Nursing Care of the Childbearing Family Chapter
Exam Questions
Course Introduction
This course explores the principles and practices of nursing care for women, newborns, and families throughout the childbearing process. Emphasizing holistic, family-centered, and culturally sensitive care, students will learn to assess, plan, implement, and evaluate nursing interventions during pregnancy, labor, birth, postpartum, and neonatal periods. Topics include reproductive health, prenatal and postnatal care, complications, high-risk pregnancies, and the emotional and psychological adaptation of families. Through case studies and clinical experiences, students will develop critical thinking and communication skills essential for supporting and advocating for families during the childbearing experience.
Recommended Textbook
Maternal Child Nursing 5th Edition by McKinney
Available Study Resources on Quizplus
55 Chapters
1615 Verified Questions
1615 Flashcards
Source URL: https://quizplus.com/study-set/470 Page 2
Chapter 1: Foundations of Maternity, Womens Health, and Child Health Nursing
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8504
Sample Questions
Q1) A nurse wishes to work to reduce infant mortality in the United States.Which activity would this nurse most likely participate in?
A) Creating pamphlets in several different languages using an interpreter.
B) Assisting women to enroll in Medicaid by their third trimester.
C) Volunteering to provide prenatal care at community centers.
D) Working as an intake counselor at a women's shelter.
Answer: C
Q2) Which statement related to nursing care of the child at home is most correct?
A) The technology-dependent infant can safely be cared for at home.
B) Home care increases readmissions to the hospital for a child with chronic conditions.
C) There is increased stress for the family when a sick child is being cared for at home.
D) The family of the child with a chronic condition is likely to be separated from their support system if the child is cared for at home.
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8505
Sample Questions
Q1) To evaluate the woman's learning about performing infant care,the nurse should
A) demonstrate infant care procedures.
B) allow the woman to verbalize the procedure.
C) observe the woman as she performs the procedure.
D) routinely assess the infant for cleanliness.
Answer: C
Q2) What situation is most conducive to learning?
A) A teacher who speaks very little Spanish is teaching a class of Latino students.
B) A class is composed of students of various ages and educational backgrounds.
C) An auditorium is being used as a classroom for 300 students.
D) An Asian nurse provides nutritional information to a group of pregnant Asian women.
Answer: D
Q3) Which statement about alternative and complementary therapies is true?
A) Replace conventional Western modalities of treatment
B) Are used by only a small number of American adults
C) Allow for more patient autonomy but also may carry risks
D) Focus primarily on the disease an individual is experiencing
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: The Childbearing and Child-Rearing Family
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8506
Sample Questions
Q1) When providing anticipatory guidance to parents regarding disciplining children,the nurse teaches that behavioral consequences fall into which categories? (Select all that apply.)
A) Corporal
B) Natural
C) Logical
D) Unrelated
E) Behavioral
Answer: B,C,D
Q2) Which statement is true about the characteristics of a healthy family?
A) The parents and children have rigid assignments for all the family tasks.
B) Young families assume the total responsibility for the parenting tasks, refusing any assistance.
C) The family is overwhelmed by the significant changes that occur as a result of childbirth.
D) Adults agree on the majority of basic parenting principles. Answer: D
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Communicating with Children and Families
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/8507
Sample Questions
Q1) Which behaviors by the nurse may indicate professional separation or underinvolvement? (Select all that apply.)
A) Avoiding the child or his or her family
B) Revealing personal information
C) Calling in sick
D) Spending less time with a particular child
E) Asking to trade assignments
Q2) Which is the most appropriate question to ask when interviewing an adolescent to encourage conversation?
A) "Are you in school?"
B) "Are you doing well in school?"
C) "How is school going for you?"
D) "How do your parents feel about your grades?"
Q3) A positive,supportive communication technique that is effective from birth throughout adulthood is
A) listening.
B) physical proximity.
C) environment.
D) touch.
To view all questions and flashcards with answers, click on the resource link above.
Page 6
Chapter 5: Health Promotion for the Developing Child
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8508
Sample Questions
Q1) A nurse wants to work to increase the number of immunized children.What action by the nurse would best meet this goal?
A) Present a workshop to the local home-schooling parent support group.
B) Volunteer for a mass "back to school" immunization clinic.
C) Prepare welcome and information packets to college freshmen.
D) Work with the health department to bring immunizations to day cares.
Q2) A nurse is assessing a 1-year-old's food intake over the past 3 days.What information from the parent leads the nurse to provide education on nutrition?
A) Child drinks 2 cups of 1% milk each day.
B) Child loves to snack on fruit throughout the day.
C) Child gets one 4-ounce cup of juice with breakfast.
D) Parent allows child to regulate own portions at meals.
Q3) A nurse is teaching parents to avoid environmental injury to their 2-year-old child.What information does the nurse include in teaching?
A) Avoiding sun exposure, secondhand smoke, and lead
B) Living in a middle-class neighborhood
C) Avoiding smoking and alcohol intake during pregnancy
D) Limiting breastfeeding to avoid toxins being passed through breast milk
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Health Promotion for the Infant
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8509
Sample Questions
Q1) The nurse is performing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed.This should be interpreted as a(n)
A) normal finding-nurse should document finding in chart.
B) questionable finding-infant should be rechecked in 1 month.
C) abnormal finding-indicates need for immediate referral to practitioner.
D) abnormal finding-indicates need for developmental assessment.
Q2) The mother of a 10-month-old infant tells the nurse that her infant "really likes cow's milk." What is the nurse's best response to this mother?
A) "Milk is a nutritious choice at this time."
B) "Children should not get cow's milk until 1 year of age."
C) "Limit cow's milk to one bedtime bottle."
D) "Mix cereal with cow's milk and feed it in a bottle."
Q3) Which statement concerning physiologic factors is true?
A) The infant has a slower metabolic rate than an adult.
B) An infant has an inability to digest protein and lactase.
C) Infants have a slower circulatory response than adults do.
D) The infant's kidneys are less efficient in concentrating urine than an adult's kidneys.
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Health Promotion During Early Childhood
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8510
Sample Questions
Q1) A nurse is assessing a child for toilet training readiness during a home visit.Which behaviors by the child are positive signs? (Select all that apply.)
