 23: The Child With a Sensory or Neurological Condition
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Sample Questions
Q1) A child is diagnosed with nonparalytic strabismus.How will this disorder most likely be corrected?
A) Patching the unaffected eye
B) Corrective lenses
C) Laser treatment
D) Surgery
Q2) A child is brought to the emergency department after he fell and hit his head on the ground.Which nursing assessment suggests the child has a concussion?
A) Sleepy but easily arousable
B) Complaining of a stiff neck
C) Cannot remember what happened to him
D) Pupils react sluggishly to light
Q3) An adolescent has just had a generalized seizure and collapsed in the school nurse's office.When should the nurse should call 911?
A) The seizure lasts more than 5 minutes.
B) The child is sleepy and lethargic after the seizure.
C) The child vomited at the onset of the seizure.
D) The child is confused and has slurred speech after the seizure.
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Chapter 24: The Child With a Musculoskeletal Condition
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Sample Questions
Q1) A 6-year-old sustained a fractured femur and was put in Russell traction 2 days ago.She screams in pain when she raises herself onto the bedpan.Which nursing diagnosis takes highest priority for this child?
A) Pain resulting from tissue trauma
B) High risk for impaired skin integrity resulting from immobility
C) Altered growth and development related to separation from family
D) Altered urinary elimination related to immobility and traction
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) Why does a child's fracture heal more rapidly than the adult's?
A) A child's bones are less porous than adult bone.
B) A child's bones are covered by a thicker periosteum.
C) A child's bones are not affected by bone overgrowth.
D) A child's bones have faster callus formation.
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Chapter 25: The Child With a Respiratory Disorder
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Sample Questions
Q1) The nurse would suggest the parents of an asthmatic child to encourage participation in which sport(s)? (Select all that apply. )
A) Swimming
B) Gymnastics
C) Baseball
D) Cross-country skiing
E) Distance running
Q2) The nurse is caring for a 4-year-old child diagnosed with H.influenzae type B.Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis? (Select all that apply. )
A) Harsh cough
B) Restlessness
C) Edematous epiglottis
D) Child insists on lying down
E) Drooling
Q3) 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.
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Chapter 26: The Child With a Cardiovascular Disorder
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Sample Questions
Q1) Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood?
A) The patent ductus arteriosus
B) A ventricular septal defect
C) The closure of the foramen ovale
D) An atrial septal defect
Q2) An infant is experiencing dyspnea related to patent ductus arteriosus (PDA).What does the nurse understand regarding why dyspnea occurs?
A) Blood is circulated through the lungs again,causing pulmonary circulatory congestion.
B) Blood is shunted past the pulmonary circulation,causing pulmonary hypoxia.
C) Blood is shunted past cardiac arteries,causing myocardial hypoxia.
D) Blood is circulated through the ductus from the pulmonary artery to the aorta,bypassing the left side of the heart.
Q3) What is accurate about the characteristics of high-density lipoproteins (HDLs)?
A) They have high amounts of triglycerides.
B) They have only small amounts of protein.
C) They have little cholesterol.
D) They aid in steroid production.
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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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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A child with thalassemia major receives blood transfusions frequently.What is a complication of repeated blood transfusions?
A) Hemarthrosis
B) Hematuria
C) Hemoptysis
D) Hemosiderosis
Q2) A 6-year-old child with leukemia asks,"Who will take care of me in heaven?" What is the best response by the nurse?
A) "Who do you think will take care of you?"
B) "Your grandparents and God will take care of you."
C) "Your mom will know more about that than I do."
D) "Why are you asking me that?"
Q3) A child has just been diagnosed with acute lymphoblastic leukemia.What is the result of an overproduction of immature white blood cells in the bone marrow?
A) Decreased T-cell production
B) Decreased hemoglobin
C) Increased blood clotting
D) Increased susceptibility to infection
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Chapter 28: The Child With a Gastrointestinal Condition
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Parents have adopted a child with the diagnosis of kwashiorkor.What is most likely to be observed when assessing this child? (Select all that apply. )
A) Hyperactivity
B) White streak in hair
C) Edematous abdomen
D) Slowed growth
E) Thick,oily hair
Q2) Following surgery for pyloric stenosis,an infant awoke from anesthesia hungry and crying.What is the most appropriate nursing action?
A) Delay feeding the child for 6 hours.
B) Offer regular formula thinned with water.
C) Give small amounts of regular formula thickened with cereal.
D) Allow 1 ounce of glucose water at frequent intervals.
Q3) 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."
