Nursing Care of Children Final
Exam Questions
Course Introduction
This course introduces students to the principles and practices of nursing care for infants, children, and adolescents within various healthcare settings. Emphasizing family-centered, culturally competent care, the course explores growth and development, common pediatric health issues, and evidence-based interventions for acute and chronic conditions. Students will gain an understanding of health promotion, disease prevention, and the psychosocial needs of children and their families. Through theoretical learning and clinical experiences, students develop skills in communication, assessment, and critical thinking essential for effective pediatric nursing practice.
Recommended Textbook
Maternal Child Nursing 5th Edition by McKinney
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55 Chapters
1615 Verified Questions
1615 Flashcards
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Page 2
Chapter 1: Foundations of Maternity, Womens Health, and Child Health Nursing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) When planning a parenting class,the nurse should explain that the leading cause of death in children 1 to 4 years of age in the United States is
A) premature birth.
B) congenital anomalies.
C) accidental death.
D) respiratory tract illness.
Answer: C
Q2) A school nurse is working with unlicensed assistive personnel (UAPs).What aspects of delegation should the nurse incorporate into his or her practice in this setting?
A) The registered nurse is always responsible for assessment.
B) Uncomplicated medication administration can be performed by the UAP.
C) The nurse does not need to supervise UAPs in this setting.
D) The nurse must work within school district policies when delegating.
E) Understanding the complexity of the child's needs is a consideration when delegating.
Answer: A,B,D,E
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3
Chapter 2: The Nurses Role in Maternity, Womens Health, and Pediatric Nursing
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) To evaluate the woman's learning about performing infant care,the nurse should A) demonstrate infant care procedures.
B) allow the woman to verbalize the procedure.
C) observe the woman as she performs the procedure.
D) routinely assess the infant for cleanliness.
Answer: C
Q2) What part of the nursing process includes the collection of data on vital signs,allergies,sleep patterns,and feeding behaviors?
A) Assessment
B) Planning
C) Intervention
D) Evaluation
Answer: A
Q3) Which step in the nursing process identifies the basis or cause of the patient's problem?
A) Intervention
B) Expected outcome
C) Nursing diagnosis
D) Evaluation
Answer: C
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Chapter 3: The Childbearing and Child-Rearing Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Families who deal effectively with stress exhibit which behavior pattern?
A) Focus on family problems
B) Feel weakened by stress
C) Expect that some stress is normal
D) Feel guilty when stress exists
Answer: C
Q2) The parent of a child who has had numerous hospitalizations asks the nurse for advice because the child has been having behavior problems at home and in school.In discussing effective discipline,what is an essential component?
A) All children display some degree of acting out, and this behavior is normal.
B) The child is manipulative and should have firmer limits set on her behavior.
C) Positive reinforcement and encouragement should be used to promote cooperation and the desired behaviors.
D) Underlying reasons for rules should be given, and the child should be allowed to decide which rules should be followed.
Answer: C
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5
Chapter 4: Communicating with Children and Families
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Sample Questions
Q1) A nurse is caring for a child who does not speak English.The parents are able to understand and speak only limited English.What action by the nurse is best?
A) Allow the patient's 12-year-old sister to interpret.
B) See if there is another family member who can interpret.
C) Use a professionally trained interpreter for this family.
D) Use the Internet to translate written information in the native language.
Q2) In planning care for a preschool-age child,the nurse knows that which open body postures encourage positive communication? (Select all that apply.)
A) Leaning away from the preschooler
B) Frequent eye contact
C) Hands on hips
D) Conversing at eye level
E) Asking the parents to stay in the room
Q3) 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
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Page 6
Chapter 5: Health Promotion for the Developing Child
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is assessing an infant's growth and development.The parents want education on how to stimulate this process.What action suggested by the nurse is inconsistent with knowledge of this topic?
A) Have the family draw a three-generation family pedigree.
B) Show the family how to coo and babble with their child.
C) Encourage the parents to buy interactive toys for the child.
D) Involve the child in activities that are outside the home.
Q2) 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.
Q3) Which child is most likely to be frightened by hospitalization?
A) A 4-month-old infant admitted with a diagnosis of bronchiolitis
B) A 2-year-old toddler admitted for cystic fibrosis
C) A 9-year-old child hospitalized with a fractured femur
D) A 15-year-old adolescent admitted for abdominal pain
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Page 7
Chapter 6: Health Promotion for the Infant
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?
A) 14 3/4 lb
B) 22 1/8 lb
C) 29 1/2 lb
D) Unable to estimate weigh at 1 year
Q2) The mother of a 10-month-old infant tells the nurse that her infant "really likes cow's milk." What is the nurse's best response to this mother?
A) "Milk is a nutritious choice at this time."
B) "Children should not get cow's milk until 1 year of age."
C) "Limit cow's milk to one bedtime bottle."
D) "Mix cereal with cow's milk and feed it in a bottle."
Q3) The parent of a 2-week-old infant asks the nurse whether the baby needs fluoride supplements,since mom is exclusively breastfeeding the baby.What response by the nurse is best?
A) "Yes, the baby needs to begin taking them now."
B) "Is your water fluoridated?"
C) "She may need to begin taking them at age 6 months."
D) "You can use infant cereal mixed with fluoridated water instead."
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Page 8
Chapter 7: Health Promotion During Early Childhood
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse has been teaching a parent of a toddler about effective discipline.Which statement by the parent indicates that goals for teaching have been met?
