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Obstetric Nursing Exam Practice Tests - 1020 Verified Questions

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Obstetric Nursing Exam Practice Tests

Course Introduction

Obstetric Nursing is a specialized course focused on the care of women during pregnancy, childbirth, and the postpartum period, as well as the care of newborns. The course covers comprehensive assessment, prenatal care, labor and delivery management, and postnatal support, emphasizing both normal and high-risk situations. Students learn to assist with birthing processes, monitor maternal and fetal well-being, provide patient education, and deliver compassionate, evidence-based nursing interventions. Ethical, legal, and cultural aspects of obstetric care are also explored to prepare nursing students for effective practice in diverse clinical 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) A nursing student has reviewed a hospitalized child's chart, interviewed her mother, and collected admission data. The next step in developing a nursing care plan for this child is to:

A) identify measurable outcomes with a timeline.

B) choose specific nursing interventions for the child.

C) determine appropriate nursing diagnoses.

D) state nursing actions related to the child's medical diagnosis.

Answer: C

Q2) The certified nurse-midwife (CNM) clarifies to the pregnant patient that the CNM's scope of practice includes:

A) practice independent from medical supervision.

B) comprehensive prenatal care.

C) attendance at all deliveries.

D) cesarean sections.

Answer: B

Q3) The first White House Conference on Children and Youth was called by President

Answer: Theodore Roosevelt

Theodore Roosevelt called the first White House Conference in 1909.

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Page 3

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 clarifies that puberty ends for a male when:

A) facial hair is evident.

B) erections can be sustained.

C) ejaculate is greater than 5 mL.

D) mature sperm form.

Answer: D

Q2) The nurse conducting a sex education class for junior high students describes some cultural rites celebrating the entry to adulthood. Which would be included? Select all that apply.

A) Bar mitzvah

B) Displays of bravery

C) Receiving part of their inheritance

D) Ritual circumcision

E) Displays of self-defense

Answer: A, B, D, E

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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 nurse explains that survival of the X and Y bearing sperm after intercourse can be affected by the woman's:

A) age.

B) estrogen level.

C) body temperature.

D) level of feminine hygiene.

Answer: B

Q2) Using a diagram, the nurse points out the most common site for fertilization, which is the:

A) lower segment of the uterus.

B) outer third of the fallopian tube near the ovary.

C) upper portion of the uterus.

D) area of the fallopian tube farthest from the ovary.

Answer: B

Q3) Untreated respiratory distress in the newborn could cause which complication?

A) Esophageal atresia

B) Gastric dilation

C) Cold stress

D) Reopening of the foramen ovale

Answer: D

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Chapter 4: Prenatal Care and Adaptations to Pregnancy

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23803

Sample Questions

Q1) 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."

Q2) The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.

Q3) A woman asks the nurse about the frequency of prenatal visits. In an uncomplicated pregnancy, the nurse would tell her that appointments are scheduled:

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.

Q4) The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as __________.

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Chapter 5: Nursing Care of Women with Complications

During Pregnancy

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/23804

Sample Questions

Q1) Because the mother is diabetic, the nurse caring for a macrosomic infant will do a focused assessment for which complication(s)? Select all that apply.

A) Meconium ileus

B) Diarrhea

C) Hypoglycemia

D) Muscle tremors

E) Urine retention

Q2) The nurse finds a woman crying after she has undergone a dilation and evacuation (D&E) for a missed abortion. The most appropriate statement made by the nurse would be:

A) "There is usually something wrong with the fetus when this happens early in pregnancy."

B) "Now there. You can try to conceive on your next cycle."

C) "I'm here if you need to talk."

D) "You are young and strong. I know you can have a healthy pregnancy."

Q3) The nurse cautions that the consumption of as few as ________ alcoholic drink(s) during pregnancy can lead to the loss of fetal brain cells.

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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

Source URL: https://quizplus.com/quiz/23805

Sample Questions

Q1) What do late decelerations indicate? Select all that apply.

A) A nonreassuring pattern

B) Uteroplacental insufficiency

C) Fetal heart depression

D) Cord compression

E) Head compression

Q2) The nurse takes into consideration that the primary concern in the initial care of the newborn is maintaining:

A) fluid intake.

