Nursing Care of Children Review Questions
Course Introduction
Nursing Care of Children is a comprehensive course that focuses on the principles and practices involved in delivering holistic health care to pediatric patients from infancy through adolescence. The course emphasizes the assessment, planning, implementation, and evaluation of nursing interventions tailored to the unique physiological, psychological, and developmental needs of children and their families. Students will explore common pediatric illnesses, health promotion strategies, family-centered care approaches, and the ethical and legal considerations involved in pediatric nursing. Practical skills such as communication, age-appropriate education, and safety measures are integrated through both classroom instruction and clinical experiences.
Recommended Textbook
Maternal Child Nursing Care 6th Edition by Shannon
E. Perry
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49 Chapters
1708 Verified Questions
1708 Flashcards
Source URL: https://quizplus.com/study-set/1706 Page 2
Chapter 1: 21st Century Maternity Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33867
Sample Questions
Q1) During a prenatal intake interview,the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.It is important for the nurse to:
A) use maternity jargon in order for the patient to become familiar with these terms.
B) speak quickly and efficiently to expedite the visit.
C) provide the patient with handouts.
D) assess whether the patient understands the discussion.
Answer: D
Q2) The level of practice a reasonably prudent nurse provides is called:
A) the standard of care.
B) risk management.
C) a sentinel event.
D) failure to rescue.
Answer: A
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Chapter 2: The Family, culture, spirituality, and Home Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which statement about cultural competence is not accurate?
A) Local health care workers and community advocates can help extend health care to underserved populations.
B) Nursing care is delivered in the context of the patient's culture but not in the context of the nurse's culture.
C) Nurses must develop an awareness of and sensitivity to various cultures.
D) A culture's economic, religious, and political structures influence practices that affect childbearing.
Answer: B
Q2) A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.On the basis of the information given,what family form best describes this family?
A) Married-blended family
B) Extended family
C) Nuclear family
D) Same-sex family
Answer: A
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Chapter 3: Assessment and Health Promotion
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as:
A) gonadotropin-releasing hormone (GnRH).
B) prostaglandins (PGs).
C) follicle-stimulating hormone (FSH).
D) luteinizing hormone (LH).
Answer: B
Q2) The stimulated release of gonadotropin-releasing hormone and follicle-stimulating hormone is part of the:
A) menstrual cycle.
B) endometrial cycle.
C) ovarian cycle.
D) hypothalamic-pituitary cycle.
Answer: D
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Chapter 4: Reproductive System Concerns
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Management of primary dysmenorrhea often requires a multifaceted approach.The nurse who provides care for a patient with this condition should be aware that the optimal pharmacologic therapy for pain relief is:
A) acetaminophen.
B) oral contraceptives (OCPs).
C) nonsteroidal anti-inflammatory drugs (NSAIDs).
D) aspirin.
Q2) With regard to endometriosis,nurses should be aware that:
A) it is characterized by the presence and growth of endometrial tissue inside the uterus. B) it is found more often in African-American women than in white or Asian women. C) it may worsen with repeated cycles or remain asymptomatic and disappear after menopause.
D) it is unlikely to affect sexual intercourse or fertility.
Q3) One of the alterations in cyclic bleeding that occurs between periods is called: A) oligomenorrhea.
B) menorrhagia.
C) leiomyoma.
D) metrorrhagia.
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6
Chapter 5: Infertility, contraception, and Abortion
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A male patient asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide).The nurse's most appropriate response is:
A) "The lubricant prevents vaginal irritation."
B) "It has also been linked to an increase in the transmission of human immunodeficiency virus."
C) "The additional lubrication improves sex."
D) "Nonoxynol-9 improves penile sensitivity."
Q2) In vitro fertilization-embryo transfer (IVF-ET)is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts.A husband and wife have arrived for their preprocedural interview.The husband asks the nurse to explain what the procedure entails.The nurse's most appropriate response is:
A) "IVF-ET is a type of assisted reproductive therapy that involves collecting eggs from your wife's ovaries, fertilizing them in the laboratory with your sperm, and transferring the embryo to her uterus."
B) "A donor embryo will be transferred into your wife's uterus."
C) "Donor sperm will be used to inseminate your wife."
D) "Don't worry about the technical stuff; that's what we are here for."
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Chapter 6: Genetics, conception, and Fetal Development
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The _____ is/are responsible for oxygen and carbon dioxide transport to and from the maternal bloodstream.
A) decidua basalis
B) blastocyst
C) germ layer
D) chorionic villi
Q2) A father and mother are carriers of phenylketonuria (PKU).Their 2-year-old daughter has PKU.The couple tells the nurse that they are planning to have a second baby.Because their daughter has PKU,they are sure that their next baby won't be affected.What response by the nurse is most accurate?
A) "Good planning; you need to take advantage of the odds in your favor."
B) "I think you'd better check with your doctor first."
C) "You are both carriers, so each baby has a 25% chance of being affected."
D) "The ultrasound indicates a boy, and boys are not affected by PKU."
Q3) The nurse caring for the laboring woman should know that meconium is produced by:
A) fetal intestines.
B) fetal kidneys.
C) amniotic fluid.
D) the placenta.
