Nursing Care of the Childbearing Family Exam Review
Course Introduction
This course focuses on the nursing care of families during the childbearing process, encompassing preconception, pregnancy, childbirth, postpartum, and newborn periods. Students develop foundational knowledge and clinical skills to support the health and well-being of mothers, infants, and families. Emphasis is placed on family-centered care, cultural competence, assessment and management of common physiological and psychological changes, complications, patient education, and collaboration within the multidisciplinary healthcare team. The course integrates evidence-based practice principles to ensure safe, ethical, and compassionate care for diverse populations.
Recommended Textbook
Maternal Child Nursing Care 5th Edition by Perry
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49 Chapters
1995 Verified Questions
1995 Flashcards
Source URL: https://quizplus.com/study-set/1278 Page 2
Chapter 1: 21st Century Maternity Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/25287
Sample Questions
Q1) An important development that affects maternity nursing is integrative health care,which:
A)Seeks to provide the same health care for all racial and ethnic groups.
B)Blends complementary and alternative therapies with conventional Western treatment.
C)Focuses on the disease or condition rather than the background of the client.
D)Has been mandated by Congress.
Answer: B
Q2) The nurse caring for a pregnant client should be aware that the U.S.birth rate shows which trend?
A)Births to unmarried women are more likely to have less favorable outcomes.
B)Birth rates for women 40 to 44 years old are beginning to decline.
C)Cigarette smoking among pregnant women continues to increase.
D)The rates of maternal death owing to racial disparity are elevated in the United States.
Answer: A
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3
Chapter 2: Community Care: the Family and Culture
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is preparing for a home visit to complete a newborn wellness checkup.The neighborhood has a reputation for being dangerous.Identify which precautions the nurse should take to ensure her safety (Select all that apply).
A)Having access to a cell phone at all times.
B)Visiting alone due to the agency's staffing model.
C)Carrying an extra set of car keys.
D)Avoiding groups of strangers hanging out in doorways.
E)Wearing her usual amount of jewelry.
Answer: A,C,D
Q2) The process by which people retain some of their own culture while adopting the practices of the dominant society is known as:
A)Acculturation.
B)Assimilation.
C)Ethnocentrism.
D)Cultural relativism.
Answer: A
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4
Chapter 3: Assessment and Health Promotion
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) As part of their participation in the gynecologic portion of the physical examination,nurses should:
A)Take a firm approach that encourages the client to facilitate the examination by following the physician's instructions exactly.
B)Explain the procedure as it unfolds and continue to question the client to get information in a timely manner.
C)Take the opportunity to explain that the trendy vulvar self-examination is only for women at risk for cancer.
D)Help the woman relax through proper placement of her hands and proper breathing during the examination.
Answer: D
Q2) The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is:
A)Genetic changes and anomalies
B)Extensive central nervous system damage
C)Fetal addiction to the substance inhaled
D)Intrauterine growth restriction
Answer: D
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Chapter 4: Reproductive System Concerns
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) While interviewing a 31-year-old woman before her routine gynecologic examination,the nurse collects data about the client's recent menstrual cycles.The nurse should collect additional information with which statement?
A)The woman says her menstrual flow lasts 5 to 6 days.
B)She describes her flow as very heavy.
C)She reports that she has had a small amount of spotting midway between her periods for the past 2 months.
D)She says the length of her menstrual cycle varies from 26 to 29 days.
Q2) There is little consensus on the management of premenstrual dysphoric disorder (PMDD).However,nurses can advise women on several self-help modalities that often improve symptoms.The nurse knows that health teaching has been effective when the client reports that she has adopted a number of lifestyle changes,including (Select all that apply):
A)Regular exercise.
B)Improved nutrition.
C)A daily glass of wine.
D)Smoking cessation.
E)Oil of evening primrose.
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6
Chapter 5: Infertility,contraception,and Abortion
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which contraceptive method best protects against sexually transmitted infections (STIs)and human immunodeficiency virus (HIV)?
A)Periodic abstinence
B)Barrier methods
C)Hormonal methods
D)They all offer about the same protection.
Q2) A woman had unprotected intercourse 36 hours ago and is concerned that she may become pregnant because it is her "fertile" time.She asks the nurse about emergency contraception.The nurse tells her that:
A)It is too late; she needed to begin treatment within 24 hours after intercourse.
B)Preven, an emergency contraceptive method, is 98% effective at preventing pregnancy.
C)An over-the-counter antiemetic can be taken 1 hour before each contraceptive dose to prevent nausea and vomiting.
D)The most effective approach is to use a progestin-only preparation.
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7
Chapter 6: Genetics, conception, and Fetal Development
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) 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.
Q2) A woman asks the nurse,"What protects my baby's umbilical cord from being squashed while the baby's inside of me?" The nurse's best response is:
A)"Your baby's umbilical cord is surrounded by connective tissue called Wharton jelly, which prevents compression of the blood vessels and ensures continued nourishment of your baby."
B)"Your baby's umbilical floats around in blood anyway."
C)"You don't need to worry about things like that."
