Nursing Fundamentals: Maternal and Pediatric Care
Final Test Solutions
Course Introduction
This course introduces students to the foundational principles of nursing care with a focus on maternal and pediatric populations. Emphasizing patient-centered and family-focused care, the course explores the physiological, psychological, and developmental needs of women during pregnancy, childbirth, and the postpartum period, as well as the health requirements of infants, children, and adolescents. Key topics include assessment techniques, health promotion strategies, disease prevention, common pediatric and maternal health conditions, and effective communication with both patients and their families. Students will gain essential knowledge and practical skills necessary for providing safe, compassionate, and evidence-based care to mothers and children in diverse healthcare settings.
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
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Sample Questions
Q1) The level of practice a reasonably prudent nurse provides is called A) the standard of care.
B) risk management.
C) a sentinel event.
D) failure to rescue.
Answer: A
Q2) The intrapartum woman sees no need for a routine admission fetal monitoring strip.If she continues to refuse,what is the first action the nurse should take?
A) Consult the family of the woman.
B) Notify the provider of the situation.
C) Document the woman's refusal in the nurse's notes.
D) Make a referral to the hospital ethics committee.
Answer: B
Q3) The fastest growing group of homeless people is
A) men and women preparing for retirement.
B) migrant workers.
C) single women and their children.
D) intravenous (IV) substance abusers.
Answer: C
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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 is the primary role of practicing nurses in the research process?
A) Designing research studies
B) Collecting data for other researchers
C) Identifying researchable problems
D) Seeking funding to support research studies
Answer: C
Q2) To evaluate the woman's learning about performing infant care,the nurse should
A) demonstrate infant care procedures.
B) allow the woman to verbalize the procedure.
C) observe the woman as she performs the procedure.
D) routinely assess the infant for cleanliness.
Answer: C
Q3) What situation is most conducive to learning?
A) A teacher who speaks very little Spanish is teaching a class of Latino students.
B) A class is composed of students of various ages and educational backgrounds.
C) An auditorium is being used as a classroom for 300 students.
D) An Asian nurse provides nutritional information to a group of pregnant Asian women.
Answer: D
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Chapter 3: The Childbearing and Child-Rearing Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient from a different culture and is frustrated by what appears to be a lack of cooperation on the patient's part.A colleague states that the patient is "in America and should do what everyone else does." This is an example of what trait?
A) Ethnocentrism
B) Cultural congruency
C) Rudeness
D) Ignorance
Answer: A
Q2) While reviewing the dietary-intake documentation of a 7-year-old Asian patient with a fractured femur,the nurse notes that the patient consistently refuses to eat the food on his tray.What assumption is most likely accurate?
A) The child is a picky eater.
B) The child needs less food because of bed rest.
C) The child may have culturally related food preferences.
D) The child is probably eating between meals and spoiling his appetite.
Answer: C
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5
Chapter 4: Communicating with Children and Families
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which behaviors by the nurse may indicate professional separation or underinvolvement? (Select all that apply.)
A) Avoiding the child or his or her family
B) Revealing personal information
C) Calling in sick
D) Spending less time with a particular child
E) Asking to trade assignments
Q2) While developing a care plan for a school-age child with a visual impairment,the nurse knows that which of the following actions are important in working with this special needs child? (Select all that apply.)
A) Obtain a thorough assessment of the child's self-care abilities.
B) Orient the child to various sounds in the environment.
C) Tell the child's parents to stay continuously with their child during hospitalization.
D) Allow the child to handle equipment as procedures are explained.
E) Encourage the child to use a dry erase board to write his needs.
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Chapter 5: Health Promotion for the Developing Child
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse is planning to teach about injury prevention to a group of parents.What action by the nurse would best ensure a successful event?
A) Have handouts listing community resources.
B) Provide free safety gear like bike helmets.
C) Group parents by child's developmental stage.
D) Present the material in an interactive way.
Q2) Frequent developmental assessments are important for which reason?
A) Stable developmental periods during infancy provide an opportunity to identify any delays or deficits.
B) Infants need stimulation specific to the stage of development.
C) Critical periods of development occur during childhood.
D) Child development is unpredictable and needs monitoring.
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 assessing a 2-month-old infant notes that the child can briefly hold the head erect when held against the shoulder.What action by the nurse is best?
A) Document the findings in the child's chart.
B) Notify the provider immediately.
C) Conduct a lead-exposure assessment.
D) Prepare the parents for genetic testing.
Q2) 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."
Q3) The nurse advises the mother of a 3-month-old exclusively breastfed infant to A) start giving the infant a vitamin D supplement.
B) start using an infant feeder and add rice cereal to the formula.
C) start feeding the infant rice cereal with a spoon at the evening feeding.
D) continue breastfeeding without any supplements.
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Page 8
Chapter 7: Health Promotion During Early Childhood
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) What do parents of preschool children need to understand about discipline?
A) Both parents and the child should agree on the method of discipline.
B) Discipline should involve some physical restriction.
C) The method of discipline should be consistent with that of the child's peers.
D) Discipline should include positive reinforcement of desired behaviors.