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Chapter 7: Anatomy and Physiology of Pregnancy
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The musculoskeletal system adapts to the changes that occur during pregnancy.A woman can expect to experience what change?
A) Her center of gravity will shift backward.
B) She will have increased lordosis.
C) She will have increased abdominal muscle tone.
D) She will notice decreased mobility of her pelvic joints.
Q2) Which time-based description of a stage of development in pregnancy is accurate?
A) Viability-22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight >500 g).
B) Full Term-Pregnancy from the beginning of week 39 of gestation to the end of week 40.
C) Preterm-Pregnancy from 20 to 28 weeks.
D) Postdate-Pregnancy that extends beyond 38 weeks.
Q3) During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation.The nurse would document this finding as:
A) Hegar's sign.
B) McDonald's sign.
C) Chadwick's sign.
D) Goodell's sign.
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Page 9
Chapter 8: Nursing Care of the Family During Pregnancy
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) To provide the patient with accurate information about dental care during pregnancy,maternity nurses should be aware that:
A) dental care can be dropped from the priority list because the woman has enough to worry about and is getting a lot of calcium anyway.
B) dental surgery, in particular, is contraindicated because of the psychologic stress it engenders.
C) if dental treatment is necessary, the woman will be most comfortable with it in the second trimester.
D) dental care interferes with the expectant mother's need to practice conscious relaxation.
Q2) Hyperemesis gravidarum
A)Severe vomiting in early pregnancy
B)Epigastric pain in late pregnancy
C)Severe backache and flank pain
D)Decreased fetal movement
E)Glycosuria
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Chapter 9: Maternal and Fetal Nutrition
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) When counseling a patient about getting enough iron in her diet,the maternity nurse should tell her that:
A) milk, coffee, and tea aid iron absorption if consumed at the same time as iron.
B) iron absorption is inhibited by a diet rich in vitamin C.
C) iron supplements are permissible for children in small doses.
D) constipation is common with iron supplements.
Q2) When providing care to the prenatal patient,the nurse understands that pica is defined as:
A) intolerance of milk products.
B) iron deficiency anemia.
C) ingestion of nonfood substances.
D) episodes of anorexia and vomiting.
Q3) The major source of nutrients in the diet of a pregnant woman should be composed of:
A) simple sugars.
B) fats.
C) fiber.
D) complex carbohydrates.
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11
Chapter 10: Assessment of High-Risk Pregnancy
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Transvaginal ultrasonography is often performed during the first trimester.While preparing your 6-week gestation patient for this procedure,she expresses concerns over the necessity for this test.The nurse should explain that this diagnostic test may be indicated for a number of situations.(Select all that apply)
A) Establish gestational age
B) Obesity
C) Fetal abnormalities
D) Amniotic fluid volume
E) Ectopic pregnancy
Q2) Smoking,alcohol,and illicit drug use
A)Polyhydramnios
B)Intrauterine growth restriction (maternal cause)
C)Oligohydramnios
D)Chromosomal abnormalities
E)Intrauterine growth restriction (fetoplacental cause)
Q3) In the first trimester,ultrasonography can be used to gain information on:
A) amniotic fluid volume.
B) location of gestational sacs.
C) placental location and maturity.
D) cervical length.
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Chapter 11: High-Risk Perinatal Care: Preexisting Conditions
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12 weeks.She appears thin and somewhat nervous.She reports that she eats a well-balanced diet,although her weight is 5 lbs less than it was at her last visit.The results of laboratory studies confirm that she has a hyperthyroid condition.Based on the available data,the nurse formulates a plan of care.What nursing diagnosis is most appropriate for the woman at this time?
A) Deficient fluid volume
B) Imbalanced nutrition: less than body requirements
C) Imbalanced nutrition: more than body requirements
D) Disturbed sleep pattern
Q2) Step 3
A)Without adding air, withdraw the correct dose of NPH insulin.
B)Gently rotate the insulin to mix it, and wipe the stopper.
C)Inject air equal to the dose of NPH insulin into the vial, and remove the syringe.
D)Inject air equal to the dose of regular insulin into the vial, and withdraw the medication.
E)Check the insulin bottles for the expiration date.
F)Wash hands.
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13
Chapter 12: High-Risk Perinatal Care: Gestational Conditions
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Sample Questions
Q1) Which maternal condition always necessitates delivery by cesarean section?
A) Partial abruptio placentae
B) Total placenta previa
C) Ectopic pregnancy
D) Eclampsia
Q2) The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment to involve:
A) corticosteroids to reduce inflammation.
B) IV therapy to correct fluid and electrolyte imbalances.
C) an antiemetic, such as pyridoxine, to control nausea and vomiting.
D) enteral nutrition to correct nutritional deficits.
Q3) The patient that you are caring for has severe preeclampsia and is receiving a magnesium sulfate infusion.You become concerned after assessment when the woman exhibits:
A) a sleepy, sedated affect.
B) a respiratory rate of 10 breaths/min.
C) deep tendon reflexes of 2.
D) absent ankle clonus.
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Chapter 13: Labor and Birth Processes
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The nurse would expect which maternal cardiovascular finding during labor?