D)"The umbilical cord is a group of blood vessels that are very well protected by the placenta."
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8
Chapter 7: Anatomy and Physiology of Pregnancy
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse caring for the pregnant client must understand that the hormone essential for maintaining pregnancy is:
A)Estrogen.
B)Human chorionic gonadotropin (hCG).
C)Oxytocin.
D)Progesterone.
Q2) Which statement about a condition of pregnancy is accurate?
A)Insufficient salivation (ptyalism) is caused by increases in estrogen.
B)Acid indigestion (pyrosis) begins early but declines throughout pregnancy.
C)Hyperthyroidism often develops (temporarily) because hormone production increases.
D)Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.
Q3) The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that apply)?
A)Identification of fetal heartbeat
B)Palpation of fetal outline
C)Visualization of the fetus
D)Verification of fetal movement
E)Positive hCG test
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Page 9
Chapter 8: Nursing Care of the Family During Pregnancy
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) In her work with pregnant women of various cultures,a nurse practitioner has observed various practices that seemed strange or unusual.She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common.Which statement best describes that purpose?
A)To promote family unity
B)To ward off the "evil eye"
C)To appease the gods of fertility
D)To protect the mother and fetus during pregnancy
Q2) A pregnant woman at 10 weeks of gestation jogs three or four times per week.She is concerned about the effect of exercise on the fetus.The nurse should inform her:
A)"You don't need to modify your exercising any time during your pregnancy."
B)"Stop exercising because it will harm the fetus."
C)"You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month."
D)"Jogging is too hard on your joints; switch to walking now."
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Chapter 9: Maternal and Fetal Nutrition
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) While taking a diet history,the nurse might be told that the expectant mother has cravings for ice chips,cornstarch,and baking soda.This represents a nutritional problem known as:
A)Preeclampsia.
B)Pyrosis.
C)Pica.
D)Purging.
Q2) A pregnant woman experiencing nausea and vomiting should:
A)Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning.
B)Eat small, frequent meals (every 2 to 3 hours).
C)Increase her intake of high-fat foods to keep the stomach full and coated.
D)Limit fluid intake throughout the day.
Q3) To determine the cultural influence on a patient's diet,the nurse should first:
A)Evaluate the patient's weight gain during pregnancy
B)Assess the socioeconomic status of the patient
C)Discuss the four food groups with the patient
D)Identify the food preferences and methods of food preparation common to that culture
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Page 11
Chapter 10: Assessment of High Risk Pregnancy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A woman arrives at the clinic seeking confirmation that she is pregnant.The following information is obtained: She is 24 years old with a body mass index (BMI)of 17.5.She admits to having used cocaine "several times" during the past year and drinks alcohol occasionally.Her blood pressure (BP)is 108/70 mm Hg,her pulse rate is 72 beats/min,and her respiratory rate is 16 breaths/min.The family history is positive for diabetes mellitus and cancer.Her sister recently gave birth to an infant with a neural tube defect (NTD).Which characteristics place the woman in a high risk category?
A)Blood pressure, age, BMI
B)Drug/alcohol use, age, family history
C)Family history, blood pressure, BMI
D)Family history, BMI, drug/alcohol abuse
Q2) Abnormal placenta development
A)Polyhydramnios
B)Intrauterine growth restriction (maternal cause)
C)Oligohydramnios
D)Chromosomal abnormalities
E)Intrauterine growth restriction (fetoplacental cause)
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Page 12
Chapter 11: Pregnancy at Risk: Preexisting Conditions
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Diabetes refers to a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin action,insulin secretion,or both.Over time,diabetes causes significant changes in the microvascular and macrovascular circulations.These complications include:
A)Atherosclerosis.
B)Retinopathy.
C)IUFD.
D)Nephropathy.
E)Neuropathy.Autonomcs neuropathy.
Q2) When the pregnant diabetic woman experiences hypoglycemia while hospitalized,the nurse should intervene by having the patient:
A)Eat six saltine crackers.
B)Drink 8 oz of orange juice with 2 tsp of sugar added.
C)Drink 4 oz of orange juice followed by 8 oz of milk.
D)Eat hard candy or commercial glucose wafers.
Q3) Which heart condition is not a contraindication for pregnancy?
A)Peripartum cardiomyopathy
B)Eisenmenger syndrome
C)Heart transplant
D)All of these contraindicate pregnancy.
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Chapter 12: Pregnancy at Risk: Gestational Conditions
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25298
Sample Questions
Q1) 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.
Q2) As related to the care of the patient with miscarriage,nurses should be aware that:
A)It is a natural pregnancy loss before labor begins.
B)It occurs in fewer than 5% of all clinically recognized pregnancies.
C)It often can be attributed to careless maternal behavior such as poor nutrition or excessive exercise.
D)If it occurs before the twelfth week of pregnancy, it may manifest only as moderate discomfort and blood loss.
Q3) Magnesium sulfate is given to women with preeclampsia and eclampsia to:
A)Improve patellar reflexes and increase respiratory efficiency.
B)Shorten the duration of labor.
C)Prevent and treat convulsions.
D)Prevent a boggy uterus and lessen lochial flow.
