Nursing Care of the Childbearing Family Practice Exam
Course Introduction
This course explores nursing care for childbearing families across the perinatal continuum, emphasizing holistic, family-centered approaches. It covers maternal, fetal, and neonatal physiological and psychosocial adaptation during pregnancy, childbirth, and the postpartum period. Students learn to assess, plan, implement, and evaluate nursing care for women, newborns, and families with varying needs, incorporating principles of health promotion, risk reduction, and evidence-based practice. Special attention is given to cultural competence, communication, ethical considerations, and interprofessional collaboration to support optimal outcomes for mothers, infants, and families.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 8th Edition by Leifer
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Chapter 1: The Past, Present, and Future
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Sample Questions
Q1) An urban area has been reported to have a high perinatal mortality rate.What information does this provide?
A) Maternal and infant deaths per 100,000 live births per year
B) Deaths of fetuses weighing more than 500 g per 10,000 births per year
C) Deaths of infants up to 1 year of age per 1000 live births per year
D) Fetal and neonatal deaths per 1000 live births per year
Answer: D
Q2) A patient chooses to have the certified nurse-midwife (CNM)provide care during her pregnancy.What does the CNM's scope of practice include?
A) Practice independent from medical supervision
B) Comprehensive prenatal care
C) Attendance at all deliveries
D) Cesarean sections
Answer: B
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Chapter 2: Human Reproductive Anatomy and Physiology
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Sample Questions
Q1) A patient is being seen by her health care provider for a suspected vaginal infection.What will the nurse include when educating this patient on factors that affect the vaginal pH? (Select all that apply. )
A) Antibiotic therapy
B) Frequent douching
C) Exercise
D) Jet lag
E) Use of vaginal sprays
Answer: A,B,E
Q2) A 12-year-old female patient experienced menarche 3 months ago.Her mother voices concern to the pediatric office nurse regarding the irregularity of her daughter's menstrual cycle.What is the nurse's best response?
A) "Worrying is not the answer."
B) "I will talk to the pediatrician about a gynecological referral."
C) "I can only discuss this with your daughter."
D) "Early cycles are often irregular."
Answer: D
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4
Chapter 3: Fetal Development
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Sample Questions
Q1) The nurse is educating a class of expectant parents about fetal development.What is considered fetal age of viability?
A) 14 weeks
B) 20 weeks
C) 25 weeks
D) 30 weeks
Answer: B
Q2) What is the total number of chromosomes contained in a mature sperm or ovum?
A) 22
B) 23
C) 44
D) 46
Answer: B
Q3) What are the functions of amniotic fluid? (Select all that apply. )
A) Maintaining an even temperature
B) Impeding excessive fetal movement
C) Lubricating fetal skin
D) Acting as a reservoir for nutrients
E) Acting as a cushion for the fetus
Answer: A,E
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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Sample Questions
Q1) A woman reports that her last normal menstrual period began on August 5,2013.What is this woman's expected delivery date using Nägele's rule?
A) April 30,2014
B) May 5,2014
C) May 12,2014
D) May 26,2014
Q2) When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease.Given this information,what lab test can the nurse anticipate the physician will order?
A) Endovaginal ultrasound
B) Pap test
C) Complete blood count
D) Hemoglobin electrophoresis
Q3) The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago.What is the nurse's initial action?
A) Assess food intake.
B) Weigh the patient again.
C) Take the blood pressure.
D) Notify the physician.
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Chapter 5: Nursing Care of Women With Complications
During Pregnancy
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Sample Questions
Q1) A woman,gravida 3,para 2,is attending her fourth prenatal visit and confides in the nurse that she is battered by her husband.She is assessed to have multiple bruises at various stages of healing.What nursing actions are appropriate for the nurse to implement? (Select all that apply. )
A) Tell the husband that authorities will be notified immediately.
B) Provide privacy for the assessment.
C) Determine if children are being hurt.
D) Communicate in a nonjudgmental way.
E) Determine factors that increase the risk of injury.
