Obstetric Nursing Exam Preparation Guide
Course Introduction
Obstetric Nursing focuses on the specialized care of women during pregnancy, childbirth, and the postpartum period. The course covers fundamentals of maternal assessment, prenatal care, labor and delivery management, complications of pregnancy, newborn care, and family support. Students will learn to apply evidence-based practices to promote maternal and neonatal health, recognize and respond to obstetric emergencies, and collaborate effectively with interdisciplinary healthcare teams. Ethical, legal, and cultural considerations in maternal health are also explored to prepare nurses for comprehensive, compassionate care in diverse settings.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
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35 Chapters
1810 Verified Questions
1810 Flashcards
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Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/44945
Sample Questions
Q1) A nurse is working with a family that uses multiple complementary and alternative medicine (CAM)modalities.What action by the nurse is best?
A)Allow the family to continue these practices as desired.
B)Assess how these practices reflect religious beliefs.
C)Inform the family that most of these practices do not work.
D)Provide evidence-based information about the therapies.
Answer: D
Q2) A nurse is demonstrating the professional role of provider of care to a nursing student.Which action by the nurse is most relevant to this professional role?
A)Assesses the patient's priority physical needs
B)Gives the patient a bath instead of delegating it
C)Supervises unlicensed assistive personnel
D)Uses monitoring and IV equipment correctly
Answer: D
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3
Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The clinic nurse is interviewing a woman and her daughter who describe their address as"temporary." The mother appears thin,pale,and tired.Her blood work confirms anemia and pregnancy.What actions by the nurse would be most helpful? (Select all that apply.)
A)Call the Department of Children and Family Services.
B)Discuss nutrition needs for pregnancy.
C)Facilitate the woman's opportunity to return for prenatal care.
D)Determine if the family is in a safe location.
E)Provide shelter information for this family.
Answer: C,D,E
Q2) A nurse ensures that a patient does not have questions regarding the upcoming surgical procedure and verifies that the signature on the consent form is the patient's signature.Which ethical principle is this nurse demonstrating?
A)Autonomy
B)Beneficence
C)Fidelity
D)Justice Answer: A
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Page 4
Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A mother brings her 8-year-old daughter to the clinic for the third time in 2 months.The mother states that her daughter is very active and often falls down.The mother states that her daughter eats well,but the child's weight falls below the 10th percentile.The clinic record shows the child had multiple bruises on her arms at the time of the last two visits.Today the nurse notes that the child has areas of ecchymosis on her left leg and ankle.Which action by the nurse is best?
A)Ask the child and her mother again about the child's bruises.
B)Question the child about her accident-prone behaviors.
C)Speak with the child alone,asking if she feels safe at home.
D)Teach the mother to keep a diary of what her child is eating.
Answer: C
Q2) The clinic nurse understands that children who come for well-child visits at age 10 are in the process of developing which of the following attributes?
A)Attachment
B)Coordination
C)Personal values
D)Self-identity
Answer: D
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Page 5
Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A nurse is volunteering for the local chapter of the cancer society and is planning breast cancer screening and educational activities in the community.In order to have the most impact on this disease,which women should the nurse target?
A)African Americans
B)Asian Americans
C)Caucasian Americans
D)Native Americans
Q2) A visiting nurse is seeing an older woman with the nursing diagnosis of risk for trauma related to decreased bone density secondary to osteoporosis.Which assessment findings would indicate to the nurse that a priority goal for this diagnosis has been met? (Select all that apply.)
A)All scatter rugs have been removed.
B)Burned-out light bulbs have been replaced.
C)Hot water heater temperature is set to 110°F.
D)Patient wears non-skid shoes or slippers.
E)Pets have been given away to friends.
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6
Chapter 5: Reproductive Anatomy and Physiology
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) The perinatal nurse mentor teaches the new nurse about the functions of cervical mucus.What information should the nurse include? (Select all that apply.)
