Nursing Care of Women and Children Exam Preparation Guide
Course Introduction
This course focuses on the principles and practices of nursing care specific to women and children across diverse healthcare settings. Emphasizing the physiological, psychological, and developmental needs unique to these populations, students will explore topics such as reproductive health, prenatal and postnatal care, pediatric growth and development, and the management of common illnesses. The course integrates family-centered care, cultural competence, health promotion, and patient education, preparing students to deliver safe, compassionate, and evidence-based nursing interventions to women and children within the context of the family and community.
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) 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
Q2) When counseling the newly pregnant woman regarding the option of using a free-standing birth center for care,the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.)
A) Less expensive than acute-care hospitals
B) Access to follow-up care for 6 weeks postpartum
C) Equipped for obstetric emergencies
D) Safe, home-like births in a familiar setting
E) Staffing by lay midwives
Answer: A,B,D
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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 part of the nursing process includes the collection of data on vital signs,allergies,sleep patterns,and feeding behaviors?
A) Assessment
B) Planning
C) Intervention
D) Evaluation
Answer: A
Q2) The nurse who coordinates and manages a patient's care with other members of the health care team is functioning in which role?
A) Teacher
B) Collaborator
C) Researcher
D) Advocate
Answer: B
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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) A nurse is caring for the seriously ill child of a single parent.The parent reports being overwhelmed with the situation and not being able to make decisions.What action by the nurse is best?
A) Refer the patient to the hospital's social work department.
B) Call the chaplain service and ask for a chaplain visit.
C) Ask the parent if any other family member can come and assist.
D) Have the parent describe coping methods used for past crises.
Answer: D
Q2) 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
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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) What is the most important consideration for effectively communicating with a child?
A) The child's chronologic age
B) The parent-child interaction
C) The child's receptiveness
D) The child's developmental level
Q2) A nurse is caring for a child who does not speak English.The parents are able to understand and speak only limited English.What action by the nurse is best?
A) Allow the patient's 12-year-old sister to interpret.
B) See if there is another family member who can interpret.
C) Use a professionally trained interpreter for this family.
D) Use the Internet to translate written information in the native language.
Q3) Which behavior is most likely to encourage open communication?
A) Avoiding eye contact
B) Folding arms across chest
C) Standing with head bowed
D) Soft stance with arms loose at the side
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6
Chapter 5: Health Promotion for the Developing Child
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) 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.
Q2) Which statement best describes development in infants and children?
A) Development, a predictable and orderly process, occurs at varying rates within normal limits.
B) Development is primarily related to the growth in the number and size of cells.
C) Development occurs in a proximodistal direction with fine muscle development occurring first.
D) Development is more easily and accurately measured than growth.
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 nurse has completed a teaching session for parents about "baby-proofing" the home.Which statements made by the parents indicate an understanding of the teaching? (Select all that apply.)
A) "We will put plastic fillers in all electrical plugs."
B) "We will place poisonous substances in a high cupboard."
C) "We will place a gate at the top and bottom of stairways."
D) "We will keep our household hot water heater at 130 degrees."
E) "We will remove front knobs from the stove."
Q2) A nurse is modeling play time with a 6-month-old infant.Which activity is appropriate?
A) Pat-a-cake, peek-a-boo
B) Ball rolling, hide-and-seek game
C) Bright rattles and tactile toys
D) Push-and-pull toys
Q3) In terms of gross motor development,what would the nurse expect a 5-month-old infant to do?
A) Roll from abdomen to back.
B) Roll from back to abdomen.
C) Sit erect without support.
D) Move from prone to sitting position.
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Chapter 7: Health Promotion During Early Childhood
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is assessing a toddler's growth and development.Which statement does the nurse understand about language development in a toddler?
A) Language development skills slow during the toddler period.
B) The toddler understands more than he or she can express.
C) Most of the toddler's speech is not easily understood.
D) The toddler's vocabulary contains approximately 600 words.
Q2) A nurse is planning care for a hospitalized toddler in the preoperational thinking stage.Which characteristics should the nurse expect in this stage? (Select all that apply.)
A) Concrete thinking
B) Egocentrism
C) Animism
D) Magical thought
E) Ability to reason
Q3) Which statement is correct about toilet training?
A) Bladder training is usually accomplished before bowel training.
B) Wanting to please the parent helps motivate the child to use the toilet.
C) Watching older siblings use the toilet confuses the child.
D) Children should be forced to sit on the toilet when first learning.
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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) A parent of a chubby 8-year-old wants to know how to keep the child from gaining more weight.What response by the nurse is best?
A) Do not allow your child to snack.
B) Make a school lunch every day.
C) Model the behaviors you'd like to see.
D) Place your child on a restricted diet.
Q2) Which activity does the nurse recommend to help develop fine motor skills in the school-age child?
A) Drawing
B) Singing
C) Soccer
D) Swimming
Q3) Which does the nurse teach as an appropriate disciplinary intervention for the school-age child?
A) Time-out periods
B) Consequences that are consistent with the behavior
C) Physical punishment
D) Lectures about inappropriate behavior
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Chapter 9: Health Promotion for the Adolescent
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A student nurse asks the faculty why peer relationships become more important during adolescence.Which of the following is the nurse's best response?
A) Adolescents dislike their parents.
B) Adolescents no longer need parental control.