A) "I always include explanations and morals when I am disciplining my toddler."
B) "I always try to be immediate and consistent when disciplining the children."
C) "I believe that discipline should be done by only one family member."
D) "My rule of thumb is no more than one spanking a day."
Q2) The nurse teaches the parents that which of the following is the primary purpose of a transitional object?
A) It helps the parents with the guilt they feel when they leave the child.
B) It keeps the child quiet at bedtime.
C) It is effective in decreasing anxiety in the toddler.
D) It decreases negativism and tantrums in the toddler.
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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Chapter 8: Health Promotion for the School-Age Child
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse teaches parents signs that a child might be being bullied or otherwise victimized.What signs does the nurse include in this teaching? (Select all that apply.)
A) Spends an inordinate amount of time in the nurse's office
B) Belongings frequently go missing or are damaged.
C) The child wants to be driven to school.
D) School performance improves.
E) The child freely talks about his day.
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) A nurse is assessing an 8-year-old child.Which finding leads the nurse to conduct further assessment?
A) Understands that his or her point of view is not the only one
B) Enjoys telling riddles and silly jokes
C) Demonstrates the principle of object conservation
D) Engages in fantasy and magical thinking
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Page 10
Chapter 9: Health Promotion for the Adolescent
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26 Verified Questions
26 Flashcards
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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) A nurse is planning for a sports pre-participation physical exam day.What goals for this event does the nurse set? (Select all that apply.)
A) Comprehensive physical examination
B) Assess general health
C) Identify limiting conditions
D) Provide wellness counseling
E) Adhere to insurance requirements
Q3) A nurse is teaching adolescent boys about pubertal changes.The first sign of pubertal change seen with boys is
A) testicular enlargement.
B) facial hair.
C) scrotal enlargement.
D) voice deepens.
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Page 11
Chapter 10: Hereditary and Environmental Influences on Development
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient at 34 weeks of gestation has reported to the OB triage unit for assessment of oligohydramnios.The nurse assigned to care for this patient is aware that prolonged oligohydramnios may result in (Select all that apply.)
A) intrauterine limb amputations.
B) clubfoot.
C) delayed lung development.
D) other fetal abnormalities.
E) fetal deformations.
Q2) People who have two copies of the same abnormal autosomal dominant gene will usually be
A) more severely affected by the disorder than will people with one copy of the gene.
B) infertile and unable to transmit the gene.
C) carriers of the trait but not affected with the disorder.
D) mildly affected with the disorder.
Q3) Which statement is true of multifactorial disorders?
A) They may not be evident until later in life.
B) They are usually present and detectable at birth.
C) The disorders are characterized by multiple defects.
D) Secondary defects are rarely associated with multifactorial disease.
Page 12
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Chapter 11: Reproductive Anatomy and Physiology
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which 16-year-old female is most likely to experience secondary amenorrhea?
A) A girl who is 5 ft 2 in, 130 lb
B) A girl who is 5 ft 9 in, 150 lb
C) A girl who is 5 ft 7 in, 96 lb
D) A girl who is 5 ft 4 in, 120 lb
Q2) The average man is taller than the average woman at maturity because of A) a longer period of skeletal growth.
B) earlier development of secondary sexual characteristics.
C) earlier onset of growth spurt.
D) starting puberty at an earlier age.
Q3) A young female patient comes to the school nurse to discuss her irregular periods.In providing education regarding the female reproductive cycle,which phases of the ovarian cycle does the nurse include? (Select all that apply.)
A) Follicular
B) Ovulatory
C) Luteal
D) Proliferative
E) Secretory
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Chapter 12: Conception and Prenatal Development
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which part of the mature sperm contains the male chromosomes?
A) The head of the sperm
B) The middle portion of the sperm
C) X-bearing sperm
D) The tail of the sperm
Q2) With regard to the structure and function of the placenta,the maternity nurse should be aware that
A) as the placenta widens, it gradually thins to allow easier passage of air and nutrients.
B) as one of its early functions, the placenta acts as an endocrine gland.
C) the placenta is able to keep out most potentially toxic substances, such as cigarette smoke, to which the mother is exposed.
D) optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing.
Q3) While teaching an early pregnancy class,the nurse explains that the morula is a
A) fertilized ovum before mitosis begins.
B) flattened disk-shaped layer of cells within a fluid-filled sphere.
C) double layer of cells that becomes the placenta.
D) solid ball composed of the first cells formed after fertilization.
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Chapter 13: Adaptations to Pregnancy
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43 Verified Questions
43 Flashcards
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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) Which statement related to changes in the breasts during pregnancy is the most accurate?
A) During the early weeks of pregnancy there is decreased sensitivity.
B) Nipples and areolae become more pigmented.
C) Montgomery tubercles are no longer visible around the nipples.
D) Venous congestion of the breasts is more visible in the multiparous woman.
Q3) A patient at 32 weeks of gestation reports that she has severe lower back pain.The nurse's assessment should include
A) observation of posture and body mechanics.
B) palpation of the lumbar spine.
C) exercise pattern and duration.
D) ability to sleep for at least 6 hours uninterrupted.
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Chapter 14: Nutrition for Childbearing
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Sample Questions
Q1) The nurse teaches a pregnant woman that one danger in using nonfood supplementation of nutrients is
A) increased absorption of all vitamins.
B) development of pregnancy-induced hypertension (PIH).
C) increased caloric intake.
D) toxic effects on the fetus.
Q2) 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
Q3) Which statement by a patient indicates that she understands the role of protein in her pregnancy?
