Nursing Care of Children
Midterm Exam
Course Introduction
Nursing Care of Children focuses on the principles and practices of nursing care to infants, children, and adolescents within the context of the family. The course emphasizes physical and psychosocial growth and development, assessment skills, and evidence-based interventions tailored to the pediatric population. Students will learn to address common pediatric health issues, apply communication strategies appropriate for children and their families, and prioritize safety considerations unique to this age group. Through integrating theoretical knowledge with clinical judgment, the course prepares students to deliver compassionate, culturally competent, and developmentally appropriate nursing care to children across diverse healthcare settings.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 6th Edition by Gloria Leifer
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34 Chapters
1020 Verified Questions
1020 Flashcards
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Chapter 1: The Past, Present, and Future
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23800
Sample Questions
Q1) The nurse points out some non-family-centered policies prevalent in the 1960s. What are they? Select all that apply.
A) Waiting room for fathers
B) Sedation of mother during labor
C) Delay of reunion of mother and infant
D) Lenient visiting hours
E) Restrictions of visitations by minor children
Answer: A, B, C, E
Q2) A pregnant woman who has recently immigrated to the United States comments to the nurse, "I am afraid of childbirth. It is so dangerous. I am afraid I will die." A nursing response reflecting cultural sensitivity would be:
A) "Maternal mortality in the United States is extremely low."
B) "Anesthesia is available to relieve pain during labor and childbirth."
C) "Tell me why you are afraid of childbirth."
D) "Your condition will be monitored during labor and delivery."
Answer: C
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Chapter 2: Human Reproductive Anatomy and Physiology
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A 10-year-old girl asks the nurse, "What is the first sign of puberty?" The correct nursing response is:
A) an increase in height.
B) breast development.
C) appearance of axillary hair.
D) the first menstrual period.
Answer: B
Q2) A mother asks the nurse, "When will I know my child has entered puberty?" Based on an understanding of changes associated with puberty, the nurse states:
A) "When your daughter has her first period."
B) "You'll recognize puberty by the mood swings."
C) "The child becomes interested in the opposite sex."
D) "Secondary sex characteristics, such as pubic hair, appear."
Answer: D
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4
Chapter 3: Fetal Development
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse explains that the hormone responsible for converting the endometrium into decidual cells for implantation is:
A) estrogen.
B) human chorionic gonadotropin.
C) human placental lactogen.
D) progesterone.
Answer: D
Q2) When the patient asks when her infant's heart will begin to pump blood, the nurse replies that blood circulation begins:
A) by the end of week 3.
B) beginning in week 8.
C) at the end of week 16.
D) beginning in week 24.
Answer: A
Q3) In fetal circulation, the purpose of the ductus venosus is to bypass the:
A) liver.
B) heart.
C) lungs.
D) kidneys.
Answer: A
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A woman reports that her last normal menstrual period began on August 5, 2010. Using Nägele's rule, her expected date of delivery would be _____, 2011.
A) April 30
B) May 5
C) May 12
D) May 26
Q2) An ultrasound confirms that a 16-year-old girl is pregnant. The nurse recognizes the need for prenatal care and counseling for adolescents because:
A) a pregnant adolescent is experiencing two major life transitions at the same time.
B) adolescents who get pregnant are more likely to have other chronic health problems.
C) adolescents are at greater risk for multifetal pregnancies.
D) at this age, a pregnant adolescent will accept the nurse's advice.
Q3) The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.
Q4) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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Chapter 5: Nursing Care of Women with Complications
During Pregnancy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The pregnant woman comes to the clinic stating that she has been exposed to hepatitis B. She is afraid that her infant will also contract hepatitis B. The nurse counsels that the infant will:
A) be given a single dose of hepatitis immune globulin after birth.
B) be able to use the antibodies from the immunizations given to the patient before delivery.
C) not have hepatitis B because the virus does not pass through the placental barrier.
D) be immune to hepatitis B because of the mother's infection.
Q2) The nurse explains that a woman who uses oral hypoglycemic agents to control diabetes mellitus will need to take insulin during pregnancy because:
A) insulin can cross the placental barrier to the fetus.
