Nursing Care of the Childbearing Family Test Questions
Course Introduction
Nursing Care of the Childbearing Family explores the foundational principles and practices involved in providing holistic, evidence-based care to women, newborns, and families throughout the childbearing period. This course covers topics such as prenatal care, labor and delivery, postpartum assessment, newborn care, and family adaptation to parenthood. Emphasis is placed on the nurses role in health promotion, risk assessment, patient education, and cultural sensitivity, preparing students to support diverse families during this critical time. Students will develop skills necessary to deliver compassionate, safe, and effective nursing care while collaborating with interdisciplinary maternity care teams.
Recommended Textbook
Maternal Child Nursing 5th Edition by McKinney
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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
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8504
Sample Questions
Q1) Maternity nursing care that is based on knowledge gained through research is known as
A) nurse-sensitive indicators.
B) evidence-based practice.
C) case management.
D) outcomes management.
Answer: B
Q2) When planning a parenting class,the nurse should explain that the leading cause of death in children 1 to 4 years of age in the United States is A) premature birth.
B) congenital anomalies.
C) accidental death.
D) respiratory tract illness.
Answer: C
Q3) The level of practice a reasonably prudent nurse provides is called A) the standard of care.
B) risk management.
C) a sentinel event.
D) failure to rescue.
Answer: A
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Chapter 2: The Nurses Role in Maternity, Womens Health, and Pediatric Nursing
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) Which nursing intervention is correctly written?
A) Encourage turning, coughing, and deep breathing.
B) Force fluids as necessary.
C) Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
D) Observe interaction with infant.
Answer: C
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Chapter 3: The Childbearing and Child-Rearing Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse teaches parents that the formula used to guide time-out as a disciplinary method is
A) 1 minute per each year of the child's age.
B) to relate the length of the time-out to the severity of the behavior.
C) never to use time-out for a child younger than 4 years.
D) to follow the time-out with a treat.
Answer: A
Q2) 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
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Chapter 4: Communicating with Children and Families
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) While developing a care plan for a school-age child with a visual impairment,the nurse knows that which of the following actions are important in working with this special needs child? (Select all that apply.)
A) Obtain a thorough assessment of the child's self-care abilities.
B) Orient the child to various sounds in the environment.
C) Tell the child's parents to stay continuously with their child during hospitalization.
D) Allow the child to handle equipment as procedures are explained.
E) Encourage the child to use a dry erase board to write his needs.
Q2) An 8-year-old girl asks the nurse how the blood pressure apparatus works.The most appropriate nursing action is to
A) ask why the child wants to know.
B) determine why the child is so anxious.
C) explain in simple terms how it works.
D) tell the child he or she will see how it works as it is used.
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Chapter 5: Health Promotion for the Developing Child
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which immunizations should be used with caution in children with an allergy to eggs?
A) HepB
B) DTaP
C) Hib
D) MMR
Q2) A nurse wants to assess a chronically ill child's feelings regarding a lengthy hospitalization and treatments.What action by the nurse is best?
A) Ask direct questions of the child as to feelings.
B) Watch the child play on several occasions.
C) Discuss the situation with the parents.
D) Refer the child to the child life specialist for assessment.
Q3) Which child is most likely to be frightened by hospitalization?
A) A 4-month-old infant admitted with a diagnosis of bronchiolitis
B) A 2-year-old toddler admitted for cystic fibrosis
C) A 9-year-old child hospitalized with a fractured femur
D) A 15-year-old adolescent admitted for abdominal pain
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Chapter 6: Health Promotion for the Infant
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.What response by the nurse is best?
A) "That's OK. formula is just as good for a 5-month-old."
B) "Be sure to use an iron-fortified formula instead."
C) "The baby will need immunizations earlier now."
D) "Be sure to monitor how many diapers the baby wets."
Q2) According to Piaget,the 6-month-old infant is in what stage of the sensorimotor phase?
A) Use of reflexes
B) Primary circular reactions
C) Secondary circular reactions
D) Coordination of secondary schemata
Q3) The nurse advises the mother of a 3-month-old exclusively breastfed infant to A) start giving the infant a vitamin D supplement.
B) start using an infant feeder and add rice cereal to the formula.
C) start feeding the infant rice cereal with a spoon at the evening feeding.
D) continue breastfeeding without any supplements.
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Page 8
Chapter 7: Health Promotion During Early Childhood
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which play patterns does a 3-year-old child typically display? (Select all that apply.)
A) Imaginary play
B) Parallel play
C) Cooperative play
D) Structured play
E) Associative play
Q2) The nurse teaches the parents that which of the following is the primary purpose of a transitional object?
A) It helps the parents with the guilt they feel when they leave the child.
B) It keeps the child quiet at bedtime.
C) It is effective in decreasing anxiety in the toddler.
D) It decreases negativism and tantrums in the toddler.
Q3) 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.
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9
Chapter 8: Health Promotion for the School-Age Child
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The school nurse has been asked to begin teaching sex education in the 5th grade.The nurse should recognize that
A) children in 5th grade are too young for sex education.
B) children should be discouraged from asking too many questions.
C) correct terminology should be reserved for children who are older.
D) sex can be presented as a normal part of growth and development.
Q2) The nurse teaches parents signs that a child might be being bullied or otherwise victimized.What signs does the nurse include in this teaching? (Select all that apply.)