B) feeding schedule.

C) thermoregulation.

D) parental bonding.

Q3) The most important nursing activity during the fourth stage of labor is to:

A) monitor the frequency and intensity of contractions.

B) provide comfort measures.

C) assess for hemorrhage.

D) promote bonding.

Q4) After the pregnant woman is admitted to the labor suite, the nurse assesses the position of the infant as ROA; this means that the infant's head is _________

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Chapter 7: Nursing Management of Pain During Labor and Birth

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23806

Sample Questions

Q1) A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. The nurse explains that giving a narcotic analgesic medication at this stage of labor will:

A) cause medication given at later stages to be ineffective.

B) have no complications for the mother or infant.

C) result in respiratory depression to the newborn.

D) speed up labor and increase pain.

Q2) A woman who is 6 cm dilated has the urge to push. The nurse would instruct the woman to __________ during the contraction.

A) use slow-paced breathing

B) hold her breath and push

C) blow in short breaths

D) use rapid-paced breathing

Q3) To comfort a woman who is tensing her muscles with contractions, the nurse would guide the labor coach to:

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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Chapter 8: Nursing Care of Women with Complications

During Labor and Birth

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23807

Sample Questions

Q1) 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.

Q2) A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). To encourage fetal rotation and pain relief the nurse would position the patient:

A) prone with legs supported and give her a back massage.

B) supine with legs bent at the knee.

C) standing with support.

D) sitting up and leaning forward on the over-bed table.

Q3) A pulsating structure is felt during a vaginal examination of a woman in labor. To prevent compression of a prolapsed cord, the nurse would position the woman:

A) on her right side with knees flexed.

B) on her left side with a pillow placed between her legs.

C) on her back with her head lower than the rest of her body.

D) supine with her legs elevated and bent at the knee.

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) A primipara tells the nurse, "My afterpains get worse when I am breastfeeding." The most appropriate nursing response would be:

A) "I'll get you some aspirin to relieve the cramping that you feel."

B) "Afterpains are more intense with your first baby."

C) "Breastfeeding releases a hormone that causes your uterus to contract."

D) "A change of position when you're breastfeeding might help."

Q2) A new mother has decided not to breastfeed her newborn. The nurse planning to teach the mother about formula feeding would include:

A) positioning the bottle so that the nipple is full of formula during the entire feeding.

B) heating infant formula in a microwave.

C) burping the infant after 4 ounces and again when the bottle is empty.

D) propping a bottle for a feeding.

Q3) The nurse is aware that the newborn is considered hypoglycemic if the blood glucose level is below _____ mg/dL.

A) 70

B) 60

C) 50

D) 40

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11

Chapter 10: Nursing Care of Women with Complications

After Birth

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/23809

Sample Questions

Q1) The nurse assesses the perineal pad placed on a 3-hour postdelivery patient and finds that there is no lochia on it. What would the nurse expect to find on further assessment? Select all that apply.

A) A firm fundus the size of a grapefruit

B) A full bladder

C) Retained placental fragments

D) Vital signs indicative of shock

E) A soft, boggy fundus

Q2) The nurse instructs the postpartum patient that her nutritional intake should include which food(s) particularly supportive to healing? Select all that apply.

A) Legumes

B) Potatoes and pasta

C) Citrus fruits

D) Rice

E) Cantaloupe

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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Page 12

Chapter 11: The Nurses Role in Womens Health Care

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23810

Sample Questions

Q1) The nurse cautions that women with a history of which disorders are not candidates for HRT? Select all that apply.

A) Melanoma

B) Estrogen-dependent breast cancer

C) Hepatitis C

D) Thromboembolic disease

E) Hyperthyroidism

Q2) A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse would respond that a woman is considered to be menopausal when:

A) her periods have stopped for 1 year.

B) her periods have been irregular and light for 12 months.

C) she has symptoms of vasomotor instability.

D) she experiences symptoms of decreased estrogen, such as dyspareunia.

Q3) When intraabdominal pressure increases from laughing or sneezing in a woman with a cystocele, __________ ___________ results.

Q4) 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

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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 mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much. The most appropriate nursing response to this mother would be:

A) "Tell me how many hours per day your baby sleeps."

