Obstetric and Pediatric Nursing Solved Exam Questions
Course Introduction
Obstetric and Pediatric Nursing is a specialized course designed to equip students with foundational and advanced knowledge in providing holistic nursing care to women throughout pregnancy, childbirth, and the postpartum period, as well as to infants, children, and adolescents. The course covers topics such as reproductive health, antepartum, intrapartum, and postpartum care, common obstetric complications, pediatric growth and development, immunizations, childhood diseases, and family-centered care principles. Emphasis is placed on assessment, planning, implementation, and evaluation of nursing interventions tailored to the unique physiological and psychosocial needs of mothers and children, while fostering communication, ethical decision-making, and interdisciplinary collaboration within diverse health care settings.
Recommended Textbook
Introduction to Maternity and Pediatric Nursing 6th Edition by Gloria Leifer
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34 Chapters
1020 Verified Questions
1020 Flashcards
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Chapter 1: The Past, Present, and Future
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23800
Sample Questions
Q1) The nurse explains that the clinical pathway or critical pathway improves quality of care by:
A) listing diagnosis-specific implementations.
B) outlining expected progress with stated timelines.
C) prioritizing effective nursing diagnoses.
D) describing common complications.
Answer: B
Q2) The nurse clarifies to a patient that diagnosis related groups (DRGs) are designed to contain medical care costs by:
A) determining payment based on diagnosis.
B) requiring two medical opinions to confirm a diagnosis.
C) organizing HMOs.
D) defining a person who will require hospitalization.
Answer: A
Q3) Current maternity practice focuses on:
A) hospital births for the majority of women.
B) the traditional family unit.
C) separation of labor rooms from delivery rooms.
D) a quality family experience for each patient.
Answer: D
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Chapter 2: Human Reproductive Anatomy and Physiology
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23801
Sample Questions
Q1) The nurse uses a diagram to demonstrate the fimbriae, which:
A) are the passageway for the sperm to meet the ovum.
B) is the site of fertilization.
C) are fingerlike projections that "capture" the ovum.
D) propel the egg through the fallopian tube.
Answer: C
Q2) A newly married couple tells the nurse they would like to wait a few years before starting a family. The statement made by the man that indicates an understanding about sexual activity and pregnancy is:
A) "My wife can't get pregnant if I withdraw before climax."
B) "A man can secrete semen before ejaculation."
C) "If we don't have intercourse very often, my wife won't get pregnant."
D) "It is safe to ejaculate outside the vagina."
Answer: B
Q3) Maturation of the ovarian follicle is initiated by which hormone?
A) Estrogen
B) Follicle-stimulating hormone
C) Progesterone
D) Luteinizing hormone
Answer: B
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Chapter 3: Fetal Development
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23802
Sample Questions
Q1) The normal umbilical cord is comprised of:
A) 1 artery carrying blood to the fetus and 1 vein carrying blood away from the fetus.
B) 1 artery carrying blood to the fetus and 2 veins carrying blood away from the fetus.
C) 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus.
D) 2 arteries carrying blood to the fetus and 2 veins carrying blood away from the fetus.
Answer: C
Q2) A nurse is teaching a class on fetal development to a class of high school students and explains the primary germ layers. What are the germ layers? Select all that apply.
A) Ectoderm
B) Endoderm
C) Mesoderm
D) Plastoderm
E) Blastoderm
Answer: A, B, C
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Chapter 4: Prenatal Care and Adaptations to Pregnancy
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Doppler device. When this instrument is used, fetal heart tones can be detected as early as _____ weeks.
A) 4
B) 8
C) 10
D) 14
Q2) The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information?
A) "Blood pressure goes up toward the end of pregnancy."
B) "My breathing will get deeper and a little faster."
C) "I'll notice a decreased pigmentation in my skin."
D) "There will be a curvature in the upper spine area."
Q3) The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as __________.
Q4) The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.