A) Removes own clothing
B) Walks into bathroom on own
C) Has been walking for 6 months
D) Will give up toy when asked to
E) Scratches as legs periodically
Q2) What do parents of preschool children need to understand about discipline?
A) Both parents and the child should agree on the method of discipline.
B) Discipline should involve some physical restriction.
C) The method of discipline should be consistent with that of the child's peers.
D) Discipline should include positive reinforcement of desired behaviors.
Q3) A father tells the nurse that his toddler wants the same plate and cup used at every meal,even if they go to a restaurant.The nurse should suggest that the family do which of the following?
A) Do not take the child to restaurants until this behavior has stopped.
B) Take the child but do not give in to this demand.
C) Explain to the child that restaurants have their own dishes.
D) Suggest the family take the dishes and use them at the restaurant.
To view all questions and flashcards with answers, click on the resource link above.
Page 9
Chapter 8: Health Promotion for the School-Age Child
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8511
Sample Questions
Q1) A nurse is assessing an 8-year-old child.Which finding leads the nurse to conduct further assessment?
A) Understands that his or her point of view is not the only one
B) Enjoys telling riddles and silly jokes
C) Demonstrates the principle of object conservation
D) Engages in fantasy and magical thinking
Q2) A 9-year-old girl often comes to the school nurse complaining of stomach pains.Her teacher says she is completing her schoolwork satisfactorily,but lately she has been somewhat aggressive and stubborn in the classroom.What action by the school nurse is most appropriate?
A) Assess the child for unusual stress.
B) Perform a detailed physical exam.
C) Call the parents in for a conference.
D) Screen the child for developmental delay.
Q3) Which does the nurse teach as an appropriate disciplinary intervention for the school-age child?
A) Time-out periods
B) Consequences that are consistent with the behavior
C) Physical punishment
D) Lectures about inappropriate behavior
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: Health Promotion for the Adolescent
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8512
Sample Questions
Q1) Which statement is the most appropriate advice to give parents of a 16-year-old who is rebellious?
A) "You need to be stricter so that your teen stops trying to test the limits."
B) "Try to collaborate to set limits that are perceived as being reasonable."
C) "Increasing your teen's involvement with her peers will improve her behavior."
D) "Allow your teenager to choose the type of discipline that is used in your home."
Q2) In girls,the initial indication of puberty is
A) menarche.
B) growth spurt.
C) growth of pubic hair.
D) breast development.
Q3) A student nurse learns that according to Piaget,the adolescent is in the fourth stage of cognitive development,or period of what?
A) Formal operations
B) Concrete operations
C) Conventional thought
D) Postconventional thought
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Hereditary and Environmental Influences on Development
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8513
Sample Questions
Q1) The generalist nurse working with child-bearing families understands that his or her practice related to genetics includes which of the following? (Select all that apply.)
A) Identifying families at risk and providing referrals
B) Interpreting genetic test results for the family
C) Assessing the couple's concern about genetic alterations
D) Helping create a family tree or pedigree
E) Providing support in all phases of genetic counseling
Q2) The nurse is working in an OB/GYN office and commonly obtains patient histories and performs initial assessments.Which woman is likely to be referred for genetic counseling after her first visit?
A) A pregnant woman who will be 40 years or older when her infant is born
B) A woman whose partner is 41 years of age
C) A patient who carries a Y-linked disorder
D) An anxious woman with a normal quadruple screening result
Q3) Which statement is true of multifactorial disorders?
A) They may not be evident until later in life.
B) They are usually present and detectable at birth.
C) The disorders are characterized by multiple defects.
D) Secondary defects are rarely associated with multifactorial disease.
Page 12
To view all questions and flashcards with answers, click on the resource link above.
Chapter 11: Reproductive Anatomy and Physiology
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/8514
Sample Questions
Q1) In describing the size and shape of the nonpregnant uterus to a patient,the nurse would say it is approximately the size and shape of a
A) cantaloupe.
B) grapefruit.
C) pear.
D) large orange.
Q2) A young female patient comes to the school nurse to discuss her irregular periods.In providing education regarding the female reproductive cycle,which phases of the ovarian cycle does the nurse include? (Select all that apply.)
A) Follicular
B) Ovulatory
C) Luteal
D) Proliferative
E) Secretory
Q3) The function of the cremaster muscle in men is to
A) aid in voluntary control of excretion of urine.
B) entrap blood in the penis to produce an erection.
C) assist with transporting sperm.
D) aid in temperature control of the testicles.
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: Conception and Prenatal Development
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8515
Sample Questions
Q1) A young patient comes in for her first prenatal examination.This is her first child.She asks "How does my baby get air inside my uterus?" The correct response is
A) "The baby's lungs work in the uterus to exchange oxygen and carbon dioxide."
B) "The baby absorbs oxygen from your blood system."
C) "The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream."
D) "The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen."
Q2) A woman is 16 weeks pregnant with her first baby.She asks how long it will be before she feels the baby move.The best answer is
A) "You should have felt the baby move by now."
B) "Within the next month, you should start to feel fluttering sensations."
C) "The baby is moving, but you can't feel it yet."
D) "Some babies are quiet, and you don't feel them move."
Q3) The purpose of the ovum's zona pellucida is to
A) make a pathway for more than one sperm to reach the ovum.
B) allow the 46 chromosomes from each gamete to merge.
C) prevent multiple sperm from fertilizing the ovum.
D) stimulate the ovum to begin mitotic cell division.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Adaptations to Pregnancy
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/8516
Sample Questions
Q1) To relieve a leg cramp,the patient should be instructed to A) massage the affected muscle.
B) stretch and point the toe.
C) dorsiflex the foot.
D) apply a warm pack.
Q2) A woman is currently pregnant; she has a 5-year-old son and a 3-year-old daughter born at full term.She had one other pregnancy that terminated at 8 weeks.Her gravida and para are
A) gravida 3 para 2.
B) gravida 4 para 3.
C) gravida 4 para 2.
D) gravida 3 para 3.
Q3) The nurse who practices in a prenatal clinic understands that a major concern of lower socioeconomic groups is to
A) maintain group health insurance on their families.
B) meet health needs as they occur.
C) practice preventive health care.
D) maintain an optimistic view of life.
