Nursing Care of Women and Children Final Exam
Course Introduction
This course focuses on the principles and practices involved in providing nursing care to women and children across a variety of healthcare settings. It covers topics such as reproductive health, prenatal and postnatal care, growth and development of children, and common pediatric and gynecological conditions. Students will learn assessment techniques, health promotion strategies, family-centered care, and culturally competent approaches to address the unique physical, emotional, and psychosocial needs of women and children. Emphasis is placed on therapeutic communication, patient education, and collaboration within interdisciplinary healthcare teams.
Recommended Textbook
Maternal Child Nursing Care with Womens Health Companion 2nd Edition by Ward
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35 Chapters
1798 Verified Questions
1798 Flashcards
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Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/19622
Sample Questions
Q1) The clinic nurse understands the new description of nursing art/aesthetics as the way that nurses and patients help each other through a circular process.What is the event that begins this process?
A) A health threat
B) Experiencing new possibilities for health
C) Hope and understanding for the future
D) Relationship building
Answer: A
Q2) A patient wishes to use complementary therapy when managing a chronic health condition.Which action by the nurse is most appropriate?
A) Advise the patient that stopping medical treatment may cause it to worsen.
B) Inform the patient that there are no complementary therapies for this condition.
C) Investigate herbs that can be substituted for prescription drugs.
D) Suggest the patient add massage therapy to the medical regimen.
Answer: D
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Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The community health nurse knows that the public health intervention model is focused on which of the following intervention levels?
A) Community
B) Family
C) Government
D) Hospitals
E) Patient
Answer: A,B,E
Q2) A nurse is working with a parent-teacher association to combat school bullying.What action can the nurse suggest that would best help to decrease this form of interpersonal violence?
A) Advise that victims' parents call law enforcement and press charges.
B) Begin offering martial arts classes in the school for bullied children.
C) Encourage the school to adopt no-tolerance policies for bullying.
D) Suggest limiting television viewing, especially for younger children.
Answer: D
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Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nurse assessing a family includes which components in the assessment?
A) Dietary habits
B) Family size and structure
C) Parenting style
D) Religious affiliation
E) Socioeconomic status
Answer: B,C,D,E
Q2) A nurse is working with a family in which one member has schizophrenia.Using systems theory,for which concern should the nurse specifically assess this family?
A) Balance
B) Boundaries
C) Children's ages
D) Subsystems
Answer: B
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Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) A nurse is planning breast education for women.What information does the nurse plan to provide about breast cancer screening recommendations?
A) Annual screening after age 40
B) MRI to replace mammography
C) No routine screening after age 65
D) Periodic screening if high risk
Q2) A postmenopausal woman asks the nurse about reducing her breast cancer risk.The woman is overweight,consumes one alcoholic drink daily,does not smoke,and works at a desk.What response by the nurse is best?
A) Exercise regularly.
B) Lose weight.
C) Stop drinking.
D) Take aspirin daily.
Q3) At what age should the nurse prepare patients to begin thyroid function screening?
A) 30 years
B) 40 years
C) 50 years
D) 60 years
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Chapter 5: Reproductive Anatomy and Physiology
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) A pregnant woman calls the OB clinic nurse to complain of sharp abdominal pain with coughing or sneezing.What action by the nurse is best?
A) Explain that the pain is from stretching of the ligaments.
B) Have the woman count her contractions each hour while awake.
C) Place the woman on bedrest until her next clinic visit.
D) Tell the woman to come to the clinic today.
Q2) A nurse is teaching a class about gender maturation.What information is most accurate?
A) Gender is determined by 8 weeks of gestation, when sex organs are visible.
B) Gender maturity is not fully complete until old age.
C) It is a lengthy process that spans from the embryonic stage through puberty.
D) The process begins and ends during fetal development.
Q3) The clinic nurse knows that the part of the uterine cycle that occurs during the period of time between ovulation and the onset of menses is known as which of the following?
A) Ischemic phase
B) Menstrual phase
C) Proliferative phase
D) Secretory phase
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Page 7
Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The family planning clinic nurse reviews the signs and symptoms of toxic shock syndrome (TSS)with a patient who is being fitted for a diaphragm.The nurse explains that the patient should promptly seek medical attention if she develops which of the following manifestations?