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Chapter 5: Nursing Care of Women with Complications
During Pregnancy
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse teaches a woman who is 8 weeks pregnant about how rubella can affect the developing fetus. The nurse realizes the woman understands the information when she says that rubella during pregnancy can result in:
A) facial abnormalities.
B) mental retardation.
C) liver failure.
D) limb deformities.
Q2) The nurse cautions that the consumption of as few as ________ alcoholic drink(s) during pregnancy can lead to the loss of fetal brain cells.
Q3) A patient who is 30 weeks pregnant delivers a stillborn child in the emergency department (ED). What should the ED nurse offer the patient? Select all that apply.
A) Privacy
B) An opportunity to hold the infant
C) Materials about support groups
D) A memento (footprint or lock of hair)
E) An opportunity to grieve
F) None of the above
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Page 7
Chapter 6: Nursing Care of Mother and Infant During Labor and
Birth
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) While caring for a laboring woman, the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions. The nurse's initial action is to: A) stop the oxytocin infusion.
B) increase the intravenous flow rate. C) reposition the woman to her side.
D) start oxygen via nasal cannula.
Q2) Vaginal examination reveals the presenting part is the infant's head, which is well flexed on the chest. This presentation is referred to as: A) vertex. B) military. C) brow. D) face.
Q3) The nurse explains that the "four Ps" of the birth process are __________, __________, __________, and __________.
Q4) After the membranes have ruptured, the nurse should assess the fetal heart rate (FHR) for ________ minute(s).
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Page 8
Chapter 7: Nursing Management of Pain During Labor and Birth
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse explains that the Dick-Read method of childbirth preparation is based on:
A) mild sedation throughout labor.
B) relaxation techniques.
C) skin stimulation.
D) deep massage.
Q2) A sign to alert the nurse to the need of pain relief in an uncomplaining labor patient would be:
A) frequently asking for ice chips.
B) facial grimacing.
C) changing positions in bed.
D) covering her face with her hands.
Q3) When a pregnant woman arrives at the labor suite, she tells the nurse that she wants to have an epidural for delivery. The nurse is aware that a contraindication to an epidural block is:
A) abnormal clotting.
B) previous cesarean delivery.
C) history of migraine headaches.
D) history of diabetes mellitus.
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Chapter 8: Nursing Care of Women with Complications
During Labor and Birth
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Several hours after delivery the nurse finds a woman crying. The woman says repeatedly, "My baby is beautiful, but I was planning on a vaginal delivery. Instead I needed an emergency C-section." The most appropriate nursing diagnosis is:
A) anxiety related to the development of postpartum complications.
B) ineffective individual coping related to unfamiliarity with procedures.
C) risk for ineffective parenting related to emergency cesarean section.
D) grieving related to loss of expected birth experience.
Q2) The nursing care of a woman with a third-degree laceration immediately after delivery would include:
A) warm compresses to the perineum.
B) cold pack to the perineum.
C) warm sitz bath.
D) elevation of hips to prevent edema.
Q3) Following an amniotomy, the umbilical cord becomes compressed. The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus, which is called ____________________.
Q4) A(n) _______________ is a narrow cone inserted into the cervix to "ripen" the cervix to increase uterine contractions.
Page 10
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Chapter 9: The Family After Birth
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The statement made by a new mother that indicates she needs additional information about breastfeeding is:
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."
Q2) What postpartum exercise(s) should the nurse teach a patient who had a vaginal delivery yesterday? Select all that apply.
A) Abdominal tighteners
B) Head lift
C) Pelvic tilt
D) Kegel exercises
E) Leg lifts
Q3) The nurse assesses a 6-inch stain of lochia rubra on a pad that was worn for 2 hours. The nurse would document this as a(n) ________________ amount of lochia.
Q4) The hormone responsible for milk production is ____________________.
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11
Chapter 10: Nursing Care of Women with Complications
After Birth
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse's first action when postpartum hemorrhage from uterine atony is suspected is to:
A) teach the patient how to massage the abdomen and then get help.