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Nutrition for Childbearing
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8517
Sample Questions
Q1) The nurse is assisting a normally active pregnant woman in developing a meal plan.Before she got pregnant,she ate 1800 calories a day.How many calories does she need now?
A) 2000
B) 2140
C) 2342
D) 2400
Q2) The nurse is teaching a pregnant woman to reduce her intake of sodium.What products does the nurse teach the woman to avoid? (Select all that apply.)
A) Products with the word "soda" in the ingredients
B) Packaged gravy mixes
C) Mayonnaise
D) Cake mixes
E) Fruit juices
Q3) Which pregnant woman should have the least weight gain during pregnancy?
A) Woman pregnant with twins
B) Woman in early adolescence
C) Woman shorter than 62 inches or 157 cm
D) Woman who was obese before pregnancy
To view all questions and flashcards with answers, click on the resource link above.
Page 16
Chapter 15: Prenatal Diagnostic Tests
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8518
Sample Questions
Q1) The major advantage of chorionic villus sampling (CVS)over amniocentesis is that it
A) is not an invasive procedure.
B) does not require hospitalization.
C) has less risk of spontaneous abortion.
D) is performed earlier in pregnancy.
Q2) The nurse providing care for the pregnant woman understands that a factor indicating the need for fetal diagnostic procedures is
A) maternal diabetes.
B) maternal age older than 30 years.
C) previous infant more than 3000 g at birth.
D) weight gain of 25 pounds.
Q3) Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?
A) Multiple-marker screening
B) Lecithin/sphingomyelin (L/S) ratio
C) Biophysical profile
D) Type and crossmatch of maternal and fetal serum
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Giving Birth
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8519
Sample Questions
Q1) Leopold's maneuvers are used by practitioners to determine A) the best location to assess the fetal heart rate (FHR).
B) cervical dilation and effacement.
C) whether the fetus is in the posterior position.
D) if the woman needs an amniotomy.
Q2) The nurse assesses a patient whose cervix is dilated to 5 cm.What phase of labor does the nurse recognize the woman to be in?
A) Latent phase
B) Active phase
C) Second stage
D) Third stage
Q3) The nurse notes that a woman who has given birth 1 hour ago is touching her infant with the fingertips and talking to him softly in high-pitched tones.On the basis of this observation,the nurse should
A) document this evidence of normal early maternal-infant attachment behavior.
B) observe for other signs that the mother may not be accepting of the infant.
C) request a social service consult for psychosocial support.
D) determine whether the mother is too fatigued to interact normally with her infant.
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Intrapartum Fetal Surveillance
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8520
Sample Questions
Q1) The nurse-midwife is concerned that a woman's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure.On the basis of this information,the nurse should obtain a(n)
A) tocotransducer.
B) scalp electrode.
C) intrauterine pressure catheter.
D) Doppler transducer.
Q2) A woman has a history of hypertension during pregnancy.What method of intrapartum fetal monitoring does the nurse initiate?
A) Continuous auscultation with a fetoscope
B) Continuous electronic fetal monitoring
C) Intermittent assessment with a Doppler transducer
D) Intermittent electronic fetal monitoring for 15 minutes each hour
Q3) In which situation is a baseline fetal heart rate of 160 to 170 beats per minute considered a normal finding?
A) The fetus is at 28 weeks of gestation.
B) The mother has been given an epidural block.
C) The mother has a history of fast labors.
D) The mother has mild preeclampsia but is not in labor.
To view all questions and flashcards with answers, click on the resource link above.
Page 19
Chapter 18: Pain Management for Childbirth
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8521
Sample Questions
Q1) Which method of pain management does the nurse plan for a gravida 3 para 2 admitted at 8-cm cervical dilation?
A) Epidural anesthesia
B) Narcotics
C) Spinal block
D) Breathing and relaxation techniques
Q2) The nurse teaching a childbirth preparation class teaches the participants that the first type of breathing technique used in labor is called
A) slow-paced.
B) modified-paced.
C) patterned-paced.
D) pant-blow.
Q3) The nurse providing newborn stabilization must be aware that the primary side effect of maternal narcotic analgesia in the newborn is
A) respiratory depression.
B) bradycardia.
C) acrocyanosis.
D) tachypnea.
To view all questions and flashcards with answers, click on the resource link above.
20
Chapter 19: Nursing Care during Obstetric Procedures
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8522
Sample Questions
Q1) What is an appropriate response to a woman's comment that she is worried about having a cesarean birth?
A) "Don't worry. Everything will be okay."
B) "What are your feelings about having a cesarean birth?"
C) "I know you're worried, but this is a routine procedure."
D) "Patients commonly worry about surgery."
Q2) After a forceps-assisted birth,the mother is observed to have continuous bright red lochia but a firm fundus.What other finding is important to correlate with these data?
A) Mild, intermittent perineal pain
B) Edema and discoloration of the labia and perineum
C) Lack of an episiotomy
D) Lack of pain in the perineal area
Q3) The nurse caring for a woman in labor understands that the primary risk associated with an amniotomy is
A) maternal infection.
B) maternal hemorrhage.
C) prolapse of the umbilical cord.
D) separation of the placenta.
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Postpartum Adaptations
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8523
Sample Questions
Q1) A nurse is examining a woman 2 months after delivery.The woman has lost 25 pounds.What action by the nurse is best?
A) Counsel her on other weight loss measures.
B) Ask her for a dietary recall for 3 days.
C) Instruct her on exercises for faster loss.
D) Explain that her weight loss is affecting her breast milk.
Q2) A man calls the nurse's station stating that his wife,who delivered 2 days ago,is happy one minute and crying the next.The man says,"She was never like this before the baby was born." What response by the nurse is best?
A) Tell him to ignore the mood swings, as they will go away.
B) Reassure him that this behavior is normal.
C) Advise him to get immediate psychological help for her.
D) Instruct him in the signs, symptoms, and duration of postpartum blues.
Q3) The postpartum woman who continually repeats the story of her labor,delivery,and recovery experiences is
A) providing others with her knowledge of events.
B) making the birth experience "real."
C) taking hold of the events leading to her labor and delivery.
D) accepting her response to labor and delivery.
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter 21: The Normal Newborn: Adaptation and Assessment
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/8524
Sample Questions
Q1) In which infant behavioral state is bonding most likely to occur?