Q2) The parent of a 14-month-old child is concerned because the child's appetite has decreased.The best response for the nurse to make to the parent is,
A) "It is important for your toddler to eat three meals a day and no snacks."
B) "It is not unusual for toddlers to eat less due to slower growth."
C) "Be sure to increase your child's milk consumption, which will improve nutrition."
D) "Give your child a multivitamin daily to increase your toddler's nutrition."
Q3) The parents of a newborn say that their toddler "hates the baby. He suggested that we put him in the trash can so the trash truck could take him away." The nurse's best action is to
A) assess the older child for signs of child abuse.
B) refer the family for psychological counseling.
C) assist the family to deal with this response.
D) encourage the family to give the toddler extra attention.
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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) In providing anticipatory guidance to parents,which parental behavior does the nurse teach as most important in fostering moral development?
A) Telling the child what is right and wrong
B) Vigilantly monitoring the child and her peers
C) Weekly family meetings to discuss behavior
D) Living as the parents say they believe
Q2) The nurse is talking to a 7-year-old boy during a well-child clinic visit.The boy states "I am a Power Ranger,so don't make me angry!" What action by the nurse is best?
A) Ask the child about other friends he might play with.
B) Find out why the child thinks he is a Power Ranger.
C) Ask the parents if he has any opposite sex friends.
D) Conduct further developmental screening on the child.
Q3) 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
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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 nurse works for an organization that seeks to limit adolescent violence.In talking with donors,which risk factors for violence may lead to programming decisions? (Select all that apply.)
A) Drug or alcohol use/abuse
B) Poverty
C) Hopelessness about the future
D) Narcissism
E) Lack of supervision
Q2) What does the nurse learn that predisposes the adolescent to feel an increased need for sleep?
A) An inadequate diet
B) Rapid physical growth
C) Decreased activity
D) Typical lack of ambition
Q3) What is the best response a nurse can make to a 15-year-old girl who has verbalized a desire to have a baby?
A) "Have you talked with your parents about this?"
B) "Do you have plans to continue school?"
C) "Will you be able to support the baby?"
D) "Can you tell me how your life will be if you have an infant?"
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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) A nurse is seeing a pregnant woman who has had genetic testing on her unborn fetus and has been given the results.The nurse notes the results confirm that the husband could not be the father.What action by the nurse is best?
A) Do not discuss this information with the mother.
B) Inform the mother genetic testing does not establish paternity.
C) Call the husband immediately to break the news.
D) Be available and offer support as the mother absorbs the news.
Q2) The karyotype of a person is 47,XY,+21.This person is a
A) normal male.
B) male with Down syndrome.
C) normal female.
D) female with Turner syndrome.
Q3) How can a woman avoid exposing her fetus to teratogens?
A) Update her immunizations during the first trimester of her pregnancy.
B) Use saunas and hot tubs during the winter months only.
C) Use only class A drugs during her pregnancy.
D) Use alcoholic beverages only in the first and third trimesters of pregnancy.
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Page 12
Chapter 11: Reproductive Anatomy and Physiology
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) 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
Q2) A nurse is teaching a woman about spinnbarkeit.The student nurse asks why the woman would need this information.What response by the nurse is most appropriate?
A) To assist in becoming pregnant or preventing pregnancy
B) To determine if she can breastfeed
C) To assess risk for genetic defects in the fetus
D) To find out if her ova are suitable for fertilization
Q3) The average man is taller than the average woman at maturity because of
A) a longer period of skeletal growth.
B) earlier development of secondary sexual characteristics.
C) earlier onset of growth spurt.
D) starting puberty at an earlier age.
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Chapter 12: Conception and Prenatal Development
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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.
Q2) The most basic information a maternity nurse should have concerning conception is
A) ova are considered fertile 48 to 72 hours after ovulation.
B) sperm remain viable in the woman's reproductive system for an average of 12 to 24 hours.
C) conception is achieved when a sperm successfully penetrates the membrane surrounding the ovum.
D) implantation in the endometrium occurs 6 to 10 days after conception.
Q3) 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.
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Chapter 13: Adaptations to Pregnancy
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) A nurse is taking vital signs on a pregnant woman.Preconception pulse was 76 beats/minute.Today the pulse is 97 beats/minute.What action by the nurse is best?
A) Inform the provider immediately.
B) Document findings in the chart.
C) Prepare to start an IV infusion.
D) Retake the pulse in 15 minutes.
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 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.
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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) The woman in her third trimester asks the nurse how fast she will lose weight after giving birth.What information from the nurse is most accurate?
A) You will lose about 20 pounds immediately.
B) By the end of 2 weeks after birth you will have lost about 21 pounds.
C) You can go on a diet after your first postnatal checkup.
D) Most women do not lose all the weight they gain during pregnancy.
Q3) A pregnant woman is at a picnic and asks a friend of hers,who is a nurse,what foods she can eat.What response by the nurse is best?
A) Bologna sandwich
B) Hot dog
C) Smoked salmon spread
D) Cheddar cheese and crackers
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Page 16
Chapter 15: Prenatal Diagnostic Tests
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which nursing intervention is necessary before a second trimester transabdominal ultrasound?
