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Nursing Care of Children is a course designed to prepare students with the foundational knowledge and clinical skills necessary for providing comprehensive nursing care to pediatric patients and their families. The course covers growth and development across the pediatric lifespan, common childhood illnesses, and the nursing process as applied to the care of infants, children, and adolescents. Emphasis is placed on family-centered care, communication with children and parents, health promotion, and the management of acute and chronic pediatric health problems. Students will also explore cultural, ethical, and legal considerations in pediatric nursing, alongside hands-on practice in clinical and simulated settings.
Recommended Textbook
Maternal Child Nursing 5th Edition by McKinney
Available Study Resources on Quizplus
55 Chapters
1615 Verified Questions
1615 Flashcards
Source URL: https://quizplus.com/study-set/470 Page 2
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8504
Sample Questions
Q1) Which statement related to nursing care of the child at home is most correct?
A) The technology-dependent infant can safely be cared for at home.
B) Home care increases readmissions to the hospital for a child with chronic conditions.
C) There is increased stress for the family when a sick child is being cared for at home.
D) The family of the child with a chronic condition is likely to be separated from their support system if the child is cared for at home.
Answer: A
Q2) Which statement is true regarding the "quality assurance" or "incident" report?
A) The report assures the legal department that no problem exists.
B) Reports are a permanent part of the patient's chart.
C) The nurse's notes should contain, "Incident report filed, and copy placed in chart."
D) This report is a form of documentation of an event that may result in legal action.
Answer: D
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What situation is most conducive to learning?
A) A teacher who speaks very little Spanish is teaching a class of Latino students.
B) A class is composed of students of various ages and educational backgrounds.
C) An auditorium is being used as a classroom for 300 students.
D) An Asian nurse provides nutritional information to a group of pregnant Asian women.
Answer: D
Q2) The nurse who uses critical thinking understands that the steps of critical thinking include (Select all that apply.)
A) therapeutic communication.
B) examining biases.
C) setting priorities.
D) managing data.
E) evaluating other factors.
Answer: B,D,E
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8506
Sample Questions
Q1) A nurse determines that a child consistently displays predictable behavior and is regular in performing daily habits.Which temperament is the child displaying?
A) Easy
B) Slow-to-warm-up
C) Difficult
D) Shy
Answer: A
Q2) The nurse teaches parents that the formula used to guide time-out as a disciplinary method is
A) 1 minute per each year of the child's age.
B) to relate the length of the time-out to the severity of the behavior.
C) never to use time-out for a child younger than 4 years.
D) to follow the time-out with a treat.
Answer: A
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18 Flashcards
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Sample Questions
Q1) A positive,supportive communication technique that is effective from birth throughout adulthood is
A) listening.
B) physical proximity.
C) environment.
D) touch.
Q2) What is the most important consideration for effectively communicating with a child?
A) The child's chronologic age
B) The parent-child interaction
C) The child's receptiveness
D) The child's developmental level
Q3) Which information should the nurse include when preparing a 5-year-old child for a cardiac catheterization?
A) A detailed explanation of the procedure
B) A description of what the child will feel and see during procedure
C) An explanation about the dye that will go directly into his vein
D) An assurance to the child that he and the nurse can talk about the procedure when it is over
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20 Flashcards
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Sample Questions
Q1) Which statement best describes development in infants and children?
A) Development, a predictable and orderly process, occurs at varying rates within normal limits.
B) Development is primarily related to the growth in the number and size of cells.
C) Development occurs in a proximodistal direction with fine muscle development occurring first.
D) Development is more easily and accurately measured than growth.
Q2) When counseling parents and children about the importance of increased physical activity,the nurse will emphasize which of the following?
A) Anaerobic exercise should comprise a major component of the child's daily exercise.
B) All children should be physically active for at least 2 hours per day.
C) It is not necessary to participate in physical education classes at school if a student is taking part in other activities.
D) Make exercise a fun and habitual activity.
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8509
Sample Questions
Q1) A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.What response by the nurse is best?
A) "That's OK. formula is just as good for a 5-month-old."
B) "Be sure to use an iron-fortified formula instead."
C) "The baby will need immunizations earlier now."
D) "Be sure to monitor how many diapers the baby wets."
Q2) At what age is an infant first expected to locate an object hidden from view?
A) 4 months of age
B) 6 months of age
C) 9 months of age
D) 20 months of age
Q3) According to Piaget,the 6-month-old infant is in what stage of the sensorimotor phase?
A) Use of reflexes
B) Primary circular reactions
C) Secondary circular reactions
D) Coordination of secondary schemata
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8510
Sample Questions
Q1) The nurse is assessing a toddler's growth and development.Which statement does the nurse understand about language development in a toddler?
A) Language development skills slow during the toddler period.
B) The toddler understands more than he or she can express.
C) Most of the toddler's speech is not easily understood.
D) The toddler's vocabulary contains approximately 600 words.
Q2) What should the nurse teach a parent who is concerned about preventing sleep problems in a 2-year-old child?
A) Have the child always sleep in a quiet, darkened room.
B) Provide high-carbohydrate snacks before bedtime.
C) Have the child's daytime caretaker eliminate naps.
D) Use a nightlight in the child's room.
Q3) Which statement is correct about toilet training?
A) Bladder training is usually accomplished before bowel training.
B) Wanting to please the parent helps motivate the child to use the toilet.
C) Watching older siblings use the toilet confuses the child.
D) Children should be forced to sit on the toilet when first learning.
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8511
Sample Questions
Q1) Which interventions should the nurse teach that are appropriate for preventing childhood obesity? (Select all that apply.)
A) Establish consistent times for meals and snacks.