A) Increased cardiac output
B) Decreased pulse rate
C) Decreased white blood cell (WBC) count
D) Decreased blood pressure
Q2) A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit.The fetal heart rate has been normal.Contractions are 5 to 9 minutes apart,20 to 30 seconds in duration,and of mild intensity.Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission).Membranes are intact.The nurse should expect the woman to be:
A) admitted and prepared for a cesarean birth.
B) admitted for extended observation.
C) discharged home with a sedative.
D) discharged home to await the onset of true labor.
Q3) Which occurrence is associated with cervical dilation and effacement?
A) Bloody show
B) False labor
C) Lightening
D) Bladder distention
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Page 15
Chapter 14: Maximizing Comfort for the Laboring Woman
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A first-time mother is concerned about the type of medications she will receive during labor.She is in a fair amount of pain and is nauseous.In addition,she appears to be very anxious.You explain that opioid analgesics are often used with sedatives because:
A) "The two together work the best for you and your baby."
B) "Sedatives help the opioid work better, and they also will assist you to relax and relieve your nausea."
C) "They work better together so you can sleep until you have the baby."
D) "This is what the doctor has ordered for you."
Q2) While developing an intrapartum care plan for the patient in early labor,it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain.These include: (Select all that apply.)
A) culture.
B) anxiety and fear.
C) previous experiences with pain.
D) intervention of caregivers.
E) support systems.
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Page 16
Chapter 15: Fetal Assessment During Labor
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38 Verified Questions
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Sample Questions
Q1) Which maternal condition is considered a contraindication for the application of internal monitoring devices?
A) Unruptured membranes
B) Cervix dilated to 4 cm
C) External monitors in current use
D) Fetus with a known heart defect
Q2) You are evaluating the fetal monitor tracing of your patient,who is in active labor.Suddenly you see the fetal heart rate (FHR)drop from its baseline of 125 beats/min down to 80 beats/min.You reposition the mother,provide oxygen,increase intravenous (IV)fluid,and perform a vaginal examination.The cervix has not changed.Five minutes have passed,and the fetal heart rate remains in the 80s.What additional nursing measures should you take?
A) Call for staff assistance.
B) Insert a Foley catheter.
C) Start Pitocin.
D) Notify the care provider immediately.
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Chapter 16: Nursing Care of the Family During Labor and Birth
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Sample Questions
Q1) For women who have a history of sexual abuse,a number of traumatic memories may be triggered during labor.The woman may fight the labor process and react with pain or anger.Alternately,she may become a passive player and emotionally absent herself from the process.The nurse is in a unique position of being able to assist the patient to associate the sensations of labor with the process of childbirth and not the past abuse.The nurse can implement a number of care measures to help the patient view the childbirth experience in a positive manner.Which intervention would be key for the nurse to use while providing care?
A) Telling the patient to relax and that it won't hurt much.
B) Limiting the number of procedures that invade her body.
C) Reassuring the patient that as the nurse you know what is best.
D) Allowing unlimited care providers to be with the patient.
Q2) After an emergency birth,the nurse encourages the woman to breastfeed her newborn.The primary purpose of this activity is to:
A) facilitate maternal-newborn interaction.
B) stimulate the uterus to contract.
C) prevent neonatal hypoglycemia.
D) initiate the lactation cycle.
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Chapter 17: Labor and Birth Complications
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Before the physician performs an external version,the nurse should expect an order for a:
A) tocolytic drug.
B) contraction stress test (CST).
C) local anesthetic.
D) Foley catheter.
Q2) With regard to the care management of preterm labor,nurses should be aware that: A) all women must be considered at risk for preterm labor and prediction is so hit-and-miss, teaching pregnant women the symptoms probably causes more harm through false alarms.
B) Braxton Hicks contractions often signal the onset of preterm labor.
C) preterm labor is likely to be the start of an extended labor, a woman with symptoms can wait several hours before contacting the primary caregiver.
D) the diagnosis of preterm labor is based on gestational age, uterine activity, and progressive cervical change.
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19
Chapter 18: Postpartum Physiologic Changes
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Sample Questions
Q1) With regard to after birth ovarian function,nurses should be aware that:
A) almost 75% of women who do not breastfeed resume menstruating within a month after birth.
B) ovulation occurs slightly earlier for breastfeeding women.
C) because of menstruation/ovulation schedules, contraception considerations can be postponed until after the puerperium.
D) the first menstrual flow after childbirth usually is heavier than normal.
Q2) Unusually high epidural or spinal block
A)Elevated temperature within the first 24 hours
B)Rapid pulse
C)Elevated temperature at 36 hours after birth
D)Hypertension
E)Hypoventilation
Q3) Which condition,not uncommon in pregnancy,is likely to require careful medical assessment during the puerperium?
A) Varicosities of the legs
B) Carpal tunnel syndrome
C) Periodic numbness and tingling of the fingers
D) Headaches
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Page 20
Chapter 19: Nursing Care of the Family During the
Postpartum Period
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Sample Questions
Q1) Discharge instruction,or teaching the woman what she needs to know to care for herself and her newborn,officially begins:
A) at the time of admission to the nurse's unit.
B) when the infant is presented to the mother at birth.