A) Spends an inordinate amount of time in the nurse's office
B) Belongings frequently go missing or are damaged.
C) The child wants to be driven to school.
D) School performance improves.
E) The child freely talks about his day.
Q3) 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
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Page 10
Chapter 9: Health Promotion for the Adolescent
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse is teaching adolescent boys about pubertal changes.The first sign of pubertal change seen with boys is
A) testicular enlargement.
B) facial hair.
C) scrotal enlargement.
D) voice deepens.
Q2) A parent calls the emergency department (ED)reporting a front tooth completely knocked out of an adolescent's mouth while playing soccer.What information should the nurse provide? (Select all that apply.)
A) Rinse the tooth in lukewarm tap water.
B) Place the tooth in saline, milk, or water.
C) Scrub the tooth with a disinfectant.
D) Come to the ED within 1 hour.
E) Prognosis is best if they are seen within 30 minutes.
Q3) When planning care for adolescents,the nurse should
A) teach parents first, and they, in turn, will teach the teenager.
B) provide information for long-term health needs.
C) provide explanations for treatment and procedures to the parents only.
D) give information privately to adolescents on specific problems that they identify.
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Page 11
Chapter 10: Hereditary and Environmental Influences on Development
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A baby is born with blood type AB.The father is type A,and the mother is type B.The father asks why the baby has a blood type different from those of his parents.The nurse's answer should be based on the knowledge that
A) both A and B blood types are dominant.
B) the baby has a mutation of the parents' blood types.
C) type A is recessive and links more easily with type B.
D) types A and B are recessive when linked together.
Q2) Which question by the nurse will most likely promote sharing of sensitive information during a genetic counseling interview?
A) "How many people in your family are mentally retarded or handicapped?"
B) "What kinds of defects or diseases seem to run in the family?"
C) "Did you know that you can always have an abortion if the fetus is abnormal?"
D) "Are there any family members who have learning or developmental problems?"
Q3) How can a woman avoid exposing her fetus to teratogens?
A) Update her immunizations during the first trimester of her pregnancy.
B) Use saunas and hot tubs during the winter months only.
C) Use only class A drugs during her pregnancy.
D) Use alcoholic beverages only in the first and third trimesters of pregnancy.
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Chapter 11: Reproductive Anatomy and Physiology
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) 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.
Q2) If a woman's menstrual cycle began on June 2 and normally lasts 28 days,ovulation would mostly likely occur on June
A) 10
B) 16
C) 21
D) 29
Q3) A nurse is teaching a woman about spinnbarkeit.The student nurse asks why the woman would need this information.What response by the nurse is most appropriate?
A) To assist in becoming pregnant or preventing pregnancy
B) To determine if she can breastfeed
C) To assess risk for genetic defects in the fetus
D) To find out if her ova are suitable for fertilization
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Chapter 12: Conception and Prenatal Development
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) While teaching an early pregnancy class,the nurse explains that the morula is a A) fertilized ovum before mitosis begins.
B) flattened disk-shaped layer of cells within a fluid-filled sphere.
C) double layer of cells that becomes the placenta.
D) solid ball composed of the first cells formed after fertilization.
Q2) 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.
Q3) The nurse assesses pregnant women for exposure to human teratogens,including which of the following? (Select all that apply.)
A) Infections
B) Radiation
C) Maternal conditions
D) Drugs
E) Chemicals
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Chapter 13: Adaptations to Pregnancy
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) While the nurse assesses the vital signs of a pregnant woman in her third trimester,the patient complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?
A) Have the patient stand up and retake her blood pressure.
B) Have the patient sit down and hold her arm in a dependent position.
C) Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms.
D) Have the patient turn to her left side and recheck her blood pressure in 5 minutes.
Q2) A woman's last menstrual period was June 10.The nurse estimates the date of delivery (EDD)to be
A) April 7.
B) March 17.
C) March 27.
D) April 17.
Q3) 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.
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Page 15
Chapter 14: Nutrition for Childbearing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which statement made by a lactating woman leads the nurse to believe that the woman might have lactose intolerance?
A) "I always have heartburn after I drink milk."
B) "If I drink more than a cup of milk, I get abdominal cramps and bloating."
C) "Drinking milk usually makes me break out in hives."
D) "Sometimes I notice that I have bad breath after I drink a cup of milk."
Q2) The nurse explains to the expectant mother that which vitamin or mineral can lead to congenital malformations of the fetus if taken in excess by the mother?
A) Zinc
B) Vitamin D
C) Folic acid
D) Vitamin A
Q3) Which statement by a patient indicates that she understands the role of protein in her pregnancy?
A) "Protein will help my baby grow."
B) "Eating protein will prevent me from becoming anemic."
C) "Eating protein will make my baby have strong teeth after he is born."
D) "Eating protein will prevent me from being diabetic."
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Chapter 15: Prenatal Diagnostic Tests
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8518
Sample Questions
Q1) The nurse teaches a pregnant woman that which diagnostic test evaluates the effect of fetal movement on fetal heart activity?
A) Contraction stress test (CST)
B) Sonography
C) Biophysical profile
D) Nonstress test (NST)
Q2) A pregnant woman has the following assessments determined from a biophysical profile: reactive nonstress test,3 fetal breathing movements within 30 minutes,1 trunk movement in 30 minutes,opened and closed hand twice in 30 minutes,largest amniotic pocket of 1 cm.Calculate this woman's score. This woman's score is _____.