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Chapter 13: Labor and Birth Processes
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/25299
Sample Questions
Q1) Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?
A)The fetal head is felt at 0 station during vaginal examination.
B)Bloody mucus discharge increases.
C)The vulva bulges and encircles the fetal head.
D)The membranes rupture during a contraction.
Q2) The factors that affect the process of labor and birth,known commonly as the five Ps,include all except:
A)Passenger.
B)Passageway.
C)Powers.
D)Pressure.
Q3) Signs that precede labor include (Select all that apply):
A)Lightening.
B)Exhaustion.
C)Bloody show.
D)Rupture of membranes.
E)Decreased fetal movement.
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15
Chapter 14: Pain Management
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) Nursing care measures are commonly offered to women in labor.Which nursing measure reflects application of the gate-control theory?
A)Massaging the woman's back
B)Changing the woman's position
C)Giving the prescribed medication
D)Encouraging the woman to rest between contractions
Q2) Maternal hypotension is a potential side effect of regional anesthesia and analgesia.What nursing interventions could you use to raise the client's blood pressure (Select all that apply)?
A)Place the woman in a supine position.
B)Place the woman in a lateral position.
C)Increase intravenous (IV) fluids.
D)Administer oxygen.
E)Perform a vaginal examination.
Q3) Reduced length of labor,increased satisfaction of pain relief
A)Yoga
B)Massage
C)Acupuncture
D)Water immersion
E)Aromatherapy
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Chapter 15: Fetal Assessment During Labor
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) In assisting with the two factors that have an effect on fetal status (i.e.,pushing and positioning),nurses should:
A)Encourage the woman's cooperation in avoiding the supine position.
B)Advise the woman to avoid the semi-Fowler position.
C)Encourage the woman to hold her breath and tighten her abdominal muscles to produce a vaginal response.
D)Instruct the woman to open her mouth and close her glottis, letting air escape after the push.
Q2) According to standard professional thinking,nurses should auscultate the fetal heart rate (FHR):
A)Every 15 minutes in the active phase of the first stage of labor in the absence of risk factors.
B)Every 20 minutes in the second stage, regardless of whether risk factors are present.
C)Before and after ambulation and rupture of membranes.
D)More often in a woman's first pregnancy.
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Chapter 16: Nursing Care of the Family During Labor and Birth
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) Which description of the phases of the second stage of labor is accurate?
A)Latent phase: Feeling sleepy, fetal station 2+ to 4+, duration 30 to 45 minutes
B)Active phase: Overwhelmingly strong contractions, Ferguson reflux activated, duration 5 to 15 minutes
C)Descent phase: Significant increase in contractions, Ferguson reflux activated, average duration varied
D)Transitional phase: Woman "laboring down," fetal station 0, duration 15 minutes
Q2) A nulliparous woman who has just begun the second stage of her labor would most likely:
A)Experience a strong urge to bear down.
B)Show perineal bulging.
C)Feel tired yet relieved that the worst is over.
D)Show an increase in bright red bloody show.
Q3) The nurse recognizes that a woman is in true labor when she states:
A)"I passed some thick, pink mucus when I urinated this morning."
B)"My bag of waters just broke."
C)"The contractions in my uterus are getting stronger and closer together."
D)"My baby dropped, and I have to urinate more frequently now."
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Chapter 17: Labor and Birth Complications
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Which assessment is least likely to be associated with a breech presentation?
A)Meconium-stained amniotic fluid
B)Fetal heart tones heard at or above the maternal umbilicus
C)Preterm labor and birth
D)Post-term gestation
Q2) A pregnant woman at 29 weeks of gestation has been diagnosed with preterm labor.Her labor is being controlled with tocolytic medications.She asks when she would be able to go home.Which response by the nurse is most accurate?
A)"After the baby is born."
B)"When we can stabilize your preterm labor and arrange home health visits."
C)"Whenever the doctor says that it is okay."
D)"It depends on what kind of insurance coverage you have."
Q3) The least common cause of long,difficult,or abnormal labor (dystocia)is:
A)Midplane contracture of the pelvis.
B)Compromised bearing-down efforts as a result of pain medication.
C)Disproportion of the pelvis.
D)Low-lying placenta.
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Page 19
Chapter 18: Maternal Physiologic Changes
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which statement by a newly delivered woman indicates that she knows what to expect about her menstrual activity after childbirth?
A)"My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter."
B)"My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles."
C)"I will not have a menstrual cycle for 6 months after childbirth."
D)"My first menstrual cycle will be heavier than normal and then will be light for several months after."
Q2) A woman gave birth to a 7-pound,3-ounce infant boy 2 hours ago.The nurse determines that the woman's bladder is distended because her fundus is now 3 cm above the umbilicus and to the right of the midline.In the immediate postpartum period,the most serious consequence likely to occur from bladder distention is:
A)Urinary tract infection.
B)Excessive uterine bleeding.
C)A ruptured bladder.
D)Bladder wall atony.