B) start IV fluids to prevent hypovolemia, then notify the registered nurse.
C) begin massaging the fundus while another person notifies the physician.
D) ask the patient to void and reassess fundal tone and location.
Q2) By flexing the patient's leg and dorsiflexing the foot, the nurse is:
A) assessing for edema in the lower limb.
B) performing range-of-motion exercises.
C) stimulating circulation to limbs.
D) assessing for deep vein thrombus.
Q3) If massage and putting the infant to breast is not effective in controlling a boggy uterus, the nurse explains that the physician may order:
A) ritodrine.
B) magnesium sulfate.
C) oxytocin.
D) bromocriptine.
Q4) The nurse explains that the process of the body returning to the nonpregnant state is called _______________.
Page 12
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Chapter 11: The Nurses Role in Womens Health Care
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse outlines the process of ova being mixed with sperm and then the resulting embryos being returned to the mother's uterus. This process of infertility treatment is
Q2) The nurse reminds a group of high school students that the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases is to:
A) abstain from sex.
B) use the male condom.
C) use the female condom.
D) use the barrier method.
Q3) A 17-year-old girl comes to the emergency department complaining of severe pain in her left lower quadrant. When an ovarian cyst is suspected, the nurse explains that the diagnosis is confirmed by:
A) laparotomy.
B) oophorectomy.
C) transvaginal ultrasound.
D) hysteroscopy.
Q4) When intraabdominal pressure increases from laughing or sneezing in a woman with a cystocele, __________ ___________ results.
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Page 13
Chapter 12: The Term Newborn
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23811
Sample Questions
Q1) The statement that indicates the parents understand when to contact the pediatrician or nurse practitioner is that the:
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 parents of a newborn girl express concern about the infant's vaginal discharge, which appears to be bloody mucus. The nurse explains that this is caused by:
A) premature stimulation of the ovarian hormones by the pituitary system.
B) cessation of female sex hormones transferred in utero from mother to infant.
C) the increased amount of circulating blood from the mother throughout pregnancy.
D) trauma to the genitalia during the birth process.
Q3) Shortly after delivery, a symptom of respiratory distress in the newborn that should be reported is:
A) cyanosis of the hands and feet.
B) irregular heart rate.
C) mucus draining from the nose.
D) sternal or chest retractions.
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Chapter 13: Preterm and Postterm Newborns
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Parents of a preterm infant come to the NICU every day to see their infant, who is being gavage fed. The nurse teaching about stimulating the infant would tell the parents:
A) to bring in colorful pictures and toys to place in the incubator.
B) that stimulating the infant during feedings increases intake.
C) to stroke the infant during feeding to increase intake.
D) not to disturb the infant between feedings.
Q2) The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry. The nurse is aware that these are symptoms of:
A) respiratory distress syndrome.
B) hypoglycemia.
C) necrotizing enterocolitis.
D) renal failure.
Q3) The nurse clarifies that a fetus has enough surfactant to breathe on its own at the age of _____ weeks.
Q4) The nurse providing stimulation to a preterm infant should schedule stimulation not to conflict with __________.
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Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse clarifies to the parents of a child with spina bifida that their child has a portion of the spinal cord in the sac in addition to the meninges. This type of spina bifida is known as a(n) ____________________.
Q2) The nurse is caring for a macrosomic newborn whose mother has diabetes. The nurse would assess the neonate for:
A) hypoglycemia.
B) erythroblastosis fetalis.
C) intracranial hemorrhage.
D) pancreatic failure.
Q3) Phototherapy is instituted for an infant. An appropriate nursing action for the infant having phototherapy is to:
A) cover the infant's head with a hat.
B) dress the infant lightly in a T-shirt.
C) keep the infant's eyes covered.
D) reposition at least every 4 to 8 hours.