A) Place the woman NPO for 12 hours.
B) Instruct the woman to drink 1 to 2 quarts of water.
C) Administer a soapsuds enema.
D) Perform an abdominal prep.
Q2) A pregnant woman states "This test isn't my idea,but my husband insists." Which response by the nurse is most appropriate?
A) "Don't worry. Everything will be fine."
B) "Why don't you want to have this test?"
C) "You're concerned about having this test?"
D) "It's your decision."
Q3) The nurse's role in diagnostic testing is to provide
A) advice to the couple.
B) assistance with decision making.
C) information about the tests.
D) reassurance about fetal safety.
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Chapter 16: Giving Birth
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Sample Questions
Q1) Thirty minutes after birth,the nurse assesses a woman's fundus as soft and boggy.What action by the nurse takes priority?
A) Take the blood pressure.
B) Massage the fundus.
C) Notify the provider or nurse-midwife.
D) Place the woman in the Trendelenburg position.
Q2) The labor and delivery nurse is evaluating a newly admitted woman's lab and notes a hemoglobin of 9.1 mg/dL and hematocrit of 31%.What action by the nurse takes priority?
A) Document the findings on the woman's chart.
B) Notify the provider or nurse-midwife immediately.
C) Assess for response to blood loss during and after birth.
D) Place the patient on bedrest during labor.
Q3) Thirty minutes after giving birth a woman's uterus feels boggy to the nurse.The nurse massages the fundus without change.What action does the nurse take next?
A) Notify the provider or nurse-midwife immediately.
B) Assess the woman for a full bladder.
C) Prepare to administer oxytocin.
D) Take a full set of vital signs.
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Page 18
Chapter 17: Intrapartum Fetal Surveillance
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Sample Questions
Q1) Which statement correctly describes the nurse's responsibility related to electronic monitoring?
A) Teach the woman and her support person about the monitoring equipment, and discuss any questions they have.
B) Report abnormal findings to the physician before initiating corrective actions.
C) Inform the support person that the nurse will be responsible for all comfort measures when the electronic equipment is in place.
D) Document the frequency, duration, and intensity of contractions measured by the external device.
Q2) A Labor and Delivery nurse knows that four of the five fetal factors that interact to regulate the heart rate are which of the following? (Select all that apply.)
A) Uterine activity
B) Autonomic nervous system
C) Baroreceptors
D) Chemoreceptors
E) Adrenal glands
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Chapter 18: Pain Management for Childbirth
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Sample Questions
Q1) A woman had an epidural place an hour ago and is now complaining of severe itching.What action by the nurse is most appropriate?
A) Discontinue the epidural infusion at once.
B) Notify the anesthesia provider.
C) Prepare to administer diphenhydramine (Benedryl).
D) Prepare to administer promethazine (Phenergan).
Q2) A laboring woman has been given an injection of epidural anesthesia.Which assessment by the nurse takes priority?
A) Urinary output
B) Contraction pattern
C) Maternal blood pressure
D) Intravenous infusion rate
Q3) A woman received an epidural anesthetic and now her blood pressure is 88/64 mm Hg.What action by the nurse takes priority?
A) Turn the woman to the left side.
B) Place a wedge under the woman's right hip.
C) Call the provider or nurse-anesthetist immediately.
D) Decrease the intravenous infusion rate.
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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 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 ____________
Q2) Which event indicates a complication of an external version?
A) Maternal pulse rate of 100 bpm
B) Fetal bradycardia persisting 10 minutes after the version
C) Fetus returning to the original position
D) Increased maternal anxiety after the version
Q3) Before the physician performs an external version,the nurse should expect an order for a
A) tocolytic drug.
B) contraction stress test (CST).
C) local anesthetic.
D) indwelling catheter.
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Chapter 20: Postpartum Adaptations
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Sample Questions
Q1) A postpartum woman is unable to empty her bladder.What intervention would the nurse try last?
A) Pouring water from a squeeze bottle over the woman's perineum
B) Providing hot tea
C) Asking the physician to prescribe analgesics
D) Inserting a sterile catheter
Q2) Which woman is most likely to have severe afterbirth pains and request a narcotic analgesic?
A) Gravida 5, para 5
B) Woman who is bottle-feeding her first child
C) Primipara who delivered a 7-lb boy
D) Woman who has started to breastfeed
Q3) Nurses must be aware of the conditions that increase the risk of hemorrhage,one of the most common complications of the puerperium.What are these conditions? (Select all that apply.)
A) Primipara
B) Rapid or prolonged labor
C) Overdistention of the uterus
D) Uterine fibroids
E) Preeclampsia
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Chapter 21: The Normal Newborn: Adaptation and Assessment
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Sample Questions
Q1) A nursing student is helping the nursery nurses with morning vital signs.A baby born 10 hours ago via cesarean section is found to have moist lung sounds.What is the best interpretation of these data?
A) The nurse should notify the pediatrician stat for this emergency situation.
B) The neonate must have aspirated surfactant.
C) If this baby was born vaginally, it could indicate a pneumothorax.
D) The lungs of a baby delivered by cesarean section may sound moist for 24 hours after birth.