C) during the first visit with the physician in the unit.
D) when the take-home information packet is given to the couple.
Q2) A hospital has a number of different perineal pads available for use.A nurse is observed soaking several of them and writing down what she sees.This activity indicates that the nurse is trying to:
A) improve the accuracy of blood loss estimation, which usually is a subjective assessment.
B) determine which pad is best.
C) demonstrate that other nurses usually underestimate blood loss.
D) reveal to the nurse supervisor that one of them needs some time off.
Q3) Rh? immune globulin will be ordered after birth if which situation occurs?
A) Mother Rh-, baby Rh+
B) Mother Rh-, baby Rh-
C) Mother Rh+, baby Rh+
D) Mother Rh+, baby Rh-
Page 21
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Chapter 20: Transition to Parenthood
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Sample Questions
Q1) The best way for the nurse to promote and support the maternal-infant bonding process is to:
A) help the mother identify her positive feelings toward the newborn.
B) encourage the mother to provide all newborn care.
C) assist the family with rooming-in.
D) return the newborn to the nursery during sleep periods.
Q2) In the United States the en face position is preferred immediately after birth.Nurses can facilitate this process by all of these actions except:
A) washing both the infant's face and the mother's face.
B) placing the infant on the mother's abdomen or breast with their heads on the same plane.
C) dimming the lights.
D) delaying the instillation of prophylactic antibiotic ointment in the infant's eyes.
Q3) The nurse can help a father in his transition to parenthood by:
A) pointing out that the infant turned at the sound of his voice.
B) encouraging him to go home to get some sleep.
C) telling him to tape the infant's diaper a different way.
D) suggesting that he let the infant sleep in the bassinet.
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Page 22
Chapter 21: Postpartum Complications
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Sample Questions
Q1) The perinatal nurse caring for the after birth woman understands that late postpartum hemorrhage (PPH)is most likely caused by:
A) subinvolution of the placental site.
B) defective vascularity of the decidua.
C) cervical lacerations.
D) coagulation disorders.
Q2) A woman who has recently given birth complains of pain and tenderness in her leg.On physical examination the nurse notices warmth and redness over an enlarged,hardened area.The nurse should suspect __________ and should confirm the diagnosis by ___________.
A) disseminated intravascular coagulation; asking for laboratory tests
B) von Willebrand disease; noting whether bleeding times have been extended
C) thrombophlebitis; using real-time and color Doppler ultrasound
D) coagulopathies; drawing blood for laboratory analysis
Q3) Complicated bereavement:
A) occurs when, in multiple births, one child dies, and the other or others live.
B) is a state in which the parents are ambivalent, as with an abortion.
C) is an extremely intense grief reaction that persists for a long time.
D) is felt by the family of adolescent mothers who lose their babies.
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Page 23
Chapter 22: Physiologic and Behavioral Adaptations of the Newborn
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Sample Questions
Q1) By knowing about variations in infants' blood count,nurses can explain to their patients that:
A) a somewhat lower than expected red blood cell count could be the result of delay in clamping the umbilical cord.
B) the early high white blood cell (WBC) count is normal at birth and should decrease rapidly.
C) platelet counts are higher than in adults for a few months.
D) even a modest vitamin K deficiency means a problem with the ability of the blood to clot properly.
Q2) Cardiovascular changes that cause the foramen ovale to close at birth are a direct result of:
A) increased pressure in the right atrium.
B) increased pressure in the left atrium.
C) decreased blood flow to the left ventricle.
D) changes in the hepatic blood flow.
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24
Chapter 23: Nursing Care of the Newborn and Family
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Sample Questions
Q1) The nurse administers vitamin K to the newborn for which reason?
A) Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient.
B) Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection.
C) Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.
D) The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.
Q2) An Apgar score of 10 at 1 minute after birth would indicate a(n):
A) infant having no difficulty adjusting to extrauterine life and needing no further testing. B) infant in severe distress who needs resuscitation.
C) prediction of a future free of neurologic problems.
D) infant having no difficulty adjusting to extrauterine life but who should be assessed again at 5 minutes after birth.
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Chapter 24: Newborn Nutrition and Feeding
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Sample Questions
Q1) 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
Q2) Examples of appropriate techniques to wake a sleepy infant for breastfeeding include: (Select all that apply.)
A) unwrapping the infant.
B) changing the diaper.
C) talking to the infant.
D) slapping the infant's hands and feet.
E) applying a cold towel to the infant's abdomen.
Q3) At a 2-month well-baby examination,it was discovered that a breastfed infant had only gained 10 ounces in the past 4 weeks.The mother and the nurse agree that,to gain weight faster,the infant needs to:
A) begin solid foods.
B) have a bottle of formula after every feeding.
C) add at least one extra breastfeeding session every 24 hours.
D) start iron supplements.
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Page 26
Chapter 25: The High-Risk Newborn
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Sample Questions
Q1) 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)
Q2) Premature infants who exhibit 5 to 10 seconds of respiratory pauses followed by 10 to 15 seconds of compensatory rapid respiration are:
A) suffering from sleep or wakeful apnea.
B) experiencing severe swings in blood pressure.
C) trying to maintain a neutral thermal environment.