C) They provide adolescents with a feeling of belonging.
D) They promote a sense of individuality in adolescents.
Q2) A 17-year-old tells the nurse that he is not having sex because it would make his parents very angry.This response indicates that the adolescent has a developmental lag in which area?
A) Cognitive development
B) Moral development
C) Psychosocial development
D) Psychosexual development
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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Chapter 10: Hereditary and Environmental Influences on Development
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which statement is true of multifactorial disorders?
A) They may not be evident until later in life.
B) They are usually present and detectable at birth.
C) The disorders are characterized by multiple defects.
D) Secondary defects are rarely associated with multifactorial disease.
Q2) People who have two copies of the same abnormal autosomal dominant gene will usually be
A) more severely affected by the disorder than will people with one copy of the gene.
B) infertile and unable to transmit the gene.
C) carriers of the trait but not affected with the disorder.
D) mildly affected with the disorder.
Q3) The nurse knows that which of the following chromosomal abnormalities are structural in nature? (Select all that apply.)
A) Part of a chromosome is missing.
B) The material within a chromosome is rearranged.
C) One or more sets of chromosomes are added.
D) An entire single chromosome is added.
E) Two chromosomes adhere to each other.
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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) In describing the size and shape of the nonpregnant uterus to a patient,the nurse would say it is approximately the size and shape of a
A) cantaloupe.
B) grapefruit.
C) pear.
D) large orange.
Q2) A patient states,"My breasts are so small,I don't think I will be able to breastfeed." The nurse's best response is
A) "It may be difficult, but you should try anyway."
B) "You can always supplement with formula."
C) "Breast size is not related to the ability to breastfeed."
D) "The ability to breastfeed depends on secretion of estrogen and progesterone."
Q3) The nursing students learn that fertilization of the ovum takes place in which part of the fallopian tube?
A) Interstitial portion
B) Ampulla
C) Isthmus
D) Infundibulum
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13
Chapter 12: Conception and Prenatal Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8515
Sample Questions
Q1) What does the student learn about recent trends in multiple births?
A) The rate of twin births has declined.
B) The rate of higher order pregnancies has increased.
C) Higher order pregnancies are now very rare.
D) Twinning is the most common form of multiple pregnancy.
Q2) The nursing faculty explains that the fetus can survive in a low-oxygen environment due to which of the following? (Select all that apply.)
A) Fetal hemoglobin carries more oxygen than an adult's.
B) The fetus has higher average hemoglobin and hematocrit.
C) Hemoglobin carries more oxygen at low partial pressures of carbon dioxide.
D) Fetal blood is more acidic than the maternal blood.
E) The fetus does not need gas exchange while in utero.
Q3) Which statement related to oogenesis is correct?
A) Two million primary oocytes will mature.
B) At birth, all ova are contained in the female's ovaries.
C) The oocytes complete their division during fetal life.
D) Monthly, at least two oocytes mature.
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Page 14
Chapter 13: Adaptations to Pregnancy
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) A step in maternal role attainment that relates to the woman giving up certain aspects of her previous life is termed
A) looking for a fit.
B) role playing.
C) fantasy.
D) grief work.
Q2) A nurse in labor and delivery is caring for a Muslim woman during the active phase of labor.You note that when you touch her,she quickly draws away.Which response by the nurse is best?
A) Continue to touch her as much as you need to while providing care.
B) Assume that she doesn't like you and decrease your time with her.
C) Limit touching to a minimum, as this may not be acceptable in her culture.
D) Ask the charge nurse to reassign you to another patient.
Q3) A nurse sees a woman in her first trimester of pregnancy.The nurse explains that the woman can expect to visit her physician every 4 weeks so that
A) she develops trust in the health care team.
B) her questions about labor can be answered.
C) the condition of the mother and fetus can be monitored.
D) problems can be eliminated.
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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) The nurse teaches a pregnant woman that one danger in using nonfood supplementation of nutrients is
A) increased absorption of all vitamins.
B) development of pregnancy-induced hypertension (PIH).
C) increased caloric intake.
D) toxic effects on the fetus.
Q2) A pregnant woman's diet may not meet her need for folate.The nurse teaches the woman to take how much folate as a supplement each day?
A) 100 to 200 mcg
B) 200 to 400 mcg
C) 400 to 600 mcg
D) 400 to 800 mcg
Q3) The major source of nutrients in the diet of a pregnant woman should be composed of
A) simple sugars.
B) fats.
C) fiber.
D) complex carbohydrates.
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Chapter 15: Prenatal Diagnostic Tests
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse providing care for the pregnant woman understands that a factor indicating the need for fetal diagnostic procedures is
A) maternal diabetes.
B) maternal age older than 30 years.
C) previous infant more than 3000 g at birth.
D) weight gain of 25 pounds.
Q2) A patient is at 6 weeks' gestation and is having a transvaginal ultrasound.While preparing the patient for this procedure,she expresses concerns over the necessity for this test.The nurse explains that this diagnostic test may be necessary to determine which of the following? (Select all that apply.)
A) Multifetal gestation
B) Bicornuate uterus
C) Presence and location of pregnancy (intrauterine or elsewhere)
D) Amniotic fluid volume
E) Presence of ovarian cysts
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Chapter 16: Giving Birth
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) A laboring woman is lying in the supine position.The most appropriate nursing action is to
A) ask her to turn to one side.