A)Provides an acidic environment for sperm
B)Acts as a bacteriostatic agent
C)Provides a barrier to sperm during nonfertile phases
D)Provides an easy-flowing pathway during fertile phases
E)Forms an operculum to protect the pregnancy
Q2) A nurse is teaching a group of middle school students about the functions of the male reproductive tract.Which information should the nurse include?
A)Maturing sperm are stored in the epididymis.
B)Seminal fluid is secreted by the ductus deferens.
C)Spermatogenesis occurs in the bulbourethral glands.
D)The prostate,found only in men,has no known function.
Q3) The nurse knows that in any volume of ejaculate,what percentage of sperm is motile?
A)25%
B)35%
C)40%
D)50%
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Page 7
Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A nurse is reviewing a 36-year-old woman's chart.The woman has the diagnosis of infertility.What does the nurse conclude about this woman?
A)Has a medical condition that prevents pregnancy
B)Has been attempting to get pregnant for 12 months
C)Has delayed pregnancy and childbirth for too long
D)Has not conceived in 6 months of actively trying
Q2) A student nurse is giving a patient an intramuscular Depo-Provera injection.Which action by the student would cause the instructor to intervene?
A)Assesses that the patient's last period started 5-7 days ago
B)Injects the medication deeply into the gluteus maximus
C)Instructs the woman to return in 3 months for another shot
D)Massages the site when the patient complains of pain
Q3) A woman in the infertility clinic is concerned that her religion may object to assisted reproductive technologies.Which process should the nurse explore with the woman as possibly acceptable?
A)FET (frozen embryo transfer)
B)GIFT (gamete intrafallopian transfer)
C)IVF-ET (in vitro fertilization-embryo transfer)
D)ZIFT (zygote intrafallopian transfer)
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Page 8
Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A nurse is assessing a pregnant woman who says she drinks 5 to 7 alcoholic drinks per week.What action by the nurse is best?
A)Advise the woman to decrease her drinking to 3 to 4 drinks per week.
B)Explain that during pregnancy,alcohol in any amount can harm the fetus.
C)Teach her that for women,the safe alcohol limit is 1 drink in an hour.
D)Tell the woman to substitute caffeinated beverages for the alcohol.
Q2) During preconception counseling,the nurse explains that the fetus is most vulnerable to the effects of teratogens during which time period?
A)2 to 8 weeks
B)4 to 12 weeks
C)5 to 10 weeks
D)6 to 15 weeks
Q3) A student has read that fetal development progresses in a cephalocaudal fashion and asks the faculty member for clarification.What explanation by the faculty member is best?
A)From feet to head
B)From head to feet
C)Inward to outward
D)Outward to inward
Page 9
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Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A nurse manager on the high-risk OB unit wants to improve the experience of women admitted for lengthy stays.What action by the manager is best?
A)Designate a specific chaplain to visit women every day.
B)Develop a program to help women attain developmental tasks.
C)Initiate primary nursing to provide consistency in caregiving.
D)Provide open visitation and special events for siblings.
Q2) A woman is in the first trimester of her first pregnancy and confides to the nurse that she is not really sure if she is happy because so many things in her life will change.She is not sure she is willing to alter her current lifestyle.What action by the nurse is most appropriate?
A)Ask the woman if she would like to see a counselor.
B)Reassure the woman that ambivalence is normal now.
C)Refer the woman to an expectant-mother support group.
D)Tell the woman she needs to think of her unborn child.
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Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) A pregnant woman's last normal menstrual period started on July 27,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
Q2) A woman asks the perinatal nurse about gestational diabetes because she has been reading about it.The nurse should inform the patient that screening for this condition is usually done at what time during the pregnancy?
A)Around 24 to 28 weeks' gestation
B)End of the first trimester
C)Mid-pregnancy
D)Normally offered around week 37
Q3) The nurse assesses a pregnant patient during the first prenatal visit.Which question by the nurse is the best example of therapeutic communication?
A)"Do you understand the prenatal visit schedule?"