Q2) The nurse needs to assess infants for the development of high levels of bilirubin.Which baby can the nurse check last?
A) Was bruised during a difficult delivery
B) Developed a cephalhematoma
C) Was born prematurely
D) Breastfeeds during the first hour of life
Q3) The nurse should alert the provider when
A) the infant is dusky and turns cyanotic when crying.
B) acrocyanosis is present at age 1 hour.
C) the infant's blood glucose is 45 mg/dL.
D) the infant goes into a deep sleep at age 1 hour.
Page 23
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Chapter 22: The Normal Newborn: Nursing Care
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Sample Questions
Q1) In providing and teaching cord care,what is an important principle?
A) Cord care is done only to control bleeding.
B) Alcohol is the only agent used for cord care.
C) It takes a minimum of 24 days for the cord to separate.
D) The process of keeping the cord dry will decrease bacterial growth.
Q2) 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) With regard to lab tests and diagnostic tests in the hospital after birth,nurses should be aware that
A) all states test for phenylketonuria (PKU), hypothyroidism, cystic fibrosis, and sickle cell diseases.
B) federal law prohibits newborn genetic testing without parental consent.
C) if genetic screening is done before the infant is 24 hours old, it should be repeated at age 1 to 2 weeks.
D) hearing screening is now mandated by federal law.
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Page 24
Chapter 23: Newborn Feeding
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Sample Questions
Q1) The breastfeeding mother should be taught a safe method to remove the breast from the baby's mouth.Which suggestion by the nurse is most appropriate?
A) Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed.
B) Break the suction by inserting your finger into the corner of the infant's mouth.
C) A popping sound occurs when the breast is correctly removed from the infant's mouth.
D) Elicit the Moro reflex to wake the baby and remove the breast when the baby cries.
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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Chapter 24: The Childbearing Family with Special Needs
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Sample Questions
Q1) When the nurse is alone with a battered patient,the patient seems extremely anxious and says,"It was all my fault.The house was so messy when he got home and I know he hates that." The best response by the nurse is
A) "No one deserves to be hurt. It's not your fault. How can I help you?"
B) "What else do you do that makes him angry enough to hurt you?"
C) "He will never find out what we talk about. Don't worry. We're here to help you."
D) "You have to remember that he is frustrated and angry so he takes it out on you."
Q2) Of adolescents who become pregnant,what percentage have had a previous birth?
A) 10%
B) 15%
C) 17%
D) 35%
Q3) What information about caffeine in pregnancy does the nurse provide the prenatal class with?
A) It stays in your body twice as long as when you are not pregnant.
B) It causes vasoconstriction, which could keep the fetus from growing.
C) Caffeine depresses your heart's ability to pump and function.
D) Severe diuresis can leave you at risk for dehydration during pregnancy.
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26
Chapter 25: Pregnancy-Related Complications
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Sample Questions
Q1) The nurse is explaining how to assess edema to the nursing students working on the antepartum unit.Which score indicates edema of lower extremities,face,hands,and sacral area?
A) +1 edema
B) +2 edema
C) +3 edema
D) +4 edema
Q2) In which situation is a dilation and curettage (D&C)indicated?
A) Complete abortion at 8 weeks
B) Incomplete abortion at 16 weeks
C) Threatened abortion at 6 weeks
D) Incomplete abortion at 10 weeks
Q3) Which laboratory marker is indicative of disseminated intravascular coagulation (DIC)?
A) Positive KB test
B) Presence of fibrin split products
C) Thrombocytopenia
D) Positive drug screen
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Chapter 26: Concurrent Disorders during Pregnancy
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Sample Questions
Q1) A pregnant diabetic woman is in the hospital and her blood glucose reading is 42 mg/dL.What action by the nurse is best?
A) Provide her with 15 grams of oral carbohydrate if she can swallow.
B) Administer a bolus of rapid-acting insulin.
C) Order the woman a meal tray from the cafeteria.
D) Notify the provider immediately.
Q2) In caring for a pregnant woman with sickle cell anemia the nurse is aware that signs and symptoms of sickle cell crisis include
A) anemia.
B) endometritis.
C) fever and pain.
D) urinary tract infection.
Q3) The student nurse learns that maternal complications of diabetes include which of the following? (Select all that apply.)
A) Atherosclerosis
B) Retinopathy
C) IUFD
D) Nephropathy
E) Caudal regression syndrome
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Chapter 27: The Woman with an Intrapartum Complication
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8530
Sample Questions
Q1) What are the priority nursing assessments for a woman receiving tocolytic therapy with terbutaline? (Select all that apply.)
A) Fetal heart rate
B) Maternal heart rate
C) Intake and output
D) Maternal blood glucose
E) Maternal blood pressure
F) Odor of amniotic fluid
Q2) The nursing student observes a laboring woman doing lunges to the left side and asks for an explanation of this activity.What response by the nurse is best?
A) It decreases the pain associated with back labor.
B) It promotes rotation of the fetal occiput to an anterior position.
C) It relieves the cramping associated with a prolonged labor.
D) It causes the pelvic inlet to open wider in preparation for birth.
Q3) 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.