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Chapter 29: The Child With a Genitourinary Condition
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse is aware that genitourinary surgery is especially stressful for preschool children.What factor(s)lend to this stress? (Select all that apply. )
A) They may perceive the treatment as punishment.
B) They are especially prone to separation anxiety.
C) They are sexually curious and developmentally fixated on their genitals.
D) They have a fear of castration.
E) They fear death.
Q2) Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?
A) Performing range-of-motion exercises on lower extremities
B) Palpating the abdomen
C) Assessing for bowel sounds
D) Percussing ankle and knee reflexes
Q3) Which urinary diversion procedure is the least damaging to the body image of the adolescent?
A) Urostomy
B) Ileal conduit
C) Nephrostomy
D) Suprapubic placement
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Page 31
Chapter 30: The Child With a Skin Condition
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?
A) "Wool is the best fabric for the infant's clothing."
B) "I should avoid laundry detergents with fragrances."
C) "I put cotton gloves on the infant's hands."
D) "The infant's fingernails are kept short."
Q2) At a 2-month well-child visit,parents ask the nurse about the red area on the infant's neck.They tell the nurse that the mark appeared a few weeks after birth.What does the nurse recognize this skin lesion as?
A) A port wine nevus
B) A strawberry nevus
C) Exanthem
D) Intertrigo
Q3) What should the nurse stress to the mother of a child with impetigo?
A) The condition is caused by the herpes simplex virus type I.
B) The crusts on the lesions should be left in place.
C) The lesions may spread,but the disease is not contagious.
D) Small cuts and bites should be treated promptly.
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Chapter 31: The Child With a Metabolic Condition
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33 Flashcards
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Sample Questions
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) A child with diabetes is brought to the emergency department.He is flushed and drowsy,and his skin is dry.His father states that the child has been feeling progressively worse since the morning.What is this child most likely experiencing?
A) Somogyi phenomenon
B) Dawn syndrome
C) Ketoacidosis
D) Water intoxication
Q3) The nurse explains that the diagnosis of diabetes is made when the fasting blood glucose level is _______ mg/dL on two separate occasions,and the history is positive for indication of the disease.
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Chapter 32: Childhood Communicable Diseases,
Bioterrorism, Natural Disasters, and the Maternalchild
Patient
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which classification of medication would make a child most susceptible to an opportunistic infection?
A) Anticonvulsant
B) Beta-adrenergic agent
C) Antibiotic
D) Corticosteroid
Q2) A 9-year-old child hospitalized for neutropenia is placed in protective isolation.What is the most appropriate response for the nurse to make when the child asks,"Why do you have to wear a gown and mask when you are in my room?"
A) "Nurses and doctors wear gowns and masks because you have a condition that could be spread to others."
B) "The gown and mask are to protect you because you could get an infection very easily."
C) "I'm wearing this because there are a lot of bacteria in the hospital."
D) "I might look scary but you won't need this after you have had medication for 24 hours."
Q3) The nurse demonstrates proper hand hygiene pointing out that the process should take a minimum of ____ seconds.
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Chapter 33: The Child With an Emotional or Behavioral Condition
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which substance puts a person at the greatest risk for HIV and hepatitis B?
A) Alcohol
B) Opiates
C) Cocaine
D) Marijuana
Q2) What is an appropriate nursing intervention for a hospitalized child who is autistic?
A) Place the child in a location where she can watch all of the activity on the unit.
B) Use the child's chronological age as a guide for communication.
C) Keep the child's room free of toys or objects that she might want to take home with her.
D) Organize care to provide as few disruptions to the routine as possible.
Q3) What role has the child of an alcoholic assumed if he tries to do everything perfectly?
A) Perfect child
B) Super coper
C) Flight
D) Helper
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Page 35
Chapter 34: Complementary and Alternative Therapies in Maternity
and Pediatric Nursing
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A breastfeeding mother tells the nurse she is taking large doses of vitamin C to keep up her energy.What should the nurse warn that large doses of vitamin C can cause in an infant?
A) Diarrhea
B) Jaundice
C) Colic
D) Retinal damage
Q2) What should the nurse remind a parent who is considering homeopathic remedies for treatment of her child's asthma?
A) Should be drunk with large amounts of fluid.
B) Can be taken with traditional Western medications.
C) Can be enhanced by drinking hot tea.
D) May contain mercury,alcohol,or arsenic.
Q3) A 12-year-old with rheumatoid arthritis finds aromatherapy helpful for relieving her joint discomfort.Which essential oil is useful for children with chronic pain?
A) Lavender
B) Ephedra
C) Ginseng
D) Kava-kava
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