B)"Do you use drugs or drink alcohol?"
C)"Have you experienced quickening?"
D)"To begin,what questions may I answer?"
Q4) A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
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Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) An expectant couple complains of dyspareunia.Which action by the nurse is best?
A)Assess the woman's family history and genetic background.
B)Explain that this condition is a normal finding during pregnancy.
C)Instruct the couple that sex during pregnancy is not advised.
D)Suggest sexual positions that might be more comfortable.
Q2) An expectant father seems to be ambivalent about the impending birth of his child.Which actions by the nurse are most important? (Select all that apply.)
A)Ask the father if he has fears for his partner.
B)Assess the woman for intimate partner violence (IPV).
C)Call the social worker to assess the father's financial situation.
D)Give the father written information about childbirth.
E)Reassure the father that conflicting emotions are normal.
Q3) A new patient is being assessed by the perinatal nurse.For exercise,the woman practices yoga five times a week,walks her dog,and swims.What action should the nurse do first?
A)Ask if any yoga positions involve arching the back.
B)Explain that swimming is a great exercise for all women.
C)Instruct the woman to stop exercising if she gets fatigued.
D)Tell her that no extra water is needed if she is swimming.
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Page 12
Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A pregnant patient is admitted with possible deep venous thrombosis (DVT).Orders are left to start warfarin (Coumadin)5 mg p.o.,once daily.Which of the following actions by the nurse is most appropriate?
A)Call the physician to clarify the order and document the conversation.
B)Instruct the patient not to get out of bed without assistance.
C)Start the warfarin as soon as it is available from the pharmacy.
D)Teach the patient about the risks and benefits of anticoagulation.
Q2) A pregnant woman is HIV-positive.She is asking about ways to decrease the risk of vertical transmission to her baby.Which option given by the nurse would confer the least risk to the baby?
A)Antiretroviral medications (zidovudine [ZDV])
B)Cesarean delivery
C)Cesarean delivery plus antiretroviral medications for the newborn
D)Vaginal delivery plus antiretroviral medications for the newborn
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Page 13
Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) The perinatal nurse knows that when the fetal head is fully extended and the occiput is near the spine,the delivery team should prepare for the presenting fetal part to be which of the following?
A)Brow
B)Chin
C)Face
D)Sacrum
Q2) A nurse notes a perineal laceration that extends into the rectal mucosa after a woman gives birth to a full-term baby.How does the nurse document this information?
A)First-degree laceration
B)Second-degree laceration
C)Third-degree laceration
D)Fourth-degree laceration
Q3) A woman in labor seems to be progressing more slowly than expected.Which action should the nurse perform first?
A)Administer oxygen by face mask.
B)Assess the woman for a full bladder.
C)Increase the rate of the IV fluids.
D)Provide stimulants such as coffee.
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Page 14
Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The perinatal nurse is caring for a Native American woman in labor with her first baby.The patient asks about the possibility of burning sweet grass,a part of her cultural tradition,during labor.Which of the following is the best response by the nurse?
A)"Burning any type of substance is not allowed by policy in the hospital.Is there something else that I can do that would be similar?"
B)"Can you explain to me a bit more about this custom and what it means to you so that I can understand it better?"
C)"I need to confer with the charge nurse.I want to know if this practice can be allowed so I will ask to see if it is possible."
D)"I understand that this cultural practice is important to you;however,I am unable to accommodate your request at this time."
Q2) The perinatal nurse explains to the student nurse that which of the following may increase labor discomfort?
A)Amniotomy
B)Correct use of breathing methods
C)Fetus in an occiput anterior position
D)Positional changes during active labor
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Page 15
Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44958
Sample Questions
Q1) The perinatal nurse is providing care to a 32-year-old G1 TPAL 0000 at 34 weeks' gestation.Her blood pressure is 170/100 mm Hg,reflexes are +3,urine is 2+ for protein,and the patient is complaining of a headache.An intravenous solution of magnesium sulfate is begun with an hourly dose of 2 g.Which laboratory value would be assessed most carefully by the nurse?