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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) If the nurse suspects a uterine infection in the postpartum patient,she should assess the
A) pulse and blood pressure.
B) odor of the lochia.
C) episiotomy site.
D) abdomen for distention.
Q2) Early postpartum hemorrhage is defined as signs and symptoms of hypovolemia with which of the following descriptions of blood loss?
A) Cumulative blood loss >1000 mL in the first 24 hours after the birth process.
B) 750 mL in the first 24 hours after vaginal delivery
C) Cumulative blood loss >1000 mL in the first 48 hours after the birth process
D) 1500 mL in the first 48 hours after cesarean delivery
Q3) If nonsurgical treatment for late postpartum hemorrhage is ineffective,which surgical procedure is appropriate to correct the cause of this condition?
A) Hysterectomy
B) Laparoscopy
C) Laparotomy
D) D&C
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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 is true about newborns classified as small for gestational age ( SGA )?
A) They weigh less than 2500g.
B) They are born before 38 weeks of gestation.
C) Placental malfunction is the only recognized cause of this condition.
D) They are below the 10th percentile on gestational growth charts.
Q2) Decreased surfactant production in the preterm lung is a problem because surfactant
A) causes increased permeability of the alveoli.
B) provides transportation for oxygen to enter the blood supply.
C) keeps the alveoli open during expiration.
D) dilates the bronchioles, decreasing airway resistance.
Q3) What is most helpful in preventing premature birth?
A) High socioeconomic status
B) Adequate prenatal care
C) Transitional Assistance to Needy Families
D) Women, Infants, and Children nutritional program
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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) Parents of a newborn with phenylketonuria are anxious to learn about the appropriate treatment for their infant.What topic does the nurse include in the teaching plan?
A) Fluid and sodium restrictions
B) A phenylalanine-free diet
C) Progressive mobility and splinting
D) A protein-rich diet
Q2) A woman who has had no prenatal care enters the labor and delivery unit in advanced labor.She has chickenpox.What action by the nurse is best?
A) Place the woman in isolation.
B) Give the woman immune globulin before delivery.
C) Treat the woman with acyclovir.
D) Administer antibiotics to the infant after birth.
Q3) What action by the nurse is the most important action in preventing neonatal infection?
A) Good hand hygiene
B) Isolation of infected infants
C) Separate gown technique
D) Standard Precautions
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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) A young woman describes her sex life as "active" and involving "many" partners.She wants a contraceptive method that is reliable and does not interfere with sex.She requests an intrauterine device (IUD).The nurse's most appropriate response is
A) "The IUD does not interfere with sex."
B) "The risk of pelvic inflammatory disease will be higher for you."
C) "The IUD will protect you from sexually transmitted diseases."
D) "Pregnancy rates are high with the IUDs."
Q2) The nurse teaches women to recognize signs of complications when using oral contraceptives using the acronym ACHES.What does this acronym stand for? (Select all that apply.)
A) Aching all over
B) Chest pain, dyspnea, hemoptysis, cough
C) Severe headache, weakness or numbness of extremities, and hypertension
D) Eye problems
E) Several swollen areas all over the body
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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) Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?
A) Mammogram
B) Ultrasound
C) Core needle biopsy
D) MRI
Q2) A 70-year-old woman should be taught to report what condition to her health care provider?
A) Vaginal bleeding
B) Pain with intercourse
C) Breasts become smaller
D) Skin becomes thinner
Q3) The nurse who is teaching a group of women about breast cancer should tell the women that
A) risk factors identify almost all women who will develop breast cancer.
B) African-American women have a higher rate of breast cancer.
C) 1 in 10 women in the United States will develop breast cancer in her lifetime.
D) the exact cause of breast cancer is unknown.
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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) When is the most appropriate time to inspect the genital area during a well-child examination of a 14-year-old girl?
A) It is not necessary to inspect the genital area.
B) Examine the genital area first.
C) After the abdominal assessment
D) Do the genital inspection last.
Q2) Which strategy is the best approach when initiating the physical examination of a 9-month-old male infant?
A) Undress the infant and do a head-to-toe examination.
B) Have the parent hold the child on his or her lap.
C) Put the infant on the examination table and begin assessments at the head.
D) Ask the parent to leave because the infant will be upset.
Q3) The nurse palpated the anterior fontanel of a 14-month-old infant and found that it was closed.What does this finding indicate?
A) This is a normal finding.
B) This finding indicates premature closure of cranial sutures.
C) This is abnormal, and the child should have a developmental evaluation.
D) This is an abnormal finding, and the child should have a neurologic evaluation.
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Chapter 34: Emergency Care of the Child
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8537
Sample Questions
Q1) 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
Q2) The father of a child in the emergency department is yelling at the physician and nurses.Which action is contraindicated in this situation?
A) Provide a nondefensive response.
B) Encourage the father to talk about his feelings.
C) Speak in simple, short sentences.
D) Tell the father he must wait in the waiting room.
Q3) A 5-year-old child is in cardiopulmonary arrest,and the nursing staff is performing CPR.One of the nurses is doing compressions at the rate of 90 per minute.What action by the charge nurse is best?
A) Take over compressions.