Q2) A woman seeking prenatal care relates a history of macrosomic infants,two stillbirths,and polyhydramnios with each pregnancy.What does the nurse recognize these factors highly suggest?
A) Toxoplasmosis
B) Abruptio placentae
C) Hydatidiform mole
D) Diabetes mellitus
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Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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Q1) It is determined that the presenting part of the fetus is the buttocks.At delivery the fetus's hips are flexed and the knees are extended.How would the nurse record this presentation?
A) Complete breech
B) Frank breech
C) Double footling
D) Buttocks presentation
Q2) Why should the nurse encourage the mother to void during the fourth stage of labor?
A) A full bladder could interfere with cervical dilation.
B) A full bladder could obstruct progress of the infant through the birth canal.
C) A full bladder could obstruct the passage of the placenta.
D) A full bladder could predispose the mother to uterine hemorrhage.
Q3) How should the nurse intervene to relieve perineal bruising and edema following delivery?
A) Place an ice pack on the area for 12 hours.
B) Place a warm pack on the perineal area for 24 hours.
C) Administer aspirin to relieve inflammation.
D) Change the perineal pad frequently.
Page 8
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Chapter 7: Nursing Management of Pain During Labor and Birth
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Sample Questions
Q1) What typical types of classes are available to help expectant parents prepare for parenthood? (Select all that apply. )
A) Infant care
B) Breastfeeding
C) Gestational diabetes
D) Sources of financial aid
E) Yoga
Q2) What is the Dick-Read method of childbirth preparation based on?
A) Mild sedation throughout labor
B) Relaxation techniques
C) Skin stimulation
D) Deep massage
Q3) A woman in labor will receive general anesthesia prior to cesarean section.The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery.What will this prevent?
A) Nausea and vomiting
B) Vomiting and aspiration
C) Abdominal cramping
D) Intestinal obstruction
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Chapter 8: Nursing Care of Women With Complications
During Labor and Birth
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Sample Questions
Q1) After several hours of labor,a nursing assessment reveals that a woman's cervix is 5 cm dilated,but contractions are becoming shorter and less frequent.What is this labor pattern considered?
A) Normal
B) Hypotonic
C) Hypertonic
D) False
Q2) The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor.Which laboring patient should the nurse attend to first?
A) 18-year-old primigravida with a fetal breech presentation
B) 25-year-old multigravida with history of previous cesarean section
C) 35-year-old multigravida with history of precipitate birth
D) 16-year-old primigravida with a twin pregnancy
Q3) What does the nurse explain is used to soften the cervix with a "cervical ripening" agent?
A) Prostaglandin gel insertion
B) Intravenous oxytocin
C) Warm saline douches
D) Nipple stimulation
Page 10
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Chapter 9: The Family After Birth
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Sample Questions
Q1) Below what blood glucose level is the newborn considered hypoglycemic?
A) Below 70 mg/dL
B) Below 60 mg/dL
C) Below 50 mg/dL
D) Below 40 mg/dL
Q2) What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?
A) Well-contracted with its upper border at or just below the umbilicus
B) Well-contracted with its upper border three or four fingerbreadths above the umbilicus
C) Relaxed with its upper border level with the umbilicus
D) Relaxed with its upper border two or three fingerbreadths below the umbilicus
Q3) The nurse is assessing a newborn.Which sign would indicate hypoglycemia?
A) Increased nasal mucus
B) Increased temperature
C) Active muscle movements
D) High-pitched cry
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11
Chapter 10: Nursing Care of Women With Complications
Following Birth
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Sample Questions
Q1) A 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed.What is the nurse's most helpful response?
A) "Stop breastfeeding until the infection clears."
B) "Pump the breasts to continue milk production,but do not give breast milk to the infant."
C) "Begin all feedings with the affected breast until the mastitis is resolved."
D) "Breastfeeding can continue unless there is abscess formation."