B) elevate her feet and legs.
C) take her blood pressure.
D) let her stay in a position of comfort.
Q2) Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?
A) The fetal head is felt at 0 station during vaginal examination.
B) Bloody mucous discharge increases.
C) The vulva bulges and encircles the fetal head.
D) The membranes rupture during a contraction.
Q3) When assessing the fetus using Leopold maneuvers,the nurse feels a round,firm,movable fetal part in the fundal portion of the uterus and a long,smooth surface in the mother's right side close to midline.What is the likely position of the fetus?
A) ROA
B) LSP
C) RSA
D) LOA
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Page 18
Chapter 17: Intrapartum Fetal Surveillance
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The new nurse learns that which condition related to decreased variability is considered benign?
A) A periodic fetal sleep state
B) Extreme prematurity
C) Fetal hypoxemia
D) Preexisting neurologic injury
Q2) The labor nurse is evaluating the patient's most recent 10-minute segment on the monitor strip and notes a late deceleration.This is likely to be caused by which physiologic alterations? (Select all that apply.)
A) Spontaneous fetal movement
B) Compression of the fetal head
C) Placental abruption
D) Cord around the baby's neck
E) Maternal supine hypotension
Q3) Why is continuous electronic fetal monitoring usually used when oxytocin is administered?
A) The mother may become hypotensive.
B) Uteroplacental exchange may be compromised.
C) Maternal fluid volume deficit may occur.
D) Fetal chemoreceptors are stimulated.
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Chapter 18: Pain Management for Childbirth
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The laboring woman who imagines her body opening to let the baby out is using a mental technique called
A) dissociation.
B) effleurage.
C) imagery.
D) distraction.
Q2) When providing labor support,the nurse knows that which fetal position might cause the laboring woman more back discomfort?
A) Right occiput anterior
B) Left occiput anterior
C) Right occiput transverse
D) Left occiput posterior
Q3) The nurse caring for women in labor understands that childbirth pain is different from other types of pain in that it is
A) more responsive to pharmacologic management.
B) associated with a physiologic process.
C) designed to make one withdraw from the stimulus.
D) less intense.
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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) A new graduate nurse is preparing to hang oxytocin for a woman to augment her labor.What action by the new nurse warrants intervention from the preceptor?
A) Adds oxytocin to the IV as a piggyback
B) Programs the IV pump for a primary infusion
C) Assesses FHR and uterine activity prior to starting the infusion
D) Attaches the infusion line to the proximal port
Q2) A nurse assesses a woman and gathers the following data: Dilation: 4 cm
Effacement: 60%
Fetal station: 0
Cervical consistency: medium
Cervical position: middle
Calculate this woman's Bishop score ____________
Q3) Immediately after the forceps-assisted birth of an infant,which action by the nurse is next?
A) Assess the infant for signs of trauma.
B) Give the infant prophylactic antibiotics.
C) Apply a cold pack to the infant's scalp.
D) Measure the circumference of the infant's head.
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Page 21
Chapter 20: Postpartum Adaptations
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Sample Questions
Q1) A pregnant patient asks when the dark line on her abdomen (linea nigra)will go away.The nurse knows the pigmentation will decrease after delivery because of
A) increased estrogen.
B) increased progesterone.
C) decreased melanocyte-stimulating hormone.
D) decreased human placental lactogen.
Q2) During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?
A) Letting go
B) Taking hold
C) Taking in
D) Taking on
Q3) The nurse explains to the nursing student that one mechanism for the diaphoresis and diuresis experienced during the early postpartum period is which of the following?
A) Elevated temperature caused by postpartum infection
B) Increased basal metabolic rate after giving birth
C) Loss of increased blood volume associated with pregnancy
D) Increased venous pressure in the lower extremities
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Chapter 21: The Normal Newborn: Adaptation and Assessment
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Sample Questions
Q1) Cardiovascular changes that cause the foramen ovale to close at birth are a direct result of
A) increased pressure in the right atrium.
B) increased pressure in the left atrium.
C) decreased blood flow to the left ventricle.
D) changes in the hepatic blood flow.
Q2) The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what types of visual stimuli they should provide for their newborn.The nurse responds to the parents by telling them
A) "Infants can see very little until about 3 months of age."
B) "Infants can track their parent's eyes and prefer complex patterns."
C) "The infant's eyes must be protected. Infants enjoy looking at bright stripes."
D) "It's important to shield the newborn's eyes. Overhead lights help them see better."
Q3) 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) What action by the nurse is most important to prevent the kidnapping of newborns from the hospital?
A) Instruct the mother not to give her infant to anyone except the one nurse assigned to her that day.
B) Question anyone who is seen walking in the hallways carrying an infant.
C) Allow no visitors in the maternity area except those who have identification bracelets.
D) Restrict the amount of time infants are out of the nursery.
Q2) The student nurse asks why gloves are needed when handling a newborn because the newborn "hasn't been exposed to anything." What response by the nurse is best?
A) It is part of standard precautions.
B) It is hospital policy.
C) Amniotic fluid and maternal blood pose risks to us.
D) We are protecting the infant from our bacteria.
Q3) 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.