B) "It is normal for newborns to sleep most of the day."

C) "Newborns generally sleep 12 to 15 hours per day."

D) "You will find as the baby gets older, he sleeps less."

Q2) Parents express concern about the milia on the face and nose of their infant. The nurse's most helpful response would be to instruct the parents to:

A) contact a pediatric dermatologist for topical medication.

B) squeeze out the white material after cleansing the face.

C) wash the infant's face with a mild astringent several times a day.

D) leave the milia alone; it will disappear spontaneously. No treatment is needed.

Q3) The assessment of the newborn that should be reported is:

A) head circumference that is 5 cm greater than the chest circumference.

B) hands and feet that are cool and cyanotic.

C) temperature of 36.2° C (97.1° F).

D) mucus draining from nose.

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Chapter 13: Preterm and Postterm Newborns

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23812

Sample Questions

Q1) The nurse encourages the anxious mother of a preterm infant to consider the warming technique of holding the infant between her breasts with skin-to-skin contact under a blanket. This technique is the __________ care method.

Q2) The nurse is aware that the preterm infant has an increased tendency to bleed due to deficient levels of ________.

Q3) The mother of a postterm infant asks the nurse why the infant is being watched so closely. The nurse answers that postterm infants are at risk because:

A) the placenta does not function adequately as it ages.

B) infants born postmaturely are generally large.

C) delivery of the postterm infant is more difficult.

D) there is less amniotic fluid.

Q4) The nurse is caring for an infant born at 43 weeks. A physical assessment would reveal:

A) dry, peeling skin.

B) minimal hair on the head.

C) short, rough nails.

D) abundant lanugo on the body.

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Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23813

Sample Questions

Q1) The nurse explains that the Rh-negative mother who should receive RhoGAM is the mother who:

A) has had one Rh-negative child and is pregnant with an Rh-negative child.

B) had an Rh-positive infant and is pregnant with an Rh-positive fetus.

C) has had an O-negative child and is pregnant with a B-negative child.

D) is a primipara with an O-negative child.

Q2) The nurse caring for an infant with hydrocephalus would take special precaution to:

A) align the limbs.

B) support the head.

C) keep the head lower than the hip.

D) check intake and output.

Q3) The nurse caring for the child who has had a ventriculoperitoneal shunt (VP) for hydrocephalus observes an increasing abdominal girth. The most appropriate response would be to:

A) elevate the child's head.

B) check bowel sounds.

C) record retention of feeding.

D) notify charge nurse of possible malabsorption.

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Chapter 15: An Overview of Growth, Development, and Nutrition

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/23814

Sample Questions

Q1) The nurse recognizes Piaget's concrete operational thinking when a:

A) 2-year-old says, "It's nighttime" when his room is darkened.

B) 4-year-old refers to the hospital as "my house."

C) 5-year-old coloring a picture of a puppy says, "This is my puppy."

D) 7-year-old says, "I am sick because I have germs in my chest."

Q2) To meet Erikson's developmental task of industry, the nurse caring for a 7-year-old would choose an activity such as:

A) completing a 50-piece jigsaw puzzle.

B) looking at a comic book.

C) playing a game of "I Spy" with the nurse.

D) coloring a picture in a coloring book.

Q3) The nurse explains that when a mother tells her 4-year-old child that balls should be played with outside and not inside the house, the child is likely to obey the rule because she:

A) does not want to be punished.

B) wants to please her mother.

C) respects authority figures.

D) believes that following the rules is right.

Q4) The correct term for the child aged 4 weeks to 1 year is ______________.

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Chapter 16: The Infant

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/23815

Sample Questions

Q1) 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).

Q2) The nurse would advise a mother who is concerned because her 10-month-old is lethargic to:

A) keep the infant's room well lit.

B) rub the infant's soles vigorously.

C) offer the infant a pacifier.

D) handle the infant slowly and gently.

Q3) The nurse is aware that the earliest age at which an infant is able to sit steadily alone is _____ months.

A) 4

B) 5

C) 8

D) 15

Q4) The nurse would advise a parent when introducing solid foods to:

A) begin with one tablespoon of food.

B) mix foods together.

C) eliminate a refused food from the diet.