Q2) A woman is diagnosed with a urinary tract infection in the postpartum period.What foods can the nurse encourage to increase the acidity of urine? (Select all that apply. )
A) Apricots
B) Cranberry juice
C) Plums
D) Prunes
E) Apples
Q3) What is the first sign of hypovolemic shock from postpartum hemorrhage?
A) Cold,clammy skin
B) Tachycardia
C) Hypotension
D) Decreased urinary output
Page 12
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Chapter 11: The Nurses Role in Womens Health Care
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Sample Questions
Q1) The nurse reviews the procedure for breast self-examination (BSE)with a 25-year-old woman who has a family history of breast cancer.When reviewing the procedure,when will the nurse indicate as the best time for a woman to perform a breast self-examination?
A) A few days before her period
B) During her menstrual period
C) On the last day of menstrual flow
D) One week after the beginning of her period
Q2) Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?
A) Super-absorbency tampons are effective for overnight absorption.
B) Tampons should be changed at least every 4 hours.
C) Gloves should be worn when changing tampons.
D) TSS can be prevented by using a pad for the first 2 days of menstrual flow.
Q3) What should a woman expect after insertion of an intrauterine device (IUD)?
A) Menstrual flow will be lighter.
B) Menstrual cramps will be eliminated.
C) A string should be felt in the vagina.
D) The device should be changed every 2 years.
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Page 13
Chapter 12: The Term Newborn
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Sample Questions
Q1) A mother asks the nurse,"Do you think my baby recognized my voice?" The nurse should consider which correct information when responding?
A) Voice recognition is delayed because the ears are not well developed at birth.
B) Infants respond to voice by increasing movements and sucking.
C) Infants initially respond to low-pitched voices.
D) Neonates can distinguish a mother's voice from other sounds in the first days of life.
Q2) The mother of a 2-week-old infant tells the nurse,"I think the baby is constipated.I've noticed she strains when she has a bowel movement." What is nurse's most helpful response?
A) "Give the baby one serving of fruit per day."
B) "Increase the amount and frequency of her feedings."
C) "It sounds like the baby is uncomfortable because she is constipated."
D) "Newborns might strain with bowel movements because their muscles aren't fully developed."
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14
Chapter 13: Preterm and Postterm Newborns
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Sample Questions
Q1) The nurse is caring for an infant born at 35 weeks of gestation.What physical characteristic might the nurse expect this infant to exhibit?
A) Thin,long extremities
B) Large genitals for its size
C) Minimal vernix caseosa
D) Loose,transparent skin
Q2) The nurse explains to a patient in preterm labor that what may be ordered by the physician to accelerate fetal lung maturity?
A) Prostaglandins
B) Oxytocin
C) Magnesium sulfate
D) Corticosteroids
Q3) The nurse caring for a preterm infant will record the intake and output.The nurse is aware that what is the optimum output for this infant?
A) 1 to 3 mL/kg/hr
B) 4 to 6 mL/kg/hr
C) 7 to 9 mL/kg/hr
D) 10 to 14 mL/kg/hr
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Chapter 14: The Newborn With a Perinatal Injury or Congenital
Malformation
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Q1) A 3-month-old infant is diagnosed with developmental hip dysplasia.The nurse knows that what is the usual treatment for an infant with this diagnosis?
A) A Pavlik harness
B) A body spica cast
C) Traction
D) Triple-diapering
Q2) The nurse is caring for a macrosomic newborn of a woman diagnosed with gestational diabetes immediately after birth.What assessment findings can the nurse anticipate? (Select all that apply. )
A) High blood glucose levels
B) Weight of 9 pounds or more
C) Decreased subcutaneous fat
D) Hypocalcemia
E) Hyperbilirubinemia
Q3) What assessment made by the nurse would lead the nurse to suspect hip dysplasia?
A) Asymmetrical gluteal folds
B) Limited adduction of the affected side
C) Foot turned inward
D) Deep inguinal creases
Page 16
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Chapter 15: An Overview of Growth, Development, and Nutrition
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Q1) What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
A) Specific to general
B) Proximodistal
C) Cephalocaudal
D) General to specific
Q2) What would the nurse further investigate when assessing patterns of growth in a child?
