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Course Introduction
Obstetric and Pediatric Nursing is a specialized field that focuses on providing comprehensive care to women during pregnancy, childbirth, and the postpartum period, as well as nursing care for infants, children, and adolescents. The course covers essential topics such as prenatal assessment, normal and high-risk pregnancies, labor and delivery management, and postnatal care, in addition to pediatric growth and development, childhood illnesses, and common health challenges in children. Emphasis is placed on family-centered care, health promotion, disease prevention, and the psychological and physiological needs of mothers and children. Through theoretical knowledge and clinical practice, students are prepared to deliver safe, compassionate, and effective nursing care to mothers and pediatric patients in various healthcare settings.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 8th Edition by Leifer
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34 Chapters
1027 Verified Questions
1027 Flashcards
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30 Verified Questions
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Sample Questions
Q1) What is one major advantage to the application of critical thinking?
A) Problem-free care
B) Limitation of approaches to care
C) Decreased need for assessment
D) Problem prevention
Answer: D
Q2) How does the clinical pathway or critical pathway improve quality of care?
A) Lists diagnosis-specific implementations
B) Outlines expected progress with stated timelines
C) Prioritizes effective nursing diagnoses
D) Describes common complications
Answer: B
Q3) What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision?
A) Clinical pathways
B) Nursing outcome criteria
C) Standards of care
D) Nursing care plan
Answer: A
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32 Flashcards
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Sample Questions
Q1) A mother asks the nurse,"When will I know my child has entered puberty?" What will the nurse state based on an understanding of changes associated with puberty?
A) "Your daughter will have her first period."
B) "You'll recognize puberty by the mood swings."
C) "The child becomes interested in the opposite sex."
D) "Secondary sex characteristics,such as pubic hair,appear."
Answer: D
Q2) Where are the secretions responsible for nourishing sperm excreted from?
A) Vas deferens
B) Epididymis
C) Cowper's gland
D) Scrotum
Answer: C
Q3) What signifies the end of puberty for a male?
A) Facial hair is evident.
B) Erections can be sustained.
C) Ejaculate is greater than 5 mL.
D) Mature sperm are formed.
Answer: D
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28 Verified Questions
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Sample Questions
Q1) The nurse is educating a class of expectant parents about fetal development.What is considered fetal age of viability?
A) 14 weeks
B) 20 weeks
C) 25 weeks
D) 30 weeks
Answer: B
Q2) The nurse explains that the birth weight of monozygotic twins is frequently below average.What is the most likely cause?
A) Inadequate space in the uterus
B) Inadequate blood supply
C) Inadequate maternal health
D) Inadequate placental nutrition
Answer: D
Q3) What part of the fetal body derives from the mesoderm?
A) Nails
B) Oil glands
C) Muscles
D) Lining of the bladder
Answer: C
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Sample Questions
Q1) A woman pregnant for the first time asks the nurse,"When will I begin to feel the baby move?" What is the nurse's best response?
A) "You may notice the baby moving around the 4th or 5th month."
B) "Quickening varies with every woman."
C) "You'll feel something by the end of the first trimester."
D) "The baby will be big enough for you to feel in your 8th month."
Q2) A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy.How frequently will the nurse assist the patient to schedule these appointments?
A) Every 3 weeks until the 6th month,then every 2 weeks until delivery
B) Every 4 weeks until the 7th month,after which appointments will become more frequent
C) Monthly until the 8th month
D) Every 2 to 3 weeks for the entire pregnancy
Q3) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A primigravida in her first trimester is Rh negative.What will this woman receive to prevent anti-Rh antibodies from forming?
A) Rh immune globulin during labor
B) Intrauterine transfusions with O-negative blood
C) Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant
D) Rh immune globulin now and again in the last trimester
Q2) A woman,gravida 3,para 2,is attending her fourth prenatal visit and confides in the nurse that she is battered by her husband.She is assessed to have multiple bruises at various stages of healing.What nursing actions are appropriate for the nurse to implement? (Select all that apply. )
A) Tell the husband that authorities will be notified immediately.