Q4) The nurse demonstrates how to flush the ventriculoperitoneal shunt by the use of the ____________________ that is in place behind the infant's ear.
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Chapter 15: An Overview of Growth, Development, and Nutrition
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) An infant's birth weight is 7 pounds, 8 ounces. The nurse can project the weight at 6 months to be _____ pounds.
A) 12
B) 15
C) 18
D) 22
Q2) When demonstrating a bath procedure to parents of Vietnamese origin, the nurse should avoid:
A) talking directly to the mother.
B) exposing the child's genitals.
C) touching the child's head.
D) using cool water.
Q3) The mother of a 7-month-old reports that the first lower central incisor has erupted. She asks the nurse, "How many teeth will he have by his first birthday?" The nurse would explain that by 1 year of age, the infant usually has _____ teeth.
A) 2
B) 4
C) 6
D) 8
Page 17
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Chapter 16: The Infant
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months, when the infant begins to ___________.
Q2) The nurse knows that an infant's birth weight should be tripled by:
A) 9 months.
B) 1 year.
C) 18 months.
D) 2 years.
Q3) The nurse reminds the parents that their 2-month-old should receive three immunizations for which illnesses.
A) Pertussis (whooping cough)
B) Influenza
C) Diptheria
D) Tetanus
E) Polio
F) None of the above
Q4) The nurse cautions parents to place their infant in the ______________ position, rather than on his or her stomach, to reduce the risk of sudden infant death syndrome (SIDS).
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Chapter 17: The Toddler
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The parent of a toddler tells the nurse, "My daughter's appetite has decreased. Thank goodness she loves to drink milk." The most appropriate response for the nurse to make is:
A) "Has your daughter been sick recently?"
B) "How much milk does she drink in a day?"
C) "Has she become a fussy eater, too?"
D) "Have you tried offering her finger foods?"
Q2) The nurse recognizes that when the toddler claims everything in the environment as "mine," it is an example of the toddler trait of ____________________.
Q3) When selecting a potty chair the parents are encouraged to select one that has which characteristic(s)? Select all that apply.
A) Small enough for the child's feet to touch floor
B) Sturdy and stable
C) Supportive of child's back and arms
D) Made of plastic or fiberglass
E) Capable of being taken apart easily
Q4) The nurse explains that with the completion of myelination, the toddler will have the neuromuscular maturity to attain _______________ or _______________ control.
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Chapter 18: The Preschool Child
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A preschool-age child is asked, "Why do trees have leaves?" Which response would be an example of animism?
A) "So I can have shade over my sandbox."
B) "Because God made them that way."
C) "To hide behind when they are scared."
D) "For the squirrels to play in."
Q2) The nurse understands that a fear unique to the preschool period is fear of:
A) water.
B) animals.
C) bodily harm.
D) death.
Q3) The nurse is aware that children who are unable to express themselves with words often will:
A) become reclusive and introspective.
B) develop other methods of verbal communication.
C) engage in more creative play.
D) have tantrums and act out.
Q4) When planning an activity for a 3-year-old, the nurse bases the plan on the average attention span of _____ minutes.
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Chapter 19: The School-Age Child
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A mother is concerned because her 9-year-old has developed the habit of twitching his eyes and flipping his hair while communicating with anyone. The best nursing response to this parent is:
A) "This may indicate that he needs eyeglasses."
B) "Children sometimes do these things for attention."
C) "This behavior suggests low self-esteem."
D) "Tics appear when a child is under stress."
Q2) When the school-age child becomes frustrated with a school assignment and says, "I can't do this!" the most developmentally supportive response from the parent would be to:
A) ask, "What is it that is so difficult?"
B) allow the child to quit the effort.
C) call in older siblings to help.
D) finish the project for him.
Q3) The nurse is aware that, in general, the school-age child will:
A) grow 3 to 6 inches per year.
B) gain 5 to 7 pounds per year.
C) increase head circumference by 1 inch per year.