A) Drowsy
B) Active alert
C) Quiet alert
D) Crying
Q2) What is a result of hypothermia in the newborn?
A) Shivering to generate heat
B) Decreased oxygen demands
C) Increased glucose demands
D) Decreased metabolic rate
Q3) The hips of a newborn are examined for developmental dysplasia.Which sign indicates an incomplete development of the acetabulum?
A) Negative Ortolani's sign
B) Asymmetric thigh and gluteal creases
C) Negative Barlow test
D) Equal knee heights
Q4) An infant was born weighing 7.2 pounds.Calculate this infant's oral intake needs._______
To view all questions and flashcards with answers, click on the resource link above. Page 23
Chapter 22: The Normal Newborn: Nursing Care
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8525
Sample Questions
Q1) A yellow crust has formed over the circumcision site.The mother calls the hotline at the local hospital,5 days after her son was circumcised.She is very concerned.On which rationale should the nurse base her reply?
A) After circumcision, the diaper should be changed frequently and fastened snugly.
B) This yellow crust is an early sign of infection.
C) The yellow crust should not be removed.
D) Discontinue the use of petroleum jelly to the tip of the penis.
Q2) What action by the nurse is most important to prevent the kidnapping of newborns from the hospital?
A) Instruct the mother not to give her infant to anyone except the one nurse assigned to her that day.
B) Question anyone who is seen walking in the hallways carrying an infant.
C) Allow no visitors in the maternity area except those who have identification bracelets.
D) Restrict the amount of time infants are out of the nursery.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 23: Newborn Feeding
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8526
Sample Questions
Q1) A woman wants to breastfeed,but her nipples are inverted and she is concerned it won't be possible.What does the nurse teach the woman about this condition?
A) A woman with inverted nipples rarely is successful at breastfeeding.
B) You can use a breast pump just prior to feeding to evert the nipples.
C) Massage the breasts prior to feeding to allow milk let-down.
D) Try changing the infant's position during feedings.
Q2) The best reason for recommending formula over breastfeeding is that
A) the mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk.
B) the mother lacks confidence in her ability to breastfeed.
C) other family members or care providers also need to feed the baby.
D) the mother sees bottle-feeding as more convenient.
Q3) A new mother asks if she should feed her newborn colostrum,because it is not "real milk." The nurse's best answer is that
A) colostrum is high in antibodies, protein, vitamins, and minerals.
B) colostrum is lower in calories than milk and should be supplemented by formula.
C) giving colostrum helps the mother learn how to breastfeed.
D) colostrum is unnecessary for newborns.
To view all questions and flashcards with answers, click on the resource link above. Page 25
Chapter 24: The Childbearing Family with Special Needs
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8527
Sample Questions
Q1) What is a major barrier to health care for teen mothers?
A) The hospital/clinic is within walking distance of the girl's home.
B) The institution is open days, evenings, and Saturdays by special arrangement.
C) The teen must be prepared to see a different nurse or doctor or both at every visit.
D) The health care workers have a positive attitude.
Q2) A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening.The nurse will counsel her to eliminate all alcohol intake.What is the best rationale provided by the nurse?
A) A daily consumption of alcohol indicates a risk for alcoholism.
B) She will be at risk for abusing other substances as well.
C) The fetus is placed at risk for altered brain growth.
D) The fetus is at risk for multiple organ anomalies.
Q3) The student nurse learns that the most important reason marijuana should not be used during pregnancy is which of the following?
A) Unknown effects, more research is needed
B) Causes a higher rate of spontaneous abortions
C) Leads to multiple organ dysfunction in the newborn
D) Responsible for severe cognitive deficits
To view all questions and flashcards with answers, click on the resource link above.
26
Chapter 25: Pregnancy-Related Complications
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8528
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) A woman with preeclampsia has a seizure.What action by the nurse takes priority?
A) Insert an oral airway.
B) Suction the mouth to prevent aspiration.
C) Administer oxygen by mask.
D) Stay with the patient and call for help.
Q3) A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy.Nursing care is based on the knowledge that
A) bed rest and analgesics are the recommended treatment.
B) she will be unable to conceive in the future.
C) a D&C will be performed to remove the products of conception.
D) hemorrhage is the major concern.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Concurrent Disorders during Pregnancy
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8529
Sample Questions
Q1) To manage her diabetes appropriately and ensure a good fetal outcome,the pregnant woman with diabetes will need to alter her diet by doing which of the following?
A) Eating six small equal meals per day
B) Reducing carbohydrates in her diet
C) Eating her meals and snacks on a fixed schedule
D) Increasing her consumption of protein
Q2) Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM).In planning her care,the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM.The nurse identifies that the fetus is at greatest risk for
A) macrosomia.
B) congenital anomalies of the central nervous system.
C) preterm birth.
D) low birth weight.
Q3) For which of the infectious diseases can a woman be immunized?
A) Toxoplasmosis
B) Rubella
C) Cytomegalovirus
D) Herpesvirus type 2
To view all questions and flashcards with answers, click on the resource link above. Page 28
Chapter 27: The Woman with an Intrapartum Complication
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8530
Sample Questions
Q1) With regard to the care management of preterm labor,nurses should be aware that A) teaching pregnant women the symptoms probably causes more harm through false alarms.
B) Braxton Hicks contractions often signal the onset of preterm labor.
C) because 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.
Q2) A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of betamethasone intramuscularly.The purpose of this pharmacologic treatment is to A) stimulate fetal surfactant production.
B) reduce maternal and fetal tachycardia associated with ritodrine administration.
C) suppress uterine contractions.
D) maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: The Woman with a Postpartum Complication
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8531
Sample Questions
Q1) A provider left an order for a woman to have Methylergonovine 0.2 mg IM.The nurse assesses the woman and finds her vital signs to be: temperature 37.9° C (100.2° F),pulse 90 beats/minute,respirations 18 breaths/minute,and blood pressure 152/90 mm Hg.What action by the nurse is most appropriate?
A) Administer acetaminophen first.
B) Check policy for administration.
C) Give the medication as prescribed.
D) Consult with the provider.
Q2) A mother with mastitis is concerned about breastfeeding while she has an active infection.The nurse should explain that
A) the infant is protected from infection by immunoglobulins in the breast milk.