B) insulin does not cross the placental barrier to the fetus.
C) oral agents do not cross the placenta.
D) oral agents are not sufficient to meet maternal insulin needs.
Q3) The nurse cautions that the consumption of as few as ________ alcoholic drink(s) during pregnancy can lead to the loss of fetal brain cells.
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Page 7
Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse explains that the third stage of labor ends with:
A) full cervical dilation.
B) expulsion of the placenta and membranes.
C) birth of the infant.
D) engagement of the head.
Q2) The nurse takes into consideration that the primary concern in the initial care of the newborn is maintaining:
A) fluid intake.
B) feeding schedule.
C) thermoregulation.
D) parental bonding.
Q3) The most important nursing activity during the fourth stage of labor is to:
A) monitor the frequency and intensity of contractions.
B) provide comfort measures.
C) assess for hemorrhage.
D) promote bonding.
Q4) After the membranes have ruptured, the nurse should assess the fetal heart rate (FHR) for ________ minute(s).
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Chapter 7: Nursing Management of Pain During Labor and Birth
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) When a pregnant woman arrives at the labor suite, she tells the nurse that she wants to have an epidural for delivery. The nurse is aware that a contraindication to an epidural block is:
A) abnormal clotting.
B) previous cesarean delivery.
C) history of migraine headaches.
D) history of diabetes mellitus.
Q2) Chemical substances produced in the body that act as natural pain relievers are: A) endorphins.
B) morphine.
C) codeine.
D) atropine.
Q3) A woman requests a pudendal block to manage her labor pain. The nurse realizes that the woman needs further explanation about the pudendal block when she says:
A) "I'm having a contraction. Can I get the pudendal block now?"
B) "I'll get the pudendal block right before I deliver."
C) "The nurse midwife will insert the needles into my vagina."
D) "It takes a few minutes after the medicine is administered to make me feel numb."
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Chapter 8: Nursing Care of Women with Complications
During Labor and Birth
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. The nurse would assess for which adverse effect?
A) Maternal tachycardia
B) Maternal hypertension
C) Fetal bradycardia
D) Fetal hypokalemia
Q2) A student nurse questions the instructor as to what alteration should be made for the assessment of the fundus of a new postoperative cesarean section patient. The best response is that the fundus of a patient with a cesarean section is:
A) not assessed until the second postoperative day.
B) assessed by "walking" fingers from side of uterus to the midline.
C) assessed only if large clots appear in lochia.
D) only once every shift.
Q3) What is(are) the rationales for labor induction? Select all that apply.
A) Placenta previa
B) Prolapse of cord
C) High station of fetus
D) Maternal diabetes
E) Placental insufficiency
Page 10
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Chapter 9: The Family After Birth
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A new mother states her preference to formula feed her newborn. The nurse planning discharge instructions would tell her about a measure to help suppress lactation and promote comfort, which is to:
A) wear a well-fitting bra continuously for several days.
B) stand in a warm shower, letting the water spray over the breasts.
C) express small amounts of milk from the breasts several times a day.
D) massage the breasts when they ache.
Q2) For security purposes, when the nurse brings the infant from the nursery to the mother the nurse should:
A) ask, "Is this your band number?"
B) confirm room number of mother.
C) ask the mother to identify herself verbally.
D) check the band number of the infant to that of the mother.
Q3) The nurse explains that the physician will order RhoGAM in the event that a(n):
A) unsensitized Rh-negative mother has an Rh-positive infant.
B) Rh-negative mother becomes sensitized.
C) sensitized infant has a rising bilirubin level.
D) unsensitized infant exhibits no outward signs.
Q4) The hormone responsible for milk production is ____________________.
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Chapter 10: Nursing Care of Women with Complications
After Birth
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse instructs the postpartum patient that her nutritional intake should include which food(s) particularly supportive to healing? Select all that apply.
A) Legumes
B) Potatoes and pasta
C) Citrus fruits
D) Rice
E) Cantaloupe
Q2) The nurse determines that a woman with mastitis understands treatment instructions when she says she will:
A) "Apply cold compresses to the painful areas."