B) Sign your child up for sports teams.
C) Teach the family and child how to prepare foods in a healthy manner.
D) Show the family how to read food labels.
E) Limit computer and television time.
Q2) A parent is worried that a child is not eating well.What does the nurse teach the parent to address this problem?
A) Limit sports and team events that occur over the dinner hour.
B) Pack a nutritious lunch to take to school every day.
C) Teach about healthy snacks available at school.
D) Ensure the child gets 2 cups of milk products a day.
Q3) Which activity does the nurse recommend to help develop fine motor skills in the school-age child?
A) Drawing
B) Singing
C) Soccer
D) Swimming
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26 Flashcards
Source URL: https://quizplus.com/quiz/8512
Sample Questions
Q1) A student nurse learns that according to Erikson,the psychosocial task of adolescence is to develop
A) intimacy.
B) identity.
C) initiative.
D) independence.
Q2) What is the best response a nurse can make to a 15-year-old girl who has verbalized a desire to have a baby?
A) "Have you talked with your parents about this?"
B) "Do you have plans to continue school?"
C) "Will you be able to support the baby?"
D) "Can you tell me how your life will be if you have an infant?"
Q3) A nurse works for an organization that seeks to limit adolescent violence.In talking with donors,which risk factors for violence may lead to programming decisions? (Select all that apply.)
A) Drug or alcohol use/abuse
B) Poverty
C) Hopelessness about the future
D) Narcissism
E) Lack of supervision
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20 Flashcards
Source URL: https://quizplus.com/quiz/8513
Sample Questions
Q1) The nurse is working in an OB/GYN office and commonly obtains patient histories and performs initial assessments.Which woman is likely to be referred for genetic counseling after her first visit?
A) A pregnant woman who will be 40 years or older when her infant is born
B) A woman whose partner is 41 years of age
C) A patient who carries a Y-linked disorder
D) An anxious woman with a normal quadruple screening result
Q2) The generalist nurse working with child-bearing families understands that his or her practice related to genetics includes which of the following? (Select all that apply.)
A) Identifying families at risk and providing referrals
B) Interpreting genetic test results for the family
C) Assessing the couple's concern about genetic alterations
D) Helping create a family tree or pedigree
E) Providing support in all phases of genetic counseling
Q3) How can a woman avoid exposing her fetus to teratogens?
A) Update her immunizations during the first trimester of her pregnancy.
B) Use saunas and hot tubs during the winter months only.
C) Use only class A drugs during her pregnancy.
D) Use alcoholic beverages only in the first and third trimesters of pregnancy.
Page 12
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15 Flashcards
Source URL: https://quizplus.com/quiz/8514
Sample Questions
Q1) A student nurse just read that up to 200 million sperm are deposited in the vagina with each ejaculation and asks the faculty why so many are needed.What response by the faculty is most accurate?
A) Competition results in fewer genetic defects.
B) Sperm are weak and die off quickly.
C) Few sperm reach the fallopian tube and ova.
D) Most sperm are not the correct shape.
Q2) A nurse is teaching a woman about spinnbarkeit.The student nurse asks why the woman would need this information.What response by the nurse is most appropriate?
A) To assist in becoming pregnant or preventing pregnancy
B) To determine if she can breastfeed
C) To assess risk for genetic defects in the fetus
D) To find out if her ova are suitable for fertilization
Q3) The student nurse learns that follicle stimulating hormone is produced in which gland?
A) Anterior pituitary
B) Posterior pituitary
C) Hypothalamus
D) Adrenal glands
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25 Flashcards
Source URL: https://quizplus.com/quiz/8515
Sample Questions
Q1) The placenta allows exchange of oxygen,nutrients,and waste products between the mother and fetus by
A) contact between maternal blood and fetal capillaries within the chorionic villi.
B) interaction of maternal and fetal pH levels within the endometrial vessels.
C) a mixture of maternal and fetal blood within the intervillous spaces.
D) passive diffusion of maternal carbon dioxide and oxygen into the fetal capillaries.
Q2) What does the student learn about recent trends in multiple births?
A) The rate of twin births has declined.
B) The rate of higher order pregnancies has increased.
C) Higher order pregnancies are now very rare.
D) Twinning is the most common form of multiple pregnancy.
Q3) Which statement is accurate about the development of fetal organs and systems?
A) The cardiovascular system is the first organ system to function in the developing human.
B) Hematopoiesis originating in the yolk sac begins in the liver at 10 weeks.
C) The body changes from straight to C-shaped at 8 weeks.
D) The gastrointestinal system is mature at 32 weeks.
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/8516
Sample Questions
Q1) What comment by a new mother exhibits understanding of her toddler's response to a new sibling?
A) "I can't believe he is sucking his thumb again."
B) "He is being difficult, and I don't have time to deal with him."
C) "My husband will stay with the baby so I can take our son to the park."
D) "When we brought the baby home, we made our son stop sleeping in the crib."
Q2) While the nurse assesses the vital signs of a pregnant woman in her third trimester,the patient complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?
A) Have the patient stand up and retake her blood pressure.
B) Have the patient sit down and hold her arm in a dependent position.
C) Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms.
D) Have the patient turn to her left side and recheck her blood pressure in 5 minutes.
Q3) The multiple marker screen is used to assess the fetus for which condition?
A) Down syndrome
B) Diaphragmatic hernia
C) Congenital cardiac abnormality
D) Anencephaly
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8517
Sample Questions
Q1) The nurse working with pregnant women understands that anorexia and bulimia are associated with which conditions in the newborn? (Select all that apply.)