B) the infant is not susceptible to the organisms that cause mastitis.
C) the organisms that cause mastitis are not passed to the milk.
D) the organisms will be inactivated by gastric acid.
Q3) Which measure may prevent mastitis in the breastfeeding mother?
A) Initiating early and frequent feedings
B) Nursing the infant for 5 minutes on each breast
C) Wearing a tight-fitting bra
D) Applying ice packs before feeding
To view all questions and flashcards with answers, click on the resource link above.
Page 30
Chapter 29: The High-Risk Newborn: Problems Related to
Gestational Age and Development
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8532
Sample Questions
Q1) A nurse is caring for a preterm infant who has a weak cry and is irritable.What action by the nurse is best?
A) Assess the infant for pain.
B) Take the infant's temperature.
C) Obtain a bedside glucose reading.
D) Reduce stimulation in the environment.
Q2) Which statement is true about large for gestational age ( LGA )infants?
A) They weigh more than 3500g.
B) They are above the 80th percentile on gestational growth charts.
C) They are prone to hypoglycemia, polycythemia, and birth injuries.
D) Postmaturity syndrome and fractured clavicles are the most common complications.
Q3) A nurse is assessing an SGA infant with asymmetric intrauterine growth restriction.What assessment finding correlates with this condition?
A) One side of the body appears slightly smaller than the other.
B) All body parts appear proportionate.
C) The head seems large compared with the rest of the body.
D) The extremities are disproportionate to the trunk.
To view all questions and flashcards with answers, click on the resource link above.
Page 31
Chapter 30: The High-Risk Newborn: Acquired and Congenital Conditions
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8533
Sample Questions
Q1) An infant with hypocalcemia is receiving an intravenous bolus of calcium.The infant's heart rate changes from 144 beats/minute to 62 beats/minute.What action by the nurse is best?
A) Call for a stat EGG.
B) Stop the infusion.
C) Stimulate the infant.
D) Administer magnesium.
Q2) Transient tachypnea of the newborn (TTN)is thought to occur as a result of A) a lack of surfactant.
B) hypoinflation of the lungs.
C) delayed absorption of fetal lung fluid.
D) a slow vaginal delivery associated with meconium-stained fluid.
Q3) A neonate has white patches in her mouth that bled when the mother tried wiping them away.What action by the nurse is best?
A) Tell the mother to leave the patches alone.
B) Assess the mother for a perineal rash.
C) Give the infant medicated pacifiers.
D) Test the infant for toxoplasmosis.
To view all questions and flashcards with answers, click on the resource link above. Page 32
Chapter 31: Management of Fertility and Infertility
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8534
Sample Questions
Q1) A nurse is teaching a couple about basal body temperature.What information is most accurate?
A) Measures the man's scrotal temperature related to sperm production.
B) Basal body temperature is the average resting temperature in the woman.
C) It detects slight temperature elevation just prior to ovulation in the woman
D) Ovulation is the only event that affects the change in body temperature.
Q2) A couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).The nurse's most appropriate reply is
A) "They're not very effective, and it's very likely you'll get pregnant."
B) "They can be effective for many couples, but they require motivation."
C) "These methods have a few advantages and several health risks."
D) "You would be much safer going on the pill and not having to worry."
Q3) Injectable progestins (DMPA,Depo-Provera)are a good contraceptive choice for women who
A) want menstrual regularity and predictability.
B) have a history of thrombotic problems or breast cancer.
C) have difficulty remembering to take oral contraceptives daily.
D) are homeless or mobile and rarely receive health care.
To view all questions and flashcards with answers, click on the resource link above. Page 33
Chapter 32: Womens HealthCare
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8535
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) In helping a patient manage PMS,the nurse should
A) recommend a diet with more red meat and sugar.
B) suggest herbal therapies and massage.
C) tell the patient to ask for medications as soon as symptoms occur.
D) suggest the use of diuretics.
Q3) Which medications can be taken by postmenopausal women to treat and/or prevent osteoporosis? (Select all that apply.)
A) Calcium
B) Evista
C) Fosamax
D) Actonel
E) Vitamin C
To view all questions and flashcards with answers, click on the resource link above.
Page 34
Chapter 33: Physical Assessment of Children
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8536
Sample Questions
Q1) A nurse is performing an assessment on a newborn.Which vital signs indicate a normal finding for this age-group? (Select all that apply.)
A) Pulse of 80 to 125 a minute
B) B/P of systolic 65 to 95 and diastolic 30 to 60
C) Temperature of 36.5° to 37.3° C (axillary)
D) Temperature of 36.4° to 37° C (axillary)
E) Respirations of 30 to 60 a minute
Q2) Which assessment should the nurse perform last when examining a 5-year-old child?
A) Heart
B) Lungs
C) Abdomen
D) Throat
Q3) What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?
A) S<sub>1</sub>, S<sub>2</sub>
B) Snaps and clicks
C) Murmur
D) Physiologic splitting
To view all questions and flashcards with answers, click on the resource link above.
Page 35
Chapter 34: Emergency Care of the Child
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8537
Sample Questions
Q1) Which observations made by an emergency department nurse raises the suspicion that a 3-year-old child has been maltreated?
A) The parents are extremely calm in the emergency department.
B) The injury is unusual for a child of that age.
C) The child does not remember how he got hurt.
D) The child was doing something unsafe when the injury occurred.
Q2) A child is brought to the emergency department after ingesting an acidic substance.What action by the nurse is best?
A) Induce vomiting in the child.
B) Give syrup of ipecac.
C) Ensure a patent airway.
D) Attach the child to a cardiac monitor.
Q3) The father of a child in the emergency department is yelling at the physician and nurses.Which action is contraindicated in this situation?
A) Provide a nondefensive response.
B) Encourage the father to talk about his feelings.
C) Speak in simple, short sentences.
D) Tell the father he must wait in the waiting room.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: The Ill Child in the Hospital and Other Care Settings
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8538
Sample Questions
Q1) Which situation poses the greatest challenge to the nurse working with a child and family?
A) Twenty-four-hour observation
B) Emergency hospitalization
C) Outpatient admission
D) Rehabilitation admission
Q2) A nurse is working with a child who has a sudden,serious illness.To best support the parents,what action by the nurse is best?