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Chapter 23: Newborn Feeding
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Sample Questions
Q1) A postpartum woman telephones about her 4-day-old infant.She is not scheduled for a weight check until the infant is 10 days old,and she is worried about whether breastfeeding is going well.Effective breastfeeding is indicated by the newborn who A) sleeps for 6 hours at a time between feedings.
B) has at least one breast milk stool every 24 hours.
C) gains 1 to 2 ounces per week.
D) has at least six to eight wet diapers per day.
Q2) A breastfeeding mother who was discharged yesterday calls to ask about a tender,hard area on her right breast.The nurse's first response should be
A) "Try massaging the area and apply heat, as this is probably a plugged duct."
B) "Stop breastfeeding because you probably have an infection."
C) "Notify your doctor so he can start you on antibiotics."
D) "This is a normal response in breastfeeding mothers."
Q3) A newborn weighs 8.7 pounds.How many kilocalories does this breastfed term infant require each day? _________
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25
Chapter 24: The Childbearing Family with Special Needs
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Sample Questions
Q1) Which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?
A) Heroin
B) Alcohol
C) PCP
D) Cocaine
Q2) The student nurse learns that the most important reason marijuana should not be used during pregnancy is which of the following?
A) Unknown effects, more research is needed
B) Causes a higher rate of spontaneous abortions
C) Leads to multiple organ dysfunction in the newborn
D) Responsible for severe cognitive deficits
Q3) During which phase of the cycle of violence does the batterer become contrite and remorseful?
A) Battering phase
B) Honeymoon phase
C) Tension-building phase
D) Increased drug-taking phase
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Chapter 25: Pregnancy-Related Complications
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Sample Questions
Q1) Which clinical sign is not included in the symptoms of preeclampsia?
A) Hypertension
B) Edema
C) Proteinuria
D) Glycosuria
Q2) A patient with pregnancy-induced hypertension is admitted complaining of pounding headache,visual changes,and epigastric pain.Nursing care is based on the knowledge that these signs indicate
A) Anxiety due to hospitalization
B) Worsening disease and impending seizure
C) Effects of magnesium sulfate
D) Gastrointestinal upset
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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Chapter 26: Concurrent Disorders during Pregnancy
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Sample Questions
Q1) Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy is associated with
A) frequent episodes of maternal hypoglycemia.
B) congenital anomalies in the fetus.
C) polyhydramnios.
D) hyperemesis gravidarum.
Q2) When teaching the pregnant woman with class II heart disease,what information should the nurse provide?
A) Advise her to gain at least 30 lb.
B) Explain the importance of a diet high in calcium.
C) Instruct her to avoid strenuous activity.
D) Inform her of the need to limit fluid intake.
Q3) Nursing intervention for the pregnant diabetic is based on the knowledge that the need for insulin
A) increases throughout pregnancy and the postpartum period.
B) decreases throughout pregnancy and the postpartum period.
C) varies depending on the stage of gestation.
D) should not change because the fetus produces its own insulin.
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Chapter 27: The Woman with an Intrapartum Complication
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Sample Questions
Q1) A woman reports a sudden gush of fluid from her vagina and is worried about premature rupture of her membranes.What other causes of this does the nurse assess for? (Select all that apply.)
A) Urinary incontinence
B) Leaking of amniotic fluid
C) Loss of mucous plug
D) An increase in vaginal discharge
E) Bloody show
Q2) An important independent nursing action to promote normal progress in labor is A) assessing the fetus.
B) encouraging urination about every 1 to 2 hours.
C) allowing the woman to stay in her preferred position.
D) regulating intravenous fluids.
Q3) An hour after her membranes ruptured,a laboring woman has a temperature of 38.2° C (100.7° F).What action does the nurse perform first?
A) Provide cool, wet washcloths for the woman's forehead.
B) Assess and document the fetal heart rate.
C) Administer acetaminophen orally.
D) Encourage the woman to drink clear fluids.
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Page 29
Chapter 28: The Woman with a Postpartum Complication
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8531
Sample Questions
Q1) To provide adequate postpartum care,the nurse should be aware that peripartum depression (PPD)
A) is the "baby blues," plus the woman has a visit with a counselor or psychologist.
B) does not affect the father who can then care for the baby.
C) is distinguished by pervasive sadness that lasts at least 2 weeks.
D) will disappear on its own without outside help.
Q2) A home health care nurse is checking on a new mother with signs of obsessive-compulsive disorder.What assessment findings correlate with this condition? (Select all that apply.)
A) Frequently checking on the baby
B) Fear of being alone with the baby
C) Woman states she feels worthless
D) Woman has bought $5,000 worth of toys
E) Mother states birth was very traumatic
Q3) The nurse should expect medical intervention for subinvolution to include
A) oral methylergonovine maleate (Methergine) for 48 hours.
B) oxytocin intravenous infusion for 8 hours.
C) oral fluids to 3000 mL/day.
D) intravenous fluid and blood replacement.
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Page 30
Chapter 29: The High-Risk Newborn: Problems Related to
Gestational Age and Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8532
Sample Questions
Q1) Which statement is true about large for gestational age ( LGA )infants?
A) They weigh more than 3500g.
B) They are above the 80th percentile on gestational growth charts.
C) They are prone to hypoglycemia, polycythemia, and birth injuries.
D) Postmaturity syndrome and fractured clavicles are the most common complications.