B) Tell the nurse to speed up.
C) Tell the nurse to slow down.
D) Have the nurse compress more deeply.
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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) What is the primary disadvantage associated with outpatient and day facility care?
A) Increased cost
B) Increased risk of infection
C) Lack of physical connection to the hospital
D) Longer separation of the child from family
Q2) Which is the most developmentally appropriate intervention when working with the hospitalized adolescent?
A) Encourage peers to call and visit when the adolescent's condition allows.
B) Encourage the adolescent's friends to continue with their daily activities; the adolescent has concrete thinking and will understand.
C) Discourage questions and concerns about the effects of the illness on the adolescent's appearance.
D) Ask the parents how the adolescent usually copes in new situations.
Q3) 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.
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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) The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home.Who should the nurse invite to the conference?
A) Family and nursing staff
B) Social worker, nursing staff, and primary care physician
C) Family and key health professionals involved in the child's care
D) Primary care physician and key health professionals involved in the child's care
Q2) The nurse is counseling the family of a 12-month-old child who has lost his mother in a car accident.How should you explain to the father what the child's understanding of death is,related to theories of growth and development?
A) Temporary
B) Permanent
C) Loss of caretaker
D) Punishment
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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) The nurse is preparing a 12-year-old girl for a bone marrow aspiration.She tells the nurse she wants her mother with her "like before." Which response by the nurse is most appropriate?
A) Grant her request.
B) Explain why this is not possible.
C) Identify an appropriate substitute for her mother.
D) Offer to provide support to her during the procedure.
Q2) A nurse must do a venipuncture on a 6-year-old child.An important consideration in providing atraumatic care is to
A) use an 18-gauge needle if possible.
B) wait 10 minutes after applying EMLA cream.
C) restrain child only as needed to perform venipuncture safely.
D) have the parents choose the child's favorite bandage afterward.
Q3) Which action by the nurse is appropriate when preparing a child for a procedure?
A) Discourage the child from crying during the procedure.
B) Use professional terms so the child will understand what is happening.
C) Give the child choices whenever possible.
D) Discourage the parents from staying in the room during the procedure.
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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 action indicates that a school-age child is using a metered-dose inhaler correctly?
A) The child uses his inhaled steroid before the bronchodilator.
B) The child exhales forcefully as he squeezes the inhaler.
C) The child holds his breath for 10 seconds after the first puff.
D) The child waits 10 minutes before taking a second puff.
Q2) Which factor should the nurse remember when administering topical medication to an infant as compared with an adolescent?
A) Infants require a larger dosage because of a greater body surface area.
B) Infants have a thinner stratum corneum that absorbs more medication.
C) Infants have a smaller percentage of muscle mass.
D) The skin of infants is less sensitive to allergic reactions.
Q3) What is the best action for the nurse to take when giving medications to a 3-year-old child?
A) Tell the child to take the medication "right now."
B) Tell the child to take the medication or she will have to get a shot.
C) Allow the child to choose fruit punch or apple juice when giving the medication.
D) Tell the child that another child her age just took his medication like a "good girl."
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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) When assessing a child for pain,the nurse is aware that
A) neonates do not feel pain.
B) pain is an individualized experience.
C) children do not remember pain.
D) a child must cry to express pain.
Q2) Which medications are the most effective choices for treating pain associated with inflammation in children? (Select all that apply.)
A) Morphine
B) Acetaminophen
C) Ibuprofen
D) Ketorolac
E) Aspirin
Q3) A nurse is administering an opioid medication to a child.Which side effects should the nurse watch for with this classification of medication? (Select all that apply.)
A) Respiratory depression
B) Hepatic damage
C) Constipation
D) Pruritus
E) Gastrointestinal bleeding
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Chapter 40: The Child with a Fluid and Electrolyte Alteration
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8543
Sample Questions
Q1) A child has a 2-day history of vomiting and diarrhea.He has hypoactive bowel sounds and an irregular pulse.Electrolyte values are sodium,139 mEq/L; potassium,3.3 mEq/L; and calcium,9.5 mg/dL.This child is likely to have which of the following electrolyte imbalances?
A) Hyponatremia
B) Hypocalcemia
C) Hyperkalemia
D) Hypokalemia
Q2) Which statement best describes why infants are at greater risk for dehydration than older children?
A) Infants have an increased ability to concentrate urine.
B) Infants have a greater volume of intracellular fluid.
C) Infants have a smaller body surface area.
D) Infants have an increased extracellular fluid volume.
Q3) Alterations in acid-base balance can affect cellular metabolism and enzymatic processes.When alterations in pH become too much for buffer systems to handle,compensatory mechanisms are activated.If the pH drops below normal,then acidosis will occur.
A)True
B)False
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Chapter 41: The Child with an Infectious Disease
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8544
Sample Questions
Q1) A child taking oral corticosteroids for asthma is exposed to varicella.The child has not had the varicella vaccine and has never had the disease.What intervention should be taken to prevent varicella from developing?
A) No intervention is needed unless varicella develops.
B) Administer the varicella vaccine as soon as possible.
C) The child should begin a course of oral antibiotics.