D) reach a visual acuity of 20/20 by 9 years of age.
Q4) The nurse is aware that by the age of _____, the first permanent teeth erupt.
Page 21
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Chapter 20: The Adolescent
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. The nurse should assess this score as:
A) nonindicative of potential substance abuse.
B) normal experimentation of the adolescent.
C) need to schedule another PACE interview in 3 months.
D) indication for referral for counseling.
Q2) The nurse knows that an adolescent may find making a career choice difficult because there is less clarity in ______________ roles.
Q3) The nurse points out that prior to a big exam, what is the best breakfast to provide high levels of alertness and increased memory? Select all that apply.
A) Pancakes and syrup
B) Coffee and chocolate-covered donuts
C) Bacon and fried eggs
D) Whole grain cereal and yogurt
E) Oatmeal and sliced apples
Q4) The nurse stresses the need for using a sunscreen with a Sun Protection Factor (SPF) of at least _____.
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Chapter 21: The Childs Experience of Hospitalization
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) 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
Q2) A 13-year-old girl has been hospitalized for the past week. When discussing the girl's feelings about her illness, the nurse would expect the girl to express the most concern about:
A) invasive procedures.
B) loss of control.
C) appearance.
D) separation from her boyfriend.
Q3) A(n) _______________ ______________ is a person under the age of 18 who can legally sign for consent for medical treatment for themselves or their children.
Q4) When the preschooler who is hospitalized for surgery to correct a poorly healed fracture says, "My doctor is going to unscrew my bent arm and screw on a new one," the nurse should ________________ this misconception.
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Page 23
Chapter 22: Health Care Adaptations for the Child and Family
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30 Verified Questions
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Sample Questions
Q1) The nurse explains that the factor that affects the infant's physiological response to medications is:
A) faster metabolism in the liver.
B) slower intestinal transit.
C) immature kidney function.
D) increased secretion of hydrochloric acid.
Q2) When suctioning a tracheostomy, the nurse will:
A) suction for two to three breaths.
B) clear the catheter with water after suctioning for reuse.
C) apply suction for no more than 15 seconds.
D) establish a regular schedule for suctioning.
Q3) Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?
A) The blanket is not tucked into the mattress.
B) Diapers and wipes are stacked at the foot of the crib.
C) The crib side is locked in the up position.
D) Pillows are stacked on the bedside table.
Q4) The nurse is aware that because of the function of the mist tent that a child is at risk for ________________.
Page 24
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Chapter 23: The Child with a Sensory or Neurological Condition
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Sample Questions
Q1) A child is admitted to the hospital because she had a seizure. Her parents report that for the past few weeks she has had headaches, with vomiting, that are worse in the morning. The nurse would suspect:
A) meningitis.
B) Reye's syndrome.
C) brain tumor.
D) encephalitis.
Q2) The nurse cautions parents that hearing impairment can affect which aspect(s) of the child's development? Select all that apply.
A) Speech clarity
B) Language development
C) Emotional stability
D) Personality development
E) Academic achievement
F) None of the above
Q3) The nurse records the finding of ______________ _____________ when the child with meningitis cries out in pain when his head is flexed toward his chest.
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Page 25
Chapter 24: The Child with a Musculoskeletal Condition
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Sample Questions
Q1) In planning teaching to parents of a child with Legg-Calvé-Perthes disease about the long-term effects of this disease, the nurse would include that:
A) there are no long-term effects.
B) the disease is self-limited and requires no long-term treatment.
C) degenerative arthritis may develop later in life.
D) there is risk of osteogenic sarcoma in adulthood.
Q2) The interventions that would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis would be:
A) wearing splints at night to prevent extension contractures.
B) applying moist heat packs upon awakening.
C) taking a warm tub bath the evening before.
D) sleeping with two pillows under the head.
Q3) The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.
Q4) A nurse assessing welts on the body of a 2-year-old Vietnamese child should consider the skin lesions might be the result of the cultural practice of __________.