D) breathing in a respiratory pattern common to premature infants.
Q3) The most common cause of pathologic hyperbilirubinemia is:
A) hepatic disease.
B) hemolytic disorders in the newborn.
C) postmaturity.
D) congenital heart defect.
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Chapter 26: 21st Century Pediatric Nursing
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Sample Questions
Q1) Which statement is most descriptive of pediatric family-centered care?
A) It reduces the effect of cultural diversity on the family.
B) It encourages family dependence on the health care system.
C) It recognizes that the family is the constant in a child's life.
D) It avoids expecting families to be part of the decision-making process.
Q2) Which of the following is descriptive of deaths caused by unintentional injuries?
A) More deaths occur in males.
B) More deaths occur in females.
C) The pattern of deaths varies widely in Western societies.
D) The pattern of deaths does not vary according to age and sex.
Q3) The major cause of death for children older than 1 year is:
A) cancer.
B) infection.
C) unintentional injuries.
D) congenital abnormalities.
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Chapter 27: Family, social, cultural, and Religious Influences on Child Health Promotion
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Sample Questions
Q1) Which term best describes a group of people who share a set of values,beliefs,practices,social relationships,law,politics,economics,and norms of behavior?
A) Race
B) Culture
C) Ethnicity
D) Social group
Q2) In which cultural group is good health considered to be a balance between yin and yang?
A) Asians
B) Australian aborigines
C) Native Americans
D) African-Americans
Q3) A mother brings 6-month-old Eric to the clinic for a well-baby checkup.She comments,"I want to go back to work,but I don't want Eric to suffer because I'll have less time with him." The nurse's most appropriate answer is:
A) "I'm sure he'll be fine if you get a good baby-sitter."
B) "You will need to stay home until Eric starts school."
C) "You should go back to work so Eric will get used to being with others."
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D) "Let's talk about the child care options that will be best for Eric."
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Chapter 28: Developmental and Genetic Influences on
Child Health Promotion
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) By the time children reach their 12 birthday,they should have learned to trust others and should have developed a sense of:
A) identity.
B) industry.
C) integrity.
D) intimacy.
Q2) Play serves many purposes.In teaching parents about appropriate activities,the nurse should inform them that play serves the following function: (Select all that apply.)
A) intellectual development.
B) physical development.
C) self-awareness.
D) creativity.
E) temperament development.
Q3) How does the onset of the pubertal growth spurt compare in girls and boys?
A) It occurs earlier in boys.
B) It occurs earlier in girls.
C) It is about the same in both boys and girls.
D) In both boys and girls it depends on their growth in infancy.
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Chapter 29: Communication and Physical Assessment of the Child and Family
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) Step 2
A)Auscultation
B)Palpation
C)Inspection
D)Percussion
Q2) During a funduscopic examination of a school-age child,the nurse notes a brilliant,uniform red reflex in both eyes.The nurse should recognize that this is:
A) a normal finding.
B) an abnormal finding; the child needs referral to an ophthalmologist.
C) a sign of a possible visual defect; the child needs vision screening.
D) a sign of small hemorrhages, which usually resolve spontaneously.
Q3) When the nurse interviews an adolescent,it is especially important to:
A) focus the discussion on the peer group.
B) allow an opportunity to express feelings.
C) emphasize that confidentiality will always be maintained.
D) use the same type of language as the adolescent.
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Chapter 30: Pain Assessment and Management in Children
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is caring for a child receiving intravenous (IV)morphine for severe postoperative pain.The nurse observes a slower respiratory rate,and the child cannot be aroused.The most appropriate management of this child is for the nurse to:
A) administer naloxone (Narcan).
B) discontinue the IV infusion.
C) discontinue morphine until the child is fully awake.
D) stimulate the child by calling his or her name, shaking gently, and asking the child to breathe deeply.
Q2) A nurse is gathering a history on a school-age child admitted for a migraine headache.The child states,"I have been getting a migraine every 2 or 3 months for the last year." The nurse documents this as which type of pain?
A) Acute
B) Chronic
C) Recurrent
D) Subacute
Q3) A dose of oxycodone (OxyContin)2 mg/kg has been ordered for a child weighing 33 lbs.The nurse should administer ______ mg of OxyContin.(Record your answer as a whole number.)
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32
Chapter 31: The Infant and Family
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45 Flashcards
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Sample Questions
Q1) Which clinical manifestations should cause the nurse to suspect that a child,diagnosed with a digestive disorder,may be demonstrating signs of failure to thrive?
A) Avoidance of eye contact.
B) An associated malabsorption defect.
C) Weight that falls below the 15th percentile.
D) Normal achievement of developmental landmarks.
Q2) In teaching parents about appropriate pacifier selection,the nurse should explain that a pacifier should have which characteristics? (Select all that apply.)
A) Easily grasped handle
B) One-piece construction
C) Ribbon or string to secure to clothing
D) Soft, pliable material
E) Sturdy, flexible material
Q3) Fifth
A)Voluntary palmar grasp
B)Reflex palmar grasp
C)Puts objects into a container
D)Neat pincer grasp
E)Builds a tower of two blocks
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Chapter 32: The Toddler and Family
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37 Flashcards
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Sample Questions
Q1) Which toy is the most developmentally appropriate for an 18- to 24-month-old child?