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Page 20
Chapter 19: Nursing Care of the Family During the
Postpartum Period
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) In a variation of rooming-in,called couplet care,the mother and infant share a room,and the mother shares the care of the infant with:
A)The father of the infant.
B)Her mother (the infant's grandmother).
C)Her eldest daughter (the infant's sister).
D)The nurse.
Q2) If a woman is at risk for thrombus and is not ready to ambulate,nurses may intervene by performing a number of interventions.Which intervention should the nurse avoid?
A)Putting the patient in antiembolic stockings (TED hose) and/or sequential compression device (SCD) boots.
B)Having the patient flex, extend, and rotate her feet, ankles, and legs.
C)Having the patient sit in a chair.
D)Notifying the physician immediately if a positive Homans' sign occurs.
Q3) Rh? immune globulin will be ordered postpartum if which situation occurs?
A)Mother Rh<sub>2</sub>-, baby Rh+
B)Mother Rh<sub>2</sub>-, baby Rh<sup>2</sup>-
C)Mother Rh+, baby Rh+
D)Mother Rh+, baby Rh2-
Page 21
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Chapter 20: Transition to Parenthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A parent who has a hearing impairment is presented with a number of challenges in parenting.Which nursing approaches are appropriate for working with hearing-impaired new parents (Select all that apply)?
A)Use devices that transform sound into light.
B)Assume that the patient knows sign language.
C)Speak quickly and loudly.
D)Ascertain whether the patient can read lips before teaching.
E)Written messages aid in communication.
Q2) After giving birth to a healthy infant boy,a primiparous woman,16 years old,is admitted to the postpartum unit.An appropriate nursing diagnosis for her at this time is Risk for impaired parenting related to deficient knowledge of newborn care.In planning for the woman's discharge,what should the nurse be certain to include in the plan of care?
A)Instruct the patient how to feed and bathe her infant.
B)Give the patient written information on bathing her infant.
C)Advise the patient that all mothers instinctively know how to care for their infants.
D)Provide time for the patient to bathe her infant after she views an infant bath demonstration.
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Chapter 21: Postpartum Complications
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Sample Questions
Q1) What infection is contracted mostly by first-time mothers who are breastfeeding?
A)Endometritis
B)Wound infections
C)Mastitis
D)Urinary tract infections
Q2) Early postpartum hemorrhage is defined as a blood loss greater than:
A)500 mL in the first 24 hours after vaginal delivery.
B)750 mL in the first 24 hours after vaginal delivery.
C)1000 mL in the first 48 hours after cesarean delivery.
D)1500 mL in the first 48 hours after cesarean delivery.
Q3) Nurses need to know the basic definitions and incidence data about postpartum hemorrhage (PPH).For instance:
A)PPH is easy to recognize early; after all, the woman is bleeding.
B)Traditionally it takes more than 1000 mL of blood after vaginal birth and 2500 mL after cesarean birth to define the condition as PPH.
C)If anything, nurses and doctors tend to overestimate the amount of blood loss.
D)Traditionally PPH has been classified as early or late with respect to birth.
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Page 23
Chapter 22: Physiologic and Behavioral Adaptations of the Newborn
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Sample Questions
Q1) Infants in whom cephalhematomas develop are at increased risk for:
A)Infection.
B)Jaundice.
C)Caput succedaneum.
D)Erythema toxicum.
Q2) Nurses can prevent evaporative heat loss in the newborn by:
A)Drying the baby after birth and wrapping the baby in a dry blanket.
B)Keeping the baby out of drafts and away from air conditioners.
C)Placing the baby away from the outside wall and the windows.
D)Warming the stethoscope and the nurse's hands before touching the baby.
Q3) Signs of stress related to homeostatic adjustment
A)Habituation
B)Orientation
C)Range of state
D)Autonomic stability
E)Regulation of state
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Chapter 23: Nursing Care of the Newborn and Family
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Sample Questions
Q1) When teaching parents about mandatory newborn screening,it is important for the nurse to explain that the main purpose is to:
A)Keep the state records updated.
B)Allow accurate statistical information.
C)Document the number of births.
D)Recognize and treat newborn disorders early.
Q2) Early this morning,an infant boy was circumcised using the PlastiBell method.The nurse tells the mother that she and the infant can be discharged after:
A)The bleeding stops completely.
B)Yellow exudate forms over the glans.
C)The PlastiBell rim falls off.
D)The infant voids.
Q3) As part of Standard Precautions,nurses wear gloves when handling the newborn.The chief reason is:
A)To protect the baby from infection.
B)That it is part of the Apgar protocol.
C)To protect the nurse from contamination by the newborn.
D)the nurse has primary responsibility for the baby during the first 2 hours.
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25
Chapter 24: Newborn Nutrition and Feeding
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Sample Questions
Q1) A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding.What signs and symptoms should the nurse include in her discussion (Select all that apply)?
A)Breast tenderness
B)Warmth in the breast
C)An area of redness on the breast often resembling the shape of a pie wedge
D)A small white blister on the tip of the nipple
E)Fever and flulike symptoms
Q2) In assisting the breastfeeding mother position the baby,nurses should keep in mind that:
A)The cradle position usually is preferred by mothers who had a cesarean birth.