B) Provide privacy for the assessment.
C) Determine if children are being hurt.
D) Communicate in a nonjudgmental way.
E) Determine factors that increase the risk of injury.
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Q1) The physician performs an amniotomy on a laboring woman.What will be the nurse's priority assessment immediately following this procedure?
A) Fetal heart rate
B) Fluid amount
C) Maternal blood pressure
D) Deep tendon reflexes
Q2) While caring for a laboring woman,the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions.What is the nurse's initial action?
A) Stop the oxytocin infusion.
B) Increase the intravenous flow rate.
C) Reposition the woman on her side.
D) Start oxygen via nasal cannula.
Q3) What contraction duration and interval does the nurse recognize could result in fetal compromise?
A) Duration shorter than 30 seconds,interval longer than 75 seconds
B) Duration shorter than 90 seconds,interval longer than 120 seconds
C) Duration longer than 90 seconds,interval shorter than 60 seconds
D) Duration longer than 60 seconds,interval shorter than 90 seconds
Page 8
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33 Verified Questions
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Sample Questions
Q1) Which are nonpharmacological forms of pain relief? (Select all that apply. )
A) Skin stimulation
B) Diversion and distraction
C) Breathing techniques
D) Exercise
E) Yoga
Q2) The physician has ordered Fentanyl (Sublimaze)for a woman in labor and has asked the nurse to provide patient education.What will the nurse include in the educational plan? (Select all that apply. )
A) Onset is slow.
B) Duration is short.
C) Administration is by mouth.
D) No known side effects.
E) It is not the same drug as sufentanil.
Q3) What would the nurse guide a labor coach to do to comfort a woman tensing her muscles with contractions?
A) Offer warm liquids to the patient.
B) Encourage the patient to pant.
C) Engage the patient in conversation.
D) Assist the patient to the knee-chest position.
Page 9
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31 Verified Questions
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Sample Questions
Q1) The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor.Which laboring patient should the nurse attend to first?
A) 18-year-old primigravida with a fetal breech presentation
B) 25-year-old multigravida with history of previous cesarean section
C) 35-year-old multigravida with history of precipitate birth
D) 16-year-old primigravida with a twin pregnancy
Q2) A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term.What conditions would contraindicate labor induction? (Select all that apply. )
A) Maternal gynecoid pelvis
B) Placenta previa
C) Horizontal cesarean incision
D) Prolapsed cord
E) Gestational diabetes
Q3) What nursing assessment should be reported immediately after an amniotomy?
A) Fetal heart rate is regular at 154 beats/minute.
B) Amniotic fluid is clear with flecks of vernix.
C) Amniotic fluid is watery and pale green.
D) Maternal temperature is 37.8° C.

Page 10
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Sample Questions
Q1) Which statement indicates the new mother is breastfeeding correctly?
A) "I will alternate breasts when feeding the baby."
B) "I keep the baby on a 4-hour feeding schedule."
C) "I let the baby stay on the first breast only 5 minutes."
D) "I put only the nipple in the baby's mouth when I am breastfeeding."
Q2) What statement made by a new mother indicates she needs additional information about breastfeeding?
A) "I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other breast."
B) "The baby needs to nurse at least 5 minutes on the breast to get the hindmilk."
C) "The baby has been nursing every 2 to 3 hours."
D) "If the baby gets fussy between feedings,I give her a bottle of water."
Q3) The nurse is counseling a lactating mother about diet.What would the nurse include with this information?
A) Consume 500 more calories than her usual prepregnancy diet.
B) Eat less meat and more fruits and vegetables.
C) Drink 3 to 4 tall glasses of fluid daily.
D) Eat 1000 more calories than her usual prepregnancy diet.
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Sample Questions
Q1) What statement by the patient leads the nurse to determine a woman with mastitis understands treatment instructions?