A) Develops a generalized red rash
B) Develops a fever over 101.1°F (38.4°C)
C) Experiences difficulty breathing
D) Feels lightheaded, is dizzy, or has chills
E) Has swelling of the face or neck
Q2) The nurse is assessing a sexually active heterosexual woman who does not use birth control.The nurse explains that the chance of becoming pregnant with each act of unprotected intercourse is what percentage?
A) 5-10%
B) 10-15%
C) 15-20%
D) 20-25%
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Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) The nurse discussing fetal development describes the hormone responsible for suppressing the maternal immunological response to the fetus,thereby facilitating physiological acceptance of the pregnancy.Which hormone is the nurse describing?
A) Estrogen
B) Human chorionic gonadotropin
C) Human placental lactogen
D) Progesterone
Q2) A faculty member explains the Human Genome Project to a class of nursing students.Which information about this project is correct?
A) It began in the 1980s to find the basic building blocks of human proteins.
B) The findings will be used to create better matches for animal-to-human transplants.
C) The goal is to identify exact DNA sequences and genes occurring in humans.
D) Information from the project is being used to find preventative measures for diseases.
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9
Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A woman in the emergency department is in her third trimester and is bleeding heavily from a laceration on her thigh from a car crash.She is pale and diaphoretic.Her blood pressure is 138/82 mm Hg.What can the nurse conclude from this information?
A) Blood loss from the laceration has not been that great.
B) She is in shock from the trauma of the injury and blood loss.
C) Her increased blood volume is maintaining the blood pressure.
D) Her vital signs and physical assessment do not match.
Q2) A nurse is providing anticipatory guidance regarding psychosocial adaptations to pregnancy to a group of women.Which topics are consistent with their associated trimesters?
A) First trimester: ambivalence about the pregnancy
B) First trimester: separation from the fetus
C) Second trimester: active dreams and fantasy life
D) Second trimester: becoming more introspective
E) Third trimester: realignment of roles and tasks
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Page 10
Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A woman in the OB clinic complains of multiple,fluid-filled blisters in her genital area that make walking extremely painful.What information should the nurse provide this patient?
A) "There are serious adverse fetal effects of this disease."
B) "There is no cure for herpes simplex virus infection."
C) "Transmission to your baby causes eye infections."
D) "You can start antiretroviral medications immediately."
E) "We will take blood cultures for a bacterial infection."
Q2) A nurse is working with a pregnant woman who has the nursing diagnosis of altered family processes.What statement by the patient indicates that a major goal for this diagnosis has been met?
A) "At least I'm getting better sleep now that I don't urinate every 2 hours."
B) "My husband has been doing more around the house so I can rest more."
C) "The kids are really excited about getting a new baby brother or sister."
D) "We finally have the nursery painted and furnished so it's ready for baby."
Q3) A pregnant woman's last normal menstrual period started on July 27,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
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Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) For which diseases does the prenatal nurse recommend a newly pregnant woman be screened?
A) Chlamydia
B) Hepatitis A
C) Mumps
D) Rubella
E) Varicella
Q2) A patient in the prenatal clinic had a negative rubella titer.Which action by the nurse is most appropriate?
A) Have the laboratory draw rubella titers as a double-check.
B) Instruct the woman to avoid anyone who may have the disease.
C) Prepare to administer a rubella vaccination to the woman.
D) Reassure the woman that rubella has few fetal consequences.
Q3) A woman who is 26 weeks pregnant has a blood pressure of 158/100 mm Hg.Which action by the nurse is most appropriate?
A) Assess the woman's risk for other cardiovascular problems.
B) Have her rest for 20 minutes, then reassess her blood pressure.
C) Obtain a urine dipstick for proteinuria and assess for headache.
D) Prepare to teach the woman about anti-hypertensive medication.
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Page 12
Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A student nurse asks the perinatal nurse why teenagers might be vulnerable to intimate partner violence.Which answer by the nurse is best?
A) "Because teens are dependent on others for their everyday living needs."
B) "Being younger and smaller makes them more apt to be physically abused."
C) "Pregnant teens are often addicted to drugs and alcohol, or are prostitutes."
D) "So many teens make bad choices, and choosing abusive men is one of them."
Q2) A pregnant patient with a long-standing history of cardiovascular disease is admitted to the high-risk OB unit.The patient will have internal continuous electronic fetal monitoring until delivery.Which action by the nurse takes priority?