Q3) While working with the pregnant woman in her first trimester,the nurse is aware that chorionic villus sampling (CVS)can be performed during pregnancy as early as _____ weeks.
A) 4
B) 8
C) 10
D) 12
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17
Chapter 16: Giving Birth
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Sample Questions
Q1) A student asks how pregnant women can usually tolerate the normal blood loss associated with childbirth.Which response by the nurse is best? "It is because they have
A) a higher hematocrit."
B) increased blood volume."
C) a lower fibrinogen level."
D) increased leukocytes."
Q2) A pregnant woman is at 38 weeks of gestation.She wants to know if any signs indicate "labor is getting closer to starting." The nurse informs the woman that which of the following is a sign that labor may begin soon?
A) Weight gain of 1.5 to 2 kg (3 to 4 lb)
B) Increase in fundal height
C) Urinary retention
D) Surge of energy
Q3) What finding should the nurse recognize as being associated with fetal compromise?
A) Active fetal movements
B) Contractions lasting 90 seconds
C) FHR in the 140s
D) Meconium-stained amniotic fluid
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Page 18
Chapter 17: Intrapartum Fetal Surveillance
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27 Verified Questions
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Sample Questions
Q1) 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
Q2) The nurse notes a nonreassuring pattern of the fetal heart rate.The mother is already lying on her left side.What nursing action is indicated?
A) Lower the head of the bed.
B) Place the mother in a Trendelenburg position.
C) Change her position to the right side.
D) Place a wedge under the left hip.
Q3) Which nursing action is correct when initiating electronic fetal monitoring?
A) Lubricate the tocotransducer with an ultrasound gel.
B) Inform the patient that she should remain in the semi-Fowler's position.
C) Securely apply the tocotransducer with a strap or belt.
D) Determine the position of the fetus before attaching the electrode.
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Page 19
Chapter 18: Pain Management for Childbirth
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse is caring for a laboring patient who develops a fever after she has had her epidural initiated.What actions by the nurse are appropriate? (Select all that apply.)
A) Palpate the woman's bladder distention.
B) Assess the woman's blood pressure.
C) Observe the woman for shivering.
D) Check the skin for color and warmth.
E) Prepare to assist with a blood patch.
Q3) The method of anesthesia in labor considered the safest for the fetus is the A) pudendal block.
B) epidural block.
C) spinal (subarachnoid) block.
D) local infiltration.
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Chapter 19: Nursing Care during Obstetric Procedures
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) After an amniotomy,which action by the nurse takes priority?
A) Assess the color of the amniotic fluid.
B) Change the patient's gown.
C) Estimate the amount of amniotic fluid.
D) Assess the fetal heart rate.
Q2) While assisting with a vacuum extraction birth,what should the nurse immediately report to the provider?
A) Persistent fetal bradycardia below 100 bpm
B) Maternal pulse rate of 100 bpm
C) Maternal blood pressure of 120/70 mm Hg
D) Decrease in intensity of uterine contractions
Q3) A woman is receiving oxytocin to augment labor.The nurse notes that the Montevideo units are measured at 560 and the fetus is showing late decelerations.What action by the nurse takes priority?
A) Notify the charge nurse of the situation.
B) Document the findings in the chart.
C) Increase the rate of oxytocin slowly.
D) Stop the oxytocin infusion.
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21
Chapter 20: Postpartum Adaptations
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Sample Questions
Q1) A postpartum woman is unable to empty her bladder.What intervention would the nurse try last?
A) Pouring water from a squeeze bottle over the woman's perineum
B) Providing hot tea
C) Asking the physician to prescribe analgesics
D) Inserting a sterile catheter
Q2) A nurse is observing a family.The mother is holding the baby she delivered less than 24 hours ago.Her husband is watching his wife and asking questions about newborn care.The 4-year-old brother is punching his mother on the back.What action by the nurse is best?
A) Report the incident to the social services department.
B) Advise the parents that the toddler needs to be reprimanded.
C) Report to oncoming staff that the mother is not a good disciplinarian.
D) Realize that this is a normal family adjusting to family change.
Q3) Rh? immune globulin will be ordered postpartum if which situation occurs?
A) Mother Rh-, baby Rh+
B) Mother Rh-, baby Rh-
C) Mother Rh+, baby Rh+
D) Mother Rh+, baby Rh-
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Page 22
Chapter 21: The Normal Newborn: Adaptation and Assessment
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Sample Questions
Q1) The student nurse learns that the process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as
A) enterohepatic circuit.
B) conjugation of bilirubin.
C) unconjugation of bilirubin.
D) albumin binding.
Q2) The nurse understands that respirations are initiated at birth as a result of
A) an increase in the PO<sub>2</sub> and a decrease in PCO<sub>2</sub>.
B) the continued functioning of the foramen ovale.
C) chemical, thermal, sensory, and mechanical factors.
D) drying off the infant.
Q3) Which nursing action is designed to avoid unnecessary heat loss in the newborn?
A) Place a blanket over the scale before weighing the infant.
B) Maintain room temperature at 70° F.
C) Undress the infant completely for assessments so they can be finished quickly.
D) Take the rectal temperature every hour to detect early changes.