A) Food cravings
B) Low birth weight
C) Food aversions
D) Electrolyte imbalance
E) Small for gestational age infants
Q2) When assessing cultural influences on a pregnant woman's diet,which actions by the nurse are best? (Select all that apply.)
A) Learn about traditional foods in that culture.
B) Ask the woman how she prepares food.
C) Determine if there are specific "pregnancy" foods.
D) Assess how traditional the woman is.
E) Find out what support she has locally.
Q3) Which pregnant woman should have the least weight gain during pregnancy?
A) Woman pregnant with twins
B) Woman in early adolescence
C) Woman shorter than 62 inches or 157 cm
D) Woman who was obese before pregnancy
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8518
Sample Questions
Q1) The nurse's role in diagnostic testing is to provide
A) advice to the couple.
B) assistance with decision making.
C) information about the tests.
D) reassurance about fetal safety.
Q2) The nurse teaches a student that indications for percutaneous umbilical cord sampling (PUBS)include which of the following? (Select all that apply.)
A) Rh disease
B) Fetal well-being
C) Infection
D) Lung maturity
E) Karyotyping
Q3) A nurse is teaching a woman how to do "kick counts." What information about this assessment is most appropriate?
A) Notify your provider if the baby's movement patterns change.
B) Count the number of fetal movements over 2 hours.
C) Call the OB triage area if there are fewer than 10 movements/hour.
D) Have your partner verify your count at the same time you perform it.
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41 Flashcards
Source URL: https://quizplus.com/quiz/8519
Sample Questions
Q1) The student nurse learns that which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?
A) Descent
B) Engagement
C) Flexion
D) Station
Q2) A pregnant woman is at 38 weeks of gestation.She wants to know if any signs indicate "labor is getting closer to starting." The nurse informs the woman that which of the following is a sign that labor may begin soon?
A) Weight gain of 1.5 to 2 kg (3 to 4 lb)
B) Increase in fundal height
C) Urinary retention
D) Surge of energy
Q3) The nurse assesses a patient whose cervix is dilated to 5 cm.What phase of labor does the nurse recognize the woman to be in?
A) Latent phase
B) Active phase
C) Second stage
D) Third stage
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27 Flashcards
Source URL: https://quizplus.com/quiz/8520
Sample Questions
Q1) The nurse notes a nonreassuring pattern of the fetal heart rate.The mother is already lying on her left side.What nursing action is indicated?
A) Lower the head of the bed.
B) Place the mother in a Trendelenburg position.
C) Change her position to the right side.
D) Place a wedge under the left hip.
Q2) A woman has a history of hypertension during pregnancy.What method of intrapartum fetal monitoring does the nurse initiate?
A) Continuous auscultation with a fetoscope
B) Continuous electronic fetal monitoring
C) Intermittent assessment with a Doppler transducer
D) Intermittent electronic fetal monitoring for 15 minutes each hour
Q3) A student nurse is preparing to administer misoprostol (Cytotec).What action by the student seen by the registered nurse demonstrates adequate knowledge about this medication?
A) Assesses maternal blood pressure 30 minutes after administration
B) Assesses fetal heart tones prior to administering the medication
C) Documents the drug administration in the woman's chart
D) Takes and records an apical pulse for 1 minute prior to administration
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35 Flashcards
Source URL: https://quizplus.com/quiz/8521
Sample Questions
Q1) Which patient is most likely to experience pain during labor?
A) Gravida 2 who has not attended childbirth preparation classes
B) Gravida 2 who is anxious because her last labor was difficult
C) Gravida 1 whose fetus is in a breech presentation
D) Gravida 3 who is using Lamaze breathing techniques
Q2) In order to help patients manage discomfort and pain during labor,nurses should be aware that
A) the predominant pain of the first stage of labor is the visceral pain located in the lower portion of the abdomen.
B) somatic pain is the extreme discomfort between contractions.
C) the somatic pain of the second stage of labor is more generalized and related to fatigue.
D) pain during the third stage is a somewhat milder version of the second stage.
Q3) The nerve block used in labor that provides anesthesia to the lower vagina and perineum is called a(n)
A) epidural.
B) pudendal.
C) local.
D) spinal block.
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28 Flashcards
Source URL: https://quizplus.com/quiz/8522
Sample Questions
Q1) Which event indicates a complication of an external version?
A) Maternal pulse rate of 100 bpm
B) Fetal bradycardia persisting 10 minutes after the version
C) Fetus returning to the original position
D) Increased maternal anxiety after the version
Q2) The greatest risk to the newborn after an elective cesarean birth is
A) trauma due to manipulation during delivery.
B) tachypnea due to maternal anesthesia.
C) prematurity due to miscalculation of gestation.
D) tachycardia due to maternal narcotics.
Q3) Prior to cesarean birth,the nurse places the indwelling catheter and tubing in which manner?
A) Placed on the floor on a sterile drape
B) Placed near the head of the table
C) Clamped during the cesarean section
D) Positioned at the foot of the bed
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8523
Sample Questions
Q1) When caring for a newly delivered woman,the nurse is aware that the best measure to prevent abdominal distention after a cesarean birth is
A) rectal suppositories.
B) early and frequent ambulation.
C) tightening and relaxing abdominal muscles.
D) providing carbonated beverages.
Q2) The mother-baby nurse is able to recognize reciprocal attachment behavior.What does this refer to?
A) The positive feedback an infant exhibits toward parents during the attachment process
B) Behavior during the sensitive period when the infant is in the quiet alert stage
C) Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
D) Behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the parents
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Sample Questions
Q1) The nurse understands that respirations are initiated at birth as a result of A) an increase in the PO<sub>2</sub> and a decrease in PCO<sub>2</sub>.
B) the continued functioning of the foramen ovale.