A) "I will apply cold compresses to the painful areas."
B) "I will take a warm shower before nursing the baby."
C) "I will nurse first on the affected side."
D) "I will empty the affected breast every 8 hours."
Q2) A nurse is discussing risk factors for postpartum shock with a childbirth preparation class.What will the nurse include in this education session? (Select all that apply. )
A) Hypertension
B) Blood clotting disorders
C) Anemia
D) Infection
E) Postpartum hemorrhage
Q3) The nurse weighs a saturated perineal pad and finds it to weigh 15 grams.The nurse is aware that this indicates a blood loss of _____ mL.
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Sample Questions
Q1) The nurse reviews the procedure for breast self-examination (BSE)with a 25-year-old woman who has a family history of breast cancer.When reviewing the procedure,when will the nurse indicate as the best time for a woman to perform a breast self-examination?
A) A few days before her period
B) During her menstrual period
C) On the last day of menstrual flow
D) One week after the beginning of her period
Q2) At her 6-week postpartum checkup,a woman states,"I am wondering about birth control.I used oral contraceptives before,and I'm breastfeeding now.Can I use the pill again?" What is the nurse's best response?
A) "You should know that oral contraceptives increase your milk production."
B) "Oral contraceptives can be taken once lactation is well established."
C) "You don't need to use any form of birth control as long as you are breastfeeding."
D) "Oral contraceptives are contraindicated for the lactating woman."
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Sample Questions
Q1) Which statement indicates the parents understand when to contact the pediatrician or nurse practitioner?
A) Infant refuses a feeding
B) Infant has an axillary temperature of 97° F
C) Infant has three pasty,yellow-brown stools in 24 hours
D) Infant's diaper is not wet after 8 hours
Q2) The nurse reminds new parents that newborns must be protected from environments that are too cold or too hot because of which aspects of the newborn's physiology? (Select all that apply. )
A) Very little subcutaneous fat
B) Low metabolic rates
C) Ineffective sweat glands
D) Small fluid reserves
E) Low red blood cell counts
Q3) Which assessment of the newborn should be reported?
A) Head circumference is 5 cm greater than the chest circumference.
B) Hands and feet are warm with a blue color.
C) Temperature is 36.6° C (97.8° F).
D) Head has a longer than normal shape to it.
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Sample Questions
Q1) The nurse caring for a preterm infant will record the intake and output.The nurse is aware that what is the optimum output for this infant?
A) 1 to 3 mL/kg/hr
B) 4 to 6 mL/kg/hr
C) 7 to 9 mL/kg/hr
D) 10 to 14 mL/kg/hr
Q2) How will the nurse safely ensure tube placement when preparing to initiate a gavage feeding?
A) Check tube placement by injecting air into the stomach.
B) Weigh the infant before the feeding.
C) Aspirate stomach contents.
D) Check serum glucose level.
Q3) How often will the nurse caring for a preterm infant in an incubator record the temperature of the infant and the incubator?
A) Every hour
B) Every 2 hours
C) Every 4 hours
D) Every 8 hours
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32 Verified Questions
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Sample Questions
Q1) The nurse is caring for a child who has had a ventriculoperitoneal shunt (VP)for hydrocephalus and observes an increasing abdominal girth.What is the most appropriate response?
A) Elevate the child's head.
B) Check bowel sounds.
C) Record retention of feeding.
D) Notify the charge nurse of possible malabsorption.
Q2) The nurse in the newborn nursery is watchful for neonatal abstinence syndrome in the newborn of a mother who took opioids during pregnancy.What would be the manifestations of this syndrome? (Select all that apply. )
A) Body tremors
B) Excessive sneezing
C) Hyperirritability
D) Drowsiness
E) Excessive appetite
Q3) What assessment made by the nurse would lead the nurse to suspect hip dysplasia?