Q4) An infant was born weighing 7.2 pounds.Calculate this infant's oral intake needs._______
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Chapter 22: The Normal Newborn: Nursing Care
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Sample Questions
Q1) In providing and teaching cord care,what is an important principle?
A) Cord care is done only to control bleeding.
B) Alcohol is the only agent used for cord care.
C) It takes a minimum of 24 days for the cord to separate.
D) The process of keeping the cord dry will decrease bacterial growth.
Q2) A nurse is responsible for teaching new parents about the hygienic care of their newborn.What information does the nurse include?
A) Avoid washing the head for at least 1 week to prevent heat loss.
B) Sponge bathe only until the cord has fallen off.
C) Cleanse the ears and nose with cotton-tipped swabs, such as Q-tips.
D) Water temperature should be at least 38° C.
Q3) Nurses use many different nonpharmacologic methods of pain management.Examples of nonpharmacologic pain management techniques include which of the following? (Select all that apply.)
A) Swaddling
B) Nonnutritive sucking (pacifier)
C) Skin-to-skin contact with the mother
D) Sucrose
E) Acetaminophen
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Page 24
Chapter 23: Newborn Feeding
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Sample Questions
Q1) What is the first step in assisting the breastfeeding mother?
A) Provide instruction on the composition of breast milk.
B) Discuss the hormonal changes that trigger the milk ejection reflex.
C) Assess the woman's knowledge of and feelings toward breastfeeding.
D) Help her obtain a comfortable position and place the infant to the breast.
Q2) How can the nurse help the mother who is breastfeeding and has engorged breasts?
A) Suggest that she switch to bottled formula just for today.
B) Assist her in removing her bra, making her more comfortable.
C) Apply heat to her breasts between feeding and cold to the breasts just before feedings.
D) Instruct and assist the mother to massage her breasts.
Q3) A primiparous woman wants to begin breastfeeding as soon as possible.The nurse can facilitate the infant's correct latch-on by helping the woman hold the infant
A) with his arms folded together over his chest.
B) curled up in a fetal position.
C) with his head cupped in her hand.
D) with his head and body in alignment.
Q4) A newborn weighs 8.7 pounds.How many kilocalories does this breastfed term infant require each day? _________
Page 25
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Chapter 24: The Childbearing Family with Special Needs
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23 Verified Questions
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Sample Questions
Q1) When the nurse is alone with a battered patient,the patient seems extremely anxious and says,"It was all my fault.The house was so messy when he got home and I know he hates that." The best response by the nurse is
A) "No one deserves to be hurt. It's not your fault. How can I help you?"
B) "What else do you do that makes him angry enough to hurt you?"
C) "He will never find out what we talk about. Don't worry. We're here to help you."
D) "You have to remember that he is frustrated and angry so he takes it out on you."
Q2) In counseling a patient who has decided to relinquish her baby for adoption,the nurse should do which of the following?
A) Affirm her decision while acknowledging her maturity in making it.
B) Question her about her feelings regarding adoption.
C) Tell her she can always change her mind about adoption.
D) Ask her if anyone is coercing her into the decision to relinquish her baby.
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Chapter 25: Pregnancy-Related Complications
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Sample Questions
Q1) A pregnant woman has been diagnosed with gestational hypertension and is crying.She asks the nurse if this means she has to take blood pressure medicine for the rest of her life.What answer by the nurse is best?
A) "Yes, you will have hypertension for the rest of your life."
B) "No, this always goes away after you deliver."
C) "Maybe, we have to wait and see at your 6-week postpartum checkup."
D) "I don't know. But if you need medicine you should take it."
Q2) The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment involves
A) corticosteroids to reduce inflammation.
B) IV therapy to correct fluid and electrolyte imbalances.
C) an antiemetic, such as pyridoxine, to control nausea and vomiting.
D) enteral nutrition to correct nutritional deficits.
Q3) The prenatal clinic nurse monitored women for preeclampsia.If all four women were in the clinic at the same time,which one should the nurse see first?
A) Blood pressure increase to 138/86 mm Hg
B) Weight gain of 0.5 kg during the past 2 weeks
C) A dipstick value of 3+ for protein in her urine
D) Pitting pedal edema at the end of the day
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Page 27
Chapter 26: Concurrent Disorders during Pregnancy
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Q1) What form of heart disease in women of childbearing years usually has a benign effect on pregnancy?
A) Cardiomyopathy
B) Rheumatic heart disease
C) Congenital heart disease
D) Mitral valve prolapse
Q2) The student nurse learns that maternal complications of diabetes include which of the following? (Select all that apply.)
A) Atherosclerosis
B) Retinopathy
C) IUFD
D) Nephropathy
E) Caudal regression syndrome
Q3) Glucose metabolism is profoundly affected during pregnancy because
A) pancreatic function in the islets of Langerhans is affected by pregnancy.
B) the pregnant woman uses glucose at a more rapid rate than the nonpregnant woman.
C) the pregnant woman increases her dietary intake significantly.
D) placental hormones are antagonistic to insulin, resulting in insulin resistance.
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Page 28
Chapter 27: The Woman with an Intrapartum Complication
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Q1) A woman is having her first child.She has been in labor for 15 hours.Two hours ago,her vaginal examination revealed the cervix to be dilated to 5 cm and 100% effaced,and the presenting part was at station 0.Five minutes ago,her vaginal examination indicated that there had been no change.What abnormal labor pattern is associated with this description?