B) "Take a warm shower before nursing the baby."
C) "Nurse first on the affected side."
D) "Empty the affected breast every 8 hours."
Q3) The nurse's first action when postpartum hemorrhage from uterine atony is suspected is to:
A) teach the patient how to massage the abdomen and then get help.
B) start IV fluids to prevent hypovolemia, then notify the registered nurse.
C) begin massaging the fundus while another person notifies the physician.
D) ask the patient to void and reassess fundal tone and location.
Page 12
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Chapter 11: The Nurses Role in Womens Health Care
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23810
Sample Questions
Q1) The nurse cautions that women with a history of which disorders are not candidates for HRT? Select all that apply.
A) Melanoma
B) Estrogen-dependent breast cancer
C) Hepatitis C
D) Thromboembolic disease
E) Hyperthyroidism
Q2) The nurse advises the woman with pelvic floor dysfunction that she can do what for relief of the associated discomfort? Select all that apply.
A) Lie down with feet elevated.
B) Practice Kegel exercises.
C) Assume knee-chest position periodically.
D) Perform leg lift exercises.
E) Prevent constipation.
Q3) The nurse outlines the process of ova being mixed with sperm and then the resulting embryos being returned to the mother's uterus. This process of infertility treatment is
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13
Chapter 12: The Term Newborn
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is going to use a bulb syringe to clear mucus from a newborn's nose and mouth. The nurse's first action is to:
A) place the tip in the nose and squeeze the bulb gently.
B) suction secretions from the nose before the mouth.
C) depress the bulb before inserting the syringe tip into the mouth.
D) insert the tip into the back of the mouth to reach mucus.
Q2) The nurse takes into consideration that newborns are especially prone to dehydration because of which aspect(s) of their physiology? Select all that apply.
A) Small glomeruli
B) Minimal renal blood flow
C) Inactive gastrointestinal (GI) tract
D) Excessive fluid loss from the sweat glands
E) Immature renal tubules that do not concentrate urine
Q3) The nurse in the nursery may use CRIES, PIPP, NIPS, or NPASS as a guide to _____________ assessment.
Q4) The nurse advises the nursing mother that the immune globulin that is found in breast milk is ______________.
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Page 14
Chapter 13: Preterm and Postterm Newborns
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse providing stimulation to a preterm infant should schedule stimulation not to conflict with __________.
Q2) The nurse assessing a preterm infant understands that the infant's level of maturation refers to:
A) actual time the fetus remained in the uterus.
B) age on the Dubowitz scoring system.
C) infant's weight as compared to the gestational age.
D) ability of the organs to function outside of the uterus.
Q3) The nurse caring for a preterm infant in an incubator will record the temperature of the infant and the incubator every:
A) hour.
B) 2 hours.
C) 4 hours.
D) 8 hours.
Q4) The nurse clarifies that a fetus has enough surfactant to breathe on its own at the age of _____ weeks.
Q5) The nurse is aware that the preterm infant has an increased tendency to bleed due to deficient levels of ________.
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Chapter 14: The Newborn with a Perinatal Injury or Congenital
Malformation
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid may be responsible for the occurrence of:
A) meningitis.
B) meningocele.
C) spina bifida occulta.
D) hydrocephalus.
Q2) Parents of a newborn with a unilateral cleft lip are concerned about having the defect repaired. The nurse explains that a child with a cleft lip usually undergoes surgical repair:
A) immediately after birth.
B) by 3 months of age.
C) after 12 months of age.
D) varies in every case.
Q3) The nurse counsels the parents of a child with a cleft palate that they should be alert for signs of:
A) facial paralysis.
B) ear infections.
C) increasing intracranial pressure (ICP).
D) drooling.
Page 16
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Chapter 15: An Overview of Growth, Development, and Nutrition
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32 Verified Questions
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Sample Questions
Q1) The correct term for the child aged 4 weeks to 1 year is ______________.
Q2) The nurse suggests what approach(es) for introducing a toddler to new foods? Select all that apply.
A) Serve one food at a time.