D) introduce each new food 4 to 7 days apart.

Page 18

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Chapter 17: The Toddler

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/23816

Sample Questions

Q1) When the previously potty-trained 3-year-old wets the bed after admission to the hospital, the nurse assesses this event is caused by a(n) ____________________ related to the new environment.

Q2) 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.

Q3) 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

Q4) The nurse recognizes that when the toddler claims everything in the environment as "mine," it is an example of the toddler trait of ____________________.

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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) The nurse includes playing in the plan of care for a 5-year-old because play allows the child to do what? Select all that apply.

A) Exercise his imagination

B) Assume a role and act it out

C) Offers an emotional outlet

D) Employs magical thinking

E) Interact with other children

F) None of the above

Q2) The nurse suggests a measure that might be helpful for the child with enuresis, such as:

A) applying an electric pad that gently shocks the child.

B) waking the child several times during the night to urinate.

C) decreasing fluid intake after the evening meal.

D) increasing dietary fiber intake.

Q3) When planning an activity for a 3-year-old, the nurse bases the plan on the average attention span of _____ minutes.

Q4) ____________ is a preschooler's idea that the world and all of its contents are created by people.

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Page 20

Chapter 19: The School-Age Child

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) The parents of an 8-year-old tell the nurse the child wakes the household crying out during his frequent nightmares. The nurse's most helpful response is to explain that nightmares are a(n):

A) normal extension of the child's fear of mutilation.

B) abnormal response to repressed feelings.

C) common result of latent sexuality.

D) side effect of overactivity and stimulation.

Q2) When the fifth-grade class collected geckos in a special aquarium in the classroom, the school nurse cautioned the teacher to be alert for symptoms of ____________________ that can be carried by the reptiles.

Q3) The nurse suggests an appropriate toy for a hospitalized 6-year-old boy would be a(n):

A) handheld video game.

B) MP3 player.

C) adventure book.

D) jigsaw puzzle.

Q4) The nurse reminds the parents who are trying to select a dog for their allergic child that the best selection would be a female dog that is ______________ and

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Chapter 20: The Adolescent

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/23819

Sample Questions

Q1) The nurse is leading a discussion group with parents of adolescents. One parent comments, "My son can't do anything without checking with his friends first. My opinion doesn't count anymore." The nurse would formulate a response on the knowledge that this behavior is:

A) unusual for adolescent boys.

B) often more apparent in boys than girls.

C) a normal phenomenon during adolescence.

D) suggestive of feelings of low self-worth.

Q2) A girl tells the nurse that she and her best friend belong to the popular clique. She states, "I love Lady Gaga, and I want to be a singer." The nurse recognizes the girl's statement as characteristic of peer relationships in:

A) early adolescence.

B) middle adolescence.

C) late adolescence.

D) the entire adolescent period.

Q3) The nurse is amused, but understands that as adolescents strive for individuality, the strongest need of any adolescent in society is that of _______________.

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Page 22

Chapter 21: The Childs Experience of Hospitalization

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) The nurse determines a parent understands a hospitalized toddler's need for transitional objects when the parent states:

A) "This stuffed animal makes him feel secure."

B) "He insisted on bringing this dirty old blanket with him."

C) "I'm going to buy him a big stuffed animal from the gift shop."

D) "I'd like to get him some toys from the playroom."

Q2) The statement that best corresponds to a preschooler's understanding of hospitalization is:

A) "A germ made me get sick."

B) "I got sick because I was mad at my brother."

C) "My tonsils are sick and they have to come out."

D) "I have a cast because I broke my leg."

Q3) The nursing action that would facilitate rapport with a child and the child's parents during the admission process is to:

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.

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Chapter 22: Health Care Adaptations for the Child and Family

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Sample Questions

Q1) The nurse is caring for a 4-year-old child. When reviewing yesterday's intake and output record, the nurse would expect the child's daily urinary output to be approximately _____ mL.

A) 400 to 500

B) 500 to 600

C) 600 to 700

D) 700 to 1000

Q2) After topical administration of hydrocortisone cream to the buttocks and abdomen of an infant, the nurse should:

A) diaper the infant snugly with a disposable diaper.

B) cover the area with a transparent dressing.