A) Assess the parents' usual coping methods.
B) Give them information about the unit protocols.
C) Tell them to stay with the child as much as desired.
D) Reassure them about how common this illness is.
Q3) Which play activity should the nurse implement to enhance deep breathing exercises for a toddler?
A) Blowing bubbles
B) Throwing a Nerf ball
C) Using a spirometer
D) Keeping a chart of deep breathing
To view all questions and flashcards with answers, click on the resource link above. Page 37
Chapter 36: The Child with a Chronic Condition or Terminal Illness
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8539
Sample Questions
Q1) Which should a nurse identify as common chronic illnesses of childhood? (Select all that apply.)
A) Reactive airway disease (asthma)
B) Respiratory syncytial virus (RSV)
C) Cerebral palsy
D) Diabetes mellitus
E) Human immunodeficiency virus infection (HIV)
Q2) The parents of a child born with disabilities ask the nurse for advice about discipline.The nurse's response should be based on knowledge that discipline is
A) essential for the child.
B) too difficult to implement with special-needs child.
C) not needed unless the child becomes problematic.
D) best achieved with punishment for misbehavior.
Q3) A nurse is caring for a dying child.What action by the nurse best meets the the primary concern of the parents?
A) Giving the child pain medication on a schedule
B) Placing the child on fall and safety precautions
C) Providing the child with favorite foods when requested
D) Ensuring the child gets the minimum fluid requirement
Page 38
To view all questions and flashcards with answers, click on the resource link above.
Chapter 37: Principles and Procedures for Nursing Care of Children
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8540
Sample Questions
Q1) Which action by the nurse is appropriate when preparing a child for a procedure?
A) Discourage the child from crying during the procedure.
B) Use professional terms so the child will understand what is happening.
C) Give the child choices whenever possible.
D) Discourage the parents from staying in the room during the procedure.
Q2) A parent asked,"When should I start dental care for my child?" What response by the nurse is best?
A) "The recommendation is for children to have a dental examination no later than 2.5 years."
B) "Children should see a dentist at least one time before kindergarten."
C) "The recommendation is for children to have a dental examination before first grade."
D) "A dental examination by 1 year of age is the current recommendation."
Q3) A nurse is teaching parents how to care for a child's gastrostomy tube at home.What information should the nurse include?
A) Bring the child to the clinic for cleaning
B) Clean around the insertion site daily with soap and water.
C) Expect some leakage around the button.
D) Remove the tube for cleaning once a week.
To view all questions and flashcards with answers, click on the resource link above. Page 39
Chapter 38: Medication Administration and Safety for
Infants and Children
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8541
Sample Questions
Q1) A nurse should routinely ask a colleague to double-check a medication calculation and the actual medication before administering which medications? (Select all that apply.)
A) Antibiotics
B) Insulin
C) Anticonvulsants
D) Anticoagulants
E) Narcotics/Opioids
Q2) Which food is appropriate to mix with medication?
A) Formula or milk
B) Applesauce
C) Baby food
D) Orange juice
Q3) Which muscle should the nurse select to give a 6-month-old infant an intramuscular injection?
A) Deltoid
B) Ventrogluteal
C) Dorsogluteal
D) Vastus lateralis
To view all questions and flashcards with answers, click on the resource link above.
Chapter 39: Pain Management for Children
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8542
Sample Questions
Q1) Which assessment indicates to a nurse that a 2-year-old child is in need of pain medication?
A) The child is lying rigidly in bed and not moving.
B) The child's current vital signs are consistent with previous vital signs.
C) The child becomes quiet when held and cuddled.
D) The child has just returned from the recovery room.
Q2) A nurse uses the CRIES tool to assess pain in neonates.What categories does the nurse assess? (Select all that apply.)
A) Crying
B) Requires O<sub>2</sub>
C) Increased respiratory rate
D) Expression
E) Sleepiness
Q3) The appropriate tool(s)to assess pain in a 3-year-old child is the (Select all that apply.)
A) Visual Analogue Scale (VAS)
B) adolescent and pediatric pain tool
C) Oucher tool
D) poker chip tool
E) FACES pain rating scale
To view all questions and flashcards with answers, click on the resource link above. Page 41
Chapter 40: The Child with a Fluid and Electrolyte Alteration
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8543
Sample Questions
Q1) What is the priority nursing intervention for a 6-month-old infant hospitalized with diarrhea and dehydration?
A) Estimating insensible fluid loss
B) Collecting urine for culture and sensitivity
C) Palpating the posterior fontanel
D) Measuring the infant's weight
Q2) A child has a 2-day history of vomiting and diarrhea.He has hypoactive bowel sounds and an irregular pulse.Electrolyte values are sodium,139 mEq/L; potassium,3.3 mEq/L; and calcium,9.5 mg/dL.This child is likely to have which of the following electrolyte imbalances?
A) Hyponatremia
B) Hypocalcemia
C) Hyperkalemia
D) Hypokalemia
Q3) Which statement best describes why infants are at greater risk for dehydration than older children?
A) Infants have an increased ability to concentrate urine.
B) Infants have a greater volume of intracellular fluid.
C) Infants have a smaller body surface area.
D) Infants have an increased extracellular fluid volume.
To view all questions and flashcards with answers, click on the resource link above. Page 42
Chapter 41: The Child with an Infectious Disease
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8544
Sample Questions
Q1) What should be included in health teaching to prevent Lyme disease?
A) Complete the immunization series in early infancy.
B) Use insect repellant with DEET in heavily wooded areas.
C) Give low-dose antibiotics to the child before exposure.
D) Restrict activities that might lead to exposure for the child.
Q2) What should the nurse expect to observe in the prodromal phase of rubeola?
A) Macular rash on the face
B) Koplik spots
C) Petechiae on the soft palate
D) Crops of vesicles on the trunk
Q3) Which intervention is appropriate for a hospitalized child who has crops of lesions on the trunk that appear as a macular rash and vesicles?
A) Place the child in strict isolation with airborne and contact precautions.
B) Continue to practice Standard Precautions.
C) Pregnant women should avoid contact with the child.