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Chapter 25: The Child with a Respiratory Disorder
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Sample Questions
Q1) The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder to prevent:
A) discoloration of tooth enamel.
B) halitosis.
C) irritation of oral membranes.
D) candidiasis.
Q2) The nurse reports which assessment(s) that suggest a meconium ileus in a newborn? Select all that apply.
A) Abdominal distention
B) Vomiting
C) Hiccoughing
D) Jaundice
E) Absence of stool
Q3) To facilitate digestion and absorption of nutrients, the nurse teaches the child with cystic fibrosis that she needs to take:
A) pancreatic enzymes.
B) water-soluble minerals.
C) fat-soluble vitamins.
D) salt supplements.
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Chapter 26: The Child with a Cardiovascular Disorder
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Sample Questions
Q1) The nurse clarifies to the parents of a 4-year-old child recovering from rheumatic fever that the child will need to receive monthly injections of penicillin G for a minimum of _____ year(s).
A) 1
B) 2
C) 5
D) 10
Q2) The assessment that would lead the nurse to suspect that a newborn infant has a ventricular septal defect is:
A) a loud, harsh murmur with a systolic tremor.
B) cyanosis when crying.
C) blood pressure higher in the arms than in the legs.
D) a machinery-like murmur.
Q3) When a father asks why his child with tetralogy of Fallot seems to favor a squatting position, the nurse would explain that squatting:
A) increases the return of venous blood back to the heart.
B) decreases arterial blood flow away from the heart.
C) is a common resting position when a child is tachycardic.
D) increases the workload of the heart.
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Page 28
Chapter 27: The Child with a Condition of the Blood,
Blood-Forming Organs, or
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Q1) The family of a child receiving chemotherapy for leukemia should be taught to focus on which aspect(s) of the child's care? Select all that apply.
A) Using a support group
B) Stimulating appetite
C) Maintaining adequate hydration
D) Continuing with scheduled immunizations
E) Reporting exposure to infectious diseases
Q2) The statement by a mother that may indicate a cause for her 9-month-old having iron deficiency anemia is:
A) "Formula is so expensive. We switched to regular milk right away."
B) "She almost never drinks water."
C) "She doesn't really like peaches or pears, so we stick to bananas for fruit."
D) "I give her a piece of bread now and then. She likes to chew on it."
Q3) The statement made by a parent indicating understanding of health maintenance of a child with sickle cell disease is:
A) "I should give my child a daily iron supplement."
B) "It is important for my child to drink plenty of fluids."
C) "He needs to wear protective equipment if he plays contact sports."
D) "He shouldn't receive any immunizations until he is older."
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Chapter 28: The Child with a Gastrointestinal Condition
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Q1) A child is brought to the emergency department because he ingested an unknown quantity of acetaminophen (Tylenol). After gastric lavage is completed, the nurse might expect this child to receive:
A) activated charcoal.
B) N-acetylcysteine.
C) vitamin K.
D) syrup of ipecac.
Q2) The nurse interviewing parents of an infant with pyloric stenosis would expect the parents to report if the infant has had:
A) diarrhea.
B) projectile vomiting.
C) poor appetite.
D) constipation.
Q3) An infant is admitted to the hospital with severe isotonic dehydration. In planning the infant's care, the nurse is aware the infant is at risk for:
A) metabolic alkalosis.
B) hypocalcemia.
C) sepsis.
D) shock.
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Chapter 29: The Child with a Genitourinary Condition
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Q1) The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. The statement made by the parent indicating a need for further teaching is:
A) "My daughter should wash and wipe the perineal area from front to back."
B) "I am only going to have my daughter wear cotton underwear."
C) "It is acceptable to take frequent bubble baths."
D) "She needs to drink lots of fluids and void frequently."
Q2) During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis. The nurse should:
A) forcibly push the foreskin down over the head of the penis.
B) place a warm compress on the penis.
C) notify the charge nurse.
