Obstetric Nursing Exam Questions
Course Introduction
Obstetric Nursing is a specialized area of nursing practice that focuses on providing care to women throughout pregnancy, childbirth, and the postpartum period. This course covers the physiological and psychological changes associated with pregnancy, labor, and delivery, as well as the assessment and management of maternal and fetal health. Students will learn about prenatal care, high-risk pregnancies, labor and delivery techniques, pain management, and postnatal support, including breastfeeding and newborn care. Emphasis is placed on patient education, ethical considerations, cultural competence, and effective communication skills necessary to support women and families during this critical period.
Recommended Textbook
Maternal Child Nursing Care with Womens Health Companion 2nd Edition by Ward
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35 Chapters
1798 Verified Questions
1798 Flashcards
Source URL: https://quizplus.com/study-set/998 Page 2
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/19622
Sample Questions
Q1) The nursing faculty explains to students that ethnopluralism is an important force shaping health care today.What concept is most important in understanding this trend?
A) The decreased need for cultural competency
B) The growth in one ethnic group in a single area
C) The increased impact of diverse cultures on health care
D) The percentage increase of the non-Caucasian population
Answer: C
Q2) A nurse is describing the use of evidence-based practice (EBP)guidelines to a nursing student.Which explanation of EBP is most accurate?
A) Includes clinical experience and patient preferences
B) MEDLINE used as the primary source for EBP information
C) Requires the staff to be active participants in research
D) Uses research findings to plan interventions for care
Answer: A
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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) A nurse is working with a patient determined to have low health literacy and has taught the patient vital self-care measures for a chronic illness.How will the nurse best determine if the patient has understood the information?
A) Ask for a return demonstration of the skills taught.
B) Assess if the patient will take brochures written for this illness.
C) Encourage the patient to explain how the information fits into his or her daily life.
D) Give the patient a written quiz at the end of the teaching session.
E) Have the patient repeat the information in her or his own words.
Answer: A,C,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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Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) A mother is worried about her three children developing an inherited medical condition because many members of her family have died from this disease.To start an assessment of this family,which tool should the nurse choose?
A) Ecomap
B) Genogram
C) Problem list
D) Quantitative tool
Answer: B
Q2) A nurse is working with a family with the diagnosis of impaired family processes.Although both parties worked,one person worked part time and had the main responsibility for the household.The other spouse retired recently and has not taken on more of this role.Both people are angry and resentful.What goal would be best for this couple?
A) Adapt to role changes positively within 2 months.
B) Divide up household duties between spouses more evenly.
C) Express feelings using "I" statements within 1 month.
D) Learn to discuss anger and other negative emotions.
Answer: C
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Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) The nurse providing health promotion to a group of young adult women would plan to offer which services as a priority?
A) Aspirin prophylaxis
B) Breast cancer screen
C) Colorectal cancer screen
D) Influenza vaccine
E) Tobacco and alcohol screen
Q2) A nurse is evaluating several patients for possible hormone therapy to reduce severe symptoms of menopause.For which patient would hormone therapy be recommended?
A) 53 years old, smoker, estrogen-progestin therapy
B) 54 years old, history of endometrial cancer 10 years ago, estrogen only
C) 55 years old, history of hysterectomy 4 years ago, estrogen only
D) 76 years old, went through menopause 16 years ago, estrogen-progestin
Q3) The pediatric clinic nurse tells the parents that infants can roll over,presenting a safety hazard,at what age?
A) 1 month
B) 2 months
C) 3 months
D) 4 months
Page 6
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Chapter 5: Reproductive Anatomy and Physiology
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) A pregnant woman has a midpelvis pelvimetry measurement of 3.8 inches (9.65
cm).What action by the labor and delivery nurse is most important?
A) Encourage attendance at childbirth classes.
B) Explain that vaginal birth will be possible.
C) Instruct her to drink 10 glasses of water daily.
D) Obtain consent for possible cesarean delivery.
Q2) The pediatric nurse explains to the student that production of testosterone by the male embryo causes what to occur?
A) Creation of a gonad
B) Formation of the male genital tract
C) Production of spermatozoa
D) Stimulation of external genitalia growth
Q3) A nursing instructor is planning to teach students about the process of oogenesis.Which information does the nurse plan to include?
A) All polar bodies in the ovary become ova.
B) It is regulated by follicle-stimulating hormone (FSH).