C) chemical, thermal, sensory, and mechanical factors.
D) drying off the infant.
Q2) A nurse assesses a newborn and finds him to be jittery with a poor suck reflex.What action by the nurse takes priority?
A) Ensure the warmer is set to the correct temperature.
B) Obtain a heel stick for bedside glucose reading.
C) Listen to the newborn's heart and lungs.
D) Perform a gestational age assessment.
Q3) The nurse explains to parents that which organs are nonfunctional during fetal life? (Select all that apply.)
A) Kidneys
B) Lungs
C) Liver
D) Gastrointestinal system
E) Adrenal glands
Q4) An infant was born weighing 7.2 pounds.Calculate this infant's oral intake needs._______
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Source URL: https://quizplus.com/quiz/8525
Sample Questions
Q1) When teaching parents about mandatory newborn screening,it is important for the nurse to explain that the main purpose is to
A) keep the state records updated.
B) allow accurate statistical information.
C) document the number of births.
D) recognize and treat newborn disorders early.
Q2) What action by the nurse is most important to prevent the kidnapping of newborns from the hospital?
A) Instruct the mother not to give her infant to anyone except the one nurse assigned to her that day.
B) Question anyone who is seen walking in the hallways carrying an infant.
C) Allow no visitors in the maternity area except those who have identification bracelets.
D) Restrict the amount of time infants are out of the nursery.
Q3) In providing and teaching cord care,what is an important principle?
A) Cord care is done only to control bleeding.
B) Alcohol is the only agent used for cord care.
C) It takes a minimum of 24 days for the cord to separate.
D) The process of keeping the cord dry will decrease bacterial growth.
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Sample Questions
Q1) To initiate the milk ejection reflex,the mother should
A) wear a firm-fitting bra.
B) drink plenty of fluids.
C) place the infant to the breast
D) apply cool packs to her breast.
Q2) The nurse notices an infant has dimpling of the cheeks when breastfeeding.What action by the nurse is best?
A) Tell the mother this is a sign of adequate feeding.
B) Have the mother remove the baby from the breast and try again.
C) Make a referral for a lactation consultation.
D) Instruct the mother to feed for at least 15 minutes.
Q3) The student nurse learns that breastfed babies are less likely to develop certain health conditions as adults.Which conditions does this include? (Select all that apply.)
A) Diabetes
B) Asthma
C) Obesity
D) Kidney failure
E) Some cancers
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Q1) Which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?
A) Heroin
B) Alcohol
C) PCP
D) Cocaine
Q2) What information about caffeine in pregnancy does the nurse provide the prenatal class with?
A) It stays in your body twice as long as when you are not pregnant.
B) It causes vasoconstriction, which could keep the fetus from growing.
C) Caffeine depresses your heart's ability to pump and function.
D) Severe diuresis can leave you at risk for dehydration during pregnancy.
Q3) Which of the following items are inconsistent with the nurse's knowledge of symptoms of fetal alcohol syndrome?
A) Respiratory conditions
B) Impaired growth
C) CNS abnormality
D) Facial abnormalities
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Q1) The nurse who suspects that a patient has early signs of ectopic pregnancy should be observing her for which symptoms? (Select all that apply.)
A) Pelvic pain
B) Abdominal pain
C) Unanticipated heavy bleeding
D) Vaginal spotting or light bleeding
E) Missed period
Q2) What data on a patient's health history places her at risk for an ectopic pregnancy?
A) Use of oral contraceptives for 5 years
B) Recurrent pelvic infections
C) Ovarian cyst 2 years ago
D) Heavy menstrual flow of 4 days' duration
Q3) What finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?
A) Complaint of frequent mild nausea
B) Blood pressure of 120/80 mm Hg
C) Fundal height measurement of 18 cm
D) History of bright red spotting for 1 day, weeks ago
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Q1) Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy is associated with
A) frequent episodes of maternal hypoglycemia.
B) congenital anomalies in the fetus.
C) polyhydramnios.
D) hyperemesis gravidarum.
Q2) A woman has been admitted to the labor and delivery unit who is HIV positive.She is in active labor.What action by the nurse is most appropriate?
A) Prepare to administer IV zidovudine.
B) Place the mother on contact precautions.
C) Administer oxygen by face mask.
D) Notify social services.
Q3) A woman has a history of drug use and is screened for hepatitis B during the first trimester.What is an appropriate action?
A) Provide a low-protein diet.
B) Offer the vaccine.
C) Discuss the recommendation to bottle-feed her baby.
D) Practice respiratory isolation.
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Q1) The causes of preterm labor are not fully understood although many factors have been associated with early labor.These include (Select all that apply.)
A) Singleton pregnancy
B) History of cone biopsy
C) Smoking
D) Short cervical length
E) Higher level of education
Q2) A woman is having her first child.She has been in labor for 15 hours.Two hours ago,her vaginal examination revealed the cervix to be dilated to 5 cm and 100% effaced,and the presenting part was at station 0.Five minutes ago,her vaginal examination indicated that there had been no change.What abnormal labor pattern is associated with this description?
A) Prolonged latent phase
B) Protracted active phase
C) Secondary arrest
D) Protracted descent
Q3) The provider orders an infusion of magnesium sulfate to run at 4 g/hour.The pharmacy delivers a bag of 4 g magnesium sulfate in 250 mL.At what rate does the nurse set the pump?
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Source URL: https://quizplus.com/quiz/8531
Sample Questions
Q1) The nurse explain to the student that which of the following factors increase a woman's risk for thrombosis? (Select all that apply.)