Q2) Which data should alert the nurse that the neonate is postmature?
A) Cracked, peeling skin
B) Short, chubby arms and legs
C) Presence of vernix caseosa
D) Presence of lanugo
Q3) Compared to the term infant,the preterm infant has
A) few blood vessels visible though the skin.
B) more subcutaneous fat.
C) well-developed flexor muscles.
D) greater surface area in proportion to weight.
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Chapter 30: The High-Risk Newborn: Acquired and Congenital Conditions
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8533
Sample Questions
Q1) An infant with severe meconium aspiration syndrome (MAS)is not responding to conventional treatment.Which treatment may be necessary for this infant?
A) Extracorporeal membrane oxygenation
B) Respiratory support with ventilator
C) Insertion of laryngoscope and suctioning of the trachea
D) Insertion of an endotracheal tube
Q2) The infant of a mother with diabetes is hypoglycemic.What type of feeding should be instituted first?
A) Glucose water in a bottle
B) D5W intravenously
C) Formula via nasogastric tube
D) Breast milk
Q3) The difference between physiologic and nonphysiologic jaundice is that nonphysiologic jaundice
A) usually results in kernicterus.
B) appears during the first 24 hours of life.
C) results from breakdown of excessive erythrocytes not needed after birth.
D) begins on the head and progresses down the body.
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Chapter 31: Management of Fertility and Infertility
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8534
Sample Questions
Q1) Which contraceptive method is contraindicated in a woman with a history of toxic shock syndrome?
A) Condom
B) Spermicide
C) Cervical cap
D) Norplant
Q2) A woman currently uses a diaphragm and spermicide for contraception.She asks the nurse what the major differences are between the cervical cap and diaphragm.The nurse's most appropriate response is
A) "No spermicide is used with the cervical cap, so it's less messy."
B) "The diaphragm can be left in place longer after intercourse."
C) "Repeated intercourse with the diaphragm is more convenient."
D) "You can have intercourse several times without removing the cap to add more spermicide."
Q3) A nurse is teaching a couple about basal body temperature.What information is most accurate?
A) Measures the man's scrotal temperature related to sperm production.
B) Basal body temperature is the average resting temperature in the woman.
C) It detects slight temperature elevation just prior to ovulation in the woman
D) Ovulation is the only event that affects the change in body temperature.
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Chapter 32: Womens HealthCare
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8535
Sample Questions
Q1) A 49-year-old patient confides to the nurse that she has started experiencing pain with intercourse and asks,"Is there anything I can do about this?" What is the best response by the nurse?
A) "You need to be evaluated for a sexually transmitted disease."
B) "Water-soluble vaginal lubricants may provide relief."
C) "No, it is part of the aging process."
D) "You may have vaginal scar tissue that is producing the discomfort."
Q2) While evaluating a patient for osteoporosis,the nurse should be aware of what risk factor?
A) African-American race
B) Low protein intake
C) Obesity
D) Cigarette smoking
Q3) Which statement by a woman diagnosed with premenstrual syndrome indicates that further health teaching is needed?
A) "I may have to try some antidepressants."
B) "I need to limit my intake of caffeine."
C) "I might try taking some vitamin E."
D) "Salty foods will not affect this condition."
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Page 34
Chapter 33: Physical Assessment of Children
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8536
Sample Questions
Q1) Which chart should the nurse use to assess the visual acuity of an 8-year-old child?
A) Lea chart
B) Snellen chart
C) HOTV chart
D) Tumbling E chart
Q2) The nurse is obtaining vital signs on a 1-year-old child.What is the most appropriate site for assessing the pulse rate?
A) Apical
B) Radial
C) Carotid
D) Femoral
Q3) The nurse has a 2-year-old boy sit in a "tailor" position during palpation for the testes.What is the rationale for this position?
A) It prevents cremasteric reflex.
B) Undescended testes can be palpated.
C) This tests the child for an inguinal hernia.
D) The child does not yet have a need for privacy.
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Chapter 34: Emergency Care of the Child
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A child has been brought to the emergency department with carbon monoxide poisoning.After the child is stabilized,what action by the nurse is best?
A) Have all family members tested for carbon monoxide poisoning.
B) Help family determine source of the carbon monoxide.
C) Prepare to administer syrup of ipecac.
D) Notify social services about the child's condition.
Q2) What condition does the nurse recognize as an early sign of distributive shock?
A) Hypotension
B) Skin warm and flushed
C) Oliguria
D) Cold, clammy skin
Q3) What should be the emergency department nurse's next action when a 6-year-old child has a systolic blood pressure of 58 mm Hg?
A) Alert the physician about the systolic blood pressure.
B) Comfort the child and assess respiratory rate.
C) Assess the child's responsiveness to the environment.
D) Alert the physician that the child may need intravenous fluids.
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Chapter 35: The Ill Child in the Hospital and Other Care Settings
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8538
Sample Questions
Q1) The nurse is working with a child in the intensive care unit.The family is from out of town.There are two siblings,both of whom are acting out at home.What suggestions does the nurse provide the family? (Select all that apply.)
A) Let the siblings call the ill child at scheduled times.
B) Take photographs of the sick child to show the siblings.
C) Suggest the parents take the siblings to counseling.
D) Reassure the siblings that they will not get ill themselves.
E) Stay at home with the siblings until their behavior improves.