A) Assess the woman's vital signs every hour until delivery.
B) Consult with the physician about prophylactic antibiotics.
C) Educate the woman and partner about this modality.
D) Prepare an infusion of magnesium sulfate (Sulfamag).
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Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A nulliparous woman in labor is 3 cm dilated at 10:00 a.m.Based on knowledge of the average nulliparous woman's progression,when would the nurse expect her to be fully dilated?
A) 12:00 p.m.
B) 2:00 p.m.
C) 5:00 p.m.
D) 10:00 p.m.
Q2) A new nurse is preparing to assess the fetal heart rate response to stimulation with vibroacoustic stimulation.What action by the new nurse would prompt the precepting nurse to intervene?
A) Nurse attempts stimulation in the presence of fetal bradycardia.
B) Nurse attempts stimulation in the presence of ruptured membranes.
C) Nurse places stimulation device over the fetal head for 1 to 2 seconds.
D) Nurse waits until fetal heart rate is at baseline before initiating the stimulation.
Q3) What important nursing action occurs right after the third stage of labor?
A) Assess the placenta for complete expulsion.
B) Assist the woman with effective pushing.
C) Provide a lactation consultation if desired.
D) Warm the baby and place it in an incubator.
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Page 14
Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A woman is 1 hour postpartum with an epidural block and wishes to get up to go to the bathroom.What action by the nurse is most appropriate?
A) Assess sensation in the lower extremities.
B) Check the maternal vital signs.
C) Confer with the health-care provider.
D) Offer the woman the bedpan first.
Q2) The perinatal nurse explains to the student nurse that the effects of the H? receptor antagonists include which of the following?
A) Block histamine action at the receptor sites
B) Decrease nausea and vomiting
C) Decrease anxiety and promote sleep or rest
D) Lead to more efficient contractions earlier in labor
E) May decrease fetal heart rate variability
Q3) The woman in labor is complaining of severe back pain.What action should the nurse suggest to the birth partner?
A) Apply counterpressure
B) Give a hand massage
C) Perform effleurage
D) Provide therapeutic touch
Page 15
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Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/19635
Sample Questions
Q1) A nurse is caring for a woman who has an order for a high-dose oxytocin (Pitocin)regimen to stimulate uterine contractions.Which of the following actions are appropriate for the nurse to take?
A) Assess frequently for uterine tachysystole.
B) Increase the infusion every 30 minutes as needed.
C) Place to woman prone to prevent dizziness.
D) Start the infusion at 2 mU/minute.
E) Use an electronic infusion device.
Q2) A new nurse is working with a patient undergoing an induction of labor.What action by the new nurse would prompt the preceptor to intervene?
A) Assesses contractions every 5 minutes in the second stage of labor
B) Calculates and charts the maternal total urine output every 4 hours
C) Documents an IV intake of 1,500 mL in 8 hours
D) Records the maternal vital signs a minimum of every 60 minutes
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16
Chapter 15: Caring for the Postpartal Woman and Her Family
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The perinatal nurse includes a pain assessment as part of the postpartum care provided to each patient.This action helps to do which of the following?
A) Decrease the length of the hospital stay
B) Decrease the recovery time
C) Decrease the risk of depression
D) Help identify complications
E) Improve the patient's coping ability
Q2) A postpartum woman is complaining of a headache that is worsening despite having taken Tylenol (acetaminophen)an hour ago.She delivered yesterday with epidural anesthesia.What action by the nurse is best?
A) Assess if the pain is worse when she sits upright.
B) Call the provider and ask for stronger analgesics.
C) Document the findings in the patient's chart.
D) Notify the health-care provider immediately.
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Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A woman is being taken to the operating room later in the day for incision and drainage of a large perineal hematoma.What action by the nurse is most important to meet the patient's psychosocial needs?
A) Administer a preoperative sedative to calm her.
B) Allow the woman to make choices when possible.
C) Introduce the patient to the nursery staff.
D) Reassure the patient that hematomas heal quickly.
Q2) The clinic nurse sees a patient and her infant in the clinic for their 2-week follow-up visit.The woman appears to be tired,her clothes and hair appear unwashed,and she does not make eye contact with her infant.Which question would be most appropriate for the nurse to ask?
A) "Do you have help at home?"