D) Screen visitors for immunity to measles.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 42: The Child with an Immunologic Alteration
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8545
Sample Questions
Q1) The nursing student learns how infants acquire immunity.Which statement about this process is correct?
A) The infant acquires humoral and cell-mediated immunity in response to infections and immunizations.
B) The infant acquires maternal antibodies that ensure immunity up to 12 months age.
C) Active immunity is acquired from the mother and lasts 6 to 7 months.
D) Passive immunity develops in response to immunizations.
Q2) Which intervention is appropriate for a child receiving high doses of steroids?
A) Limit activity and receive home schooling.
B) Increase the amount of carbohydrates in the diet.
C) Substitute a killed virus vaccine for live virus vaccines.
D) Monitor for seizure activity.
Q3) A child weighs 30.8 pounds and is prescribed prednisolone syrup 0.5 mg/kg.The pharmacy delivers a syringe with 15 mg/5 mL.How many mL does the nurse administer?Round your solve to the nearest 10th.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 43: The Child with a Gastrointestinal Alteration
Available Study Resources on Quizplus for this Chatper
55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/8546
Sample Questions
Q1) What information should the nurse include when teaching the parents of a 5-week-old infant about pyloromyotomy?
A) The infant will be in the hospital for a week.
B) The surgical procedure is routine and "no big deal."
C) The prognosis for complete correction with surgery is good.
D) They will need to ask the physician about home care nursing.
Q2) The nurse cares for many children with different types of hepatitis.What information about this disease is correct? (Select all that apply.)
A) Hepatitis A can be contracted from contaminated water.
B) Only a small percentage of children infected with hepatitis B fully recover.
C) People infected with chronic hepatitis C are usually asymptomatic.
D) Hepatitis D is the most likely to cause a fulminating illness.
E) Hepatitis E is the most common type in children in the United States.
Q3) What is a priority concern for a 14-year-old child with inflammatory bowel disease?
A) Compliance with antidiarrheal medication therapy
B) Long-term complications
C) Dealing with the embarrassment and stress of diarrhea
D) Home schooling due to extreme absenteeism
To view all questions and flashcards with answers, click on the resource link above. Page 45
Chapter 44: The Child with a Genitourinary Alteration
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/8547
Sample Questions
Q1) Which condition is characterized by a history of bloody diarrhea,fever,abdominal pain,and low hemoglobin and platelet counts?
A) Acute viral gastroenteritis
B) Acute glomerulonephritis
C) Hemolytic-uremic syndrome
D) Acute nephrotic syndrome
Q2) A nurse is assessing lab results on four patients in the general pediatric unit.What child should the nurse go see first?
A) Urine specific gravity: 1.025
B) Urine ketones: positive in large amounts
C) Serum BUN 21 mg/dL
D) Serum creatinine 0.7 mg/dL
Q3) The most appropriate nursing diagnosis for the child with acute glomerulonephritis is
A) Risk for Injury related to malignant process and treatment.
B) Deficient Fluid Volume related to excessive losses.
C) Risk for Imbalanced Fluid Volume related to a decrease in plasma filtration.
D) Excess Fluid Volume related to fluid accumulation in tissues and third spaces.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 45: The Child with a Respiratory Alteration
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/8548
Sample Questions
Q1) The nurse should assess a child who has had a tonsillectomy for which of the following as the priority?
A) Frequent swallowing
B) Inspiratory stridor
C) Swelling of the throat
D) Abnormal lung sounds
Q2) What intervention can be taught to the parents of a 3-year-old child with pneumonia who is not hospitalized?
A) Offer the child only cool liquids.
B) Offer the child favorite warm liquid drinks.
C) Use a warm mist humidifier.
D) Report a respiratory rate less than 28 breaths/min.
Q3) A home health care nurse is doing a home assessment for a family whose child is oxygen dependent.What finding by the nurse requires intervention?
A) Tanks are stored only in an upright position.
B) Oxygen tank is placed 3 feet away from the heater.
C) Smoking is not allowed in the house.
D) Fire extinguisher expires at the end of the month.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 46: The Child with a Cardiovascular Alteration
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/8549
Sample Questions
Q1) The nurse is caring for a child with Kawasaki disease.The child weighs 33 pounds.When initiating aspirin therapy,what dose does the nurse prepare to administer?
A) 75 mg orally once a day
B) 81 mg orally twice a day
C) 200 mg three times a day
D) 375 mg orally four times a day
Q2) Which postoperative intervention should be questioned for a child after a cardiac catheterization?
A) Continue intravenous (IV) fluids until the infant is tolerating oral fluids.
B) Check the dressing for bleeding.
C) Assess peripheral circulation on the affected extremity.
D) Keep the affected leg flexed and elevated.
Q3) Which drug is an angiotensin-converting enzyme (ACE)inhibitor?
A) Captopril
B) Furosemide
C) Spironolactone
D) Chlorothiazide
To view all questions and flashcards with answers, click on the resource link above.
Chapter 47: The Child with a Hematologic Alteration
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8550
Sample Questions
Q1) Which of the following is an accurate description of anemia?
A) Increased blood viscosity
B) Depressed hematopoietic system
C) Presence of abnormal hemoglobin
D) Decreased oxygen-carrying capacity of blood
Q2) A child has beta-thalassemia and is receiving deferoxamine.The parent asks what the purpose of this medication is.Which response by the nurse is best?
A) "To improve the anemia"
B) "To decrease liver and spleen swelling"
C) "To eliminate excessive iron being stored in the organs"
D) "To prepare your child for a bone marrow transplant"
Q3) A condition in which the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin is known as
A) aplastic anemia.
B) sickle cell anemia.
C) thalassemia major.
D) iron-deficiency anemia.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 48: The Child with Cancer
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8551
Sample Questions
Q1) A child is in the hospital receiving chemotherapy,and the nurse suspects the child has an infection.What action by the nurse takes priority?
A) Monitor the child's temperature.
B) Assess the daily white blood cell count.
C) Administer antibiotics.
D) Obtain blood and urine cultures.
Q2) What should the nurse recognize as symptoms of a brain tumor in a school-age child? (Select all that apply.)
A) Blurred vision
B) Increased head circumference
C) Vomiting when getting out of bed
D) Intermittent headache
E) Declining academic performance
Q3) A child had surgery for a brain tumor.Which provider orders does the nurse question?