A) Use of stirrups for a prolonged period of time
B) Prolonged bedrest during or after labor and delivery
C) Adherence to a strict vegetarian diet
D) Excessive sweating during labor
E) Maternal age greater than 30 years of age
Q2) The nurse knows that a measure for preventing late postpartum hemorrhage is to
A) administer broad-spectrum antibiotics.
B) inspect the placenta after delivery.
C) manually remove the placenta.
D) pull on the umbilical cord to hasten the delivery of the placenta.
Q3) A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests
A) uterine atony.
B) lacerations of the genital tract.
C) perineal hematoma.
D) infection of the uterus.
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Q1) A preterm infant is on a respirator with intravenous lines and much equipment around her when her parents come to visit for the first time.What action by the nurse is most important?
A) Suggest that the parents visit for only a short time to reduce their anxieties.
B) Reassure the parents that the baby is progressing well.
C) Encourage the parents to touch her.
D) Discuss the care they will give her when she goes home.
Q2) Decreased surfactant production in the preterm lung is a problem because surfactant
A) causes increased permeability of the alveoli.
B) provides transportation for oxygen to enter the blood supply.
C) keeps the alveoli open during expiration.
D) dilates the bronchioles, decreasing airway resistance.
Q3) Which combination of expressing pain could be demonstrated in a neonate?
A) Low-pitched crying, tachycardia, eyelids open wide
B) Cry face, flaccid limbs, closed mouth
C) High-pitched, shrill cry, withdrawal, change in heart rate
D) Cry face, eye squeeze, increase in blood pressure
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Q1) A primigravida has just delivered a healthy infant girl.The nurse is about to administer erythromycin ointment in the infant's eyes when the mother asks,"What is that medicine for?" The nurse responds
A) "It is an eye ointment to help your baby see you better."
B) "It is to protect your baby from contracting herpes from your vaginal tract."
C) "Erythromycin is given to prevent a gonorrheal infection."
D) "This medicine will protect your baby's eyes from drying out."
Q2) A macrosomic infant is born after a difficult,forceps-assisted delivery.After stabilization,the infant is weighed,and the birth weight is 4550 g (9 pounds,6 ounces).What action by the nurse is most appropriate?
A) Leave the infant in the room with the mother.
B) Take the infant immediately to the nursery.
C) Perform a gestational age assessment.
D) Monitor blood glucose levels frequently.
Q3) Nursing care of the infant with neonatal abstinence syndrome should include
A) Positioning the infant's crib in a quiet corner of the nursery
B) Feeding the infant on a 2-hour schedule
C) Placing stuffed animals and mobiles in the crib to provide visual stimulation
D) Spending extra time holding and rocking the infant
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Q1) With regard to the assessment of female,male,and couple infertility,nurses should be aware of which of the following?
A) The couple's religious, cultural, and ethnic backgrounds do not affect the diagnosis.
B) The investigation is lengthy and can be very costly.
C) The woman is assessed first; if she is not the problem, the male partner is analyzed.
D) Semen analysis is for men; the postcoital test is for women.
Q2) A nurse is teaching a couple about basal body temperature.What information is most accurate?
A) Measures the man's scrotal temperature related to sperm production.
B) Basal body temperature is the average resting temperature in the woman.
C) It detects slight temperature elevation just prior to ovulation in the woman
D) Ovulation is the only event that affects the change in body temperature.
Q3) Injectable progestins (DMPA,Depo-Provera)are a good contraceptive choice for women who
A) want menstrual regularity and predictability.
B) have a history of thrombotic problems or breast cancer.
C) have difficulty remembering to take oral contraceptives daily.
D) are homeless or mobile and rarely receive health care.
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Q1) The nurse providing education regarding breast care should explain to the woman that fibrocystic changes in breasts are
A) a disease of the milk ducts and glands in the breasts.
B) a pre-malignant disorder characterized by lumps found in the breast tissue.
C) lumpiness with pain and tenderness found in the breasts of healthy women.
D) lumpiness accompanied by tenderness after menses.
Q2) When discussing estrogen replacement therapy (ERT)with a perimenopausal woman,the nurse should include the risks of
A) breast cancer.
B) vaginal and urinary tract atrophy.
C) osteoporosis.
D) arteriosclerosis.
Q3) While evaluating a patient for osteoporosis,the nurse should be aware of what risk factor?
A) African-American race
B) Low protein intake
C) Obesity
D) Cigarette smoking
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Sample Questions
Q1) The nurse assesses a child's oculomotor,trochlear,and abducent nerves by using which technique?
A) Assessing the six cardinal gazes
B) Identification of common odors
C) Having child bite on a tongue blade
D) Ask child to shrug against resistance
Q2) Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child?
A) Ask the parent to quiet the child so the nurse can listen.
B) Auscultate breath sounds and chart that the child was crying.
C) Let the child play with the stethoscope for distraction.
D) Document that data are not available because of crying.
Q3) The nurse is obtaining vital signs on a 1-year-old child.What is the most appropriate site for assessing the pulse rate?
A) Apical
B) Radial
C) Carotid
D) Femoral
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Q1) A child is brought to the emergency department after ingesting an acidic substance.What action by the nurse is best?
A) Induce vomiting in the child.
B) Give syrup of ipecac.
C) Ensure a patent airway.
D) Attach the child to a cardiac monitor.
Q2) What should be the emergency department nurse's next action when a 6-year-old child has a systolic blood pressure of 58 mm Hg?
A) Alert the physician about the systolic blood pressure.
B) Comfort the child and assess respiratory rate.
C) Assess the child's responsiveness to the environment.
D) Alert the physician that the child may need intravenous fluids.
Q3) A preschool child in the emergency department has a respiratory rate of 10 breaths per minute.How should the nurse interpret this finding?