D) The child should be prescribed acyclovir.
Q2) A preschooler is diagnosed with helminths.The child's mother is very upset and wants to know how her child could have contracted this illness.After obtaining a detailed history,the nurse identifies all possible transmission modes.What do they include? (Select all that apply.)
A) Playing in the backyard sandbox
B) Not washing hands before eating
C) Placing hands in the mouth and nail biting
D) Skin-to-skin contact with other children
E) Scratches from a neighborhood cat
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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) What is the primary nursing concern for a child having an anaphylactic reaction?
A) Identifying the offending allergen
B) Ineffective breathing pattern
C) Increased cardiac output
D) Positioning to facilitate comfort
Q2) A nurse in a well-child clinic is teaching parents about their child's immune system.Which statement by the nurse is correct?
A) The immune system distinguishes and actively protects the body's own cells from foreign substances.
B) The immune system is fully developed by 1 year of age.
C) The immune system protects the child against communicable diseases in the first 6 years of life.
D) The immune system responds to an offending agent by producing antigens.
Q3) What is the primary nursing concern for a hospitalized child with HIV infection?
A) Maintaining growth and development
B) Eating foods that the family brings to the child
C) Consideration of parental limitations and weaknesses
D) Resting for 2 to 3 hours twice a day
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44
Chapter 43: The Child with a Gastrointestinal Alteration
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/8546
Sample Questions
Q1) A 4-month-old infant has gastroesophageal reflux (GER)but is thriving without other complications.What should the nurse suggest to minimize reflux?
A) Place in the Trendelenburg position after eating.
B) Thicken formula with rice cereal.
C) Give continuous nasogastric tube feedings.
D) Give larger, less frequent feedings.
Q2) A school-age child with diarrhea has been rehydrated.The nurse is discussing the child's diet with the family.Which statement by the parent indicates a correct understanding of the teaching?
A) "I will keep my child on a clear liquid diet for the next 24 hours."
B) "I should encourage my child to drink carbonated drinks but avoid food for the next 24 hours."
C) "I will offer my child bananas, rice, applesauce, and toast for the next 48 hours."
D) "I should have my child eat a normal diet with easily digested foods for the next 48 hours."
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45
Chapter 44: The Child with a Genitourinary Alteration
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/8547
Sample Questions
Q1) 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
Q2) 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
Q3) A child is admitted with acute glomerulonephritis.The nurse expects the urinalysis during this acute phase to show which of the following?
A) Bacteriuria and hematuria
B) Hematuria and proteinuria
C) Bacteriuria and increased specific gravity
D) Proteinuria and decreased specific gravity
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Chapter 45: The Child with a Respiratory Alteration
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/8548
Sample Questions
Q1) Which statement made by parents of a child with cystic fibrosis indicates that they understood the nurse's teaching on pancreatic enzyme replacement?
A) "Enzymes will improve my child's breathing."
B) "I should give the enzymes 1 hour after meals."
C) "Enzymes should be given with meals and snacks."
D) "The enzymes are stopped if my child begins wheezing."
Q2) Why do infants and young children quickly have respiratory distress in acute and chronic alterations of the respiratory system?
A) They have a widened, shorter airway.
B) There is a defect in their sucking ability.
C) The gag reflex increases mucous production.
D) Mucus and edema obstruct small airways.
Q3) Which assessment finding after tonsillectomy should be reported to the surgeon?
A) Vomiting bright red blood
B) Pain at surgical site
C) Pain on swallowing
D) The ability to only take small sips of liquids
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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) Which CHD results in increased pulmonary blood flow?
A) Ventricular septal defect
B) Coarctation of the aorta
C) Tetralogy of Fallot
D) Pulmonary stenosis
Q2) Which statement made by a parent indicates understanding of restrictions for a child after cardiac surgery?
A) "My child needs to go to bed early for a few weeks."
B) "My son is really looking forward to riding his bike next week."
C) "I'm so glad we can attend religious services as a family this coming Sunday."
D) "I am going to keep my child out of day care for 6 weeks."
Q3) Which defect results in increased pulmonary blood flow?
A) Pulmonic stenosis
B) Tricuspid atresia
C) Atrial septal defect
D) Transposition of the great arteries
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Chapter 47: The Child with a Hematologic Alteration
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8550
Sample Questions
Q1) Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vaso-occlusive crisis?
A) Circulatory collapse
B) Cardiomegaly, systolic murmurs
C) Hepatomegaly, intrahepatic cholestasis
D) Painful swelling of hands and feet, painful joints
Q2) What describes the pathologic changes of sickle cell anemia?
A) Sickle-shaped cells carry excess oxygen.
B) Sickle-shaped cells decrease blood viscosity.
C) Increased red blood cell destruction occurs.
D) Decreased red blood cell destruction occurs.
Q3) 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."
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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) What should the nurse recognize as symptoms of a brain tumor in a school-age child? (Select all that apply.)
A) Blurred vision
B) Increased head circumference
C) Vomiting when getting out of bed
D) Intermittent headache
E) Declining academic performance
Q2) What should the nurse teach parents about oral hygiene for the child receiving chemotherapy?
A) Brush the teeth briskly to remove bacteria.