A)Aspartate aminotransferase (AST)
B)Gamma-glutamyl transpeptidase
C)Hematocrit
D)Neutrophil count
Q2) A woman is experiencing a long and painful labor and is becoming increasingly intolerant of the pain.She has been receiving frequent,small doses of IV hydromorphone (Dilaudid).The nurse suggests that she switch from medication to massage and water treatments.The patient is reluctant.What explanation by the nurse is best?
A)"It's either this or you'll need an amniotomy."
B)"Pain medicine sometimes slows labor down."
C)"You are getting too much pain medication."
D)"Your anxiety can cause labor to be slow."
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Page 16
Chapter 15: Caring for the Postpartal Woman and Her Family
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) The perinatal nurse is teaching the patient about breastfeeding and explains that which of the following is the most appropriate time to breastfeed?
A)Four to 5 hours after the last feeding
B)Only when her infant exhibits hunger-related crying
C)When her infant is in a quiet alert state
D)When her infant is in an active alert state
Q2) A nurse manager has many at-risk mothers in the labor and birth unit.What policy can the manager adapt that would best facilitate mother-baby bonding?
A)Encourage attendance at a support group with other at-risk mothers.
B)Limit separation of mother and baby to exceptional circumstances only.
C)Offer the mother the services of a one-to-one mentor for 1 year.
D)Teach breastfeeding and promote its use exclusively for 1 full year.
Q3) A nurse is caring for a woman after a cesarean birth.Prior to ambulating her for the first time,which action by the nurse takes priority?
A)Assess sensation in the lower extremities.
B)Discontinue the patient's intravenous line.
C)Encourage the patient to cough and deep breathe.
D)Have the patient sit on the edge of the bed.
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Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A nursing student who once lived in the southwest was overheard making disparaging comments about Hispanic immigrants,stating: "They only come here for free medical care." What response by the nursing faculty member is best?
A)"Most immigrants do not come here for free health care at all."
B)"Research actually shows that most immigrants come to find work."
C)"That is a downfall of the Patient Protection and Affordable Care Act."
D)"Why are you only picking one ethnic group about whom to make this statement?"
Q2) A patient is being dismissed after giving birth and having a hematoma drained in the operating room.What action by the patient best indicates to the nurse that outcomes for the diagnosis of risk for altered attachment have been met?
A)Asks partner to hold the baby so she can sleep
B)Holds and comforts the infant when fussy
C)Makes eye contact with the infant
D)States that her mother will help with infant care
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18
Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The nursing professor is explaining to a class of students that which chemical factor in the blood directly leads to the initiation of respirations in the newborn?
A)Bilirubin
B)Carbon dioxide
C)High arterial pH
D)Low arterial pH
Q2) A nurse suspects that an infant in the intensive care unit has had intrauterine exposure to one of the TORCH infections.What finding is indicative of in utero exposure to a TORCH infection?
A)Decreased IgA
B)Decreased IgG
C)Increased IgG
D)Increased IgM
Q3) What action by the nurse is most important to prevent hemorrhagic disease of the newborn?
A)Administer vitamin K1 phytonadione (AquaMEPHYTON).
B)Assess daily hemoglobin and hematocrit levels.
C)Coordinate laboratory sticks to minimize blood loss.
D)Handle the infant gently to prevent injury.
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Page 19
Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A mother worries about her infant feeling pain during a heel stick for a blood test.What action by the nurse is best?
A)Encourage breastfeeding during the heel stick.
B)Ice the infant's heel prior to the blood draw.
C)Massage the infant's heel after the needle stick.
D)Reassure the mother that infants don't feel pain.
Q2) When assessing a newborn baby,which action should the nurse perform first?
A)Auscultate the baby's heart and lungs.
B)Don clean gloves before taking the baby.
C)Record the parents' choice of name.
D)Suction the nares and then the mouth.