A) "Protein will help my baby grow."
B) "Eating protein will prevent me from becoming anemic."
C) "Eating protein will make my baby have strong teeth after he is born."
D) "Eating protein will prevent me from being diabetic."
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16
Chapter 15: Prenatal Diagnostic Tests
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Sample Questions
Q1) The nurse teaches a pregnant woman that which diagnostic test evaluates the effect of fetal movement on fetal heart activity?
A) Contraction stress test (CST)
B) Sonography
C) Biophysical profile
D) Nonstress test (NST)
Q2) When is the best time to determine gestational age based on biparietal diameter through ultrasound?
A) First trimester only
B) Second trimester only
C) Any time
D) Second half of pregnancy
Q3) A woman is scheduled for an ultrasound and is asking the nurse questions about this test.Which statement by the nurse regarding ultrasonography during pregnancy is most accurate?
A) Ultrasonography uses infrared technology to create an image.
B) Ultrasonography is only utilized as an adjunct to more invasive tests.
C) Ultrasonography is not harmful to the fetus.
D) Ultrasonography is not a component of biophysical profile testing.
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Page 17
Chapter 16: Giving Birth
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Sample Questions
Q1) The nurse teaching a prenatal class explains that which is the best indicator of true labor?
A) Bloody show
B) Cervical dilation and effacement
C) Fetal descent into the pelvic inlet
D) Uterine contractions every 7 minutes
Q2) To teach and support the woman in labor,the nurse explains that the strongest part of a labor contraction is the
A) increment.
B) acme.
C) decrement.
D) interval.
Q3) Leopold's maneuvers are used by practitioners to determine
A) the best location to assess the fetal heart rate (FHR).
B) cervical dilation and effacement.
C) whether the fetus is in the posterior position.
D) if the woman needs an amniotomy.
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Chapter 17: Intrapartum Fetal Surveillance
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Sample Questions
Q1) When the mother's membranes rupture during active labor,the fetal heart rate should be observed for the occurrence of which periodic pattern?
A) Increase in baseline variability
B) Nonperiodic accelerations
C) Early decelerations
D) Variable decelerations
Q2) The nurse-midwife is concerned that a woman's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure.On the basis of this information,the nurse should obtain a(n)
A) tocotransducer.
B) scalp electrode.
C) intrauterine pressure catheter.
D) Doppler transducer.
Q3) A nurse might be called on to stimulate the fetal scalp
A) as part of fetal scalp blood sampling.
B) in response to tocolysis.
C) in preparation for fetal oxygen saturation monitoring.
D) to elicit an acceleration in the FHR.
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19
Chapter 18: Pain Management for Childbirth
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Sample Questions
Q1) Which statement is true about the physiologic effects of pain in labor?
A) It usually results in a more rapid labor.
B) It is considered to be a normal occurrence.
C) It may result in decreased placental perfusion.
D) It has no effect on the outcome of labor.
Q2) A woman received 50 mcg of fentanyl intravenously 1 hour before delivery.What drug should the nurse have readily available?
A) Promethazine (Phenergan)
B) Nalbuphine (Nubain)
C) Butorphanol (Stadol)
D) Naloxone (Narcan)
Q3) The nurse is caring for a laboring patient who develops a fever after she has had her epidural initiated.What actions by the nurse are appropriate? (Select all that apply.)
A) Palpate the woman's bladder distention.
B) Assess the woman's blood pressure.
C) Observe the woman for shivering.
D) Check the skin for color and warmth.
E) Prepare to assist with a blood patch.
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Chapter 19: Nursing Care during Obstetric Procedures
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Sample Questions
Q1) The labor and delivery nurse must be cognizant of the specific conditions appropriate for labor induction,including which of the following? (Select all that apply.)
A) Rupture of membranes at or near term
B) Convenience of the woman or her physician
C) Chorioamnionitis
D) Postterm pregnancy
E) Fetal death
Q2) A woman is receiving oxytocin to augment labor.The nurse notes that the Montevideo units are measured at 560 and the fetus is showing late decelerations.What action by the nurse takes priority?
A) Notify the charge nurse of the situation.
B) Document the findings in the chart.
C) Increase the rate of oxytocin slowly.
D) Stop the oxytocin infusion.
Q3) 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
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Page 21
Chapter 20: Postpartum Adaptations
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Sample Questions
Q1) A pregnant patient asks when the dark line on her abdomen (linea nigra)will go away.The nurse knows the pigmentation will decrease after delivery because of A) increased estrogen.
B) increased progesterone.
C) decreased melanocyte-stimulating hormone.
D) decreased human placental lactogen.
Q2) 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.
Q3) Which maternal event is abnormal in the early postpartum period?
A) Diuresis and diaphoresis
B) Flatulence and constipation
C) Extreme hunger and thirst
D) Lochial color changes from rubra to alba
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22
Chapter 21: The Normal Newborn: Adaptation and Assessment
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Sample Questions
Q1) The nurse should alert the provider when
A) the infant is dusky and turns cyanotic when crying.
B) acrocyanosis is present at age 1 hour.
C) the infant's blood glucose is 45 mg/dL.
D) the infant goes into a deep sleep at age 1 hour.
Q2) The cheeselike,whitish substance that fuses with the epidermis and serves as a protective coating is called
A) vernix caseosa
B) surfactant
C) caput succedaneum
D) acrocyanosis
Q3) The nurse is concerned about an infection in a newborn.What finding does the nurse assess for?