Q2) Which is an appropriate nursing intervention for the hospitalized neonate?
A) Assign the neonate to a room with other neonates.
B) Provide play activities in the hospital room.
C) Offer the neonate a pacifier between feedings.
D) Request that parents bring a security object from home.
Q3) Which play activity should the nurse implement to enhance deep breathing exercises for a toddler?
A) Blowing bubbles
B) Throwing a Nerf ball
C) Using a spirometer
D) Keeping a chart of deep breathing
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Chapter 36: The Child with a Chronic Condition or Terminal Illness
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8539
Sample Questions
Q1) Which indicators of imminent death in a child should the nurse expect to assess? (Select all that apply.)
A) Heart rate increases.
B) Blood pressure increases.
C) Respirations become rapid and shallow.
D) The extremities become warm.
E) Peripheral pulses become stronger.
Q2) The parents of a child born with disabilities ask the nurse for advice about discipline.The nurse's response should be based on knowledge that discipline is A) essential for the child.
B) too difficult to implement with special-needs child.
C) not needed unless the child becomes problematic.
D) best achieved with punishment for misbehavior.
Q3) The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?
A) Toddler
B) Preschooler
C) School-age child
D) Adolescent
38
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Chapter 37: Principles and Procedures for Nursing Care of Children
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8540
Sample Questions
Q1) 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.
Q2) A parent calls the pediatrician's office because her 1-year-old child has a 100° F temperature.What is the most appropriate initial nursing response to make to the parent?
A) "Did you feel your child's forehead?"
B) "Does your child appear to be uncomfortable?"
C) "Has anyone in your home been sick lately?"
D) "Don't worry if the temperature is less than 101° F."
Q3) A toddler's temperature is 101.5° F (38.6° C)axillary.The physician has ordered acetaminophen 10 mg/kg every 4 to 6 hours.The child weighs 22 lb.The bottle of acetaminophen available is a suspension (160 mg/5 mL).______ How much should the nurse administer? Round to the nearest milliliter.
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Page 39
Chapter 38: Medication Administration and Safety for
Infants and Children
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8541
Sample Questions
Q1) What is the hourly maintenance fluid rate for an intravenous infusion in a child weighing 19.5 kg?
A) 19 mL
B) 61 mL
C) 195 mL
D) 1475 mL
Q2) Which muscle should the nurse select to give a 6-month-old infant an intramuscular injection?
A) Deltoid
B) Ventrogluteal
C) Dorsogluteal
D) Vastus lateralis
Q3) A provider orders odansetron 0.15 mg/kg IV push for a child who weighs 15 pounds.How much medication does the nurse draw up?
Q4) What action is correct when administering ear drops to a 2-year-old child?
A) Administer the ear drops straight from the refrigerator.
B) Pull the pinna of the ear back and down.
C) Massage the pinna after administering the medication.
D) Pull the pinna of the ear back and up.
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Chapter 39: Pain Management for Children
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8542
Sample Questions
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) 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
Q3) The nurse caring for the child in pain knows that distraction
A) can give total pain relief to the child.
B) is effective when the child is in severe pain.
C) is the best method for pain relief.
D) must be developmentally appropriate to refocus attention.
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Page 41
Chapter 40: The Child with a Fluid and Electrolyte Alteration
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8543
Sample Questions
Q1) What is the best response by the nurse to a parent asking about antidiarrheal medication for her 18-month-old child?
A) "It is okay to give antidiarrheal medication to a young child as long as you follow the directions on the box for correct dosage."
B) "Antidiarrheal medication is not recommended for young children because it slows the body's attempt to rid itself of the pathogen."
C) "I'm sure your child won't like the taste, so give extra fluids when you give the medication."
D) "Antidiarrheal medication will lessen the frequency of stools, but give your child Gatorade to maintain electrolyte balance."
Q2) Which action is the primary concern in the treatment plan for a child with persistent vomiting?
A) Detecting the cause of vomiting
B) Preventing metabolic acidosis
C) Positioning the child to prevent further vomiting
D) Recording intake and output
Q3) Bodily fluids are composed of two elements: water and _____.
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Chapter 41: The Child with an Infectious Disease
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8544
Sample Questions
Q1) Parents report their 3-year-old child appears restless at night and frequently scratches her anal area.What action by the nurse is best?
A) Educate parents on the cellophane tape test.
B) Review hygiene practices with the parents.
C) Suggest the child sleep only in pajama tops.
D) Ask parents to bring in a stool sample.
Q2) What should the nurse expect to observe in the prodromal phase of rubeola?
A) Macular rash on the face
B) Koplik spots
C) Petechiae on the soft palate
D) Crops of vesicles on the trunk
Q3) Which statement made by a parent about intervention for a child's fever shows the need for further education?
A) "I should keep her covered lightly when she has a fever."
B) "I'll give her plenty of liquids to keep her hydrated."
C) "I can give her acetaminophen for a fever."
D) "I'll look for over-the-counter aspirin or ibuprofen."
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Chapter 42: The Child with an Immunologic Alteration
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8545
Sample Questions
Q1) The mother of an HIV-positive infant who is 2 months old questions the nurse about which childhood immunizations her child will be able to receive.Which immunizations should an HIV-positive child be able to receive? (Select all that apply.)