A) A push-pull toy
B) Nesting blocks
C) A bicycle with training wheels
D) A computer
Q2) Parents have been using a rearward-facing,convertible car seat since their baby was born.The parents should be taught that most car seats can be safely switched to the forward-facing position when the child reaches which age?
A) 1 year
B) 2 years
C) 3 years
D) 4 years
Q3) Which statement about toilet training is correct?
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 must be forced to sit on the toilet when first learning.
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34
Chapter 33: The Preschooler and Family
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29 Flashcards
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Sample Questions
Q1) By what age would the nurse expect that most children could understand prepositional phrases such as "under," "on top of," "beside," and "in back of"?
A) 18 months
B) 24 months
C) 3 years
D) 4 years
Q2) The parent of a 4 year old tells the nurse that the child believes "monsters and the boogeyman" are in the bedroom at night.What is the nurse's best suggestion for coping with this problem?
A) Insist that the child sleep with his parents until the fearful phase passes.
B) Suggest involving the child to find a practical solution such as a night-light.
C) Help the child understand that these fears are illogical.
D) Tell the child frequently that monsters and the boogeyman do not exist.
Q3) Which is the causative agent of scarlet fever?
A) Enteroviruses
B) Corynebacterium organisms
C) Scarlet fever virus
D) Group A b-hemolytic streptococci (GABHS)
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Chapter 34: The School-Age Child and Family
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/33900
Sample Questions
Q1) Is apt to overdo
A)Motor vehicle accidents
B)Drowning
C)Burns
D)Poisoning
E)Bodily damage
Q2) What is the characteristic of dishonest behavior in children ages 8 to 10 years?
A) Cheating during games is now more common.
B) Lying results from the inability to distinguish between fact and fantasy.
C) They may steal because their sense of property rights is limited.
D) They may lie to meet expectations set by others that they have been unable to attain.
Q3) Enjoys trying new things
A)Motor vehicle accidents
B)Drowning
C)Burns
D)Poisoning
E)Bodily damage
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Chapter 35: The Adolescent and Family
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/33901
Sample Questions
Q1) Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?
A) Dysmenorrhea and oliguria
B) Tachycardia and tachypnea
C) Heat intolerance and increased blood pressure
D) Lowered body temperature and brittle nails
Q2) Which predisposes the adolescent to feel an increased need for sleep?
A) An inadequate diet
B) Rapid physical growth
C) Decreased activity that contributes to a feeling of fatigue
D) The lack of ambition typical of this age-group
Q3) A school nurse is conducting a class with adolescents on suicide.Which true statement about suicide should the nurse include in the teaching session?
A) A sense of hopelessness and despair are a normal part of adolescence.
B) Gay and lesbian adolescents are at a particularly high risk for suicide.
C) Problem-solving skills are of limited value to the suicidal adolescent.
D) Previous suicide attempts are not an indication of risk for completed suicides.
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Chapter 36: Impact of Chronic Illness, disability, or
End-Of-Life Care for the Child and Family
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The father,of a 9 year old diagnosed with several physical disabilities,explains to the nurse that his child concentrates on what he/she can do rather than cannot do and is as independent as possible.How should the nurse's best interpret this statement?
A) The father is experiencing denial.
B) The father is expressing his own views.
C) The child is using an adaptive coping style.
D) The child is using a maladaptive coping style.
Q2) The nurse is talking with the parents of a child who died 6 months ago.They sometimes still "hear" the child's voice and have trouble sleeping.They describe feeling "empty" and depressed.The nurse should recognize that:
A) these are normal grief responses.
B) the pain of the loss is usually less by this time.
C) these grief responses are more typical of the early stages of grief.
D) this grieving is essential until the pain is gone and the child is gradually forgotten.
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Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Prevention of hearing impairment in children is a major goal for the nurse.How can this be best achieved?
A) Being involved in immunization clinics for children.
B) Assessing a newborn for hearing loss.
C) Answering parents' questions about hearing aids.
D) Participating in hearing screening in the community.
Q2) Which statement by a parent about a child's conjunctivitis indicates that further teaching is needed?
A) "I'll have separate towels and washcloths for each family member."
B) "I'll notify my doctor if the eye gets redder or the drainage increases."
C) "When the eye drainage improves, we'll stop giving the antibiotic ointment."
D) "After taking the antibiotic for 24 hours, my child can return to school."
Q3) A parent asks the nurse why a developmental assessment is being conducted for a child during a routine well-child visit.The nurse answers based on what knowledge about such routine developmental assessments?
A) Not necessary unless the parents request them.
B) The best method for early detection of cognitive disorders.
C) Frightening to parents and children and should be avoided.
D) Valuable in measuring intelligence in children.
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Chapter 38: Family-Centered Care of the Child During
Illness and Hospitalization
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse plans therapeutic play time for a hospitalized child.Which are the benefits of therapeutic play? (Select all that apply.)