A) More than two soft stools per day
B) Leukocytosis with a left shift
C) Poor feeding behaviors
D) An axillary temperature greater than 37.5° C
Q4) An infant was born weighing 7.2 pounds.Calculate this infant's oral intake needs._______
Page 23
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Chapter 22: The Normal Newborn: Nursing Care
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Sample Questions
Q1) The parents of a newborn are considering circumcision.What possible complications does the nurse teach them about? (Select all that apply.)
A) Urinary retention
B) Adhesions
C) Necrosis of the site
D) Kidney infection
E) Unsatisfactory cosmetic result
Q2) The nurse should model and teach practices used to prevent sudden infant death syndrome.Which of the following do these include? (Select all that apply.)
A) Fully supine position for all sleep
B) Side-sleeping position as an acceptable alternative
C) "Tummy time" for play
D) Placing the infant's crib in the parents' room
E) A soft mattress
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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Page 24
Chapter 23: Newborn Feeding
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Sample Questions
Q1) 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
Q2) Which type of formula is not diluted before being administered to an infant?
A) Powdered
B) Concentrated
C) Ready-to-use
D) Modified cow's milk
Q3) As the nurse assists a new mother with breastfeeding,she asks,"If formula is prepared to meet the nutritional needs of the newborn,what is in breast milk that makes it better?" The nurse's best response is that it contains
A) more calories.
B) essential amino acids.
C) important immunoglobulins.
D) more calcium.
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Page 25
Chapter 24: The Childbearing Family with Special Needs
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Sample Questions
Q1) In counseling a patient who has decided to relinquish her baby for adoption,the nurse should do which of the following?
A) Affirm her decision while acknowledging her maturity in making it.
B) Question her about her feelings regarding adoption.
C) Tell her she can always change her mind about adoption.
D) Ask her if anyone is coercing her into the decision to relinquish her baby.
Q2) Of adolescents who become pregnant,what percentage have had a previous birth?
A) 10%
B) 15%
C) 17%
D) 35%
Q3) Which of the following is an appropriate nursing measure when a baby has an unexpected anomaly?
A) Remove the baby from the delivery area immediately.
B) Tell the parents that the baby has to go to the nursery immediately.
C) Inform the parents immediately that something is wrong.
D) Explain the defect, and show the baby to the parents as soon as possible.
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Chapter 25: Pregnancy-Related Complications
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Sample Questions
Q1) A woman who is 8 months pregnant is brought to the emergency department after a serious motor vehicle crash.Although she has no apparent injuries,she is admitted to the hospital.Her partner is upset and wants to know why she just can't come home.What response by the nurse is best?
A) "This is standard procedure for all pregnant crash victims."
B) "She needs to be monitored for some potential complications."
C) "We may have to deliver the baby at any time now."
D) "We are giving her medicine to keep her from laboring."
Q2) A placenta previa in which the placental edge just reaches the internal os is called A) total.
B) partial. C) complete.
D) marginal.
Q3) The primary symptom present in abruptio placentae that distinguishes it from placenta previa is A) vaginal bleeding. B) rupture of membranes.
C) presence of abdominal pain.
D) changes in maternal vital signs.
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Page 27
Chapter 26: Concurrent Disorders during Pregnancy
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Q1) Prophylaxis of subacute bacterial endocarditis (SBE)is given before and after birth when a pregnant woman has
A) valvular disease.
B) congestive heart disease.
C) dysrhythmias.
D) postmyocardial infarction.
Q2) A woman who delivered her third child yesterday has just learned that her two school-age children have contracted chickenpox.What action by the nurse is best?
A) Assess if the woman has had chickenpox or been vaccinated.
B) Tell her that the baby has immunity from her and is not susceptible.
C) Advise her if she is non-immune, she will get vaccinated at her 2-week postpartum checkup.
D) The infant will receive prophylactic acyclovir before discharge.
Q3) Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
A) Hypoglycemia
B) Hypercalcemia
C) Hypobilirubinemia
D) Hypoinsulinemia
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Page 28
Chapter 27: The Woman with an Intrapartum Complication
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8530
Sample Questions
Q1) What are the priority nursing assessments for a woman receiving tocolytic therapy with terbutaline? (Select all that apply.)
A) Fetal heart rate
B) Maternal heart rate
C) Intake and output
D) Maternal blood glucose
E) Maternal blood pressure
F) Odor of amniotic fluid
Q2) An important independent nursing action to promote normal progress in labor is
A) assessing the fetus.
B) encouraging urination about every 1 to 2 hours.
C) allowing the woman to stay in her preferred position.
D) regulating intravenous fluids.
Q3) Which nursing action must be initiated first when evidence of prolapsed cord is found?
A) Notify the provider.
B) Apply a scalp electrode.
C) Prepare the mother for an emergency cesarean delivery.
D) Reposition the mother with her hips higher than her head.
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Chapter 28: The Woman with a Postpartum Complication
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34 Verified Questions
34 Flashcards
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) A provider left an order for a woman to have Methylergonovine 0.2 mg IM.The nurse assesses the woman and finds her vital signs to be: temperature 37.9° C (100.2° F),pulse 90 beats/minute,respirations 18 breaths/minute,and blood pressure 152/90 mm Hg.What action by the nurse is most appropriate?
A) Administer acetaminophen first.
B) Check policy for administration.
C) Give the medication as prescribed.
D) Consult with the provider.