A) The child is relaxed.
B) Respiratory failure is likely.
C) This child is in respiratory distress.
D) The child's condition is improving.
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Q1) Which question most likely elicits information about how a family is coping with a child's hospitalization?
A) "Was this admission an emergency?"
B) "How has your child's hospitalization affected your family?"
C) "Who is taking care of your other children while you are here?"
D) "Is this the child's first hospitalization?"
Q2) Which play activity should the nurse implement to enhance deep breathing exercises for a toddler?
A) Blowing bubbles
B) Throwing a Nerf ball
C) Using a spirometer
D) Keeping a chart of deep breathing
Q3) Which is an appropriate nursing intervention for the hospitalized neonate?
A) Assign the neonate to a room with other neonates.
B) Provide play activities in the hospital room.
C) Offer the neonate a pacifier between feedings.
D) Request that parents bring a security object from home.
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Q1) The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home.Who should the nurse invite to the conference?
A) Family and nursing staff
B) Social worker, nursing staff, and primary care physician
C) Family and key health professionals involved in the child's care
D) Primary care physician and key health professionals involved in the child's care
Q2) The parents of a chronic illness say,"Living with this disease is really hard; it's not fair." What response by the nurse is best?
A) "Tell me about what is hard for you."
B) "I know exactly how you must feel."
C) "I know a local support group for families."
D) "I am going to ask the grief counselor to meet with you."
Q3) What corresponds to a 5-year-old child's understanding of death?
A) Loss of a caretaker
B) Reversible and temporary
C) Permanent
D) Inevitable
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Q1) Which nursing action is the most appropriate when applying a face mask to a child for oxygen therapy?
A) The oxygen flow rate should be less than 6 L/min.
B) Make sure the mask fits properly.
C) Keep the child warm.
D) Remove the mask for 5 minutes every hour.
Q2) The nurse is planning how to prepare a 4-year-old child for some diagnostic procedures.Guidelines for preparing this preschooler should include
A) planning for a short teaching session of about 30 minutes.
B) telling the child that procedures are never a form of punishment.
C) keeping equipment out of the child's view.
D) using correct scientific and medical terminology in explanations.
Q3) A nurse must do a venipuncture on a 6-year-old child.An important consideration in providing atraumatic care is to
A) use an 18-gauge needle if possible.
B) wait 10 minutes after applying EMLA cream.
C) restrain child only as needed to perform venipuncture safely.
D) have the parents choose the child's favorite bandage afterward.
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Q1) Which physiologic difference affects the absorption of oral medications administered to a 3-month-old infant?
A) More rapid peristaltic activity
B) More acidic gastric secretions
C) Usually more rapid gastric emptying
D) Variable pancreatic enzyme activity
Q2) A nurse should routinely ask a colleague to double-check a medication calculation and the actual medication before administering which medications? (Select all that apply.)
A) Antibiotics
B) Insulin
C) Anticonvulsants
D) Anticoagulants
E) Narcotics/Opioids
Q3) What should the nurse use to prepare liquid medication in volumes less than 5 mL?
A) Calibrated syringe
B) Paper measuring cup
C) Plastic measuring cup
D) Household teaspoon
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Q1) When pain is assessed in an infant,it is inappropriate to assess for A) facial expressions of pain.
B) localization of pain.
C) crying.
D) thrashing of extremities.
Q2) Which drug is usually the best choice for PCA for a child in the immediate postoperative period?
A) Codeine
B) Morphine
C) Methadone
D) Meperidine
Q3) The nurse is caring for a 6-year-old girl who had surgery 12 hours ago.The child tells the nurse that she does not have pain,but a few minutes later tells her parent that she does.What should the nurse consider when interpreting this?
A) Truthful reporting of pain should occur by this age.
B) Inconsistency in pain reporting suggests that pain is not present.
C) Children use pain experiences to manipulate their parents.
D) Children may be experiencing pain even though they deny it to the nurse.
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Q1) Bodily fluids are composed of two elements: water and _____.
Q2) A nurse is teaching parents about diarrhea.Which statement by the parents indicates understanding of the teaching?
A) Diarrhea results from a fluid deficit in the small intestine.
B) Organisms destroy intestinal mucosal cells, resulting in an increased intestinal surface area.
C) Malabsorption results in metabolic alkalosis.
D) Increased motility results in impaired absorption of fluid and nutrients.
Q3) Which statement best describes why infants are at greater risk for dehydration than older children?
A) Infants have an increased ability to concentrate urine.
B) Infants have a greater volume of intracellular fluid.
C) Infants have a smaller body surface area.
D) Infants have an increased extracellular fluid volume.
Q4) Alterations in acid-base balance can affect cellular metabolism and enzymatic processes.When alterations in pH become too much for buffer systems to handle,compensatory mechanisms are activated.If the pH drops below normal,then acidosis will occur.
A)True
B)False

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Q1) Which intervention is appropriate for a hospitalized child who has crops of lesions on the trunk that appear as a macular rash and vesicles?
A) Place the child in strict isolation with airborne and contact precautions.
B) Continue to practice Standard Precautions.
C) Pregnant women should avoid contact with the child.
D) Screen visitors for immunity to measles.
Q2) A nurse is conducting a health education class for a group of school-age children.Which statement made by the nurse is correct about the body's first line of defense against infection in the innate immune system?
A) Nutritional status
B) Skin integrity
C) Immunization status
D) Proper hygiene practices
Q3) What should be included in the care for a neonate who was diagnosed with pertussis?