A) Prolonged latent phase
B) Protracted active phase
C) Secondary arrest
D) Protracted descent
Q2) The provider orders an infusion of magnesium sulfate to run at 4 g/hour.The pharmacy delivers a bag of 4 g magnesium sulfate in 250 mL.At what rate does the nurse set the pump? ___________________
Q3) Which technique is least effective for the woman with persistent occiput posterior position?
A) Lie supine and relax.
B) Sit or kneel, leaning forward with support.
C) Rock the pelvis back and forth while on hands and knees.
D) Squat.
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29
Chapter 28: The Woman with a Postpartum Complication
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Q1) The nurse explain to the student that which of the following factors increase a woman's risk for thrombosis? (Select all that apply.)
A) Use of stirrups for a prolonged period of time
B) Prolonged bedrest during or after labor and delivery
C) Adherence to a strict vegetarian diet
D) Excessive sweating during labor
E) Maternal age greater than 30 years of age
Q2) A multiparous woman is admitted to the postpartum unit after a rapid labor and birth of a 4000-g infant.Her fundus is boggy,lochia is heavy,and vital signs are unchanged.The nurse has the woman void and massages her fundus,but her fundus remains difficult to find,and the rubra lochia remains heavy.What action should the nurse take next?
A) Continue to massage the fundus.
B) Notify the provider.
C) Recheck vital signs.
D) Insert an indwelling urinary catheter.
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Chapter 29: The High-Risk Newborn: Problems Related to
Gestational Age and Development
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Q1) Of all the signs seen in infants with respiratory distress syndrome,which sign is especially indicative of the syndrome?
A) Pulse more than 160 beats/min
B) Circumoral cyanosis
C) Grunting
D) Substernal retractions
Q2) What is most helpful in preventing premature birth?
A) High socioeconomic status
B) Adequate prenatal care
C) Transitional Assistance to Needy Families
D) Women, Infants, and Children nutritional program
Q3) A nurse is caring for a preterm baby who weighs 4.8 pounds.What assessment finding indicates the baby is dehydrated?
A) Urine output of 3.3 mL/hour
B) Urine specific gravity of 1.001
C) Low serum sodium
D) Weight gain of 43 g in one day
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Page 31
Chapter 30: The High-Risk Newborn: Acquired and Congenital Conditions
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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) The nurse is teaching the parents of a newborn who is going to receive phototherapy.What other measure does the nurse teach to help reduce the bilirubin?
A) Increase the frequency of feedings.
B) Increase oral intake of water between feedings.
C) How to prepare the newborn for an exchange transfusion
D) Wrap the infant in triple blankets to prevent cold stress during phototherapy.
Q3) 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.
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Chapter 31: Management of Fertility and Infertility
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Q1) The nurse is reviewing the educational packet provided to a patient about tubal ligation.What important facts should the nurse point out? (Select all that apply.)
A) "It is highly unlikely that you will become pregnant after the procedure."
B) "This is an effective form of 100% permanent sterilization."
C) "Sterilization offers protection against sexually transmitted diseases."
D) "Sterilization offers no protection against sexually transmitted diseases."
E) "Your menstrual cycle will greatly increase after your sterilization."
Q2) What does the nurse know about postcoital emergency contraception with Ella or Next Choice?
A) Requires that the first dose be taken within 72 hours of unprotected intercourse
B) Requires that the woman take second and third doses at 24 and 36 hours after the first dose
C) Must be taken in conjunction with an IUD insertion
D) Most states require the woman to have a valid prescription
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Chapter 32: Womens HealthCare
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Q1) Women are often reluctant to have annual mammograms for many reasons.These reasons include which of the following? (Select all that apply.)
A) Reluctance to hear bad news
B) Fear of x-ray exposure
C) Belief that lack of family history makes this test unnecessary
D) Expense of the procedure
E) Having heard that the test is painful
Q2) The nurse providing care in a women's health care setting must be aware that which sexually transmitted disease (STD)can be cured?
A) Herpes
B) Acquired immunodeficiency syndrome (AIDS)
C) Venereal warts
D) Chlamydia
Q3) The nurse should be aware that a pessary is most effective in the treatment of what disorder?
A) Cystocele
B) Uterine prolapse
C) Rectocele
D) Stress urinary incontinence
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Page 34
Chapter 33: Physical Assessment of Children
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Q1) A nurse is reviewing pediatric physical assessment techniques.Which statement about performing a pediatric physical assessment is correct?
A) Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise.
B) The physical examination should be done with parents in the examining room for children of any age.
C) Measurement of head circumference is done until the child is 5 years old.
D) The physical examination is done only when the child is cooperative.
Q2) Which assessment finding is considered a neurologic soft sign in a 7-year-old child?
A) Plantar reflex
B) Poor muscle coordination
C) Stereognostic function
D) Graphesthesia
Q3) Examination of the abdomen is performed correctly by the nurse in which order?
A) Inspection, palpation, and auscultation
B) Palpation, inspection, and auscultation
C) Palpation, auscultation, and inspection
D) Inspection, auscultation, and palpation
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Chapter 34: Emergency Care of the Child
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Q1) What is an appropriate nursing intervention for a 6-month-old infant in the emergency department?
A) Distract the infant with noise or bright lights.
B) Avoid warming the infant.
C) Remove any pacifiers from the baby.