B) Avoid showing personal likes or dislikes.
C) Offer foods in small amounts, less than a teaspoon.
D) Entice the toddler to eat with sweets.
E) Serve food warm.
Q3) The nurse has discussed with the mother introducing solid foods to the 6-month-old infant. The nurse determines that the mother understands the information when she states the first food she will give to the infant is:
A) rice cereal.
B) yellow vegetables.
C) egg yolks.
D) fruits.
Q4) The nurse assesses an unmet need in a hospitalized child who clings to his mother as she is about to leave. The basic needs, as described by Maslow, that are unmet in this case are __________ and ___________.
Page 17
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Chapter 16: The Infant
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth weight was 8 pounds, 2 ounces. The nurse weighing the infant today would expect her weight to be at least _____ pounds.
A) 12
B) 16
C) 20
D) 24
Q2) The nurse is aware that the earliest age at which an infant is able to sit steadily alone is _____ months.
A) 4
B) 5
C) 8
D) 15
Q3) The parent of a 3-month-old infant asks the nurse, "At what age do infants usually begin drinking from a cup?" The nurse would reply:
A) 5 months.
B) 9 months.
C) 1 year.
D) 2 years.
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Page 18
Chapter 17: The Toddler
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse suggests offering which food(s) to support the toddler's desire to self-feed? Select all that apply.
A) Pureed foods
B) Finger foods
C) Foods served cold
D) Foods in colorful dishes
E) Foods that are varied and colorful
Q2) The best advice the nurse can offer a parent concerned because her 2-year-old is very active and does not eat much is to:
A) insist that the child eat one food on the plate.
B) help the child wind down with a quiet activity before mealtime.
C) maintain a consistent eating schedule for the family.
D) serve the meal with a variety of interesting plates, cups, and utensils.
Q3) When the previously potty-trained 3-year-old wets the bed after admission to the hospital, the nurse assesses this event is caused by a(n) ____________________ related to the new environment.
Q4) The nurse assessing a 2-year-old is satisfied to see that the present weight of the child has _____________ the birth weight.
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Page 19
Chapter 18: The Preschool Child
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse points out that what advantage(s) of a nursery school or preschool experience? Select all that apply.
A) Increasing self-confidence
B) Fostering group cooperation
C) Detecting adjustment problems
D) Enhancing social skills
E) Playing experiences with other children
F) None of the above
Q2) A 4-year-old child tells the nurse that he will not eat peas because they are green.
This is an example of:
A) egocentrism.
B) artificialism.
C) animism.
D) centering.
Q3) The nurse characterizes the play of 5-year-old children as:
A) enjoying rough and tumble play.
B) playing well-organized games.
C) following rules.
D) preferring inside activities.
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Page 20
Chapter 19: The School-Age Child
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28 Verified Questions
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Sample Questions
Q1) The pediatric nurse assesses the 9-year-old child who has been diagnosed with diabetes to ensure that he does not come to believe that his disease is a form of
Q2) The nurse is aware that by the age of _____, the first permanent teeth erupt.
Q3) When the fifth-grade class collected geckos in a special aquarium in the classroom, the school nurse cautioned the teacher to be alert for symptoms of ____________________ that can be carried by the reptiles.
Q4) A seventh-grade girl tells the school nurse that her art teacher, a woman, is her hero. The most appropriate interpretation of the girl's comment is:
A) the student may be exploring her career options.
B) the comment is cause for concern about sexual abuse.
C) the child may have difficulty interacting with her peers.
D) hero worship is a normal phenomenon.
Q5) According to Piaget, a 9-year-old child is in which stage of cognitive development?
A) Formal operations
B) Preoperational
C) Concrete operations
D) Sensorimotor
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Chapter 20: The Adolescent
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) One psychosocial task of adolescence on which the nurse must focus when planning care is the development of a sense of:
A) initiative.
B) industry.
C) identity.
D) involvement.
Q2) The nurse suggests the use of "I" messages to communicate a parent's feeling to an adolescent. The most appropriate example of an "I" message is:
A) "I feel frightened when you stay out past your curfew."