B)Women with perineal pain and swelling prefer the modified cradle position.
C)Whatever the position used, the infant is "belly to belly" with the mother.
D)While supporting the head, the mother should push gently on the occiput.
Q3) 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.
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Chapter 25: The High Risk Newborn
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Sample Questions
Q1) An infant at 26 weeks of gestation arrives intubated from the delivery room.The nurse weighs the infant,places him under the radiant warmer,and attaches him to the ventilator at the prescribed settings.A pulse oximeter and cardiorespiratory monitor are placed.The pulse oximeter is recording oxygen saturations of 80%.The prescribed saturations are 92%.The nurse's most appropriate action would be to:
A)Listen to breath sounds and ensure the patency of the endotracheal tube, increase oxygen, and notify a physician.
B)Continue to observe and make no changes until the saturations are 75%.
C)Continue with the admission process to ensure that a thorough assessment is completed.
D)Notify the parents that their infant is not doing well.
Q2) Providing care for the neonate born to a mother who abuses substances can present a challenge for the health care team.Nursing care for this infant requires a multisystem approach.The first step in the provision of this care is:
A)Pharmacologic treatment.
B)Reduction of environmental stimuli.
C)Neonatal abstinence syndrome scoring.
D)Adequate nutrition and maintenance of fluid and electrolyte balance.
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Chapter 26: 21st Century Pediatric Nursing
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Sample Questions
Q1) Which action by the nurse demonstrates use of evidence-based practice (EBP)?
A)Gathering equipment for a procedure
B)Documenting changes in a patient's status
C)Questioning the use of daily central line dressing changes
D)Clarifying a physician's prescription for morphine
Q2) Which statement regarding childhood morbidity is the most accurate?
A)Morbidity does not vary with age.
B)Morbidity is not distributed randomly.
C)Little can be done to improve morbidity.
D)Unintentional injuries do not have an effect on morbidity.
Q3) 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.
Q4) 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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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/25313
Sample Questions
Q1) The mother of a school-age child tells the school nurse that she and her spouse are going through a divorce.The child has not been doing well in school and sometimes has trouble sleeping.The nurse should recognize this as:
A)Indicative of maladjustment.
B)Common reaction to divorce.
C)Suggestive of lack of adequate parenting.
D)Unusual response that indicates need for referral.
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) What type of family is one in which all members are related by blood?
A)Consanguineous
B)Affinal
C)Family of origin
D)Household
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Chapter 28: Developmental and Genetic Influences on
Child Health Promotion
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/25314
Sample Questions
Q1) Which term refers to those times in an individual's life when he or she is more susceptible to positive or negative influences?
A)Sensitive period
B)Sequential period
C)Terminal points
D)Differentiation points
Q2) The predominant characteristic of the intellectual development of the child ages 2 to 7 years is egocentricity.What best describes this concept?
A)Selfishness
B)Self-centeredness
C)Preferring to play alone
D)Inability to put self in another's place
Q3) What factors indicate that parents should seek genetic counseling for their child
(Select all that apply)?
A)Abnormal newborn screen
B)Family history of a hereditary disease
C)History of hypertension in the family
D)Severe colic as an infant
E)Metabolic disorder
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Chapter 29: Communication, history, and Physical Assessment
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25315
Sample Questions
Q1) Step 1
A)Auscultation
B)Palpation
C)Inspection
D)Percussion
Q2) What type of breath sound is normally heard over the entire surface of the lungs,except for the upper intrascapular area and the area beneath the manubrium?
A)Vesicular
B)Bronchial
C)Adventitious
D)Bronchovesicular
Q3) When doing a nutritional assessment on an Hispanic family,the nurse learns that their diet consists mainly of vegetables,legumes,and starches.The nurse should recognize that this diet:
A)Indicates that they live in poverty.
B)Is lacking in protein.
C)May provide sufficient amino acids.
D)Should be enriched with meat and milk.
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Chapter 30: Pain Assessment and Management in Children
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25316
Sample Questions
Q1) Which myth may interfere with the treatment of pain in infants and children?
A)Infants may have sleep difficulties after a painful event.
B)Children and infants are more susceptible to respiratory depression from narcotics.
C)Pain in children is multidimensional and subjective.
D)A child's cognitive level does not influence the pain experience.
Q2) A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair.Which pain assessment tool should the nurse use to assess this child for the presence of pain?
A)FACES pain rating tool
B)Numeric scale
C)Oucher scale
D)FLACC tool
Q3) Step 2
A)Place the patient on continuous pulse oximetry to assess SaO<sub>2</sub>.
B)Administer the prescribed naloxone (Narcan) dose by slow IV push.
C)Ensure oxygen is available.
D)Prepare to calm the child as analgesia is reversed.
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Chapter 31: The Infant and Family
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/25317
Sample Questions
Q1) The parent of 2-week-old Sarah asks the nurse if Sarah needs fluoride supplements because she is exclusively breastfed.The nurse's best response is:
A)"She needs to begin taking them now."
B)"They are not needed if you drink fluoridated water."