Q3) A nurse is providing care to several neonates.In giving the infants prophylactic medication to prevent ophthalmia neonatorum,which ordered medication should the nurse question giving?
A)Erythromycin (Eyemycin)
B)Penicillin
C)Silver nitrate (Dey-Drops)
D)Tetracycline (Ocudox)
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Page 20
Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) A newborn baby has a calcium level of 7.1 mg/dL.What information should the nurse provide the parents?
A)Low calcium can cause high blood sugars.
B)Postterm babies are most at risk for this condition.
C)The level will be rechecked at 72 hours.
D)Your baby needs to have a magnesium level check.
Q2) A preterm infant was born at 31 weeks and has been admitted to the NICU.The nurse notes expiratory grunting,nasal flaring,and cyanosis on room air.Which laboratory findings would correlate with this condition?
A)PaCO<sub>2</sub>: 56 mm Hg
B)PaO<sub>2</sub>: 76 mm Hg
C)pH: 7.30
D)SaO<sub>2</sub>: 94%
Q3) A preterm infant in the NICU is receiving oxygen,and the nurse notes that the oxygen saturation is 98%.Which action by the nurse is most appropriate?
A)Call respiratory therapy to draw an arterial blood gas.
B)Document the findings and continue to monitor.
C)Lower the infant's oxygen concentration and reassess.
D)See if the infant can tolerate more stimulation and activity.
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Page 21
Chapter 20: Caring for the Developing Child
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Sample Questions
Q1) A father is frustrated that his child frequently disobeys well-established rules and then attempts to excuse the action by stating "Well I just thought ...." The father asks for guidance with discipline.What information is most appropriate for the nurse to provide?
A)Ensure the child knows the rules.
B)Habitual rule breaking is problematic.
C)This is a normal developmental stage.
D)Time-outs are ineffective for lying.
Q2) A mother has brought her 3-year-old child in to the clinic over concern about the child's lack of development in the last 3 months.Which information is the most appropriate for the nurse to provide to this mother?
A)Children should continue their growth and development uninterrupted.
B)Periods of growth and development are often followed by periods of rest.
C)There is no need for concern unless no changes are seen for 1 year.
D)A 3-year-old often does not exhibit changes in growth and development.
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Community,and Across Care Settings
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Sample Questions
Q1) A student nurse on the pediatric floor finds a patient in pain and gives the child some toys to play with.The registered nurse asks why the student did not medicate the child.The student states that because the child was easily distracted,it did not appear that the child needed pain medication.What action by the registered nurse is most appropriate?
A)Give the child some pain medication.
B)Have the student reassess the child's pain.
C)Instruct the student to take the child's vital signs.
D)Thank the student for distracting the child.
Q2) A preschool-age child is going to have a potentially painful procedure.What action by the nurse is best to prepare the child for this event?
A)Allow the child to decide if the parents stay or not.
B)Let the child touch and explore the equipment first.
C)Talk about it briefly for several days beforehand.
D)Use play to demonstrate the procedure to the child.
Q3) A child weighs 8 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.
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Page 23
Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
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Sample Questions
Q1) Parents of a teen diagnosed with schizophrenia report being exhausted and overly stressed.Which action by the nurse is most appropriate?
A)Ask if the parents are getting enough sleep.
B)Assess if the family is still in counseling.
C)Refer the family to a support organization.
D)Request medication to calm the parents.
Q2) A nurse is teaching a class to new mothers who are also high school students.What action by the nurse is the most appropriate in order to decrease the risk of child maltreatment?
A)Explain the laws regarding child abuse and neglect.
B)Provide education on normal childhood development.
C)Refer all the young mothers to a social service agency.
D)Teach the mothers signs and symptoms of abuse.
Q3) A faculty member is explaining the impact of immigration on mental health to a group of nursing students.What information should the faculty member provide?
A)Immigrants have multiple sources for health care,so their needs should be met.
B)Meeting basic human needs often outweighs the need for mental health.