A) Place the child in the Trendelenburg position.
B) Perform neurologic assessments.
C) Assess dressings for drainage.
D) Monitor temperature.
To view all questions and flashcards with answers, click on the resource link above.
Page 50
Chapter 49: The Child with an Alteration in Tissue Integrity
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8552
Sample Questions
Q1) A child has small red macules and vesicles that become pustules around the child's mouth and cheek.Older lesions are crusted and honey-colored.What should the nurse teach the parents about this condition?
A) Keep the child home from school for 24 hours after starting antibiotics.
B) Clean the rash vigorously with Betadine three times a day.
C) Notify the physician for any itching.
D) Keep the child home from school until the lesions are healed.
Q2) With what beverage should the parents of a child with ringworm be taught to give griseofulvin?
A) Water
B) A carbonated drink
C) Milk
D) Fruit juice
Q3) The primary treatment for warts is
A) vaccination.
B) local destruction.
C) corticosteroids.
D) specific antibiotic therapy.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 50: The Child with a Musculoskeletal Alteration
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8553
Sample Questions
Q1) A nurse is preparing to administer naproxen to a toddler weighing 29 pounds.The pharmacy delivers a bottle containing 125 mg/5 mL.Based on knowledge of the safe dose,how much liquid does the nurse prepare to administer? Display your solve using a whole number.______ mL
Q2) When a child with a musculoskeletal injury on the foot is assessed,what is most indicative of a fracture?
A) Increased swelling after the injury is iced
B) The presence of localized tenderness distal to the site
C) The presence of an elevated temperature for 24 hours
D) The inability of the child to bear weight
Q3) Which factor should the nurse include when teaching a parent about the care of a newborn in a Pavlik harness for hip dysplasia?
A) The harness may be removed with every diaper change.
B) The harness maintains the hips in flexion, abduction, and external rotation.
C) The harness is only the first step of treatment.
D) The harness is worn for 2 weeks.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 51: The Child with an Endocrine or Metabolic Alteration
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/8554
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 the knowledge that
A) it is a less expensive method of testing.
B) it is not as accurate as laboratory testing.
C) children are better able to manage the diabetes.
D) the parents are better able to manage the disease.
Q2) New parents ask the nurse,"Why is it necessary for our baby to have the newborn blood test?" The nurse explains that the priority outcome of mandatory newborn screening for inborn errors of metabolism is
A) appropriate community referral for affected infants.
B) parental education about raising a special needs child.
C) early identification of serious genetically transmitted metabolic diseases.
D) early identification of electrolyte imbalances.
Q3) At what age is sexual development in boys and girls considered to be precocious?
A) Boys, 11 years; girls, 9 years
B) Boys, 12 years; girls, 10 years
C) Boys, 9 years; girls, 8 years
D) Boys, 10 years; girls, 9 1/2 years
Page 53
To view all questions and flashcards with answers, click on the resource link above.
Chapter 52: The Child with a Neurologic Alteration
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8555
Sample Questions
Q1) What nursing actions are indicated when the nurse is administering phenytoin (Dilantin)by the intravenous route to control seizures? (Select all that apply.)
A) It must be given with D<sub>5</sub>1/2 NS.
B) Occasional blood levels will be assessed.
C) Dilantin should be given with food because it causes gastrointestinal distress.
D) It must be given in normal saline.
E) It must be filtered.
Q2) A child with a head injury sleeps unless aroused,and when aroused responds briefly before falling back to sleep.What should the nurse chart for this child's level of consciousness?
A) Disoriented
B) Obtunded
C) Lethargic
D) Stuporous
Q3) A 62-pound child has a spinal cord injury and is to receive steroid therapy.How much medication does the nurse draw up for the bolus dose? Record your solve in a whole number.Administer _____ mg.
To view all questions and flashcards with answers, click on the resource link above.
54
Chapter 53: Psychosocial Problems in Children and Families
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8556
Sample Questions
Q1) A 14-year-old admits to using marijuana every day with friends after attending school.What phase of substance abuse does this behavior exemplify?
A) Experimentation
B) Early drug use
C) True drug addiction
D) Severe drug addiction
Q2) Which behavior demonstrated by an adolescent should alert the school nurse to a problem of substance abuse?
A) States feelings of worthlessness
B) Increased desire for social conformity
C) Does not feel need for peer approval
D) Deterioration of relationships with family members
Q3) Which manifestation is atypical of ADHD?
A) Talking incessantly
B) Blurting out the answers to questions before the questions have been completed
C) Acting withdrawn in social situations
D) Fidgeting with hands or feet
To view all questions and flashcards with answers, click on the resource link above.
Page 55
Chapter
54: The Child With an Intellectual Disability or Developmental Disability
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8557
Sample Questions
Q1) Parents have learned that their 6-year-old child has autism.The nurse may help the parents to cope by explaining that the child may
A) have an extremely developed skill in a particular area.
B) outgrow the condition by early adulthood.
C) have average social skills.
D) have age-appropriate language skills.
Q2) Throughout their life span,cognitively impaired children are less capable of managing environmental challenges and are at risk for A) nutritional deficits.
B) visual impairments.
C) physical injuries.
D) psychiatric problems.
Q3) What action is contraindicated when a child with Down syndrome is hospitalized?
A) Determine the child's vocabulary for specific body functions.
B) Assess the child's hearing and visual capabilities.
C) Encourage parents to leave the child alone to encourage adaptation.
D) Have meals served at the child's usual meal times.
To view all questions and flashcards with answers, click on the resource link above.
Page 56
Chapter 55: The Child with a Sensory Alteration
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/8558
Sample Questions
Q1) A child just returned from cataract eye surgery.What is the most significant nursing intervention to prevent increasing intraocular pressure in this child?
A) Monitor for hypertension.
B) Prevent coughing and vomiting.
C) Lower the head of the bed slightly.
D) Avoid use of steroids after the surgery.
Q2) Which statement by a parent about 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) Which statement best describes how a cataract affects a child's vision?
A) It increases intraocular pressure.
B) It alters the ability to distinguish among colors.
C) It causes double vision.
D) It prevents a clear image from forming on the retina.
To view all questions and flashcards with answers, click on the resource link above.
Page 57