A) Serves as method to assist disturbed children
B) Allows the child to express feelings
C) The nurse can gain insight into the child's feelings
D) The child can deal with concerns and feelings
E) Gives the child a structured play environment
Q2) Emma,age 3 years,is being admitted for about 1 week of hospitalization.The parents of a 3 year old being admitted tell the nurse that they are going to buy their child "a lot of new toys to help during the hospital." The nurse's reply should be based on an understanding of comfort measures for that age-group?
A) New toys do make hospitalization easier.
B) New toys are usually better than older ones for children of this age.
C) At this age children often need the comfort and reassurance of familiar toys from home.
D) Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.
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Page 40
Chapter 39: Pediatric Variations of Nursing Interventions
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Sample Questions
Q1) A 2-year-old child comes to the emergency department demonstrating signs of dehydration and hypovolemic shock.Which best explains why an intraosseous infusion is started?
A) It is less painful for small children.
B) Rapid venous access is not possible.
C) Antibiotics must be started immediately.
D) Long-term central venous access is not possible.
Q2) Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant.How should the nurse collect small amounts of urine for these tests?
A) Apply a urine-collection bag to the perineal area.
B) Tape a small medicine cup to the inside of the diaper.
C) Aspirate urine from cotton balls inside the diaper with a syringe.
D) Aspirate urine from a superabsorbent disposable diaper with a syringe.
Q3) Which is the preferred site for intramuscular injections in infants?
A) Deltoid
B) Dorsogluteal
C) Rectus femoris
D) Vastus lateralis
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Chapter 40: The Child With Respiratory Dysfunction
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38 Flashcards
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Sample Questions
Q1) Pancreatic enzymes are administered to the child with cystic fibrosis.What information should be included in patient education concerning the administration of these enzymes?
A) Do not administer pancreatic enzymes if the child is receiving antibiotics.
B) Decrease dose of pancreatic enzymes if the child is having frequent, bulky stools.
C) Administer pancreatic enzymes between meals if at all possible.
D) Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.
Q2) What are the earliest recognizable clinical manifestations of cystic fibrosis (CF)?
A) Meconium ileus
B) History of poor intestinal absorption
C) Foul-smelling, frothy, greasy stools
D) Recurrent pneumonia and lung infections
Q3) Which vitamin supplements are necessary for children with cystic fibrosis?
A) Vitamin C and calcium
B) Vitamins B<sub>6</sub> and B<sub>12</sub>
C) Magnesium
D) Vitamins A, D, E, and K
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Chapter 41: The Child With Gastrointestinal Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/33907
Sample Questions
Q1) Which clinical manifestation would most suggest acute appendicitis?
A) Rebound tenderness
B) Bright red or dark red rectal bleeding
C) Abdominal pain that is relieved by eating
D) Abdominal pain that is most intense at McBurney point
Q2) A 4-month-old infant diagnosed with gastroesophageal reflux disease (GERD)is thriving without other complications.What should the nurse suggest to minimize reflux?
A) Place in Trendelenburg position after eating.
B) Thicken formula with rice cereal.
C) Give continuous nasogastric tube feedings.
D) Give larger, less frequent feedings.
Q3) What should the nurse stress in a teaching plan for the mother of an 11-year-old diagnosed with ulcerative colitis?
A) Preventing the spread of illness to others
B) Nutritional guidance and preventing constipation
C) Teaching daily use of enemas
D) Coping with stress and avoiding triggers
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Chapter 42: The Child With Cardiovascular Dysfunction
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58 Flashcards
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Sample Questions
Q1) The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot.Which signs and symptoms should the nurse include? (Select all that apply.)
A) Warm flushed extremities
B) Weight loss
C) Decreased urinary output
D) Sweating (inappropriate)
E) Anorexia
Q2) First priority
A)Administer 100% oxygen by blow-by
B)Place infant in knee-chest position
C)Remain calm
D)Give morphine subcutaneously or by an existing intravenous line
Q3) What is an important nursing consideration when suctioning a young child who has had heart surgery?
A) Perform suctioning at least every hour.
B) Suction for no longer than 30 seconds at a time.
C) Administer supplemental oxygen before and after suctioning.
D) Expect symptoms of respiratory distress when suctioning.
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Page 44
Chapter 43: The Child With Hematologic or Immunologic Dysfunction
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33 Verified Questions
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Sample Questions
Q1) Which statement best explains why iron deficiency anemia is common during toddlerhood?
A) Milk is a poor source of iron.
B) Iron cannot be stored during fetal development.
C) Fetal iron stores are depleted by age 1 month.
D) Dietary iron cannot be started until age 12 months.
Q2) An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain,dyspnea,distended neck veins,slight cyanosis,and a dry cough.These manifestations are most suggestive of what associated adverse reaction?
A) Air embolism
B) Allergic reaction
C) Hemolytic reaction
D) Circulatory overload
Q3) What is the most appropriate nursing diagnosis for a child diagnosed with moderate anemia?
A) Activity intolerance related to generalized weakness
B) Decreased cardiac output related to abnormal hemoglobin
C) Risk for injury related to depressed sensorium
D) Risk for Injury related to dehydration and abnormal hemoglobin
Page 45
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Chapter 44: The Child With Cancer
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Sample Questions
Q1) A young child diagnosed with leukemia is experiencing anorexia and severe stomatitis.The nurse should suggest that the parents try which intervention?