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30
Chapter 29: The High-Risk Newborn: Problems Related to
Gestational Age and Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8532
Sample Questions
Q1) 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.
Q2) 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.
Q3) In caring for the preterm infant,what complication is thought to be a result of high arterial blood oxygen level?
A) Necrotizing enterocolitis (NEC)
B) Retinopathy of prematurity (ROP)
C) Bronchopulmonary dysplasia (BPD)
D) Intraventricular hemorrhage (IVH)
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Chapter 30: The High-Risk Newborn: Acquired and Congenital Conditions
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8533
Sample Questions
Q1) The nurse is preparing a dose of naloxone for a newborn who weighs 6.9 pounds.How much naloxone does the nurse administer? ______ mg
Q2) The nurse is caring for a neonate undergoing phototherapy.What action does the nurse include on the infant's care plan?
A) Keep the infant's eyes covered under the light.
B) Keep the infant supine at all times.
C) Restrict parenteral and oral fluids.
D) Dress the infant in only a T-shirt and diaper.
Q3) The goal of treatment of the infant with phenylketonuria (PKU)is to
A) cure cognitive delays.
B) prevent central nervous system (CNS) damage.
C) prevent gastrointestinal symptoms.
D) prevent the renal system damage.
Q4) The difference between physiologic and nonphysiologic jaundice is that nonphysiologic jaundice
A) usually results in kernicterus.
B) appears during the first 24 hours of life.
C) results from breakdown of excessive erythrocytes not needed after birth.
D) begins on the head and progresses down the body.
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Chapter 31: Management of Fertility and Infertility
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8534
Sample Questions
Q1) A young woman describes her sex life as "active" and involving "many" partners.She wants a contraceptive method that is reliable and does not interfere with sex.She requests an intrauterine device (IUD).The nurse's most appropriate response is
A) "The IUD does not interfere with sex."
B) "The risk of pelvic inflammatory disease will be higher for you."
C) "The IUD will protect you from sexually transmitted diseases."
D) "Pregnancy rates are high with the IUDs."
Q2) A woman currently uses a diaphragm and spermicide for contraception.She asks the nurse what the major differences are between the cervical cap and diaphragm.The nurse's most appropriate response is
A) "No spermicide is used with the cervical cap, so it's less messy."
B) "The diaphragm can be left in place longer after intercourse."
C) "Repeated intercourse with the diaphragm is more convenient."
D) "You can have intercourse several times without removing the cap to add more spermicide."
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Chapter 32: Womens HealthCare
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8535
Sample Questions
Q1) A woman is 6 weeks pregnant and has elected to terminate her pregnancy.The nurse knows that the most common technique used for medical termination of a pregnancy in the first trimester is
A) administration of prostaglandins.
B) dilation and evacuation.
C) intravenous administration of Pitocin.
D) vacuum aspiration.
Q2) When a nurse is counseling a woman for primary dysmenorrhea,which nonpharmacologic intervention might be recommended?
A) Increasing the intake of red meat and simple carbohydrates
B) Reducing the intake of diuretic foods, such as peaches and asparagus
C) Temporarily substituting physical activity for a sedentary lifestyle
D) Using a heating pad on the abdomen to relieve cramping
Q3) The drug of choice to treat gonorrhea is
A) penicillin G.
B) tetracycline.
C) ceftriaxone.
D) acyclovir.
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Chapter 33: Physical Assessment of Children
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) The nurse is assessing a 4-year-old child's visual acuity.The results indicate a visual acuity of 20/40 in both eyes.The child's father asks the nurse about his son's results.Which response,if made by the nurse,is correct?
A) "Your child will need a referral to the ophthalmologist before he can attend preschool next week."
B) "Your child's visual acuity is normal for his age."
C) "The results of this test indicate your child may be color blind."
D) "Your child did not pass; he will need to see an eye doctor."
Q2) Which chart should the nurse use to assess the visual acuity of an 8-year-old child?
A) Lea chart
B) Snellen chart
C) HOTV chart
D) Tumbling E chart
Q3) Which tool measures body fat most accurately?
A) Measuring board
B) Calipers
C) Cloth tape measure
D) Paper or metal tape measure
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35
Chapter 34: Emergency Care of the Child
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which nursing action is most appropriate to assist a preschool-age child in coping with the emergency department experience?
A) Explain procedures and give the child at least 1 hour to prepare.
B) Remind the child that she is a big girl.
C) Avoid the use of bandages.
D) Use positive terms, and avoid terms such as "shot" and "cut."
Q2) What is the goal of the initial intervention for a child in cardiopulmonary arrest?
A) Establishing a patent airway
B) Determining a pulse rate
C) Removing clothing
D) Reassuring the parents
Q3) Which is the most critical element of pediatric emergency care?
A) Airway management
B) Prevention of neurologic impairment
C) Maintaining adequate circulation
D) Supporting the child's family
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36
Chapter 35: The Ill Child in the Hospital and Other Care Settings
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse is discussing toddler development with the mother of a 2 1/2-year-old child.Which statement by the mother indicates she has an understanding of how to help her daughter succeed in a developmental task while hospitalized?
A) "I always help my daughter complete tasks to help her achieve a sense of accomplishment."
B) "I provide many opportunities for my daughter to play with other children her age."
C) "I consistently stress the difference between right and wrong to my daughter."
D) "I encourage my daughter to do things for herself when she can."
Q2) What are age-appropriate nursing interventions to facilitate psychological adjustment for an adolescent expected to have a prolonged hospitalization? (Select all that apply.)