D) Encourage the parent to hold the infant.
Q2) Which initial assessment made by the triage nurse suggests that a child requires immediate intervention?
A) The child has thick yellow rhinorrhea.
B) The child has a frequent nonproductive cough.
C) The child's oxygen saturation is 95% by pulse oximeter.
D) The child is grunting.
Q3) A nurse is caring for a child diagnosed with septic shock.He develops a dysrhythmia and hemodynamic instability.Endotracheal intubation is necessary.The physician feels that cardiac arrest may soon develop.What drug do you anticipate the physician will order?
A) Atropine sulfate
B) Epinephrine
C) Sodium bicarbonate
D) Inotropic agents
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Chapter 35: The Ill Child in the Hospital and Other Care Settings
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Q1) What is the best action for the nurse to take when a 5-year-old child who requires another 2 days of IV antibiotics cries,screams,and resists having the IV restarted?
A) Exit the room and leave the child alone until he or she stops crying.
B) Tell the child big boys and girls "don't cry."
C) Let the child decide which color arm board to use with the IV.
D) Administer an opioid analgesic for pain to quiet the child.
Q2) The nurse is discussing toddler development with the mother of a 2 1/2-year-old child.Which statement by the mother indicates she has an understanding of how to help her daughter succeed in a developmental task while hospitalized?
A) "I always help my daughter complete tasks to help her achieve a sense of accomplishment."
B) "I provide many opportunities for my daughter to play with other children her age."
C) "I consistently stress the difference between right and wrong to my daughter."
D) "I encourage my daughter to do things for herself when she can."
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Chapter 36: The Child with a Chronic Condition or Terminal Illness
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Q1) How can chronic illness and frequent hospitalizations affect the psychosocial development of a toddler?
A) They can create a distortion or differentiation of self from parent.
B) They can interfere with the development of autonomy.
C) They can interfere with the acquisition of language, fine motor, and self-care skills.
D) They can create feelings of inadequacy.
Q2) Which activity should the nurse implement for the toddler hospitalized with a chronic illness to promote autonomy?
A) Provide opportunities for play
B) Making play dates with other toddlers in the unit
C) Give the toddler art supplies
D) Turn the television on to cartoons
Q3) Identify the most appropriate nursing response to a parent who tells the nurse,"I don't want my child to know she is dying."
A) "I shall respect your decision. I won't say anything to your child."
B) "Don't you think she has a right to know about her condition?"
C) "Would you like me to arrange for the provider to speak with your child?"
D) "I'll answer any questions she asks me as honestly as I can."
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Chapter 37: Principles and Procedures for Nursing Care of Children
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Q1) What is critical for the nurse to know when using restraints on a child?
A) Use the least restrictive type of restraint.
B) Tie knots securely so they cannot be untied easily.
C) Secure the ties to the mattress or side rails.
D) Remove restraints every 4 hours to assess skin integrity.
Q2) 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.
Q3) Which nursing diagnosis is appropriate for the 5-year-old child in isolation because of immunosuppression?
A) Spiritual distress
B) Social isolation
C) Deficient diversional activity
D) Sleep deprivation
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Page 39
Chapter 38: Medication Administration and Safety for
Infants and Children
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Q1) What is the main purpose for using a volume-control device or an infusion pump to administer intravenous fluids to children?
A) To avoid fluid overload
B) To aid in measuring intake
C) To administer antibiotics
D) To ensure adequate intravenous fluid intake
Q2) When teaching a mother how to administer eye drops,where should the nurse tell her to place them?
A) In the conjunctival sac that is formed when the lower lid is pulled down
B) Carefully under the eyelid while it is gently pulled upward
C) On the sclera while the child looks to the side
D) Anywhere as long as drops contact the eye's surface
Q3) What nursing action is indicated when a child receiving a unit of packed red blood cells complains of chills,headache,and nausea?
A) Continue the infusion, and take the child's vital signs.
B) Stop the infusion immediately, and notify the provider.
C) Slow the infusion, and assess for cessation of symptoms.
D) Start a dextrose solution, and stay with the child.
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Chapter 39: Pain Management for Children
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Q1) 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
Q2) When assessing a child for pain,the nurse is aware that
A) neonates do not feel pain.
B) pain is an individualized experience.
C) children do not remember pain.
D) a child must cry to express pain.
Q3) A nurse is administering an opioid medication to a child.Which side effects should the nurse watch for with this classification of medication? (Select all that apply.)
A) Respiratory depression
B) Hepatic damage
C) Constipation
D) Pruritus
E) Gastrointestinal bleeding
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Chapter 40: The Child with a Fluid and Electrolyte Alteration
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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) Alterations in acid-base balance can affect cellular metabolism and enzymatic processes.When alterations in pH become too much for buffer systems to handle,compensatory mechanisms are activated.If the pH drops below normal,then acidosis will occur.
A)True
B)False
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Chapter 41: The Child with an Infectious Disease
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Q1) A child taking oral corticosteroids for asthma is exposed to varicella.The child has not had the varicella vaccine and has never had the disease.What intervention should be taken to prevent varicella from developing?
A) No intervention is needed unless varicella develops.
B) Administer the varicella vaccine as soon as possible.
C) The child should begin a course of oral antibiotics.
D) The child should be prescribed acyclovir.
Q2) Which statement made by an adolescent girl indicates an understanding about the prevention of sexually transmitted diseases (STDs)?