C)"She may need to begin taking them at age 6 months."
D)"She can have infant cereal mixed with fluoridated water instead of supplements."
Q2) A parent asks the nurse "At what age do most babies begin to fear strangers?" The nurse responds that most infants begin to fear strangers at age:
A)2 months.
B)4 months.
C)6 months.
D)12 months.
Q3) Which behavior indicates that an infant has developed object permanence?
A)Recognizes familiar face such as the mother
B)Recognizes familiar object such as a bottle
C)Actively searches for a hidden object
D)Secures objects by pulling on a string
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Chapter 32: The Toddler and Family
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/25318
Sample Questions
Q1) A parent asks the nurse about how to respond to negativism in toddlers.The most appropriate recommendation is to:
A)Punish the child.
B)Provide more attention.
C)Ask child not always to say "no."
D)Reduce the opportunities for a "no" answer.
Q2) Developmentally,most children at age 12 months:
A)Use a spoon adeptly.
B)Relinquish the bottle voluntarily.
C)Eat the same food as the rest of the family.
D)Reject all solid food in preference to the bottle.
Q3) In the clinic waiting room,a nurse observes a parent showing an 18-month-old child how to make a tower out of blocks.In this situation the nurse should recognize that:
A)Blocks at this age are used primarily for throwing.
B)Toddlers are too young to imitate the behavior of others.
C)Toddlers are capable of building a tower of blocks.
D)Toddlers are too young to build a tower of blocks.
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Chapter 33: The Preschooler and Family
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25319
Sample Questions
Q1) Which characteristic best describes the language of a 3-year-old child?
A)Asks meanings of words
B)Follows directional commands
C)Can describe an object according to its composition
D)Talks incessantly, regardless of whether anyone is listening
Q2) 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
Q3) Which medication may be given to high risk children after exposure to chickenpox to prevent varicella?
A)Acyclovir
B)Vitamin A
C)Diphenhydramine hydrochloride
D)Varicella zoster immune globulin (VZIG)
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35
Chapter 34: The School-Age Child and Family
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/25320
Sample Questions
Q1) Which demonstrates the school-age child's developing logic in the stage of concrete operations (select all that apply)?
A)The school-age child is able to recognize that he can be a son, brother, or nephew at the same time.
B)The school-age child understands the principles of adding, subtracting, and reversibility.
C)School-age child understands the principles of adding, subtracting, and reversibility.
D)The school-age child has thinking that is characterized by egocentrism and animism.
Q2) An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that,if she dies,she will go to hell.The nurse should interpret this as being:
A)A belief common at this age.
B)A belief that forms the basis for most religions.
C)Suggestive of excessive family pressure.
D)Suggestive of a failure to develop a conscience.
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36
Chapter 35: The Adolescent and Family
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/25321
Sample Questions
Q1) Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?
A)Social isolation
B)Level of stress
C)Degree of depression
D)Desire to punish others
Q2) The parents of a 15-year-old girl are concerned that their adolescent spends too much time looking in the mirror.Which statement is the most appropriate for the nurse to make?
A)"Your teenager needs clearer and stricter limits about her behavior."
B)"Your teenager needs more responsibility at home."
C)"During adolescence this behavior is not unusual."
D)"The behavior is abnormal and needs further investigation."
Q3) The psychologic effects of being obese during adolescence include:
A)Sexual promiscuity.
B)Poor body image.
C)Memory having no effect on eating behavior.
D)Accurate body image but self-deprecating attitude.
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Chapter 36: Chronic Illness, disability, and End-Of-Life Care
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/25322
Sample Questions
Q1) Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability.After the shock phase,a period of adjustment usually follows.This is often characterized by:
A)Denial.
B)Guilt and anger.
C)Social reintegration.
D)Acceptance of child's limitations.
Q2) A nurse is planning palliative care for a child with severe pain.Which should the nurse expect to be prescribed for pain relief?
A)Opioids as needed
B)Opioids on a regular schedule
C)Distraction and relaxation techniques
D)Nonsteroidal antiinflammatory drugs
Q3) The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?
A)Toddler
B)Preschooler
C)School-age child
D)Adolescent
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Page 38
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25323
Sample Questions
Q1) Which interventions should the nurse plan when caring for a child with a visual impairment (select all that apply)?
A)Touch the child upon entering the room before speaking.
B)Keep items in the room in the same location.
C)Describe the placement of the eating utensils on the meal tray.
D)Use color examples to describe something to a child who has been blind since birth.
E)Identify noises for the child.
Q2) A child with autism spectrum disorder (ASD)is admitted to the hospital with pneumonia.The nurse should plan which priority intervention when caring for the child?
A)Maintain a structured routine and keep stimulation to a minimum.
B)Place the child in a room with a roommate of the same age.
C)Maintain frequent touch and eye contact with the child.
D)Take the child frequently to the playroom to play with other children.
Q3) The pediatric nurse understands that fragile X syndrome is:
A)A chromosome defect affecting only females.
B)A chromosome defect that follows the pattern of X-linked recessive disorders.