A) Asymmetrical gluteal folds
B) Limited adduction of the affected side
C) Foot turned inward
D) Deep inguinal creases
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Sample Questions
Q1) An educational program is being presented to pediatric nurses on the relationship of play to childhood development.What information should be included in this presentation? (Select all that apply. )
A) Art play should be used sparingly.
B) Use of computer/video games is detrimental.
C) Understanding of child-parent relationships can be gained by observing play.
D) Play encourages self-expression.
E) Play provides a sense of accomplishment.
Q2) What does the nurse recognize as an example of Piaget's concrete operational thinking?
A) A 2-year-old child says,"It's nighttime" when his room is darkened.
B) A 4-year-old child refers to the hospital as "my house."
C) A 5-year-old child coloring a picture of a puppy says,"This is my puppy."
D) A 7-year-old child says,"I am sick because I have germs in my chest."
Q3) What should the nurse avoid when demonstrating a bath procedure to parents of Vietnamese origin?
A) Talking directly to the mother
B) Exposing the child's genitals
C) Touching the child's head
D) Using cool water
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31 Verified Questions
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Sample Questions
Q1) At what age does an infant's birth weight triple?
A) 9 months
B) 1 year
C) 18 months
D) 2 years
Q2) How might the nurse demonstrate the parachute reflex with an infant?
A) Lifting the infant high in the air above her head
B) Holding the infant in a football hold,cradling the head
C) Seating the infant in a stroller in an upright position
D) Placing the infant downward into the crib
Q3) What is the earliest age at which an infant is able to sit steadily alone?
A) 4 months
B) 5 months
C) 8 months
D) 15 months
Q4) When does the posterior fontanelle close?
A) 2 to 3 months
B) 3 to 6 months
C) 6 to 9 months
D) 9 to 12 months

Page 18
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Q1) Which behavior reported by a parent of an 18-month-old toddler would the nurse report to the pediatrician as a cause for concern?
A) Has temper tantrums.
B) Feeds self sloppily.
C) Walks by holding onto furniture.
D) Speaks in short sentences.
Q2) Parents of a toddler are discussing the emotion of fear with the pediatric nurse.What information can the nurse offer regarding fear and the toddler? (Select all that apply. )
A) Stress increases fear.
B) Rituals help deal with fear.
C) Teasing the child can decrease fear.
D) Once fear is learned it is difficult to eliminate.
E) Adults should openly share their fears.
Q3) How would the nurse advise a parent who states,"I never know how much food to feed my child"?
A) Serving sizes should not exceed 1 teaspoon of each type of food.
B) Food quantities must be carefully measured to avoid overfeeding.
C) Use 1 tablespoon of each food for each year of age as a guideline.
D) A toddler should eat three balanced meals.Snacks are not necessary.
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Q1) What tasks would be appropriate to expect of a 5-year-old child?
A) Setting the table with paper plates
B) Washing the dirty knives
C) Carrying glasses from the table to the sink
D) Scrubbing out the sink with cleanser
Q2) What fear is unique to the preschool period?
A) Water
B) Animals
C) Bodily harm
D) Death
Q3) What should the nurse suggest as the most appropriate toy choice for a 3-year-old?
A) A board game
B) A small pet,such as a goldfish
C) A large construction set
D) Push-pull toys
Q4) When planning an activity for a 3-year-old child,the nurse bases the plan on the average attention span of _____ minutes.
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Q1) A parent confides in the school nurse that her 8-year-old twins argue and bicker constantly.What is the best response by the nurse?
A) Express alarm at the constant aggression.
B) Voice concern and investigate referral for counseling.
C) Inquire about what punitive action the parents have taken to stop it.
D) Offer reassurance that such behavior is normal for 8-year-olds.
Q2) The nurse discusses preparation for school with the parents of a 6-year-old girl who will soon be starting first grade.What statement by the girl's father leads the nurse to determine that the parents understood the information?
A) "We should put a stop to her thumb-sucking."
B) "We'll have a talk about what school is like."
C) "We will let her walk to the bus stop by herself."