A) "I know the only way to prevent STDs is to not be sexually active."
B) "I practice safe sex because I wash myself right after sex."
C) "I won't get any kind of STD because I take the pill."
D) "I only have sex if my boyfriend wears a condom."
Q3) What should be included in the care for a neonate who was diagnosed with pertussis?
A) Monitoring hemoglobin level
B) Hearing test before discharge
C) Serial platelet counts
D) Prophylactic antibiotics for all close contacts
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Page 43
Chapter 42: The Child with an Immunologic Alteration
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Q1) What is the most common mode of transmission of human immunodeficiency virus (HIV)in the pediatric population?
A) Perinatal transmission
B) Sexual abuse
C) Blood transfusions
D) Poor handwashing
Q2) Children receiving long-term systemic corticosteroid therapy are most at risk for which condition?
A) Hypotension
B) Dilation of blood vessels in the cheeks
C) Growth delays
D) Decreased appetite and weight loss
Q3) A nurse is working in an allergy clinic and has performed skin testing on an adolescent.Seventeen minutes after the procedure,the nurse note the presence of a wheal at one of the sites.What conclusion does the nurse make about this response?
A) The child is allergic to that substance.
B) This result is indeterminate.
C) The testing should be redone in another location.
D) Anaphylaxis is imminent.
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Page 44
Chapter 43: The Child with a Gastrointestinal Alteration
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Q1) What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis?
A) Preventing the spread of illness to others
B) Nutritional guidance and preventing constipation
C) Teaching daily use of enemas
D) Coping with stress and avoiding triggers
Q2) Which statement best characterizes hepatitis A?
A) Incubation period is 6 weeks to 6 months.
B) Principal mode of transmission is through the parenteral route.
C) Onset is usually rapid and acute.
D) There is a persistent carrier state.
Q3) What is an expected outcome for the child with irritable bowel disease?
A) Decreasing symptoms
B) Adherence to a low-fiber diet
C) Increasing milk products in the diet
D) Adapting the lifestyle to the lifelong problems
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Chapter 44: The Child with a Genitourinary Alteration
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Q1) A nurse is teaching a class on acute kidney injury.The nurse relates that acute kidney injury as a result of hemolytic-uremic syndrome (HUS)is classified as
A) Intrinsic renal.
B) Prerenal.
C) Postrenal.
D) Chronic.
Q2) Which diagnostic finding is present when a child has primary nephrotic syndrome?
A) Hyperalbuminemia
B) Positive ASO titer
C) Leukocytosis
D) Proteinuria
Q3) 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
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Chapter 45: The Child with a Respiratory Alteration
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Q1) A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry,hacking cough that was worse at night.The cough has become productive in the past 24 hours.What home care measure does the nurse educate parents about?
A) Taking the full course of antibiotics
B) Providing humidity and increased fluids
C) Treating any fever with aspirin
D) Isolation from family until symptoms resolve
Q2) The nurse is caring for a child with acute respiratory distress syndrome (ARDS)associated with sepsis.Nursing actions should include which of the following?
A) Forcing fluids
B) Monitoring pulse oximetry
C) Instituting seizure precautions
D) Encouraging a high-protein diet
Q3) Which type of croup is always considered a medical emergency?
A) Laryngitis
B) Epiglottitis
C) Spasmodic croup
D) Laryngotracheobronchitis (LTB)
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Page 47
Chapter 46: The Child with a Cardiovascular Alteration
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Q1) What intervention should be included in the plan of care for an infant with the nursing diagnosis of excess fluid volume related to congestive heart failure?
A) Weigh the infant every day on the same scale at the same time.
B) Notify the physician when weight gain exceeds more than 20 g/day.
C) Put the infant in a car seat to minimize movement.
D) Administer digoxin as ordered by the physician.
Q2) What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate,is sweating,and is not feeding well?
A) Recheck the infant's blood pressure.
B) Alert the provider.
C) Withhold oral feeding.
D) Increase the oxygen rate.
Q3) 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.
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Chapter 47: The Child with a Hematologic Alteration
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Q1) What should the discharge plan for a school-age child with sickle cell disease include?
A) Restricting the child's participation in outside activities
B) Administering aspirin for pain or fever
C) Limiting the child's interaction with peers
D) Administering penicillin daily as ordered
Q2) The nurse assesses the lab values of a child hospitalized with DIC.What findings are consistent for this disorder? (Select all that apply.)
A) Decreased platelet count
B) Increased hemoglobin
C) Prolonged prothrombin time
D) Elevated D-dimer
E) Pancytopenia
Q3) What is the priority in the discharge plan for a child with immune thrombocytopenic purpura (ITP)?
A) Teaching the parents to report excessive fatigue to the physician
B) Monitoring the child's hemoglobin level every 2 weeks
C) Providing a diet that contains iron-rich foods
D) Establishing a safe, age-appropriate home environment
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Page 49
Chapter 48: The Child with Cancer
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Q1) The nurse notes that a child's gums bleed easily and that the child has bruising and petechiae on his extremities.What laboratory values are consistent with these symptoms?
A) Platelet count of 19,000/mm3
B) Prothrombin time of 11 to 15 seconds
C) Hematocrit of 34
D) Leukocyte count of 14,000/mm3
Q2) The nurse understands that the types of precautions needed for children receiving chemotherapy are based on which action of chemotherapeutic agents?