C) apply a cloth diaper.

D) place the infant on a plastic pad, undiapered.

Q3) The restraint that is most appropriate for the insertion of an intravenous line in a scalp vein of an infant is the:

A) mummy.

B) clove hitch.

C) jacket.

D) elbow.

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Chapter 23: The Child with a Sensory or Neurological Condition

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31 Verified Questions

31 Flashcards

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Sample Questions

Q1) The nurse caring for a 5-month-old with viral influenza suspects the development of Reye's syndrome when the child:

A) has respirations drop from 18 to 14 breaths/min.

B) goes to sleep after feeding.

C) suddenly vomits without effort.

D) develops a macular rash.

Q2) Why would the pediatric nurse suspect the probability of an ear infection in a 6-month-old child? Select all that apply.

A) Hypersensitivity to noise

B) Irritability

C) Reddened ear canal

D) Rolls head from side to side

E) Temperature of 39.4° C (103° F)

Q3) The sign that suggests possible damage to the cortex of the brain is ____________ posturing.

Q4) 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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Chapter 24: The Child with a Musculoskeletal Condition

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/23823

Sample Questions

Q1) The nurse providing instructions to an adolescent who has been fitted with a Milwaukee brace would teach the patient to:

A) wear the brace directly against the skin.

B) wear the brace over regular clothing.

C) wear the brace over a T-shirt 23 hours a day.

D) remove the brace before sleeping.

Q2) The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? Select all that apply.

A) Pulse is equal to uncasted limb.

B) Patient is aware of touch and warm and cold application.

C) Limb is cool to the touch.

D) Capillary refill is 5 seconds.

E) Distal limb can flex and extend.

Q3) The nurse caring for a child in Buck's skin traction will keep the:

A) child in high-Fowler's position.

B) child pulled up in bed.

C) child's heel on the bed surface.

D) child's feet against the foot of the bed.

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26

Chapter 25: The Child with a Respiratory Disorder

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26 Verified Questions

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Sample Questions

Q1) The nurse would observe a child for frequent swallowing following a tonsillectomy and adenoidectomy (T&A) because this is indicative of:

A) bleeding from the surgical site.

B) pain at the incision area.

C) sore throat from postnasal drip.

D) potential vomiting.

Q2) After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for _______ months.

Q3) The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in either of their families has CF. The nurse's response is based on the understanding that with CF:

A) only one parent carries the CF gene.

B) both parents are carriers of the CF gene.

C) the inheritance pattern is multifactorial.

D) the result is probably a genetic mutation.

Q4) The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration.

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Page 27

Chapter 26: The Child with a Cardiovascular Disorder

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Sample Questions

Q1) What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode? Select all that apply.

A) Spontaneous cyanosis

B) Dyspnea

C) Weakness

D) Dry cough

E) Syncope

Q2) How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? Select all that apply.

A) Feeding more frequently with smaller feedings

B) Using a soft nipple with enlarged holes

C) Holding and cuddling the child during feeding

D) Substituting glucose water for formula

E) Offering high-caloric formula

Q3) The nurse takes into consideration that the most common congenital heart defect is the ____________ ____________ defect.

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Chapter 27: The Child with a Condition of the Blood,

Blood-Forming Organs, or

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Sample Questions

Q1) The nurse would teach the parents of a child with a low platelet count to avoid:

A) ibuprofen.

B) aspirin.

C) caffeine.

D) prednisone.

Q2) An adolescent is diagnosed with Hodgkin's disease. Lymph nodes on both sides of her diaphragm have been found to be involved, including cervical and inguinal nodes. The disease is in stage:

A) I.

B) II.

C) III.

D) IV.

Q3) When the child receiving a transfusion complains of back pain and itching, the nurse's initial action would be to:

A) notify the charge nurse.

B) disconnect intravenous lines immediately.

C) give diphenhydramine (Benadryl).

D) clamp off blood and keep line open with normal saline.

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Chapter 28: The Child with a Gastrointestinal Condition

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Sample Questions

Q1) A mother reports that her child has been scratching the anal area and complaining of itching. Based on this information, the nurse might suspect this child has:

A) pinworms.

B) giardiasis.

C) ringworm.

D) roundworm.