A) Previous weight was in the 75th percentile,and present weight is in the 25th percentile.
B) Height is in the 90th percentile,and weight is in the 75th percentile.
C) Last weight was in the 5th percentile,and present weight is in the 10th percentile.
D) Weight is in the 50th percentile,and sibling's weight at the same age was in the 75th percentile.
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17
Chapter 16: The Infant
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Sample Questions
Q1) Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to their child.What is the correct response?
A) "The infant has limited ability to produce red blood cells."
B) "The infant has ineffective digestive enzymes."
C) "The infant has exhausted maternal iron stores."
D) "The infant has need of the iron to support dentition."
Q2) Which statement indicates the mother of an 8-month-old infant understands infant sleep patterns?
A) "I put the baby in my bed until she falls asleep,then I put her in her crib."
B) "I let the baby skip an afternoon nap so that she will fall asleep earlier."
C) "I put the pacifier in the crib so that she can find it when she wakes up."
D) "I rock the baby back to sleep if she wakes up at night."
Q3) The nurse is preparing to outline principles of discipline for parents of an infant.What information should the nurse include? (Select all that apply. )
A) Firmly say "No."
B) Distract the child to another activity.
C) Bribe the child with a sweet treat.
D) Remain consistent.
E) Ignore the child until behavior improves.
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Page 18
Chapter 17: The Toddler
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Q1) What would be an expected finding when assessing language development in a 2-year-old child?
A) A 900-word vocabulary
B) Use of two-word sentences
C) Use of pronouns and prepositions
D) 100% of speech is understandable
Q2) A 16-month-old child is attending a well-child visit at a pediatric clinic.Which assessment would indicate the biggest cause for concern?
A) Does not walk independently
B) Prefers finger feeding
C) Limited to single words
D) Is unable to climb steps
Q3) What is the most appropriate toy for the nurse to select for a normal 2-year-old child?
A) Bicycle with training wheels
B) Dump truck
C) Wind-up toy
D) Building block set
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19
Chapter 18: The Preschool Child
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Q1) What does including play in the plan of care for a 5-year-old allow the child to do?
(Select all that apply. )
A) Exercise his imagination.
B) Assume a role and act it out.
C) Offer an emotional outlet.
D) Avoid magical thinking.
E) Interact with other children.
Q2) What will children who are unable to express themselves with words often do?
A) Become reclusive and introspective.
B) Develop other methods of verbal communication.
C) Engage in more creative play.
D) Have tantrums and act out.
Q3) What type of play is most appropriate when planning care for a child with moderate intellectual deficiency?
A) Exercise leg and arm muscles.
B) Be educationally oriented to make up for lost time.
C) Be adjusted to mental age rather than chronological age.
D) Involve contact sports and aggressive physical activity with other children.
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Chapter 19: The School-Age Child
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Q1) A parent asked the nurse,"At what age are children capable of assuming more responsibility for personal belongings?" What is the nurse's best response based on knowledge of growth and development?
A) 6 years
B) 7 years
C) 9 years
D) 12 years
Q2) The nurse is advising parents of a 10-year-old boy about the most developmentally supportive experiences for their son.What is the best experience for this child according to Erikson's theory?
A) Constant variety of activities
B) Successful performance in Little League
C) Feeling healthy and strong
D) Having a girlfriend
Q3) What type of relationships are the preferred social interactions for the school-age child?
A) Heterosexual interest groups
B) Association with one "best friend"
C) Rigidly organized groups with complex rules
D) Same-sex peer groups
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Chapter 20: The Adolescent
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Q1) A 13-year-old girl tells the school nurse that she is getting fat,especially in her hips and legs.What understanding by the nurse would best guide the response?
A) Many adolescents are unaware of proper nutrition.
B) Adolescents of this age become less active and should eat fewer calories.
C) Puberty is often preceded by fat deposits in these areas.
D) As soon as menarche occurs,she will lose this excess weight.