D) wait a few hours and try again.
Q3) The initial sign of nephrosis that the nurse might note in the child would be:
A) raspberry-like rash.
B) periorbital edema.
C) temperature elevation.
D) abdominal pain.
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Chapter 30: The Child with a Skin Condition
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Q1) The nurse is aware that which factor(s) activate the herpes simplex virus type I? Select all that apply.
A) Stress
B) Sun
C) Menses
D) Fever
E) Food allergies
Q2) A child had a burn evidenced by pink skin and blistering. The child complains of pain and is crying. The nurse documents the burn as:
A) first-degree.
B) second-degree superficial.
C) second-degree deep dermal.
D) third-degree.
Q3) Before the 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne, the nurse should suggest that she first:
A) get a prescription for oral contraceptives.
B) increase the dose of present medication.
C) limit intake of chocolate, cola, and peanuts.
D) increase exposure to sunlight.
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Chapter 31: The Child with a Metabolic Condition
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Q1) What would be the most appropriate nursing response to a woman who says, "My sister had a child with Tay-Sachs disease, and I want to know if I could have a child with this condition."
A) "The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease."
B) "A screening test can be done to determine if you are a carrier of the gene."
C) "The gene for Tay-Sachs disease is transmitted by the father."
D) "The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus."
Q2) A child with diabetes is brought to the emergency department. He is flushed and drowsy, and his skin is dry. His father states that the child has been feeling progressively worse since the morning. This child is most likely experiencing:
A) Somogyi phenomenon.
B) dawn syndrome.
C) ketoacidosis.
D) water intoxication.
Q3) 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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Chapter 32: The Child with a Communicable Disease
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Q1) An acquired immunity is obtaining the immunity through what source(s)? Select all that apply.
A) Gamma globulin
B) The disease
C) Maternal antibodies
D) The vaccine
E) Immune globulin
Q2) The nurse uses a diagram showing how the wood tick acts as a(n) ______________ in the transmission of Lyme disease.
Q3) The nurse explains to the parents that their child is in the prodromal stage of varicella. This means that the child:
A) is now immune to varicella.
B) has varicella but has not yet broken out.
C) is infected with varicella but is not contagious.
D) does not have varicella but has been exposed to it.
Q4) The school nurse recognizes the presence of macules, papules, vesicles, pustules, and scabs on the child as the particular sign of the communicable disease of
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Page 34
Chapter 33: The Child with an Emotional or Behavioral Condition
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Q1) A 14-year-old girl with obsessive-compulsive disorder (OCD) tells the nurse other adolescents tease her because she washes her hands many times during the school day. The nurse is aware that this disorder puts the adolescent at greater risk for:
A) anorexia nervosa.
B) depression.
C) ADHD.
D) a learning disability.
Q2) The member of the child guidance team who is a medical doctor with special training in psychoanalytic theory is the:
A) psychiatrist.
B) psychoanalyst.
C) psychologist.
D) counselor.
Q3) The nurse reminds concerned parents that gateway substance is defined as a: A) recreational drug used occasionally.
B) nonaddictive drug used daily.
C) drug used to wean from stronger drugs.
D) substance that can lead to use of stronger drugs.
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
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Q1) The nurse caring for a patient taking warfarin would report to the physician that the patient has disclosed that he also takes the herbal remedy of:
A) angelica (dong quai).
B) chamomile.
C) ginseng.
D) kava-kava.
Q2) The nurse clarifies that the difference between complementary therapy and alternative therapy is that complementary therapy:
A) must be administered by a medical doctor.
B) is administered with conventional therapy.
C) replaces conventional therapy.
D) is administered to a group of patients at the same time.
Q3) A young mother asks, "Is there an alternative medicine for children with asthma?" The nurse's most helpful reply would be, "Yes. Children with asthma have found relief with the practice of:
A) reflexology."
B) rolfing.
C) guided imagery.
D) acupressure.
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