B) "Is there anything wrong with your son?"
C) "Tell me about the first few days at home."
D) "What has happened? You look awful!"
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Page 18
Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A neonatal nurse who is caring for newborns suggests the best time for a mother to first attempt breastfeeding is during which of the following stages of activity?
A) First period of inactivity and sleep
B) First period of reactivity
C) Second period of inactivity and sleep
D) Second period of reactivity
Q2) What assessment finding indicates to the nurse that goals for the diagnosis of ineffective thermoregulation related to newborn's immature temperature regulatory system have been met?
A) Axillary temperature is 98.1°F (36.7°C).
B) Fluctuations in infant's temperature cease.
C) Baby stops shivering and falls asleep.
D) Rectal temperature is 101.0°F (38.3°C).
Q3) A nurse assesses a 2-hour-old infant's temperature and notes it to be 97.7°F (36.5°C).What action by the nurse is most appropriate?
A) Document the findings and continue to monitor.
B) Ensure the baby is wearing a hat.
C) Place the baby in a pre-warmed incubator.
D) Tightly swaddle the baby.
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Page 19
Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) The perinatal nurse explains the primary goals of nursing care in the transitional period of newborn life to the nursing student.Which goals does the nurse include?
A) Ensure all newborn screening is completed.
B) Facilitate breastfeeding in all newborns.
C) Promote bonding within the new family.
D) Register the baby with the health department.
E) Support the infant's physical well-being.
Q2) A student nurse is verbalizing disappointment in a new mother's seeming lack of interest in her newborn baby.The student complains to the registered nurse that the mother just wants to sleep and have someone else care for the infant.What response by the registered nurse is best?
A) "Assess closely; we may need to call social work."
B) "Don't judge other people until you have had a baby."
C) "The mother may be completely exhausted from the childbirth experience."
D) "We have to accept that everyone's experience is different."
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Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A preterm infant was born at 31 weeks and has been admitted to the NICU.The nurse notes expiratory grunting,nasal flaring,and cyanosis on room air.Which laboratory findings would correlate with this condition?
A) PaCO<sub>2</sub>: 56 mm Hg
B) PaO<sub>2</sub>: 76 mm Hg
C) pH: 7.30
D) SaO<sub>2</sub>: 94%
Q2) A woman gave birth to an infant weighing 390 g.Which action by the NICU charge nurse is most appropriate?
A) Begin the discharge planning process when the child is admitted.
B) Consult social services to help make arrangements for home care.
C) Consult the palliative care team and admit the infant for comfort care.
D) Prepare for aggressive resuscitation and admission to the NICU.
Q3) The nurse working in labor and delivery knows that which infant is at highest risk of having a long-bone fracture?
A) Intrauterine growth restriction
B) Mother with osteoporosis
C) Multiples with one breech presentation
D) Premature
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Page 21
Chapter 20: Caring for the Developing Child
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) A nurse is providing anticipatory guidance to the parents of a school-age child.What information is appropriate for the nurse to include for school-age children?
A) Discuss physical changes related to puberty.
B) Discuss smoking and substance abuse.
C) Provide simple explanations for questions.
D) Read short stories daily to help language.
E) School-age children require 8 to 12 hours of sleep each night.
Q2) A nurse is assessing a 1-year-old child who weighed 7 lb,8 oz at birth.Today's weight is 23 lb.What conclusion can the nurse make about the child's weight?
A) The child is at an expected weight.
B) The child is over expected weight.
C) The child is seriously overweight.
D) The child is seriously underweight.
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22
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/19642
Sample Questions
Q1) The pediatric nurse working in a hospital setting uses both standard precautions and transmission-based precautions for patients.Which patient requires only standard precautions?
A) Infectious diarrhea
B) Staphylococcal infection
C) Tonsillitis
D) Tuberculosis
Q2) A child who weighs 16 lb received an overdose of morphine sulfate and needs naloxone (Narcan).The safe dose for this child is ____________________ mg.
Q3) A preschool-age child is going to have a potentially painful procedure.What action by the nurse is best to prepare the child for this event?
A) Allow the child to decide if the parents stay or not.
B) Let the child touch and explore the equipment first.
C) Talk about it briefly for several days beforehand.
D) Use play to demonstrate the procedure to the child.
Q4) A child weighs 8 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.