A) Encourage parents to bring in homework and schedule study times.
B) Allow the adolescent to wear street clothes.
C) Involve the parents in care.
D) Follow home routines.
E) Encourage parents to bring in favorite foods.
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Chapter 36: The Child with a Chronic Condition or Terminal Illness
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8539
Sample Questions
Q1) The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?
A) Toddler
B) Preschooler
C) School-age child
D) Adolescent
Q2) At what age do most children have an adult concept of death as being inevitable,universal,and irreversible?
A) 4 to 5 years
B) 6 to 8 years
C) 9 to 11 years
D) 12 to 16 years
Q3) Identify the most appropriate nursing response to a parent who tells the nurse,"I don't want my child to know she is dying."
A) "I shall respect your decision. I won't say anything to your child."
B) "Don't you think she has a right to know about her condition?"
C) "Would you like me to arrange for the provider to speak with your child?"
D) "I'll answer any questions she asks me as honestly as I can."
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Chapter 37: Principles and Procedures for Nursing Care of Children
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8540
Sample Questions
Q1) What nursing action is appropriate for specimen collection?
A) Follow sterile technique for specimen collection.
B) Sterile gloves are worn if the nurse plans to touch the specimen.
C) Use Standard Precautions when handling body fluids.
D) Avoid wearing gloves in front of the child and family.
Q2) A parent wants to know why acetaminophen should only be given for 2 days for a fever without checking with the provider.What response by the nurse is best?
A) Acetaminophen is a dangerous drug with bad side effects.
B) Long-term acetaminophen use can cause liver damage.
C) There may be better fever relievers you could use.
D) What if there were something seriously wrong with your child?
Q3) Which action is appropriate to promote a toddler's nutrition during hospitalization?
A) Allow the child to walk around during meals.
B) Require the child to empty his or her plate.
C) Ask the child's parents to bring a cup and utensils from home.
D) Select new foods for the child from the menu.
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Page 39
Chapter 38: Medication Administration and Safety for
Infants and Children
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8541
Sample Questions
Q1) What is the 24-hour maintenance fluid requirement for a child weighing 18.7 pounds?
Q2) A provider orders odansetron 0.15 mg/kg IV push for a child who weighs 15 pounds.How much medication does the nurse draw up?
Q3) What action is appropriate when using an EMLA cream before intravenous catheter insertion?
A) Rub a liberal amount of cream into the skin thoroughly.
B) Cover the skin with a gauze dressing after applying the cream.
C) Leave the cream on the skin for 1 to 2 hours before the procedure.
D) Use the smallest amount of cream necessary to numb the skin surface.
Q4) A child is receiving intravenous fluids.How frequently should the nurse assess and document the condition of the child's intravenous site?
A) Every hour
B) Every 2 hours
C) Every 4 hours
D) Every shift
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Chapter 39: Pain Management for Children
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8542
Sample Questions
Q1) What medication is the most effective choice for treating pain associated with sickle cell crisis in a newly admitted 5-year-old child?
A) Morphine
B) Acetaminophen
C) Ibuprofen
D) Midazolam
Q2) 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.
Q3) When using the poker chip tool,it is important for the nurse to know that A) any number of chips can be used.
B) only a specified number of chips can be used.
C) the assessment tool is used with adolescents.
D) the assessment tool is most effectively used with 2-year-old children.
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Chapter 40: The Child with a Fluid and Electrolyte Alteration
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8543
Sample Questions
Q1) Which assessment is most relevant to the care of an infant with dehydration?
A) Temperature, heart rate, and blood pressure
B) Respiratory rate, oxygen saturation, and lung sounds
C) Heart rate, sensorium, and skin color
D) Diet tolerance, bowel function, and abdominal girth
Q2) Bodily fluids are composed of two elements: water and _____.
Q3) Which action is the primary concern in the treatment plan for a child with persistent vomiting?
A) Detecting the cause of vomiting
B) Preventing metabolic acidosis
C) Positioning the child to prevent further vomiting
D) Recording intake and output
Q4) What assessment should the nurse make before initiating an intravenous (IV)infusion of dextrose 5% in 0.9% normal saline solution with 10 mEq of potassium chloride for a child hospitalized with dehydration?
A) Fluid intake
B) Number of stools
C) Urine output
D) Capillary refill
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Chapter 41: The Child with an Infectious Disease
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8544
Sample Questions
Q1) A preschooler is diagnosed with helminths.The child's mother is very upset and wants to know how her child could have contracted this illness.After obtaining a detailed history,the nurse identifies all possible transmission modes.What do they include? (Select all that apply.)
A) Playing in the backyard sandbox
B) Not washing hands before eating
C) Placing hands in the mouth and nail biting
D) Skin-to-skin contact with other children
E) Scratches from a neighborhood cat
Q2) A parent asks the nurse how she will know whether her child has fifth disease.The nurse should advise the parent to be alert for which manifestation?
A) Bull's-eye rash at the site of a tick bite
B) Lesions in various stages of development on the trunk
C) Maculopapular rash on the trunk that lasts for 2 days
D) Bright red rash on the cheeks that looks like slapped cheeks
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Chapter 42: The Child with an Immunologic Alteration
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8545
Sample Questions
Q1) What is the most common mode of transmission of human immunodeficiency virus (HIV)in the pediatric population?
A) Perinatal transmission
B) Sexual abuse
C) Blood transfusions
D) Poor handwashing
Q2) A 5-year-old child has acquired immunodeficiency syndrome (AIDS).What statement by the mother indicates good understanding of medications used for this condition?