C)Refugees and immigrants do not often have mental health problems.
D)Because immigrants do not speak English,mental health assessment is difficult.
Page 24
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Chapter 23: Caring for the Child With a Respiratory Condition
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64 Verified Questions
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Sample Questions
Q1) The mother of a child diagnosed with influenza in the emergency department last night calls the family practice clinic to ask if she can give the child store-brand "flu medicine." Which response by the nurse is the most appropriate?
A)"If your child is that sick she should take Tamiflu."
B)"No,your child should not be sick enough for medicine."
C)"Yes,if it's labeled for children you can give it to her."
D)"You must make sure it does not contain salicylates."
Q2) A diabetic mother delivers an infant at 36 weeks' gestation who has Apgar scores of 5 and 6,has central cyanosis,and has a respiratory rate of 66 breaths/minute.What medication does the nurse anticipate the child will receive?
A)Albuterol (Ventolin)
B)Caffeine (Cafergot)
C)Epinephrine (Adrenalin)
D)Surfactant (Surfaxin)
Q3) A child who weighs 32 lb (14.5 kg)is prescribed erythromycin (Sumycin)every 8 hours.Calculate the dose range for a single dose of this drug.(Round to the nearest hundredth).
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Page 25
Chapter 24: Caring for the Child With a Gastrointestinal Condition
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Sample Questions
Q1) A pediatric nurse is teaching the family of a child with celiac disease about necessary dietary modifications to manage the disease.Which information does the nurse include in the teaching session? (Select all that apply.)
A)Eliminate all sources of corn.
B)High-calorie,high-protein foods are preferred.
C)Lactose restriction may be needed.
D)Rye and wheat must be avoided.
E)Watch for hidden sources of gluten.
Q2) In providing anticipatory guidance,what does the nurse teach parents about nutrition in their 4-year-old child?
A)Food jags are common in this age group.
B)Give the child a wide variety of foods.
C)Introduce foods slowly and carefully.
D)Provide 108 kcal/kg (50 kcal/lb).
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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Sample Questions
Q1) The pediatric nurse is aware of the Core Strategies to reduce the spread of MRSA.Which actions do these strategies include? (Select all that apply.)
A)Assess hand-hygiene practices.
B)Implement contact precautions.
C)Rapid reporting of MRSA laboratory results
D)Recognize previously colonized patients.
E)Screen all patients for MRSA.
Q2) A nurse is caring for a patient taking lamivudine (Epivir).Which laboratory test is most important for the nurse to assess?
A)CD4+ count
B)Hemoglobin
C)Platelet count
D)White blood cell count
Q3) A nursing student is learning about the immune system.Which statement about immunoglobulins is correct?
A)Adult levels of IgG are reached by the age of 6 months.
B)Children are born with adult levels of IgA.
C)IgE leads the body's attack against bacteria and viruses.
D)IgM is the first type of antibody made in response to infection.
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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58 Verified Questions
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Sample Questions
Q1) A nurse is monitoring a child after an interventional catheterization for PDA.Before the procedure,blood pressure was 98/42 mm Hg.After the procedure,blood pressure was 98/74 mm Hg.One hour later,the blood pressure is 96/34 mm Hg.What action by the nurse is best?
A)Administer epinephrine (Adrenalin).
B)Contact the provider.
C)Document the findings.
D)Give a rapid fluid bolus.
Q2) Which artery carries deoxygenated blood?
A)Aorta
B)Inferior vena cava
C)Pulmonary artery
D)Subclavian artery
Q3) A student nurse asks the faculty why a child with patent ductus arteriosus (PDA)is taking a nonsteroidal anti-inflammatory drug (NSAID).Which response by the faculty is the most appropriate?
A)Decreases venous stasis,lowering risks of clotting
B)Inhibits prostaglandin,which helps close the PDA
C)Provides long-lasting pain and inflammation control
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D)Reduces swelling around the PDA,making surgery easier
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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Sample Questions
Q1) The clinic nurse reads in a child's chart that the parent reports hyperhidrosis.Which item should the nurse take into the examination room?