B) "I am your mother, and I insist that you observe your curfew."
C) "I am sick and tired of your staying out late."
D) "I expect you to show me proper respect."
Q3) The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. The nurse should assess this score as:
A) nonindicative of potential substance abuse.
B) normal experimentation of the adolescent.
C) need to schedule another PACE interview in 3 months.
D) indication for referral for counseling.
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Chapter 21: The Childs Experience of Hospitalization
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The parents of a hospitalized 9-month-old infant ask if their preschool child may visit his younger sibling. The nurse understands that:
A) preschool children can be disruptive in the hospital environment.
B) seeing his younger sibling would probably frighten the preschooler and thus should be avoided.
C) the sibling could view the infant from the doorway but not enter the room to prevent the spread of microorganisms.
D) the preschooler needs to visit his infant sister to reassure himself that she is all right.
Q2) The nursing action that would facilitate rapport with a child and the child's parents during the admission process is to:
A) direct the parents to undress the child.
B) answer questions in a calm and matter-of-fact way.
C) perform assessments and ask questions as quickly as possible.
D) express concern about the seriousness of the child's condition.
Q3) When the preschooler who is hospitalized for surgery to correct a poorly healed fracture says, "My doctor is going to unscrew my bent arm and screw on a new one," the nurse should ________________ this misconception.
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Page 23
Chapter 22: Health Care Adaptations for the Child and Family
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30 Verified Questions
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Sample Questions
Q1) The restraint that is most appropriate for the insertion of an intravenous line in a scalp vein of an infant is the:
A) mummy.
B) clove hitch.
C) jacket.
D) elbow.
Q2) The nurse preparing to administer medication to a 2-month-old infant discovers there is no ID bracelet on the child. The nurse should:
A) give the medication after confirming the child's name from the foot of the crib.
B) ask the charge nurse to give the medicine.
C) confirm the identity with the charge nurse, make a new bracelet, and give the medicine.
D) delay the medication until the admissions office can supply a new ID bracelet.
Q3) The physician has ordered phenytoin syrup 20 mg PO bid for a child who weighs 15 pounds. The PDR states that 10 mg/kg/day is the maximum daily dose. The safe daily dose of this medication is _____ mg.
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Chapter 23: The Child with a Sensory or Neurological Condition
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31 Verified Questions
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Sample Questions
Q1) The school nurse recognizes the cardinal sign of a hyphema when she assesses: A) opacity of the lens.
B) a yellow-white reflex on the pupil.
C) a dark-red spot in front of the iris.
D) inflamed mucous membranes of the eyelids.
Q2) What would the nurse, who is preparing air travel instructions to prevent barotrauma in infants, include in teaching? Select all that apply.
A) Using ear plugs during takeoff
B) Holding infant upright during flight
C) Omitting the meal just before takeoff
D) Letting the infant nurse during descent
E) Applying ear drops before takeoff
Q3) A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. This behavior is characteristic of which type of seizure?
A) Absence
B) Akinetic
C) Myoclonic
D) Complex partial
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Chapter 24: The Child with a Musculoskeletal Condition
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Sample Questions
Q1) The nurse reviewing the characteristics of Ewing's sarcoma would point out that:
A) amputation is the accepted treatment.
B) the disease is sensitive to radiation and chemotherapy.
C) metastasis is rare.
D) the disease is more prevalent among toddlers and preschoolers.
Q2) The parent of a child with osteomyelitis asks why his child is in so much pain. The nurse's response will be based on the understanding that the pain of osteomyelitis is caused by:
A) the pressure of inelastic bone.
B) purulent drainage in the bone marrow.
C) the cast applied on the extremity.
D) circulatory congestion of the skin.
Q3) The nurse reminds the adolescent boy with Ewing's sarcoma that he is prohibited from vigorous weight-bearing activities during treatment with radiation to reduce the risk of a(n) _______________ fracture.
Q4) The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.
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Page 26
Chapter 25: The Child with a Respiratory Disorder
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Sample Questions
Q1) The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration.
Q2) The nurse auscultating breath sounds of an infant with respiratory syncytial virus would immediately report the assessment of:
A) respiration rate decrease from 40 to 32 breaths/min.