A) Relax any eating pressures
B) Firmly insist that child eat normally
C) Begin gavage feedings to supplement diet
D) Serve foods that are either hot or cold
Q2) The nurse is taking care of an adolescent with osteosarcoma.The parents ask the nurse about treatment.The nurse should make which accurate response about treatment for osteosarcoma?
A) Treatment usually consists of surgery and chemotherapy.
B) Amputation of the affected extremity is rarely necessary.
C) Intensive irradiation is the primary treatment.
D) Bone marrow transplantation offers the best chance of long-term survival.
Q3) Which immunization should be considered carefully before being given to a child receiving chemotherapy for cancer?
A) Tetanus vaccine
B) Inactivated poliovirus vaccine
C) Diphtheria, pertussis, tetanus (DPT)
D) Measles, rubella, mumps
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Page 46
Chapter 45: The Child With Genitourinary Dysfunction
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Sample Questions
Q1) A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria.Which dietary menu items should be allowed for this child? (Select all that apply.)
A) Apples
B) Bananas
C) Cheese
D) Carrot sticks
E) Strawberries
Q2) The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis.Which information should the nurse include in the teaching?
A) "You will need to decrease the number of calories in your child's diet."
B) "Your child's diet will need an increased amount of protein."
C) "You will need to avoid adding salt to your child's food."
D) "Your child's diet will consist of low-fat, low-carbohydrate foods."
Q3) Which factor predisposes a child to urinary tract infections?
A) Increased fluid intake
B) Short urethra in young girls
C) Prostatic secretions in males
D) Frequent emptying of the bladder
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Chapter 46: The Child With Cerebral Dysfunction
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Sample Questions
Q1) What action may be beneficial in reducing the risk of Reye's syndrome?
A) Immunization against the disease
B) Medical attention for all head injuries
C) Prompt treatment of bacterial meningitis
D) Avoidance of aspirin and ibuprofen for children with varicella or those suspected of having influenza
Q2) Which type of seizure involves both hemispheres of the brain?
A) Focal
B) Partial
C) Generalized
D) Acquired
Q3) Which statement is most descriptive of a concussion?
A) Petechial hemorrhages cause amnesia.
B) Visible bruising and tearing of cerebral tissue occur.
C) It is a transient, reversible neuronal dysfunction.
D) A slight lesion develops remote from the site of trauma.
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Chapter 47: The Child With Endocrine Dysfunction
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Sample Questions
Q1) A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes.The nurse should base the explanation on what information?
A) It is a less expensive method of testing.
B) It is not as accurate as laboratory testing.
C) Children need to learn to manage their diabetes.
D) The parents are better able to manage the disease.
Q2) A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia.Therapeutic management includes administration of which medication?
A) Vitamin D
B) Cortisone
C) Stool softeners
D) Calcium carbonate
Q3) An adolescent is being seen in the clinic for evaluation of acromegaly.The nurse understands that which event occurs with acromegaly?
A) There is a lack of growth hormone (GH) being produced.
B) There is excess GH after closure of the epiphyseal plates.
C) There is an excess of GH before the closure of the epiphyseal plates.
D) There is a lack of thyroid hormone being produced.
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Chapter 48: The Child With Musculoskeletal or Articular Dysfunction
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Sample Questions
Q1) Discharge planning for the child diagnosed with juvenile arthritis includes the need for which intervention?
A) Routine ophthalmologic examinations to assess for visual problems.
B) A low-calorie diet to decrease or control weight in the less mobile child.
C) Avoiding the use of aspirin to decrease gastric irritation.
D) Immobilizing the painful joints, which are the results of the inflammatory process.
Q2) The nurse is teaching a family how to care for their infant in a Pavlik harness to treat developmental dysplasia of the hips (DDH).What information should be included?
A) Apply lotion or powder to minimize skin irritation.
B) Remove the harness several times a day to prevent contractures.
C) Hip stabilization usually occurs within 12 weeks.
D) Place a diaper over harness, preferably using a superabsorbent disposable diaper that is relatively thin.
Q3) What is the initial method of treating osteomyelitis?
A) Joint replacement
B) Bracing and casting
C) Intravenous antibiotic therapy
D) Long-term corticosteroid therapy
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Chapter 49: The Child With Neuromuscular or Muscular Dysfunction
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21 Flashcards
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Sample Questions
Q1) What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?
A) "One of the parents carries a defective gene that causes myelomeningocele."
B) "A deficiency in folic acid in the father is the most likely cause."
C) "Offspring of parents who have a spinal abnormality are at greater risk for myelomeningocele."
D) "There may be a variety of different causes."
Q2) The nurse is conducting discharge teaching with parents of a preschool child with a myelomeningocele,repaired at birth,who is being discharged from the hospital after a urinary tract infection (UTI).Which should the nurse include in the discharge instructions related to management of the child's genitourinary function? (Select all that apply.)
A) Continue to perform the clean intermittent catheterizations (CIC) at home.
B) Administer the oxybutynin chloride as prescribed.
C) Reduce fluid intake in the afternoon and evening hours.
D) Monitor for signs of a recurrent UTI.
E) Administer furosemide as prescribed.
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