A) Monitoring hemoglobin level
B) Hearing test before discharge
C) Serial platelet counts
D) Prophylactic antibiotics for all close contacts
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Q1) A young child with HIV is receiving several antiretroviral drugs.What is the purpose of these drugs?
A) Cure the disease.
B) Delay disease progression.
C) Prevent the spread of disease.
D) Treat Pneumocystis jiroveci pneumonia.
Q2) What should the nurse include in a teaching plan for the mother of a toddler who will be taking prednisone for several months?
A) The medication should be taken between meals.
B) The medication needs to be discontinued if side effects appear.
C) The medication should not be stopped abruptly.
D) The medication may lower blood glucose.
Q3) A child weighs 30.8 pounds and is prescribed prednisolone syrup 0.5 mg/kg.The pharmacy delivers a syringe with 15 mg/5 mL.How many mL does the nurse administer?Round your solve to the nearest 10th.
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Q1) What should the nurse teach a school-age child and his parents about the management of ulcer disease?
A) Eat a bland, low-fiber diet in small, frequent meals.
B) Eat three balanced meals a day with no snacking between meals.
C) The child needs to eat alone in a quiet spot to avoid stress.
D) Do not give antacids 1 hour before or after antiulcer medications.
Q2) The nurse is providing home care instructions to the parents of an infant being discharged after repair of a bilateral cleft lip.Which instructions should the nurse include? (Select all that apply.)
A) Acetaminophen (Tylenol) should not be given to your infant.
B) Feed your infant in an upright position.
C) Place your infant prone for a period of time each day.
D) Burp your child frequently during feedings.
E) Apply antibiotic ointment to the lip as prescribed.
Q3) Which nursing diagnosis has the highest priority for the toddler with celiac disease?
A) Disturbed Body Image related to chronic constipation
B) Risk for Disproportionate Growth related to obesity
C) Excess Fluid Volume related to celiac crisis
D) Imbalanced Nutrition: Less than Body Requirements related to malabsorption
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Sample Questions
Q1) An infant is born with bladder exstrophy.What action by the nurse is the priority?
A) Obtain surgical consent for the corrective operation.
B) Cover the exposed bladder with non-adherent plastic wrap.
C) Insert an indwelling catheter to collect all the urine.
D) Obtain consent for genetic testing on parents and infant.
Q2) The most appropriate nursing diagnosis for the child with acute glomerulonephritis is
A) Risk for Injury related to malignant process and treatment.
B) Deficient Fluid Volume related to excessive losses.
C) Risk for Imbalanced Fluid Volume related to a decrease in plasma filtration.
D) Excess Fluid Volume related to fluid accumulation in tissues and third spaces.
Q3) Which factor predisposes the urinary tract to infection?
A) Increased fluid intake
B) Short urethra in young girls
C) Prostatic secretions in males
D) Frequent emptying of the bladder
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Q1) The nurse should assess a child who has had a tonsillectomy for which of the following as the priority?
A) Frequent swallowing
B) Inspiratory stridor
C) Swelling of the throat
D) Abnormal lung sounds
Q2) Which statement is characteristic of acute otitis media (AOM)?
A) The etiology is unknown.
B) Permanent hearing loss often results.
C) It can be treated by intramuscular (IM) antibiotics.
D) It is treated with a broad range of antibiotics.
Q3) The nurse should teach parents of a child with cystic fibrosis to adjust enzyme dosage according to which indicator?
A) Stool formation
B) Vomiting
C) Weight
D) Urine output
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Q1) In which situation is there a risk that a newborn infant will have a congenital heart defect (CHD)?
A) Trisomy 21 detected on amniocentesis
B) Family history of myocardial infarction
C) Father has type 1 diabetes mellitus
D) Older sibling born with Turner syndrome
Q2) Which statement made by a parent indicates understanding of restrictions for a child after cardiac surgery?
A) "My child needs to go to bed early for a few weeks."
B) "My son is really looking forward to riding his bike next week."
C) "I'm so glad we can attend religious services as a family this coming Sunday."
D) "I am going to keep my child out of day care for 6 weeks."
Q3) For what reason might a newborn infant with a cardiac defect,such as coarctation of the aorta,that results in a right-to-left shunt receive prostaglandin E??
A) To decrease inflammation
B) To control pain
C) To decrease respirations
D) To improve oxygenation
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Q1) What describes the pathologic changes of sickle cell anemia?
A) Sickle-shaped cells carry excess oxygen.
B) Sickle-shaped cells decrease blood viscosity.
C) Increased red blood cell destruction occurs.
D) Decreased red blood cell destruction occurs.
Q2) What are the nursing priorities for a child with sickle cell disease in vaso-occlusive crisis?
A) Administration of antibiotics and nebulizer treatments
B) Hydration and pain management
C) Blood transfusions and an increased calorie diet
D) School work and diversion
Q3) What is the priority nursing intervention for a child hospitalized with hemarthrosis resulting from hemophilia?
A) Immobilization and elevation of the affected joint
B) Administration of acetaminophen for pain relief
C) Assessment of the child's response to hospitalization
D) Assessment of the impact of hospitalization on the family system
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Q1) The nurse understands that the types of precautions needed for children receiving chemotherapy are based on which action of chemotherapeutic agents?
A) Gastrointestinal upset
B) Bone marrow suppression
C) Decreased creatinine level
D) Alopecia
Q2) Hematopoietic stem cell transplantation (HSCT)is the standard treatment for a child in his or her first remission with what cancer?
A) Acute lymphocytic leukemias
B) Non-Hodgkin lymphoma
C) Wilms' tumor
D) Acute myeloblastic leukemia (AML)
Q3) A child had surgery for a brain tumor.Which provider orders does the nurse question?
A) Place the child in the Trendelenburg position.