Q2) 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.

Q3) The nurse that is teaching a parent about pyrvinium (Povan) would include the information that the drug will cause:

A) diarrhea.

B) skin rash.

C) red stool.

D) metallic taste.

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Chapter 29: The Child with a Genitourinary Condition

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29 Verified Questions

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Sample Questions

Q1) 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.

Q2) The physical assessment technique that the nurse would omit in caring for a 2-year-old who has a Wilms' tumor is:

A) performing range-of-motion exercises on lower extremities.

B) palpating the abdomen.

C) assessing for bowel sounds.

D) percussing ankle and knee reflexes.

Q3) Parents are speaking with the urologist about their son's undescended testicle. The nurse determines the child's father understands the information presented when he states:

A) "An undescended testicle can reduce fertility."

B) "The testicle usually descends spontaneously during the first month of life."

C) "Surgical correction reduces the risk for testicular tumors."

D) "The optimal time to surgically correct the condition is at diagnosis."

Q4) The inability to void even though the urge to do so is strong is known as _______________.

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Chapter 30: The Child with a Skin Condition

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Sample Questions

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) The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old because the infant's skin, compared to the adult's, has:

A) less perfusion.

B) greater moisture.

C) more perspiration.

D) greater absorption.

Q3) When the nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet, the nurse should:

A) report this sign immediately.

B) place a warm towel over the extremities.

C) gently sponge with cool water.

D) medicate for pain.

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Page 32

Chapter 31: The Child with a Metabolic Condition

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Sample Questions

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) The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every ______ hours.

Q3) When teaching a 12-year-old how to administer insulin, the nurse instructs the child to:

A) make sure injection sites are 6 inches apart.

B) select an injection site that was recently exercised.

C) inject the needle at a 90-degree angle.

D) give the injection deep into the muscle.

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Chapter 32: The Child with a Communicable Disease

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Sample Questions

Q1) The type of precautions necessary when caring for a toddler with varicella is:

A) contact.

B) protective.

C) airborne infection.

D) large droplet infection.

Q2) The nurse explains that some families do not have their children immunized for what reason(s)? Select all that apply.

A) Parental lack of knowledge

B) Lack of access to clinics

C) Religious beliefs

D) Cost of immunization

E) Fear of adverse reaction

F) None of the above

Q3) A parent is concerned because her son was exposed to varicella at preschool. The nurse would tell this parent that the incubation period for varicella is _____ days.

A) 2 to 10

B) 4 to 14

C) 3 to 32

D) 14 to 21

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Page 34

Chapter 33: The Child with an Emotional or Behavioral Condition

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Sample Questions

Q1) The nurse working with children from dysfunctional families must be prepared to address what associated problem(s)? Select all that apply.

A) Lack of trust

B) Acting out

C) Exaggerated self-confidence

D) Blaming others for problems

E) Depression

Q2) Because young children cannot express themselves well, the nurse uses the therapeutic intervention that allows children to act out their feelings, which is:

A) art therapy.

B) play therapy.

C) music therapy.

D) bibliotherapy.

Q3) A nurse planning to speak with a parent support group about childhood autism would include that:

A) significant signs of the disorder manifest by 1 year of age.

B) the earliest signs of autism are impulsivity and overactivity.

C) autism is usually diagnosed when the child goes to elementary school.

D) medications can cure childhood autism.

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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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22 Verified Questions

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Sample Questions

Q1) The nurse suggests which herb that is used for discomforts associated with menopause, such as hot flashes?

A) Evening primrose oil

B) Echinacea

C) Milk thistle

D) Black cohosh

Q2) The nurse clarifies that a person who is ____________ _____________ demonstrates sensitivity and respect for different practices and philosophies.

Q3) The nurse outlines what as the advantage(s) of alternative health care? Select all that apply.

A) Offering more patient control of health care

B) Offering a variety of health care advisors

C) Keeping patients from having to make decisions

D) Using natural products rather than chemical

E) Incorporating cultural beliefs and practices

Q4) The nurse explains that _______________ are areas of skin that are innervated by the dorsal roots of the spinal cord, which are the basis of acupressure therapy.

Q5) The practice of ____________ is a process of fascia pressure and stretching.

Page 36

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