D) "We'll have her meet some children who will be in her class."
Q3) The nurse is aware that by the age of _____,the first permanent teeth erupt.
Q4) The nurse advises the parents of a 6-year-old child to try and ensure at least ______ hours of sleep daily for the child.
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Sample Questions
Q1) The nurse suggests the use of "I" messages to communicate a parent's feeling to an adolescent.What is the most appropriate example of an "I" message?
A) "I feel frightened when you stay out past your curfew."
B) "I am your mother,and I insist that you observe your curfew."
C) "I am sick and tired of your staying out late."
D) "I expect you to show me proper respect."
Q2) A mother confides in the school nurse that she witnessed her son kissing another boy.Which concepts should guide the nurse to base a reply? (Select all that apply. )
A) Homosexual behavior in adolescents is not uncommon.
B) Homosexuality is a mental disorder.
C) Adolescents often desire to explore alternative lifestyles.
D) Homosexual tendencies should be addressed with counseling.
E) Parents should immediately seek a support group for parents of gays.
Q3) The nurse stresses the need for using a sunscreen with a sun protection factor (SPF)of at least _____.
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Q1) Which nursing action would facilitate rapport with a child and the child's parents during the admission process?
A) Direct the parents to undress the child.
B) Answer questions in a calm and matter-of-fact way.
C) Perform assessments and ask questions as quickly as possible.
D) Express concern about the seriousness of the child's condition.
Q2) Which child would have the most difficulty in coping with separation from parents because of hospitalization?
A) 3-month-old child
B) 16-month-old child
C) 4-year-old child
D) 7-year-old child
Q3) When a 2-year-old child returns to her hospital room following a diagnostic procedure,her parents are not available,and the child is crying loudly.Which technique is most appropriate to alleviate the child's distress?
A) Rock the child gently to sleep.
B) Play with the child using pop-up toys.
C) Role-play with the child to act out her feelings.
D) Ask the child to draw a picture about her feelings.
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Q1) Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s)of a procedure? (Select all that apply. )
A) Purpose of the procedure
B) Risks associated with the procedure
C) That no suit can be brought for damages
D) That the document must be signed and witnessed
E) That information was given
Q2) Where is the best site for giving an IM injection to a 15-month-old child?
A) Ventrogluteal muscle
B) Dorsogluteal muscle
C) Deltoid muscle
D) Vastus lateralis muscle
Q3) What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant?
A) Brachial
B) Apical
C) Radial
D) Femoral
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Q1) What might the nurse explain as a common treatment for amblyopia?
A) Patching the good eye to force the brain to use the affected eye
B) Patching the affected eye to allow the refractory muscles to rest
C) Using glasses that will slightly blur the image for the good eye
D) Using corticosteroids to treat inflammation of the optic nerve
Q2) What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?
A) Use gestures and signs as much as possible.
B) Let the child's parents communicate for her.
C) Face the child and speak clearly in short sentences.
D) Recognize that the child's ability to communicate will be on a 6-year-old child's level.
Q3) What will the nurse include when documenting a grand mal seizure? (Select all that apply. )
A) Presence of incontinence
B) Current dose of antispasmodic medication
C) Activity level prior to and following seizure
D) Level of consciousness following seizure
E) Length of seizure
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Q1) What factor(s)may trigger abuse in a parent? (Select all that apply. )
A) Being abused as a child
B) High self-esteem
C) Substance abuse
D) Overwhelming responsibility
E) Knowledge deficit relative to child care
Q2) What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?
A) Ask the child to bend forward at the waist and observe the child's back for asymmetry.
B) Observe the gait while the child is walking forward heel to toe.
C) Have the child flex the knees and look for uneven knee height.
D) Look at the child's shoulders and hips while fully clothed.
Q3) The nurse is checking for capillary refill on a child in Bryant's traction.How long does it take for the toe to regain color if adequate perfusion is assessed?