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Chapter 22: Caring for the Child With a Psychosocial or Condition
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Sample Questions
Q1) A child with attention deficit-hyperactivity disorder (ADHD)is in the clinic with parents,who complain that even though they are following the treatment plan,the child is not improving.What action can the nurse suggest to improve the effectiveness of the plan?
A) Consult with the school nurse to follow through with behavior logs.
B) Ensure the entire family is continuing to keep counseling appointments.
C) Reassure the parents that it takes a long time to see changes in behavior.
D) Teach the parents about herbal and diet therapies they can try at home.
Q2) A nurse is providing education to the parents of a child who has anxiety.Using the FRIENDS strategy for managing anxiety,what techniques does the nurse teach?
A) Explore plans
B) Fight the anxiety
C) Inner thoughts
D) Reward yourself
E) Stay calm
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24
Chapter 23: Caring for the Child With a Respiratory Condition
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Sample Questions
Q1) The nursing student reads the diagnosis of a lower respiratory infection in a patient's chart.The student knows that the lower respiratory system is composed of which structures?
A) Alveoli
B) Bronchi
C) Larynx
D) Lungs
E) Pharynx
Q2) The pediatric nurse explains to the parents of a 1-year-old patient with pneumonia that the differences between the adult's and child's respiratory system affect function and subsequent respiratory conditions.Which difference does the nurse include in the discussion with the patient's parents?
A) Infants are obligate nose breathers until 6 months of age.
B) The epiglottis in the child under 8 is shorter and more rigid.
C) The larynx and the glottis are higher in the younger child's neck.
D) In the child, there are more functional muscles in the neck and less soft tissue.
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25
Chapter 24: Caring for the Child With a Gastrointestinal Condition
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Sample Questions
Q1) A new nurse is caring for a toddler with failure to thrive (FTT).Which action by the new nurse would cause the preceptor nurse to intervene?
A) Collaborating with laboratory to schedule blood draws well before mealtime
B) Hiding needed medication and supplements in child's favorite food
C) Teaching parents how a child's nutrition needs differ from an adult's
D) Weighing the child at the same time each day on the same scale
Q2) A child is being discharged from the hospital after a pyloromyotomy.Which discharge instruction does the nurse provide for the parents?
A) Keep child NPO for 48 hours.
B) Monitor the skin around the colostomy.
C) No pain control should be needed.
D) Report vomiting after 48 hours.
Q3) A school-age child has a diagnosis of constipation.When planning dietary teaching for the parents,what food does the nurse emphasize as a means to decrease constipation?
A) Cheese
B) Milk
C) Produce
D) Rice
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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Sample Questions
Q1) A 10-month-old-child is in the pediatric clinic for his eighth ear infection.Which assessment is most important for the nurse to perform on this child?
A) Ask the parent about possible allergy testing.
B) Assess the child's mouth for oral thrush.
C) Graph height and weight on the growth chart.
D) Inquire about the health of the entire family.
Q2) A nurse is providing anticipatory guidance to new parents.Which instruction by the nurse will assist the parents in maintaining physical barriers to prevent infection in their newborn?
A) Breastfeeding provides some antibodies.
B) Ensure your baby is getting enough nutrition.
C) Keep your baby away from people who are sick.
D) Wash your baby with gentle soap and dry well.
Q3) A nursing student is learning about the immune system.Which statement about immunoglobulins is correct?
A) Adult levels of IgG are reached by the age of 6 months.
B) Children are born with adult levels of IgA.
C) IgE leads the body's attack against bacteria and viruses.
D) IgM is the first type of antibody made in response to infection.
Page 27
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) A student nurse is caring for a child several hours after open heart surgery.Which action by the student requires intervention by the registered nurse?
A) Administers pain medication based on assessment of nonverbal signs of pain
B) Groups nursing care tasks to allow for uninterrupted periods of rest and sleep
C) Monitors hourly output from child's indwelling urinary catheter and chest tube
D) Prepares to administer medication through the central venous pressure line
Q2) A child has been admitted with Kawasaki disease and is started on aspirin and warfarin (Coumadin).For which nursing diagnosis does the nurse plan interventions as the priority?
A) Acute pain related to mouth redness and cracked lips
B) Altered body image related to peeling skin rash
C) Altered nutrition: less than body requirements
D) Risk for bleeding related to medication effects
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) An infant is suspected of having diabetes insipidus (DI)and is having diagnostic testing.Which action by the nurse is most important?