A)Disposable stethoscope
B)Extra hand towels
C)Incontinence pads
D)Large blood pressure cuff
Q2) The nurse gave a diabetic child an injection of Humalog insulin at 0700.At what time would it be most important to check on the child?
A)0715
B)0800
C)0930
D)1200
Q3) A child is in the clinic for follow-up after starting recombinant growth hormone for growth hormone deficiency.After obtaining the child's height,which assessment is the priority?
A)Blood pressure
B)Bowel function
C)Respiratory effort
D)Urinary osmolality
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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Q1) A nurse is preparing discharge teaching for an adolescent with a new diagnosis of epilepsy.What information should the nurse provide? (Select all that apply.)
A)"Driving is not allowed while taking anti-seizure drugs."
B)"Participating in sports again in the future is possible."
C)"Several drugs will be tried at once,then reduced over time."
D)"Wearing a Medic-Alert bracelet is not needed for seizures."
E)"You should check the school's seizure action plan."
Q2) During assessment of a 6-year-old child with meningitis,the nurse places the child supine and attempts to put the child's chin on her chest.The child cries out in pain and flexes her knees.How does the nurse document this assessment finding in the medical record?
A)Absent Moro reflex
B)Exaggerated Grey-Turner sign
C)Negative Kernig sign
D)Positive Brudzinski sign
Q3) A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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Sample Questions
Q1) A new nurse is placing an elastic wrap on a patient with an ankle sprain.Which action by this nurse causes an experienced nurse to intervene?
A)Exerts moderate pull on the wrap
B)Instructs the patient on wrapping the injury
C)Starts wrapping distal to the injury
D)Wraps in a proximal-to-distal fashion
Q2) A nurse is conducting a sports fitness class for volunteer coaches.Which information provided by the nurse is the most appropriate?
A)"Fractures heal more quickly in children because the bones are still growing."
B)"Children are prone to fractures because their bones are weaker than adults' bones."
C)"Ligaments are bands of fibrous tissue that hold muscles to the bones."
D)"Once a child reaches adult height,bone development eventually stops."
Q3) A pediatrician asks a patient with a knee injury to squat.Which disorder is this patient suspected of having?
A)Juvenile arthritis
B)Muscular dystrophy
C)Osgood-Schlatter disease
D)Osteomyelitis
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Chapter 30: Caring for the Child With a Integumentary Condition
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Q1) A child presents to the emergency department with cutaneous manifestations of an allergic response.Which nursing diagnosis takes priority?
A)Altered comfort related to itching lesions
B)Impaired tissue integrity related to lesions
C)Knowledge deficit related to unknown condition
D)Risk for impaired airway secondary to edema
Q2) A child has been diagnosed with scabies and the parents are taught about the use of 5% permethrin lotion (Elimite).Which statement by the parents indicates the need for further instruction?
A)"Elimite goes from the nape of the neck to the toes,except on the genitals."
B)"The lotion is left on until the next day,when a bath is given."
C)"This treatment will have to be repeated 1 week after the first."
D)"We will give our child a warm soapy bath before applying the lotion."
Q3) The nurse working in a pediatric burn unit explains to new registered nurses that which is the most common cause of death in burned children?
A)Hypovolemic shock
B)Infection
C)Sepsis
D)Thrombotic events
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Q1) The parents of a child with chronic kidney disease ask the nurse why the child is prescribed epoetin alfa (Epogen).Which response by the nurse is the most accurate?
A)"It binds with and removes phosphorus."
B)"It will help his body to make more red blood cells."
C)"It will help to boost his white blood cell count."
D)"It will help his body to make more platelets so he doesn't bleed."
Q2) A student nurse wants to know why a bruit is heard and a thrill palpated at the site of an AV fistula used for dialysis.Which response by the nephrology nurse is the most appropriate?