A) 3 seconds
B) 4 seconds
C) 5 seconds
D) 6 seconds
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Q1) What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?
A) Offer plenty of fluids,particularly carbonated beverages.
B) Place the child in a humidified cool mist tent with oxygen.
C) Administer sedatives as ordered to decrease anxiety.
D) Position the child with arms resting on the overbed table.
Q2) What classic sign would the nurse,auscultating the breath sounds of a child hospitalized for an acute asthma attack,expect to find?
A) Fine crackles
B) Coarse rhonchi
C) Expiratory wheezing
D) Decreased breath sounds at lung bases
Q3) A toddler must maintain bed rest for the diagnosis of pneumonia.What actions will the nurse implement? (Select all that apply. )
A) Maintain strict bed rest.
B) Consider age.
C) Assess developmental level.
D) Implement light play activities.
E) Provide hypnotic medication as ordered.
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Sample Questions
Q1) The nurse is caring for a child with a diagnosis of Kawasaki disease.The child's parent asks the nurse,"How does Kawasaki disease affect my child's heart and blood vessels?"
On what understanding is the nurse's response based?
A) Inflammation weakens blood vessels,leading to aneurysm.
B) Increased lipid levels lead to the development of atherosclerosis.
C) Untreated disease causes mitral valve stenosis.
D) Altered blood flow increases cardiac workload with resulting heart failure.
Q2) The parent of a 1-year-old child with tetralogy of Fallot asks the nurse,"Why do my child's fingertips look like that?" On what understanding does the nurse base a response?
A) Clubbing occurs as a result of untreated congestive heart failure.
B) Clubbing occurs as a result of a left-to-right shunting of blood.
C) Clubbing occurs as a result of decreased cardiac output.
D) Clubbing occurs as a result of chronic hypoxia.
Q3) What is accurate about the characteristics of high-density lipoproteins (HDLs)?
A) They have high amounts of triglycerides.
B) They have only small amounts of protein.
C) They have little cholesterol.
D) They aid in steroid production.
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Q1) Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care? (Select all that apply. )
A) She will feel less neglected by the parents.
B) She can make amends for past hostilities to her brother.
C) She will feel increased helplessness.
D) She can express her feelings through care.
E) She can experience being supportive of her parents and brother.
Q2) What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit?
A) With milk
B) With orange juice
C) With water
D) On a full stomach
Q3) A child has just been diagnosed with acute lymphoblastic leukemia.What is the result of an overproduction of immature white blood cells in the bone marrow?
A) Decreased T-cell production
B) Decreased hemoglobin
C) Increased blood clotting
D) Increased susceptibility to infection
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Sample Questions
Q1) The nurse is teaching a parent about pyrvinium (Povan).What would be included in regard to potential side effects?
A) Diarrhea
B) Skin rash
C) Red stool
D) Metallic taste
Q2) The nurse is interviewing parents of an infant with pyloric stenosis.What would the nurse expect the parents to report?
A) Diarrhea
B) Projectile vomiting
C) Poor appetite
D) Constipation
Q3) What does the nurse expect the appearance of the stools of a child with celiac disease to be?
A) Ribbon like
B) Hard,constipated
C) Bulky,frothy
D) Loose,foul-smelling
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Q1) What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia?
A) Dairy products
B) Whole-grain cereals
C) Organ meats
D) Bananas
Q2) A 5-year-old boy is admitted to the hospital with acute glomerulonephritis.In taking the child's history,what does the nurse recognize as the probable cause?
A) Recovery from German measles 2 months ago
B) Dysuria since the previous night
C) A history of allergy
D) A sore throat 2 weeks ago
Q3) Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
A) "I will make sure he gets his measles vaccine as soon as he gets home."
B) "He can stop taking his medication next week."
C) "I should check his urine for protein when he goes to the bathroom."
D) "He should eat a low-protein diet for the next few weeks."