B) Use a mouthwash that contains alcohol.
C) Inspect the child's mouth daily for ulcers.
D) Perform oral hygiene twice a day.
Q3) 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%
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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 primary clinical manifestation of scabies is
A) edema.
B) redness.
C) pruritus.
D) maceration.
Q2) A child experiences frostbite of the fingers after prolonged exposure to the cold.Which intervention should the nurse implement first?
A) Rapid rewarming of the fingers by placing in warm water
B) Placing the hand in cool water
C) Slow rewarming by wrapping in warm cloth
D) Using an ice pack to keep cold until medical intervention is possible
Q3) What best describes a full-thickness (third-degree)burn?
A) Erythema and pain
B) Skin showing erythema followed by blister formation
C) Destruction of all layers of skin evident with extension into subcutaneous tissue
D) Destruction injury involving underlying structures such as muscle, fascia, and bone
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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) What is the most appropriate intervention for an adolescent with a mild scoliosis?
A) Long-term monitoring
B) Surgical intervention
C) Bracing
D) No follow-up
Q2) Patient and parent education for the child who has a synthetic cast should include which of the following?
A) Applying a heating pad to the cast if the child has swelling in the affected extremity
B) Wrapping the outer surface of the cast with an Ace bandage
C) Splitting the cast if the child complains of numbness or pain
D) Covering the cast with plastic and waterproof tape to keep it dry while bathing or showering
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 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/8554
Sample Questions
Q1) 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.
Q2) Which sign is the nurse most likely to assess in a child with hypoglycemia?
A) Urine positive for ketones and serum glucose greater than 300 mg/dL
B) Normal sensorium and serum glucose greater than 160 mg/dL
C) Irritability and serum glucose less than 60 mg/dL
D) Increased urination and serum glucose less than 120 mg/dL
Q3) What is the primary concern for a 7-year-old child with type 1 diabetes mellitus who asks his mother not to tell anyone at school that he has diabetes?
A) The child's safety
B) The privacy of the child
C) Development of a sense of industry
D) Peer group acceptance
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Chapter 52: The Child with a Neurologic Alteration
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8555
Sample Questions
Q1) What nursing actions are indicated when the nurse is administering phenytoin (Dilantin)by the intravenous route to control seizures? (Select all that apply.)
A) It must be given with D<sub>5</sub>1/2 NS.
B) Occasional blood levels will be assessed.
C) Dilantin should be given with food because it causes gastrointestinal distress.
D) It must be given in normal saline.
E) It must be filtered.
Q2) Which statement best describes a subdural hematoma?
A) Bleeding occurs between the dura and the skull.
B) Bleeding occurs between the dura and the cerebrum.
C) Bleeding is generally arterial, and brain compression occurs rapidly.
D) The hematoma commonly occurs in the parietotemporal region.
Q3) Which finding in an analysis of cerebrospinal fluid (CSF)is consistent with a diagnosis of bacterial meningitis?
A) CSF appears cloudy.
B) CSF pressure is decreased.
C) Few leukocytes are present.
D) Glucose level is increased compared with blood.
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Chapter 53: Psychosocial Problems in Children and Families
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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) What is the goal of therapeutic management for a child diagnosed with ADHD?
A) Administer stimulant medications.
B) Assess the child for other psychosocial disorders.
C) Correct nutritional imbalances.
D) Reduce the frequency and intensity of unsocialized behaviors.
Q3) The school nurse observes an unkempt child dressed in inappropriate clothing who repeatedly asks for food.About which problem is the nurse concerned?
A) Physical abuse
B) Physical neglect
C) Emotional abuse
D) Sexual abuse
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Chapter
54: The Child With an Intellectual Disability or Developmental Disability
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Sample Questions
Q1) The father of a child recently diagnosed with developmental delay is very rude and hostile toward the nurses.This father was cooperative during the child's evaluation a month ago.What is the best explanation for this change in parental behavior?
A) The father is exhibiting symptoms of a psychiatric illness.
B) The father may be abusing the child.
C) The father is resentful of the time he is missing from work for this appointment.
D) The father is experiencing a symptom of grief.
Q2) Which is the best setting for daytime care for a 5-year-old autistic child whose mother works?
A) Private day care
B) Public school
C) His own home with a sitter
D) A specialized program that uses behavioral methods
Q3) 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.
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Chapter 55: The Child with a Sensory Alteration
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Sample Questions
Q1) On the second postoperative day of an eye surgery,the child has puffy eyes,increased tearing,and fever.What is the most applicable nursing diagnosis?
A) Risk for Infection related to surgical procedure
B) Infection related to surgical procedure
C) Disturbed Sensory Perception (Visual) related to surgical procedure
D) Acute Pain related to recent surgical intervention
Q2) Initial care of the child with a chemical burn to the eye(s)is focused on which of the following?
A) Irrigation of the affected eye(s)
B) Application of topical steroids
C) Administration of an analgesic
D) Administration of medication to constrict the pupils
Q3) A patient who has a hyphema is at risk for developing which condition?
A) Glaucoma
B) Strabismus
C) Diplopia
D) Astigmatism
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