A) Hepatitis B
B) DTaP
C) MMR
D) IPV
E) HIB
Q2) Which suggestion is appropriate to teach a mother who has a preschool child who refuses to take the medications for HIV infection?
A) Mix medications with chocolate syrup or pudding
B) Mix the medications with milk or an essential food.
C) Skip the dose of medication if the child protests too much.
D) Mix the medication in a syringe, hold the child down firmly, and administer the medication.
Q3) A child weighs 30.8 pounds and is prescribed prednisolone syrup 0.5 mg/kg.The pharmacy delivers a syringe with 15 mg/5 mL.How many mL does the nurse administer?Round your solve to the nearest 10th.
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44
Chapter 43: The Child with a Gastrointestinal Alteration
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55 Verified Questions
55 Flashcards
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Sample Questions
Q1) What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching?
A) Oatmeal
B) Rice cake
C) Corn muffin
D) Meat patty
Q2) Careful handwashing before and after contact can prevent the spread of which condition in daycare and school settings?
A) Irritable bowel syndrome
B) Ulcerative colitis
C) Hepatic cirrhosis
D) Hepatitis A
Q3) The child with lactose intolerance is most at risk for which imbalance?
A) Hyperkalemia
B) Hypoglycemia
C) Hyperglycemia
D) Hypocalcemia
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Chapter 44: The Child with a Genitourinary Alteration
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what conditions? (Select all that apply.)
A) Hypocalciuria
B) Nephrotic syndrome
C) Glomerulonephritis
D) UTI
E) Diabetes mellitus
Q2) A nurse is assessing lab results on four patients in the general pediatric unit.What child should the nurse go see first?
A) Urine specific gravity: 1.025
B) Urine ketones: positive in large amounts
C) Serum BUN 21 mg/dL
D) Serum creatinine 0.7 mg/dL
Q3) The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding?
A) Increased urine output
B) Hypotension
C) Tea-colored urine
D) Weight gain
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Chapter 45: The Child with a Respiratory Alteration
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A child has allergies to animal dander but is distraught at having to give away the family dog.What actions could the nurse suggest that might avoid this? (Select all that apply.)
A) Choose a dander-free pet like a lizard.
B) Keep the dog outside as much as possible.
C) Install air cleaners in the house.
D) Use dust-proof pillow covers.
E) Keep the windows closed in the summer.
Q2) Which statement indicates that a parent of a toddler needs more education about preventing foreign body aspiration?
A) "I keep objects with small parts out of reach."
B) "My toddler loves to play with balloons."
C) "I won't permit my child to have peanuts."
D) "I never leave coins where my child could get them."
Q3) Which intervention for treating croup at home should be taught to parents as possibly helpful?
A) Have a decongestant available.
B) Have the child sleep in a dry room.
C) Take the child outside.
D) Give the child an antibiotic at bedtime.
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Chapter 46: The Child with a Cardiovascular Alteration
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/8549
Sample Questions
Q1) A nurse is teaching an adolescent about primary hypertension.Which statement made by the adolescent indicates an understanding of primary hypertension?
A) Primary hypertension should be treated with diuretics as soon as it is detected.
B) Congenital heart defects are the most common cause of primary hypertension.
C) Primary hypertension may be treated with weight reduction.
D) Primary hypertension is not affected by exercise.
Q2) A child had an aortic stenosis defect surgically repaired 5 months ago.Which antibiotic prophylaxis is indicated for an upcoming tonsillectomy?
A) No antibiotic prophylaxis is necessary.
B) Amoxicillin is taken orally 1 hour before the procedure.
C) Oral penicillin is given for 7 to 10 days before the procedure.
D) Parenteral antibiotics are administered for 5 to 7 days after the procedure.
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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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) What is the best response to a parent who asks the nurse whether her 5-month-old infant can have cow's milk?
A) "You need to wait until she is 8 months old and eating solids well."
B) "Yes, if you think that she will eat enough meat to get the iron she needs."
C) "Infants younger than 12 months need iron-rich formula to get the iron they need."
D) "Try it and see how she tolerates it."
Q2) 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
Q3) A condition in which the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin is known as
A) aplastic anemia.
B) sickle cell anemia.
C) thalassemia major.
D) iron-deficiency anemia.
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Chapter 48: The Child with Cancer
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8551
Sample Questions
Q1) The nurse notes a reddened area on the forearm of a neutropenic child with leukemia.What action by the nurse is most appropriate?
A) Massage the area.
B) Turn the child more frequently.
C) Document the finding and continue to observe the area.
D) Notify the provider.
Q2) Children with non-Hodgkin lymphoma are at risk for complications resulting from tumor lysis syndrome (TLS).What findings would the nurse assess for to identify this complication early?
A) Increased ALT, AST
B) Change in level of consciousness
C) Elevated BUN and creatinine
D) Oxygen saturation of 93%
Q3) A child has a brain tumor.What assessment finding leads the nurse to request a physical therapy consultation?
A) Dizziness
B) Ataxia
C) Slurred speech
D) Visual changes
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Page 50
Chapter 49: The Child with an Alteration in Tissue Integrity
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8552
Sample Questions
Q1) The depth of a burn injury may be classified as A) localized or systemic.
B) superficial, superficial partial thickness, deep partial thickness, or full thickness.
C) electrical, chemical, or thermal.