B) heart rate decrease from 110 to 100 beats/min.
C) "quiet chest" from previous assessment of wheezing.
D) oxygen saturation of 90%.
Q3) The nurse is caring for a toddler with acute laryngotracheobronchitis. The assessment finding that would indicate the child is experiencing increased respiratory obstruction is:
A) restlessness.
B) tachycardia.
C) brassy cough.
D) expiratory wheezing.
Q4) After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for _______ months.
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Page 27
Chapter 26: The Child with a Cardiovascular Disorder
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Sample Questions
Q1) An appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant would be:
A) counting the apical rate for 30 seconds before administering the medication.
B) withholding a dose if the apical heart rate is less than 100 beats/min.
C) repeating a dose if the child vomits within 30 minutes of the previous dose.
D) checking respiratory rate and blood pressure before each dose.
Q2) How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? Select all that apply.
A) Feeding more frequently with smaller feedings
B) Using a soft nipple with enlarged holes
C) Holding and cuddling the child during feeding
D) Substituting glucose water for formula
E) Offering high-caloric formula
Q3) The nurse takes into consideration that the most common congenital heart defect is the ____________ ____________ defect.
Q4) The nurse explains that the difference between the systolic blood pressure reading and the diastolic blood pressure reading is called the __________ ___________.
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28
Chapter 27: The Child with a Condition of the Blood,
Blood-Forming Organs, or
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Q1) To prevent ________________ ________________ the nurse warms the blood that is to be given as a transfusion through a central line.
Q2) The nurse clarifies that the deficiency of factor IX results in: A) thalassemia.
B) idiopathic thrombocytopenic purpura.
C) hemophilia A.
D) Christmas disease.
Q3) What should be included in the nursing care of a 12-year-old child receiving radiation therapy for Hodgkin's disease? Select all that apply.
A) Application of sunblock
B) Appetite stimulation
C) Conservation of energy
D) Provision for expressions of anger
E) Preparation for premature sexual development
Q4) The nurse shows slides of red blood cells from a child with sickle cell disease, noting that in addition to their sickle shape, the cells contain the abnormal element of
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Chapter 28: The Child with a Gastrointestinal Condition
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Q1) A child is brought to the emergency department because he ingested an unknown quantity of acetaminophen (Tylenol). After gastric lavage is completed, the nurse might expect this child to receive:
A) activated charcoal.
B) N-acetylcysteine.
C) vitamin K.
D) syrup of ipecac.
Q2) An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO<sub>2</sub> 40, HCO<sub>3</sub>- 21. The nurse interprets these values as:
A) metabolic acidosis.
B) metabolic alkalosis.
C) respiratory acidosis.
D) respiratory alkalosis.
Q3) The nurse would expect the stools of a child with celiac disease to have which appearance?
A) Ribbon like
B) Hard, constipated
C) Bulky, frothy
D) Loose, foul-smelling
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Chapter 29: The Child with a Genitourinary Condition
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Q1) The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. The statement made by the parent indicating a need for further teaching is:
A) "My daughter should wash and wipe the perineal area from front to back."
B) "I am only going to have my daughter wear cotton underwear."
C) "It is acceptable to take frequent bubble baths."
D) "She needs to drink lots of fluids and void frequently."
Q2) The nurse uses a diagram to show how the _______________, the working unit of the kidney, filters and regulates fluids.
Q3) When asked about correcting the hypospadias of a newborn, the nurse explains that with this condition:
A) no intervention is necessary as the defect will correct itself over time.
B) surgical repair of the hypospadias is done before 18 months of age.
C) corrective surgery is usually delayed until the preschool age.
D) repairing the defect will increase the risk of testicular cancer.
Q4) The inability to void even though the urge to do so is strong is known as _______________.
Q5) The nurse explains that the test that measures the pressure and volume of the urine stream is called the _________________.
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Chapter 30: The Child with a Skin Condition
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Q1) What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?
A) Decrease calories because the child will be on bed rest and will not need as many.
B) Increase calories and protein to compensate for the healing process.