Q2) A 13-year-old boy states,"The girls in my class tower over me." What would be the nurse's most informative response?
A) "It may seem that way because girls have a growth spurt 2 years earlier than boys."
B) "Perhaps your parents are not exceptionally tall."
C) "Boys usually experience a growth spurt 1 year earlier than girls."
D) "You may feel short,but you are actually average height for your age."
Q3) What does adolescent acne result from?
A) Ineffective sweat glands
B) Oily skin
C) Inadequate hygiene
D) A poor diet
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Page 22
Chapter 21: The Childs Experience of Hospitalization
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Q1) A 4-year-old child begins to cry when his mother tells him it is time for his operation.The nurse understands this is an expected reaction.On which particular fear of the preschooler does the nurse base this understanding?
A) Loss of control
B) Restricted mobility
C) Unfamiliar routines
D) Invasive procedures
Q2) A 13-year-old girl has been hospitalized for the past week.When discussing the girl's feelings about her illness,what would the nurse expect the girl to express as her biggest concern?
A) Invasive procedures
B) Loss of control
C) Appearance
D) Separation from her boyfriend
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Chapter 22: Health Care Adaptations for the Child and Family
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Q1) Why is a tympanic thermometer considered more accurate than other types of thermometers?
A) The thermometer probe is blunt and wide.
B) It takes a brief time to register.
C) The tympanic membrane shares circulation with the hypothalamus.
D) The tympanic membrane and the brain have the same temperature.
Q2) Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?
A) The blanket is not tucked into the mattress.
B) Diapers and wipes are stacked at the foot of the crib.
C) The crib side is locked in the up position.
D) Pillows are stacked on the bedside table.
Q3) An infant's dry diaper weighs 2.5g.How would the nurse record the infant's urine output?
A) 47 mL
B) 44.5 mL
C) 43.5 mL
D) 40.5 mL
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Chapter 23: The Child With a Sensory or Neurological Condition
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Q1) Parents of a 10-year-old child diagnosed with an intellectual deficit are sharing multiple approaches they implement in dealing with various challenges.Which statement by the parents alerts the nurse they need further instruction?
A) "We dress our son every morning for school."
B) "Our son participates in the Special Olympics every year."
C) "Our son attends play therapy at a center close to home."
D) "We attend a support group once a week."
Q2) What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?
A) "I will continue using the medication until symptoms are relieved."
B) "I will share the medicine with siblings if their symptoms are the same."
C) "I will give the medication with a glass of milk."
D) "I will administer prescribed doses until all the medication is used."
Q3) Which situation would cause the nurse to suspect a hearing impairment?
A) 3-month-old infant with a positive Moro (startle reaction)reflex
B) 15-month-old toddler who is babbling
C) 18-month-old toddler who is speaking one-syllable words
D) 24-month-old toddler who communicates by pointing
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Chapter 24: The Child With a Musculoskeletal Condition
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Q1) What intervention will the nurse caring for a child in Buck skin traction implement?
A) Position in high Fowler's position.
B) Assist the child to be pulled up in bed.
C) Keep child's heel on the bed surface.
D) Maintain child's feet against the foot of the bed.
Q2) Why does a child's fracture heal more rapidly than the adult's?
A) A child's bones are less porous than adult bone.
B) A child's bones are covered by a thicker periosteum.
C) A child's bones are not affected by bone overgrowth.
D) A child's bones have faster callus formation.
Q3) Which observation is most likely to cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs?
A) Red,green,and yellow bruises on his body.
B) Bruises are dispersed on his head,arms,and legs.
C) A broken arm last year,and the child being described as accident-prone.
D) The mother is very anxious for her son to get medical attention.
Q4) The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.
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Chapter 25: The Child With a Respiratory Disorder
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Q1) Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?
A) Take the child outside in the cool air.
B) Bring the child directly to the emergency department.
C) Take the child to the bathroom and turn on a hot shower.
D) Have the child drink plenty of fluids.