A) Gastrointestinal upset
B) Bone marrow suppression
C) Decreased creatinine level
D) Alopecia
Q3) Hematopoietic stem cell transplantation (HSCT)is the standard treatment for a child in his or her first remission with what cancer?
A) Acute lymphocytic leukemias
B) Non-Hodgkin lymphoma
C) Wilms' tumor
D) Acute myeloblastic leukemia (AML)
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Page 50
Chapter 49: The Child with an Alteration in Tissue Integrity
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Sample Questions
Q1) The skin condition commonly known as "warts" is the result of an infection by which organism?
A) Bacteria
B) Fungus
C) Parasite
D) Virus
Q2) The process of burn shock continues until what physiologic mechanism occurs?
A) Heart rate returns to normal.
B) Airway swelling decreases.
C) Body temperature regulation returns to normal.
D) Capillaries regain their seal.
Q3) 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.
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Chapter 50: The Child with a Musculoskeletal Alteration
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Q1) Which statement is accurate concerning a child's musculoskeletal system and how it may be different from an adult's?
A) Growth occurs in children as a result of an increase in the number of muscle fibers.
B) Infants are at greater risk for fractures because their epiphyseal plates are not fused.
C) Because soft tissues are resilient in children, dislocations and sprains are less common than in adults.
D) Their bones have less blood flow.
Q2) A nurse knows that which exercise is best for a child with juvenile arthritis?
A) Jogging
B) Tennis
C) Gymnastics
D) Swimming
Q3) 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
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Chapter 51: The Child with an Endocrine or Metabolic Alteration
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Q1) What should the nurse include in the teaching plan for parents of a child with diabetes insipidus who is receiving DDAVP?
A) Increase the dosage of DDAVP as the urine specific gravity (SG) increases.
B) Give DDAVP only if urine output decreases.
C) The child should have free access to water and toilet facilities at school.
D) Cleanse skin before administering the transdermal patch.
Q2) Which sign is the nurse most likely to assess in a child with hypoglycemia?
A) Urine positive for ketones and serum glucose greater than 300 mg/dL
B) Normal sensorium and serum glucose greater than 160 mg/dL
C) Irritability and serum glucose less than 60 mg/dL
D) Increased urination and serum glucose less than 120 mg/dL
Q3) A common clinical manifestation of congenital hypothyroidism is
A) insomnia.
B) diarrhea.
C) hoarse cry.
D) jitteriness.
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Chapter 52: The Child with a Neurologic Alteration
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Q1) What should the nurse teach parents when the child is taking phenytoin (Dilantin)to control seizures?
A) The child should use a soft toothbrush and floss the teeth after every meal.
B) The child will require monitoring of renal function while taking this medication.
C) Dilantin should be taken with food because it causes gastrointestinal distress.
D) The medication can be stopped when the child has been seizure free for 1 month.
Q2) A mother reports that her child has episodes where he appears to be staring into space.This behavior is characteristic of which type of seizure?
A) Absence
B) Atonic
C) Tonic-clonic
D) Simple partial
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.
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Chapter 53: Psychosocial Problems in Children and Families
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A student nurse is working with a child in foster care.The child was removed from the home due to abuse.The child is crying for the parents and the student is confused.What information does the registered nurse provide?
A) Children will grieve the loss of parents, even if they were abusive.
B) The child needs therapy from a qualified therapist.
C) Play therapy will alleviate this behavior.
D) The parents may not have been the abusers.
Q2) 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
Q3) 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
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Chapter 54: The Child With an Intellectual Disability or Developmental
Disability
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The father of a child recently diagnosed with developmental delay is very rude and hostile toward the nurses.This father was cooperative during the child's evaluation a month ago.What is the best explanation for this change in parental behavior?
A) The father is exhibiting symptoms of a psychiatric illness.
B) The father may be abusing the child.
C) The father is resentful of the time he is missing from work for this appointment.
D) The father is experiencing a symptom of grief.
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) Which statement best describes fragile X syndrome?
A) Chromosomal defect affecting only females.
B) Chromosomal defect that follows the pattern of X-linked recessive disorders.
C) It is a common genetic cause of cognitive impairment.
D) Most common cause of noninherited cognitive impairment.
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Chapter 55: The Child with a Sensory Alteration
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32 Verified Questions
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Sample Questions
Q1) The nurse should suspect a hearing impairment in an infant who demonstrates which of the following?
A) Absence of intelligible speech by 12 months
B) Cessation of babbling at age 7 months
C) Lack of eye contact when being spoken to
D) Lack of gesturing to indicate wants after age 15 months
Q2) A 13-year-old adolescent is suspected to have a visual deficit and is scheduled for further evaluation.The teen asks the nurse to tell "the truth" about the tests.What is the nurse's best response?
A) "Don't worry about anything. We're here to take good care of you."
B) "Ask your parents. They have talked with the physicians."
C) "Most of the vision tests are painless and noninvasive."
D) "Trust the doctors. They know what is best for you."
Q3) Which teaching guideline helps prevent eye injuries during sports and play activities?
A) Restrict helmet use to those who wear eye glasses or contact lenses.
B) Discourage the use of goggles with helmets so the child can see better.
C) Wear eye protection when participating in high-risk sports such as paintball.
D) Wear a face mask when playing any sport or playing roughly.
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