A) "When my child's pain increases, I double the recommended dosage of antiretroviral medication."
B) "Addiction is a risk, so I only use the medication as ordered."
C) "Doses of the antiretroviral medication are selected on the basis of my child's age and growth."
D) "By the time my child is an adolescent she will not need her antiretroviral medications any longer."
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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Page 44
Chapter 43: The Child with a Gastrointestinal Alteration
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/8546
Sample Questions
Q1) The nurse caring for a child with suspected appendicitis should question which order from the physician?
A) Keep patient NPO.
B) Start IV of D5/0.45 normal saline at 60 mL/hr.
C) Apply K-pad to abdomen prn for pain.
D) Obtain CBC on admission to nursing unit.
Q2) Which statement best characterizes hepatitis A?
A) Incubation period is 6 weeks to 6 months.
B) Principal mode of transmission is through the parenteral route.
C) Onset is usually rapid and acute.
D) There is a persistent carrier state.
Q3) A nurse is teaching a student nurse in the pediatric clinic about vomiting in children.The nurse states that getting parents to estimate the amount a child has vomited is quite difficult.What is the best explanation for this problem?
A) Parents are too upset by the vomiting to pay close attention.
B) Parents don't know how to accurately estimate the amount.
C) Descriptions about vomitus are vague and non-specific.
D) Infants and small children often swallow the vomitus.
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Chapter 44: The Child with a Genitourinary Alteration
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) What should the nurse include in a teaching plan for the parents of a child with vesicoureteral reflux?
A) The importance of taking prophylactic antibiotics if prescribed
B) Suggestions for how to maintain fluid restrictions
C) The use of bubble baths as an incentive to increase bath time
D) The need for the child to hold urine for 6 to 8 hours
Q2) 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
Q3) A nurse is teaching a class on acute kidney injury.The nurse relates that acute kidney injury as a result of hemolytic-uremic syndrome (HUS)is classified as
A) Intrinsic renal.
B) Prerenal.
C) Postrenal.
D) Chronic.
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Chapter 45: The Child with a Respiratory Alteration
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A small child with cystic fibrosis cannot swallow pancreatic enzyme capsules.The nurse should teach parents to mix enzymes with which food?
A) Macaroni and cheese
B) Tapioca
C) Applesauce
D) Hot chocolate
Q2) What explanation should the nurse give to the parent of a child with asthma about using a peak flow meter?
A) It is used to monitor the child's breathing capacity.
B) It measures the child's lung volume.
C) It will help the medication reach the child's airways.
D) It measures the amount of air the child breathes in.
Q3) Which type of croup is always considered a medical emergency?
A) Laryngitis
B) Epiglottitis
C) Spasmodic croup
D) Laryngotracheobronchitis (LTB)
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Chapter 46: The Child with a Cardiovascular Alteration
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/8549
Sample Questions
Q1) Which strategy is appropriate when feeding the infant with congestive heart failure?
A) Continue the feeding until a sufficient amount of formula is taken.
B) Limit feeding time to no more than 30 minutes.
C) Always bottle feed every 4 hours.
D) Feed larger volumes of concentrated formula less frequently.
Q2) A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery.The nurse instructs the parents to notify the physician if which conditions occur? (Select all that apply.)
A) Respiratory rate of 36 at rest
B) Appetite slowly increasing
C) Temperature above 37.7° C (100° F)
D) New, frequent coughing
E) Turning blue or bluer than normal
Q3) What is the nurse's first action when planning to teach the parents of an infant with a CHD?
A) Assess the parents' anxiety level and readiness to learn.
B) Gather literature for the parents.
C) Secure a quiet place for teaching.
D) Discuss the plan with the nursing team.
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Page 48
Chapter 47: The Child with a Hematologic Alteration
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse assesses the lab values of a child hospitalized with DIC.What findings are consistent for this disorder? (Select all that apply.)
A) Decreased platelet count
B) Increased hemoglobin
C) Prolonged prothrombin time
D) Elevated D-dimer
E) Pancytopenia
Q2) The nurse is caring for a child with aplastic anemia.What nursing diagnoses are appropriate? (Select all that apply.)
A) Acute Pain related to vaso-occlusion
B) Risk for Infection related to inadequate secondary defenses or immunosuppression
C) Ineffective Protection related to thrombocytopenia
D) Ineffective Tissue Perfusion related to anemia
E) Ineffective Protection related to abnormal clotting
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Chapter 48: The Child with Cancer
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8551
Sample Questions
Q1) What should the nurse teach parents about oral hygiene for the child receiving chemotherapy?
A) Brush the teeth briskly to remove bacteria.
B) Use a mouthwash that contains alcohol.
C) Inspect the child's mouth daily for ulcers.
D) Perform oral hygiene twice a day.
Q2) What should the nurse recognize as symptoms of a brain tumor in a school-age child? (Select all that apply.)
A) Blurred vision
B) Increased head circumference
C) Vomiting when getting out of bed
D) Intermittent headache
E) Declining academic performance
Q3) While completing an assessment on a 6-month-old infant,which finding should the nurse recognize as a symptom of a brain tumor?
A) Blurred vision
B) Increased head circumference
C) Vomiting when getting out of bed
D) Headache
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Page 50
Chapter 49: The Child with an Alteration in Tissue Integrity
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8552
Sample Questions
Q1) What procedure is contraindicated in the care of a child with a minor partial-thickness burn injury wound?