C)The second most common genetic cause of cognitive impairment.
D)The most common cause of noninherited cognitive impairment.
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Chapter 38: Family-Centered Care of the Child During
Illness and Hospitalization
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25324
Sample Questions
Q1) A 14-year-old boy is being admitted to the hospital for an appendectomy.Which roommate should the nurse assign with this patient?
A)A 4-year-old boy who is first day post-appendectomy surgery
B)A 6-year-old boy with pneumonia
C)A 15-year-old boy admitted with a vaso-occlusive sickle cell crisis
D)A 12-year-old boy with cellulitis
Q2) Latasha,age 8 years,is being admitted to the hospital from the emergency department with an injury from falling off her bicycle.What will help her most in her adjustment to the hospital?
A)Explain hospital schedules such as mealtimes.
B)Use terms such as "honey" and "dear" to show a caring attitude.
C)Explain when parents can visit and why siblings cannot come to see her.
D)Orient her parents, because she is young, to her room and hospital facility.
Q3) Olivia,age 5 years,tells the nurse that she "needs a Band-Aid" where she had an injection.The best nursing action is to:
A)Apply a Band-Aid.
B)Ask her why she wants a Band-Aid.
C)Explain why a Band-Aid is not needed.
D)Show her that the bleeding has already stopped.
Page 40
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Chapter 39: Pediatric Variations of Nursing Interventions
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/25325
Sample Questions
Q1) A 2-year-old child comes to the emergency department with dehydration and hypovolemic shock.What 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) The nurse is teaching a mother how to perform chest physiotherapy and postural drainage on her 3-year-old child,who has cystic fibrosis.To enable the mother to perform percussion,the nurse should instruct her to:
A)Cover the skin with a shirt or gown before percussing.
B)Strike the chest wall with a flat-hand position.
C)Percuss over the entire trunk anteriorly and posteriorly.
D)Percuss before positioning for postural drainage.
Q3) The nurse wore gloves during a dressing change.When the gloves are removed,the nurse should:
A)Wash hands thoroughly.
B)Check the gloves for leaks.
C)Rinse gloves in disinfectant solution.
D)Apply new gloves before touching the next patient.
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Page 41
Chapter 40: Respiratory Dysfunction
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25326
Sample Questions
Q1) Pancreatic enzymes are administered to the child with cystic fibrosis.Nursing considerations should include:
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) The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV)bronchiolitis.Which interventions should be included in the child's care (Select all that apply)?
A)Administer antibiotics.
B)Administer cough syrup.
C)Encourage infant to drink 8 ounces of formula every 4 hours.
D)Institute cluster care to encourage adequate rest.
E)Place on noninvasive oxygen monitoring.
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Chapter 41: Gastrointestinal Dysfunction
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/25327
Sample Questions
Q1) A 3-year-old child with Hirschsprung's disease is hospitalized for surgery.A temporary colostomy will be necessary.The nurse should recognize that preparing this child psychologically is:
A)Not necessary because of child's age.
B)Not necessary because the colostomy is temporary.
C)Necessary because it will be an adjustment.
D)Necessary because the child must deal with a negative body image.
Q2) Which type of dehydration results from water loss in excess of electrolyte loss?
A)Isotonic dehydration
B)Isosmotic dehydration
C)Hypotonic dehydration
D)Hypertonic dehydration
Q3) What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux?
A)Teach parents to position the infant on the left side.
B)Reinforce the parents' knowledge of the infant's developmental needs.
C)Teach the parents how to do infant cardiopulmonary resuscitation (CPR).
D)Have the parents keep an accurate record of intake and output.
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Page 43
Chapter 42: Cardiovascular Dysfunction
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62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/25328
Sample Questions
Q1) The primary nursing intervention necessary to prevent bacterial endocarditis is to:
A)Institute measures to prevent dental procedures.
B)Counsel parents of high risk children about prophylactic antibiotics.
C)Observe children for complications such as embolism and heart failure.
D)Encourage restricted mobility in susceptible children.
Q2) What is the nurse's first action when planning to teach the parents of an infant with a congenital heart defect (CHD)?
A)Assess the parents' anxiety level and readiness to learn.
B)Gather literature for the parents.
C)Secure a quiet place for teaching.
D)Discuss the plan with the nursing team.
Q3) An adolescent being seen by the nurse practitioner for a sports physical is identified as having hypertension.On further testing,it is discovered the child has a cardiac abnormality.The initial treatment of secondary hypertension initially involves:
A)Weight control and diet.
B)Treating the underlying disease.
C)Administration of digoxin.
D)Administration of b-adrenergic receptor blockers.
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Chapter 43: Hematologic and Immunologic Dysfunction
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55 Verified Questions
55 Flashcards
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Sample Questions
Q1) Third priority
A)Take the vital signs.
B)Stop the transfusion.
C)Notify the practitioner.
D)Maintain a patent intravenous (IV) line with normal saline.
Q2) A condition in which the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin is:
A)Aplastic anemia.
B)Sickle cell anemia.
C)Thalassemia major.
D)Iron deficiency anemia.