D) minor, moderate, or major.
Q2) What should the nurse teach an adolescent who is taking tretinoin (Retin-A)to treat acne?
A) The medication should be taken with meals.
B) Apply sunscreen before going outdoors.
C) Wash with benzoyl peroxide before application.
D) The effect of the medication should be evident within 1 week.
Q3) When assessing the child with atopic dermatitis,the nurse should ask the parents about a history of which of the following?
A) Asthma
B) Nephrosis
C) Lower respiratory tract infections
D) Neurotoxicity
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Chapter 50: The Child with a Musculoskeletal Alteration
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8553
Sample Questions
Q1) A priority nursing intervention when caring for a child in a Pavlik harness is A) skin care.
B) bowel function.
C) feeding patterns.
D) respiratory function.
Q2) A 6-year-old patient who has been placed in skeletal traction has pain,edema,and fever.The nurse should assess which of the following?
A) Neurologic status
B) Range of motion of all extremities
C) Warmth at site of pain
D) Blood pressure
Q3) When a child with a musculoskeletal injury on the foot is assessed,what is most indicative of a fracture?
A) Increased swelling after the injury is iced
B) The presence of localized tenderness distal to the site
C) The presence of an elevated temperature for 24 hours
D) The inability of the child to bear weight
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Chapter 51: The Child with an Endocrine or Metabolic Alteration
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31 Flashcards
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Sample Questions
Q1) A nurse is caring for a child undergoing an ACTH stimulation test.After administering the Cortrosyn according to policy,what action by the nurse takes priority?
A) Obtain a set of vital signs.
B) Monitor the urine output.
C) Facilitate a lab draw in 30 minutes.
D) Keep the child NPO.
Q2) What information provided by the nurse would be helpful to a 15-year-old adolescent taking methimazole three times a day?
A) Pill dispensers and alarms on a watch can be effective reminders to take the medication.
B) She can take the medication when she is feels symptomatic.
C) She can take two pills before school and one pill at dinner, which is easier to remember.
D) The mother can be responsible for reminding her to take her medication.
Q3) A goiter is an enlargement or hypertrophy of which gland?
A) Thyroid
B) Adrenal
C) Anterior pituitary
D) Posterior pituitary
Page 53
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Chapter 52: The Child with a Neurologic Alteration
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) 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.
Q2) Which type of fracture describes traumatic separation of cranial sutures?
A) Basilar
B) Linear
C) Comminuted
D) Depressed
Q3) The nurse teaches parents to alert their health care provider about which adverse effect when a child receives valproic acid (Depakene)to control generalized seizures?
A) Weight loss
B) Bruising
C) Anorexia
D) Drowsiness
Q4) The Glasgow Coma Scale consists of an assessment of
A) pupil reactivity and motor response.
B) eye opening and verbal and motor responses.
C) level of consciousness and verbal response.
D) ICP and level of consciousness.
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Chapter 53: Psychosocial Problems in Children and Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8556
Sample Questions
Q1) A home health care nurse is working with a child whose parents seem to be quite rigid in their rules and expectations and seem very distrustful of the nurse.What action by the nurse is most appropriate?
A) Ask the parents why they don't trust outsiders.
B) Interview the parents separately.
C) Monitor the child for signs of abuse.
D) Assess the parents for substance abuse.
Q2) A teen has told the school nurse about recent suicidal thoughts.What action by the nurse is best?
A) Call the police and the teen's parents.
B) Ask if the teen has access to firearms.
C) Assess the teen for substance abuse.
D) Report the finding to the principal.
Q3) In counseling an adolescent who is abusing alcohol,the nurse explains that alcohol abuse primarily affects which organ of the body?
A) Heart
B) Liver
C) Brain
D) Lungs
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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) A nurse is giving a parent information about autism.Which statement made by the parent indicates understanding of the teaching?
A) Autism is characterized by periods of remission and exacerbation.
B) The onset of autism usually occurs before 3 years of age.
C) Children with autism have imitation and gesturing skills.
D) Autism can be treated effectively with medication.
Q2) What action is contraindicated when a child with Down syndrome is hospitalized?
A) Determine the child's vocabulary for specific body functions.
B) Assess the child's hearing and visual capabilities.
C) Encourage parents to leave the child alone to encourage adaptation.
D) Have meals served at the child's usual meal times.
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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Source URL: https://quizplus.com/quiz/8558
Sample Questions
Q1) What manifestation in a 5-month-old child could indicate visual problems?
A) Lack of binocularity
B) Visual acuity of 20/50
C) Strabismus
D) Hyperopia
Q2) The school nurse is caring for a child with a penetrating eye injury.Emergency treatment includes which of the following?
A) Taping the eye shut
B) Patching the affected eye with any reasonable item
C) Applying ice until the physician is seen
D) Irrigating the eye copiously with a sterile saline solution
Q3) Adequate hearing depends on intact auditory structures and quality of sound.Failure to hear at 40 to 69 dB would be categorized as a __________ hearing loss.
Q4) The teaching plan for the parents of a 3-year-old child with amblyopia ("lazy eye")should include what instruction?
A) Apply a patch to the child's eyeglass lenses.
B) Apply a patch only during waking hours.
C) Apply a patch over the "bad" eye to strengthen it.
D) Cover the "good" eye completely with a patch.
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