A) Cleaning the affected area with mild soap and water
B) Applying antimicrobial ointment to the burn wound
C) Changing dressings daily
D) Leaving all loose tissue or skin intact
Q2) The pediatric nurse understands that cellulitis is most often caused by A) herpes zoster.
B) Candida albicans.
C) human papillomavirus.
D) Streptococcus or Staphylococcus organisms.
Q3) Where do the lesions of atopic dermatitis most commonly occur in the infant? (Select all that apply.)
A) Cheeks
B) Buttocks
C) Extensor surfaces of arms and legs
D) Back
E) Scalp
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Chapter 50: The Child with a Musculoskeletal Alteration
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8553
Sample Questions
Q1) Which nursing intervention is appropriate to assess for neurovascular competency in a child who fell off the monkey bars at school and hurt his arm?
A) The degree of motion and ability to position the extremity
B) The length, diameter, and shape of the extremity
C) The amount of swelling noted in the extremity and pain intensity
D) The skin color, temperature, movement, sensation, and capillary refill of the extremity
Q2) A boy who has fractured his forearm is unable to extend his fingers.The nurse knows that this
A) is normal following this type of injury.
B) may indicate compartment syndrome.
C) may indicate fat embolism.
D) may indicate damage to the epiphyseal plate.
Q3) A nurse is teaching parents the difference between pediatric fractures and adult fractures.Which observation is true about pediatric fractures?
A) They seldom are complete breaks.
B) They are often open fractures.
C) They are often at the epiphyseal plate.
D) They are often the result of decreased mobility of the bones.
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Page 52
Chapter 51: The Child with an Endocrine or Metabolic Alteration
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A neonate born with ambiguous genitalia is diagnosed with congenital adrenal hyperplasia.Therapeutic management includes administration of A) vitamin D.
B) cortisone acetate.
C) stool softeners.
D) calcium carbonate.
Q2) What is the best time for the nurse to assess the peak effectiveness of subcutaneously administered regular insulin?
A) Two hours after administration
B) Four hours after administration
C) Immediately after administration
D) Thirty minutes after administration
Q3) What is the best nursing action when a child with type 1 diabetes mellitus is sweating,trembling,and pale?
A) Offer the child a glass of water.
B) Give the child 5 units of regular insulin subcutaneously.
C) Give the child a glass of orange juice.
D) Give the child glucagon subcutaneously.
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Chapter 52: The Child with a Neurologic Alteration
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8555
Sample Questions
Q1) Nursing care of the infant who has had a myelomeningocele repair should include A) securely fastening the diaper.
B) measurement of pupil size.
C) measurement of head circumference.
D) administration of seizure medications.
Q2) Which finding in an analysis of cerebrospinal fluid (CSF)is consistent with a diagnosis of bacterial meningitis?
A) CSF appears cloudy.
B) CSF pressure is decreased.
C) Few leukocytes are present.
D) Glucose level is increased compared with blood.
Q3) The nurse teaches parents to alert their health care provider about which adverse effect when a child receives valproic acid (Depakene)to control generalized seizures?
A) Weight loss
B) Bruising
C) Anorexia
D) Drowsiness
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Chapter 53: Psychosocial Problems in Children and Families
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20 Flashcards
Source URL: https://quizplus.com/quiz/8556
Sample Questions
Q1) A child who has symptoms of irritable mood,changes in sleep and appetite patterns,decreased self-esteem,and disengagement from family and friends lasting 3 weeks meets the criteria for which depressive disorder?
A) Major depressive disorder
B) Dysthymic disorder
C) Cyclothymic disorder
D) Panic disorder
Q2) The long-term treatment plan for an adolescent with an eating disorder focuses on which of the following?
A) Managing the effects of malnutrition
B) Establishing sufficient caloric intake
C) Improving family dynamics
D) Restructuring perception of body image
Q3) 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.
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Chapter 54: The Child With an Intellectual Disability or Developmental Disability
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Developmental delays,self-injury,fecal smearing,and severe temper tantrums in a preschool child are symptoms of A) Down syndrome.
B) intellectual disability.
C) psychosocial deprivation.
D) separation anxiety.
Q2) A newborn assessment shows separated sagittal suture,oblique palpebral fissures,depressed nasal bridge,protruding tongue,and transverse palmar creases.These findings are most suggestive of A) microcephaly.
B) Down syndrome.
C) cerebral palsy.
D) fragile X syndrome.
Q3) Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should include information about A) institutional placement.
B) sexual development.
C) sterilization.
D) appropriate clothing.
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Chapter 55: The Child with a Sensory Alteration
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32 Verified Questions
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Source URL: https://quizplus.com/quiz/8558
Sample Questions
Q1) A 5-year-old diagnosed with chlamydial conjunctivitis should be carefully assessed for which of the following?
A) Sexual abuse
B) Immune deficiency
C) Congenital cataract
D) Secondary glaucoma
Q2) Which statement by a parent indicates understanding of instructions on the care of a child with conjunctivitis?
A) "I should treat my other children with these eye drops to prevent spread of the disease."
B) "My child must remain home from school until she has received 72 hours of antibiotic drops."
C) "I should avoid touching the tip of the ointment tube to my child's eye."
D) "My child may go back to wearing her contact lenses 24 hours after treatment has started."
Q3) Adequate hearing depends on intact auditory structures and quality of sound.Failure to hear at 40 to 69 dB would be categorized as a __________ hearing loss.
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