Q2) The nurse reports which assessments that suggest a meconium ileus in a newborn?
(Select all that apply. )
A) Abdominal distention
B) Vomiting
C) Hiccoughing
D) Jaundice
E) Absence of stool
Q3) What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be?
A) Acetaminophen and plenty of fluids
B) Oral penicillin for 10 days
C) Penicillin until his sore throat is gone
D) Streptococcus immunization
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Page 27
Chapter 26: The Child With a Cardiovascular Disorder
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Q1) The parent of a 1-year-old child with tetralogy of Fallot asks the nurse,"Why do my child's fingertips look like that?" On what understanding does the nurse base a response?
A) Clubbing occurs as a result of untreated congestive heart failure.
B) Clubbing occurs as a result of a left-to-right shunting of blood.
C) Clubbing occurs as a result of decreased cardiac output.
D) Clubbing occurs as a result of chronic hypoxia.
Q2) What assessment(s)in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode? (Select all that apply. )
A) Spontaneous cyanosis
B) Dyspnea
C) Weakness
D) Dry cough
E) Syncope
Q3) What is accurate about the characteristics of high-density lipoproteins (HDLs)?
A) They have high amounts of triglycerides.
B) They have only small amounts of protein.
C) They have little cholesterol.
D) They aid in steroid production.
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28
Chapter 27: The Child With a Condition of the Blood, Blood-Forming
Organs, or Lymphatic System
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Sample Questions
Q1) A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis with severe abdominal pain.Which type of crisis is the child most likely experiencing?
A) Aplastic
B) Hyperhemolytic
C) Vaso-occlusive
D) Splenic sequestration
Q2) A newly married couple is seeking genetic counseling because they are both carriers of the sickle cell trait.How can the nurse best explain the children's risk of inheriting this disease?
A) Every fourth child will have the disease;two others will be carriers.
B) All of their children will be carriers,just as they are.
C) Each child has a one in four chance of having the disease and a two in four chance of being a carrier.
D) The risk levels of their children cannot be determined by this information.
Q3) What is the result of a deficiency of factor IX?
A) Thalassemia
B) Idiopathic thrombocytopenic purpura
C) Hemophilia A
D) Christmas disease
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Chapter 28: The Child With a Gastrointestinal Condition
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Sample Questions
Q1) An infant is admitted to the hospital with severe isotonic dehydration.For what is this child at the highest risk?
A) Metabolic alkalosis
B) Hypocalcemia
C) Sepsis
D) Shock
Q2) Following surgery for pyloric stenosis,an infant awoke from anesthesia hungry and crying.What is the most appropriate nursing action?
A) Delay feeding the child for 6 hours.
B) Offer regular formula thinned with water.
C) Give small amounts of regular formula thickened with cereal.
D) Allow 1 ounce of glucose water at frequent intervals.
Q3) A frightened mother calls the pediatrician's office because her child swallowed dishwashing detergent.What is the most appropriate action?
A) Induce vomiting by giving the child syrup of ipecac.
B) Take the child to the local emergency department.
C) Give the child activated charcoal mixed with juice.
D) Give the child milk to soothe affected mucous membranes.
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Chapter 29: The Child With a Genitourinary Condition
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Sample Questions
Q1) The nurse is aware that genitourinary surgery is especially stressful for preschool children.What factor(s)lend to this stress? (Select all that apply. )
A) They may perceive the treatment as punishment.
B) They are especially prone to separation anxiety.
C) They are sexually curious and developmentally fixated on their genitals.
D) They have a fear of castration.
E) They fear death.
Q2) Which urinary diversion procedure is the least damaging to the body image of the adolescent?
A) Urostomy
B) Ileal conduit
C) Nephrostomy
D) Suprapubic placement
Q3) Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?
A) Performing range-of-motion exercises on lower extremities
B) Palpating the abdomen
C) Assessing for bowel sounds
D) Percussing ankle and knee reflexes
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Page 31
Chapter 30: The Child With a Skin Condition
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Sample Questions
Q1) On the first day following a severe burn,the body's fluid reserves have left the circulating volume and entered the interstitial space,causing massive edema.What should the nurse monitor for very closely in the burn victim?