Q3) The nurse is preparing to give oral care to a school-age child with mucositis secondary to chemotherapy administered to treat leukemia.Which preparations should the nurse use for oral care on this child (Select all that apply)?
A)Chlorhexidine gluconate (Peridex)
B)Lemon glycerin swabs
C)Antifungal troches (lozenges)
D)Lip balm (Aquaphor)
E)Hydrogen peroxide
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Chapter 44: Genitourinary Dysfunction
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25330
Sample Questions
Q1) A major complication in a child with chronic renal failure is:
A)Hypokalemia.
B)Metabolic alkalosis.
C)Water and sodium retention.
D)Excessive excretion of blood urea nitrogen.
Q2) The most appropriate nursing diagnosis for the child with acute glomerulonephritis is:
A)Risk for Injury related to malignant process and treatment.
B)Deficient Fluid Volume related to excessive losses.
C)Excess Fluid Volume related to decreased plasma filtration.
D)Excess Fluid Volume related to fluid accumulation in tissues and third spaces.
Q3) Which diagnostic finding is present when a child has primary nephrotic syndrome?
A)Hyperalbuminemia
B)Positive ASO titer
C)Leukocytosis
D)Proteinuria
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Chapter 45: Cerebral Dysfunction
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53 Flashcards
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Sample Questions
Q1) The mother of a 1-month-old infant tells the nurse that she worries that her baby will get meningitis like her oldest son did when he was an infant.The nurse should base her response on knowing that:
A)Meningitis rarely occurs during infancy.
B)Often a genetic predisposition to meningitis is found.
C)Vaccination to prevent all types of meningitis is now available.
D)Vaccination to prevent Haemophilus influenzae type b meningitis has decreased the frequency of this disease in children.
Q2) The nurse has received report on four children.Which child should the nurse assess first?
A)A school-age child in a coma with stable vital signs
B)A preschool child with a head injury and decreasing level of consciousness
C)An adolescent admitted after a motor vehicle accident who is oriented to person and place
D)A toddler in a persistent vegetative state with a low-grade fever
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Chapter 46: Endocrine Dysfunction
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/25332
Sample Questions
Q1) Which clinical manifestation may occur in the child who is receiving too much methimazole (Tapazole)for the treatment of hyperthyroidism (Graves' disease)?
A)Seizures
B)Enlargement of all lymph glands
C)Pancreatitis or cholecystitis
D)Lethargy and somnolence
Q2) A child will start treatment for precocious puberty.This involves injections of synthetic:
A)Thyrotropin.
B)Gonadotropins.
C)Somatotropic hormone.
D)Luteinizing hormone-releasing hormone.
Q3) Manifestations of hypoglycemia include:
A)Lethargy.
B)Thirst.
C)Nausea and vomiting.
D)Shaky feeling and dizziness.
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Chapter 47: Integumentary Dysfunction
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/25333
Sample Questions
Q1) Hydrotherapy is required to treat a child with extensive partial-thickness burn wounds.Which is the primary purpose of hydrotherapy?
A)Debride the wounds.
B)Increase peripheral blood flow.
C)Provide pain relief.
D)Destroy bacteria on the skin.
Q2) The management of a child who has just been stung by a bee or wasp should include the application of:
A)Cool compresses.
B)Warm compresses.
C)Antibiotic cream.
D)Corticosteroid cream.
Q3) The nurse is teaching parents of toddlers about animal safety.Which information should be included in the teaching session?
A)Petting dogs in the neighborhood should be encouraged to prevent fear of dogs.
B)The toddler is safe to approach an animal if the animal is chained.
C)It is permissible for your toddler to feed treats to a dog.
D)Teach your toddler not to disturb an animal that is eating.
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Chapter 48: Musculoskeletal or Articular Dysfunction
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A school-age child is diagnosed with systemic lupus erythematosus (SLE).The nurse should plan to implement which interventions for this child (Select all that apply)?
A)Instructions to avoid exposure to sunlight
B)Teaching about body changes associated with SLE
C)Preparation for home schooling
D)Restricted activity
Q2) What is most descriptive of the therapeutic management of 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) The primary method of treating osteomyelitis is:
A)Joint replacement.
B)Bracing and casting.
C)Intravenous antibiotic therapy.
D)Long-term corticosteroid therapy.
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Chapter 49: Neuromuscular or Muscular Dysfunction
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse is conducting discharge teaching with parents of a preschool child with 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 (Ditropan) as prescribed.
C)Reduce fluid intake in the afternoon and evening hours.
D)Monitor for signs of a recurrent UTI.
E)Administer furosemide (Lasix) as prescribed.
Q2) How much folic acid is recommended for women of childbearing age?
A)0.1 mg
B)0.4 mg
C)1.5 mg
D)2 mg
Q3) A toddler is admitted to the hospital with a possible diagnosis of tetanus.The health care provider has prescribed lorazepam (Ativan)intravenously 0.05 mg/kg/dose every 6 hours prn as a muscle relaxant.The child weighs 22 lbs.How many milligrams of Ativan should the nurse administer per dose? _____ Record your answer using one decimal place.
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