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Q1) An adolescent is at the pediatrician's office because he has been experiencing intense itching,particularly in the axilla and between the fingers.The itching is worse during the night and he has not been sleeping well.With what is this symptom associated?
A) Scabies
B) Pediculosis capitis
C) Tinea corporis
D) Eczema
Q2) What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?
A) Hospitalization will be brief.
B) Analgesics should be given immediately after dressing changes.
C) Contact with peers should be maintained.
D) Parents usually handle injury worse than the child.
Q3) The nurse assesses a major burn as a full-thickness burn involving _____% or more of the body surface.
Q4) A 5-year-old boy is brought to the emergency department with a second-degree burn of his entire right arm and hand,anterior trunk and genital area,and front of right thigh.The nurse assesses the body surface area (BSA)percentage burn as ______%.
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Source URL: https://quizplus.com/quiz/48593
Sample Questions
Q1) Why does the nurse instruct an 11-year-old diabetic child to use the side of the finger for blood testing?
A) It has fewer capillaries.
B) It is easier to puncture.
C) It is less likely to become infected.
D) It has fewer nerve endings.
Q2) The nurse assessing a glycosylated hemoglobin (HbA?c)test is aware that this test can evaluate average glucose levels over a period of _____ to _____ months.
Q3) Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?
A) Control intake of carbohydrates and consume fewer calories.
B) Focus on complex carbohydrates and eat foods high in fiber.
C) Obtain most calories from proteins and fats.
D) Eat a diet low in fat and low in complex carbohydrates.
Q4) The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every ______ hours.
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Sample Questions
Q1) The mother of a newborn asked the nurse,"When will my baby get the hepatitis B vaccine?" When will the nurse explain the first dose of Comvax should be given to infants born to a hepatitis B-positive mother?
A) Within 12 hours after birth
B) Within 2 weeks after birth
C) Within 1 month after birth
D) Within 2 months after birth
Q2) An adolescent is taking tetracycline for a sexually transmitted disease.What would the nurse stress when providing instruction about this medication?
A) Finish all of the medication.
B) Get plenty of fresh air and sunlight.
C) Take the medication with food.
D) Take an antacid if the medication causes an upset stomach.
Q3) Which is an example of an opportunistic infection?
A) Measles
B) Pneumocystis jiroveci
C) Clostridium difficile
D) Smallpox

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Sample Questions
Q1) A mother is concerned because her adolescent son is always in trouble for fighting at school and always seems to be angry.She mentions that her husband drinks a bit.Which understanding will guide the nurse's response?
A) The boy is displaying antisocial behavior and should be evaluated for mental illness.
B) The boy is displaying one of the typical defense patterns of children of alcoholics and should receive immediate treatment.
C) The mother is displaying her own anger with her husband's drinking,and she needs immediate intervention.
D) The boy is only one member of the family affected by alcoholism,and all members should receive immediate intervention.
Q2) The nurse explains that use of stimulants will decrease hyperactivity in the autistic child.What is a negative aspect of stimulants?
A) Sedating the child
B) Impairing cognition
C) Causing hypotension
D) Creating fluid retention
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Q1) A woman taking St.John's wort and ginseng daily is scheduled to have a hysterectomy in 3 weeks.What instruction should the nurse provide?
A) The herbs are not likely to cause any problems during the surgery.
B) The St.John's wort must be stopped prior to surgery,but she can continue the ginseng.
C) The ginseng should be stopped 1 week before surgery.
D) She should discontinue taking both herbs 2 weeks before surgery.
Q2) Which approaches to care are combined with osteopathy? (Select all that apply. )
A) Manipulation therapy
B) Aroma therapy
C) Herbal application
D) Pressure point therapy
E) Traditional medicine
Q3) What is the difference between complementary therapy and alternative therapy?
A) Complementary therapy must be administered by a medical doctor.
B) Complementary therapy is administered with conventional therapy.
C) Complementary therapy replaces conventional therapy.
D) Complementary therapy is administered to a group of patients at the same time.
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