A) Increasing intracranial pressure
B) Reduced urine output
C) Eschar formation
D) Fluid overload
Q2) Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?
A) "Wool is the best fabric for the infant's clothing."
B) "I should avoid laundry detergents with fragrances."
C) "I put cotton gloves on the infant's hands."
D) "The infant's fingernails are kept short."
Q3) A child is brought to the emergency department with severe frostbite.Which body parts should be warmed first?
A) Hands and arms
B) Feet and legs
C) Fingers and toes
D) Head and torso
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Chapter 31: The Child With a Metabolic Condition
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Sample Questions
Q1) A nurse is planning to teach a family about Tay-Sachs disease.What will the nurse relay about the pattern of inheritance for inborn errors of metabolism?
A) They are usually autosomal recessive.
B) They are usually autosomal dominant.
C) They are usually X-linked recessive.
D) They are usually multifactorial.
Q2) After a closed head injury,the unconscious 10-year-old child begins to excrete copious amounts of pale urine with an attendant drop in blood pressure (BP).Based on these symptoms,what does the nurse suspect has developed?
A) Diabetes insipidus
B) Diabetes mellitus
C) Hypothyroidism
D) Hyperthyroidism
Q3) What is an important consideration for the school-age child taking DDAVP for diabetes insipidus?
A) Observe for signs of water deprivation.
B) Restrict his physical education program.
C) Arrange for the child to use the bathroom when needed.
D) Limit fluid intake other than during the lunch period.
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Page 33
Chapter 32: Childhood Communicable Diseases,
Bioterrorism, Natural Disasters, and the Maternalchild
Patient
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Sample Questions
Q1) The nurse is explaining to a family about disaster preparedness.What will the nurse instruct the family to prepare in a disaster kit in case of emergency? (Select all that apply. )
A) Small television
B) Vital documents
C) Nonperishable food
D) Pet food
E) Blankets
Q2) The nurse demonstrates proper hand hygiene pointing out that the process should take a minimum of ____ seconds.
Q3) A child is admitted to the pediatric unit with a diagnosis of cellulitis on the right upper thigh.Patient history reveals the child had a 2-cm laceration on the right thigh prior to infection.When explaining the chain of infection,how does the nurse identify this laceration?
A) Reservoir
B) Portal of entry
C) Portal of exit
D) Vector
Page 34
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Chapter 33: The Child With an Emotional or Behavioral Condition
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Sample Questions
Q1) The nurse is answering phone calls at a local suicide prevention hotline.Which statement would be recognized as the greatest risk of suicide?
A) "I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself."
B) "My parents aren't home and won't be back for 4 hours.That should be enough time for the pills to work.I've got a hundred of them."
C) "My dad will be home first,so he'll find me.So I think I'll use his gun.I hope he didn't lock the cabinet."
D) "My girlfriend is here with me.She told me to call because I was talking crazy about killing myself."
Q2) The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa.Which assessment finding(s)would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply. )
A) Amenorrhea
B) Severe weight loss
C) Oily skin
D) Hypertension
E) Lanugo on back
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Chapter 34: Complementary and Alternative Therapies in Maternity
and Pediatric Nursing
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Q1) The mother of a pediatric patient asks the nurse about safety concerns with using herbal supplements with children.Which herbal products would the nurse educate this mother are safe to use in most of the pediatric population? (Select all that apply. )
A) Ephedra
B) Ginger
C) Fish oil
D) Chamomile
E) Aloe vera
Q2) A patient is providing history information to the admitting nurse about treatment used for chronic pain.The patient reports she participates in a type of relaxation therapy that enables her to recognize tension in the muscles via responses on an electronic machine and visual electromyography responses.What type of therapy does the nurse record on admission record?
A) Guided imagery
B) Biofeedback
C) Hypnotherapy
D) Chiropractic care
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