A) Apply a urine collection bag.
B) Facilitate DNA testing.
C) Insert an indwelling urinary catheter.
D) Start two large-bore IVs.
Q2) A hospitalized child is receiving calcium via a peripheral IV site.Which action by the nurse is most important?
A) Assess the IV for blood return hourly.
B) Document the infusion and child's response.
C) Facilitate the next blood draw for calcium.
D) Teach parents and child about the drug.
Q3) A parent with his 7-year-old son at the pediatric clinic expresses concern that the child is too short.The nurse measures the child and finds him to be 100 cm (39.3 inches)tall.Which statement by the nurse is most appropriate?
A) "Children are often 'too short' until they reach puberty."
B) "He's shorter than average, but it's not significant."
C) "Let's discuss some options for promoting growth."
D) "Your child is of average height for a 7-year-old."
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/19649
Sample Questions
Q1) A child has been examined by a pediatric ophthalmologist,and findings indicate a dulled red reflex and cloudy lens.Which treatment plan does the nurse educate the parents on based on these findings?
A) Occlusion therapy to the affected eye for 6 months
B) Periodic administration of IV mannitol (Osmotrol)
C) Surgery to remove the cataract and placement of a lens
D) Use of eyedrops for the rest of the child's life
Q2) A nurse is caring for an 8-year-old with Guillain-Barré Syndrome (GBS).On hourly rounds,the nurse assesses that the child's lung sounds are diminished,respiratory rate is 8 breaths/min and shallow,and pulse oximeter is 88%.What action by the nurse takes priority?
A) Administer high-flow oxygen by mask.
B) Call the rapid response team; prepare for intubation.
C) Encourage the patient to take slow, deep breaths.
D) Have the patient use the incentive spirometer.
Q3) A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A woman who wishes to become pregnant again consults with the nurse about preventing her child from being born with clubfoot.She has two other children,both treated for this disorder.Which information does the nurse provide about preventing clubfoot?
A) Avoid secondhand cigarette smoke while pregnant
B) Fetal positioning in utero cannot be controlled
C) Getting enough folic acid early in pregnancy is advisable.
D) The disorder is genetic so no prevention is available.
Q2) A child who has been limping for several weeks is brought to the clinic and undergoes radiological studies.The results show osteonecrosis.Which information does the nurse plan to teach the parents about their child's condition?
A) Non-weight-bearing status and mobility limitations
B) Overcorrection with serial casting for 2-3 years
C) Surgical correction with the Z-plasty technique
D) Wearing and caring for a Browne splint
Q3) A nurse is caring for a patient with juvenile arthritis during an exacerbation.The child weighs 95 lb (43 kg).The physician orders sulfasalazine (Azulfidine)to be given in two divided doses per day.The safe dose range for a single dose of this drug for this child is ____________________ mg per dose.
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Chapter 30: Caring for the Child With a Integumentary Condition
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45 Verified Questions
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Q1) A child weighing 123 lb (56 kg)has been diagnosed with Rocky Mountain Spotted Fever.The nurse calculates that the correct dose,to be given twice a day,is
Q2) A child has been in the burn unit for 13 days.Which nursing assessment indicates that a priority goal has been met?
A) Decreased albumen over 5 days
B) Intake equals output for 24 hours
C) Participates in dressing changes
D) Weight gain of 0.5 kg in 1 week
Q3) A 10-year-old child is in the emergency department with burns on her buttocks,the backs of her thighs,and the soles of her feet.The nurse calculates this child's total body surface area (TBSA)burned as ____________________.
Q4) A student is learning about cutaneous skin reactions.Which description is correct?
A) Blistering: heat-related
B) Exanthema: an eruption
C) Pustular: contagious
D) Urticarial: round patches
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Chapter 31: Caring for the Child With a Genitourinary Condition
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/19652
Sample Questions
Q1) A child has acute kidney injury following a serious motor vehicle crash.Which intervention takes priority?
A) Administer IV fluids and blood products.
B) Insert an indwelling urinary catheter.
C) Monitor hourly urine output measurements.
D) Place the child on a low-sodium diet.
Q2) A nurse is obtaining a bagged urine collection on an infant.Which action by the nurse is most important?