B) Perform neurologic assessments.
C) Assess dressings for drainage.
D) Monitor temperature.
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Q1) Ringworm,frequently found in schoolchildren,is caused by a(n)
A) virus.
B) fungus.
C) allergic reaction.
D) bacterial infection.
Q2) With what beverage should the parents of a child with ringworm be taught to give griseofulvin?
A) Water
B) A carbonated drink
C) Milk
D) Fruit juice
Q3) A child has painful,fluid-filled vesicles on the upper lip.What medication does the nurse anticipate teaching parents about?
A) Corticosteroids
B) Oral griseofulvin
C) Oral antiviral agent
D) Topical antibiotic
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Q1) When a child with a musculoskeletal injury on the foot is assessed,what is most indicative of a fracture?
A) Increased swelling after the injury is iced
B) The presence of localized tenderness distal to the site
C) The presence of an elevated temperature for 24 hours
D) The inability of the child to bear weight
Q2) When infants are seen for fractures,which nursing intervention is a priority?
A) No intervention is necessary. It is not uncommon for infants to fracture bones.
B) Assess the family's safety practices. Fractures in infants usually result from falls.
C) Assess for child abuse. Fractures in infants are often nonaccidental.
D) Assess for genetic factors.
Q3) When assessing a child for an upper extremity fracture,the nurse should know that these fractures most often result from A) automobile crashes. B) falls.
C) physical abuse. D) sports injuries.
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Q1) Which children admitted to the pediatric unit would the nurse monitor closely for development of SIADH? (Select all that apply.)
A) A newly diagnosed preschooler with type 1 diabetes
B) A school-age child returning from surgery for removal of a brain tumor
C) An infant with suspected meningitis
D) An adolescent with blunt abdominal trauma following a car accident
E) A school-age child with head trauma
Q2) Which sign is the nurse most likely to assess in a child with hypoglycemia?
A) Urine positive for ketones and serum glucose greater than 300 mg/dL
B) Normal sensorium and serum glucose greater than 160 mg/dL
C) Irritability and serum glucose less than 60 mg/dL
D) Increased urination and serum glucose less than 120 mg/dL
Q3) Exophthalmos (protruding eyeballs)may occur in children with which condition?
A) Hypothyroidism
B) Hyperthyroidism
C) Hypoparathyroidism
D) Hyperparathyroidism
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Q1) A mother reports that her child has episodes where he appears to be staring into space.This behavior is characteristic of which type of seizure?
A) Absence
B) Atonic
C) Tonic-clonic
D) Simple partial
Q2) Latex allergy is suspected in a child with spina bifida.Appropriate nursing interventions include which of the following?
A) Avoiding using any latex product
B) Using only non-allergenic latex products
C) Administering medication for long-term desensitization
D) Teaching family about long-term management of allergic manifestations
Q3) The nurse is assessing a child who was just admitted to the hospital for observation after a head injury.What is the most essential part of nursing assessment to detect early signs of a worsening condition?
A) Posturing
B) Vital signs
C) Focal neurologic signs
D) Level of consciousness
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Q1) Which behavior demonstrated by an adolescent should alert the school nurse to a problem of substance abuse?
A) States feelings of worthlessness
B) Increased desire for social conformity
C) Does not feel need for peer approval
D) Deterioration of relationships with family members
Q2) Which statement about suicide is correct?
A) Children younger than 10 years of age are least likely to attempt suicide.
B) Suicide risk decreases with age.
C) Suicide is usually an isolated event in a school community.
D) The prevalence of suicide attempts is higher among males.
Q3) The parents of a teen suspect their child is using amphetamines.Manifestations of amphetamine use include (Select all that apply.)
A) weight gain.
B) excessive talking and activity.
C) excessive sleeping.
D) insomnia.
E) agitation.
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Q1) A nurse is giving a parent information about autism.Which statement made by the parent indicates understanding of the teaching?
A) Autism is characterized by periods of remission and exacerbation.
B) The onset of autism usually occurs before 3 years of age.
C) Children with autism have imitation and gesturing skills.
D) Autism can be treated effectively with medication.
Q2) The father of a child recently diagnosed with developmental delay is very rude and hostile toward the nurses.This father was cooperative during the child's evaluation a month ago.What is the best explanation for this change in parental behavior?
A) The father is exhibiting symptoms of a psychiatric illness.
B) The father may be abusing the child.
C) The father is resentful of the time he is missing from work for this appointment.
D) The father is experiencing a symptom of grief.
Q3) What action is contraindicated when a child with Down syndrome is hospitalized?
A) Determine the child's vocabulary for specific body functions.
B) Assess the child's hearing and visual capabilities.
C) Encourage parents to leave the child alone to encourage adaptation.
D) Have meals served at the child's usual meal times.
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Q1) Which teaching guideline helps prevent eye injuries during sports and play activities?
A) Restrict helmet use to those who wear eye glasses or contact lenses.
B) Discourage the use of goggles with helmets so the child can see better.
C) Wear eye protection when participating in high-risk sports such as paintball.
D) Wear a face mask when playing any sport or playing roughly.
Q2) The nurse is caring for a 2-year-old child who has a history of meningitis as an infant.The child is not speaking and does not turn the head to the sound of a rattle.Which type of hearing loss in a child may have resulted from a previous infection with meningitis?
A) Conductive
B) Sensorineural
C) Central
D) Mixed
Q3) The nurse should suspect a hearing impairment in an infant who demonstrates which of the following?
A) Absence of intelligible speech by 12 months
B) Cessation of babbling at age 7 months
C) Lack of eye contact when being spoken to
D) Lack of gesturing to indicate wants after age 15 months
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