A)Abnormal findings signaling complications
B)Flapping of the AV valve during circulation
C)Small blood clots blocking some blood flow
D)Turbulent blood flow through the fistula
Q3) A 6-year-old child is scheduled for a voiding cystourethrogram.Which action by the nurse is the most appropriate?
A)Ask the parents about shellfish or iodine allergies.
B)Give the child a preprocedure cleansing enema.
C)Instruct the parents to give the child clear liquids afterward.
D)Provide developmentally appropriate teaching.
Page 33
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Chapter 32: Caring for the Child With a Hematological Condition
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Q1) A 2-year-old child's hemoglobin is 8.2 g/dL.What action by the nurse is best?
A)Ask the parents about activity level.
B)Document findings in the chart.
C)Notify the provider immediately.
D)Schedule a re-draw of blood in 6 months.
Q2) A child has a disease involving an antigen-antibody complex disorder.What treatment regimen does the nurse prepare the family for?
A)Apheresis
B)Erythrocytaphoresis
C)Leukapheresis
D)Plasmapheresis
Q3) A child with pancytopenia is getting a blood transfusion and it is time to administer her IV antibiotic.The child has only one IV line.What action by the nurse is most appropriate?
A)Administer the antibiotic with the blood.
B)Obtain an order for an oral antibiotic.
C)Start a new peripheral IV in another site.
D)Stop the blood to give the antibiotic.
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Chapter 33: Caring for the Child With Cancer
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Q1) A parent brings a 10-year-old child to the clinic,reporting that the child fell while playing and now has a limp several days later.In completing a history,which other finding would the nurse correlate more with bone cancer than a minor trauma?
A)Decreased appetite for the last month
B)Fatigues easily when playing outdoors
C)Limping several weeks prior to the fall
D)Often has unexplained extremity bruises
Q2) A child is getting induction therapy for Burkitt lymphoma.The nurse finds the child lethargic and complaining of side and back pain.The child's morning laboratory results indicate a serum calcium level of 7.2 mg/dL.What actions by the nurse are the most appropriate at this time? (Select all that apply.)
A)Administer a dose of pain medication.
B)Assess Chvostek and Trousseau signs.
C)Call the rapid response team.
D)Encourage an increased oral intake.
E)Prepare to administer allopurinol (Aloprim).
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Chapter 34: Caring for the Child With a Chronic Condition or the Dying Child
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Sample Questions
Q1) The pediatric nurse understands that with a sudden catastrophic loss,family members can experience physical symptoms such as rapid respirations,agitation,nausea,and diarrhea.According to Epperson,which stage of grief are these individuals experiencing?
A)Anger
B)Denial
C)High anxiety
D)Remorse
Q2) The nurse is teaching the parents of a child with a severe,chronic condition ways to promote growth and development.Which suggestion by the nurse is the most appropriate?
A)Allow interaction with peers,family,and community members.
B)Ensure that the child is getting a nutritious diet and plenty of exercise.
C)Insist that the public school include the child in all activities.
D)Plot the child's growth and weight gain on growth charts monthly.
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Chapter 35: Caring for the Critically Ill Child
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Q1) The nursing faculty informs a clinical group of nursing students about the detrimental effects of excessive noise exposure to patients in the pediatric intensive care unit.Which effects does the faculty member include in the discussion with the clinical group? (Select all that apply.)
A)Decreased immune function
B)Depressed pituitary function
C)Increased gastric secretions
D)Slower wound healing
E)Weight loss
Q2) A mechanically ventilated child is being assessed for extubation.Which assessment finding would cause extubation to be delayed?
A)Alert and oriented with occasional confusion
B)Evidence that prior pulmonary infection has resolved
C)Peak inspiratory ventilator pressure of 14 cm H2O
D)3+ pitting pedal edema,1-lb weight gain overnight
Q3) A child weighs 32 lb.The health-care provider orders a loading dose of midazolam (Versed)prior to intubation.The safe dose range for this drug is
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