A) Clean and powder the skin prior to bagging.
B) Remove the bag as soon as it contains urine.
C) Send the sample to the laboratory as soon as possible.
D) Use universal precautions, including gloves.
Q3) A nurse is preparing to administer gentamicin (Garamycin),IV,to a hospitalized child.Before administering the medication,the nurse checks the drug trough level,which is 13 µg/mL.Which action by the nurse is the priority for this child?
A) Administer the medication.
B) Document the findings.
C) Have the laboratory re-run the specimen.
D) Notify the health-care provider.
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Chapter 32: Caring for the Child With a Hematological Condition
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Sample Questions
Q1) A nurse is assessing a child who presents to the pediatric clinic,where the parent reports new bruising and petechiae.What question asked by the nurse would elicit the most helpful information?
A) "Do bleeding disorders run in your family?"
B) "Does your child have arthritis symptoms?"
C) "Has your child had a recent viral infection?"
D) "Has your child been exposed to heavy metals?"
Q2) A couple who recently married and want to have children ask the nurse what the chances are that their children will inherit thalassemia from them,as they both are carriers.What information from the nurse is most accurate?
A) All of your children will inherit it.
B) Each child has a 25% chance of inheriting it.
C) None of your children will inherit it.
D) Only the boys will inherit it.
Q3) A 2-year-old child is starting enoxaparin (Lovenox)to treat a thrombosis.The child weighs 32 lb.According to your calculation,the dose to be given twice a day is ____________________ mg,for each of the two doses.
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Chapter 33: Caring for the Child With Cancer
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55 Verified Questions
55 Flashcards
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Sample Questions
Q1) A nurse is reviewing a patient's chart and notes that the patient has a cancerous tumor that has invaded other organs.Based on this information,at which stage is this patient's cancer classified?
A) Stage O
B) Stage I
C) Stage III
D) Stage IV
Q2) A pediatric patient is receiving asparaginase (Elspar).What manifestations would lead the nurse to determine that the child is having a possible side effect from this drug?
A) Blistering at infusion site
B) Increased PT and INR
C) Potassium of 2.7 mEq/L
D) Seizures
E) Shortness of breath
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Chapter 34: Caring for the Child With a Chronic Condition or the
Dying Child
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30 Verified Questions
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Sample Questions
Q1) A nurse is working in the emergency department when a child who was involved in a motor vehicle crash is admitted.The child is critically injured and,despite heroic efforts,does not survive.The nurse finds the family in the waiting room and several family members are agitated and do not listen to the nurse describe the child's injuries.One family member feels faint and another has vomited.What does the nurse understand about the current situation based on Epperson's theory of grieving?
A) It is important to be patient and identify one person to communicate with.
B) Most of the members are totally dysfunctional and should be sent home.
C) Signs of emotional upheaval and physical symptoms are a result of great stress.
D) The nurse should call security, as some family members may become violent.
E) This family is reacting normally to a catastrophic loss, according to one theory.
Q2) A nurse has to perform a brief procedure on a toddler.What action by the nurse is the most developmentally appropriate for this patient?
A) Demonstrate the procedure on a stuffed animal.
B) Offer a choice as to when the procedure is done.
C) Perform the procedure with no advance explanation.
D) Tell the child about other kids who had this done.
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Chapter 35: Caring for the Critically Ill Child
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50 Verified Questions
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Q1) A child is mechanically ventilated.Which assessment finding indicates that a priority goal is being met?
A) Enteral feeding tube present
B) PaCO<sub>2</sub>: 40 mm Hg
C) Intact skin integrity
D) Ventilator on control mode
Q2) A mechanically ventilated adolescent has a RASS score of -3.The child is receiving pain medication and sedation by intravenous infusion.Which action by the nurse is the most appropriate?
A) Assess the child for uncontrolled pain.
B) Document findings and continue to monitor.
C) Increase the fentanyl (Sublimaze) infusion.
D) Suction the patient in case of tube obstruction.
Q3) A nurse is supervising a student working with hemodynamic monitors.Which action by the student requires the nurse to intervene?
A) Adjusts the transducer each time the patient is repositioned
B) Assesses all connections each time he or she is in the room
C) Positions the transducer at the fifth intercostal space
D) Positions the transducer in the mid-clavicular line
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