C) Increase fat to replace the layer of fat next to the burned skin.
D) Decrease carbohydrates and starches because the pancreas is strained by the healing process.
Q2) An adolescent is at the pediatrician's office because he has been experiencing intense itching, particularly in the axilla and between the fingers. The itching is worse during the night and he has not been sleeping well. This symptom is associated with: A) scabies.
B) pediculosis capitis.
C) tinea corporis.
D) eczema.
Q3) The nurse recognizes the blisters and erythema of the hands of a person recovering from frostbite as the skin disorder called _________________.
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Chapter 31: The Child with a Metabolic Condition
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Q1) A child with diabetes is brought to the emergency department. He is flushed and drowsy, and his skin is dry. His father states that the child has been feeling progressively worse since the morning. This child is most likely experiencing:
A) Somogyi phenomenon.
B) dawn syndrome.
C) ketoacidosis.
D) water intoxication.
Q2) The nurse warns that keeping diabetes in control in an adolescent is made difficult by what? Select all that apply.
A) Hormonal changes
B) Developmental conflicts
C) Preference for fast food
D) Growth spurts
E) Denial of disease
F) None of the above
Q3) The nurse assessing a glycosylated hemoglobin (HbA?c) test is aware that this test can evaluate average glucose levels over a period of _____ to _____ months.
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Chapter 32: The Child with a Communicable Disease
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Q1) An infant is hospitalized for RSV bronchiolitis. Which type of precautions would the nurse use when caring for the infant?
A) Large-droplet infection precautions
B) Airborne-infection precautions
C) Contact precautions
D) Protective precautions
Q2) When the 8-year-old asks the nurse how she got the antibodies that kept her from getting whooping cough, the nurse explains that those shots:
A) were borrowed antibodies from another person who had whooping cough.
B) gave her a tiny case of whooping cough and then she made her own antibodies.
C) strengthened antibodies she was born with.
D) are only temporary borrowed antibodies and she needs to have another shot every 5 years.
Q3) The nurse takes into consideration that the child most susceptible to an opportunistic infection is the one taking a(n):
A) anticonvulsant.
B) beta-adrenergic agent.
C) antibiotic.
D) corticosteroid.
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Chapter 33: The Child with an Emotional or Behavioral Condition
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Q1) The nurse reminds concerned parents that gateway substance is defined as a:
A) recreational drug used occasionally.
B) nonaddictive drug used daily.
C) drug used to wean from stronger drugs.
D) substance that can lead to use of stronger drugs.
Q2) The nurse counsels parents that the early school years create nervous tension in the child manifested by which abnormal behavior(s)? Select all that apply.
A) Masturbation
B) Food fads
C) Stuttering
D) Aggressive behavior
E) Nonnutritive sucking
Q3) The nurse documents that every time the child is directed to discuss the relationship with her brother, she complains of shortness of breath and begins to have asthma-like symptoms. The nurse assesses this behavior as a(n) _________________ reaction.
Q4) The nurse assists with the intervention of ____________ therapy, which provides a physical and social environment that is stable and therapeutic.
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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Q1) A parent asks the nurse, "What is guided imagery?" The nurse explains:
A) "It is a technique where the patient focuses on an image to relieve stress."
B) "It involves using water to promote relaxation."
C) "The patient enters a hypnotic state of sleep to promote relaxation."
D) "It helps the patient recognize tension in the muscles with responses on an electronic machine."
Q2) The nurse clarifies that the difference between complementary therapy and alternative therapy is that complementary therapy:
A) must be administered by a medical doctor.
B) is administered with conventional therapy.
C) replaces conventional therapy.
D) is administered to a group of patients at the same time.
Q3) The woman taking St. John's wort and ginseng daily is scheduled to have a hysterectomy in 3 weeks. The nurse would instruct the woman that:
A) the herbs are not likely to cause any problems during the surgery.
B) the St. John's wort must be stopped prior to surgery, but she can continue the ginseng.
C) the ginseng should be stopped 1 week before surgery.
D) she should discontinue taking both herbs 2 weeks before surgery.
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