C) The graafian follicle eventually secretes prolactin.
D) It usually occurs in a twice-monthly cycle.
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Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
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Sample Questions
Q1) Which of the following women would the nurse advise to use a back-up contraceptive in addition to their birth control pills?
A) Being treated for tuberculosis
B) Is a diabetic taking insulin
C) On antibiotics for bronchitis
D) Takes inhalers for asthma
Q2) A nurse reads on a woman's chart that she has a past history of Asherman syndrome.What does the nurse conclude about this patient?
A) Has had an abortion
B) Has had multiple miscarriages
C) Has never been pregnant
D) Has a uterine abnormality
Q3) A 24-year-old lactating woman asks about contraceptive options.The family planning clinic nurse recommends an oral contraceptive formulated with which ingredients?
A) Biphasic formulation
B) Estrogen-progestin
C) Progestin only
D) Triphasic formulation
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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) The experienced perinatal nurse explains hormone function to a new graduate.Which hormone does the nurse describe as being responsible for regulating glucose availability for the fetus?
A) Estrogen
B) Human chorionic gonadotropin
C) Human placental lactogen
D) Progesterone
Q2) Trace a drop of blood through the fetal circulation using the structures provided.
_____ Aorta
_____ Ductus arteriosus
_____ Ductus venosus
_____ Foramen ovale
_____ Head and extremities
_____ Left ventricle
_____ Right atrium
_____ Superior vena cava
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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) According to Rubin (1975),completion of what task is paramount for a pregnant woman to master in order to have successful integration of the maternal role?
A) Incorporating the pregnancy into her total identity
B) Learning to adapt to all the physiological changes
C) Recognizing a "before pregnant" and "after pregnant" self
D) Reorienting all relationships to put the pregnancy first
Q2) 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.
Q3) A patient is complaining of constipation.What teaching should the nurse plan to provide?
A) Avoid vigorous exercise.
B) Drink 8 to 10 glasses of water each day.
C) Don't strain to move your bowels.
D) Eat small, frequent meals.
E) Increase your fiber intake.
Page 10
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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 40-year old primigravida has undergone nuchal translucency screening.The results show a finding of 3.3 mm.What information should the nurse provide the parents?
A) The fetus has an open neural tube defect.
B) The fetus has an increased risk for genetic disorders.
C) These results are inconclusive.
D) These results are normal in an older mother.
Q2) A pregnant woman in her first trimester is having her first prenatal visit.She tells the nurse that she takes red raspberry leaf regularly.What response by the nurse is best?
A) Discuss the cardiovascular problems associated with this substance.
B) Explain that it is safe to use during pregnancy.
C) Inform the woman that safety has not been established.
D) Tell the woman she should not use it during pregnancy.
Q3) A nurse is assessing a patient for Chadwick's sign.In order to do this correctly,what action does the nurse take?
A) Assesses the color of the patient's vaginal mucosa and cervix.
B) Feels the patient's abdomen for passive fetal movement.
C) Obtains a urine specimen for a pregnancy test.
D) Palpates the patient's abdomen for uterine asymmetry.
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11
Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) An 18-year-old woman at 18 weeks' gestation is being seen in the prenatal clinic.Her weight gain is 25 pounds over her prepregnant weight.Which is the perinatal nurse's best approach to care at this visit?
A) Ask the patient to complete a 3-day dietary recall while she is in the clinic.
B) Explain the possible concerns related to excessive weight gain in pregnancy
C) Explain to the patient that weight gain is not a concern in pregnancy.
D) Teach the patient about the expected normal weight gain during pregnancy.
Q2) The perinatal nurse recommends muscle-strengthening exercises to a woman who is pregnant for the first time.The woman states that she does not want to be "muscle-bound and masculine." What response by the nurse is best?
A) "As long as you use lighter weights, you won't get muscle-bound."
B) "OK, what do you think about swimming for exercise then?"
C) "Strengthening muscles will decrease risks of ligament and joint injury."
D) "Stronger muscles will make the labor process much easier on you."
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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 nurse is assessing all patients in the perinatal clinic for culturally related increased risk for gestational diabetes mellitus.Which patients would the nurse assess as being in the highest risk groups?
A) African American
B) Caucasian
C) Chinese
D) Hispanic
E) Native American
Q2) A student nurse asks the perinatal nurse why teenagers might be vulnerable to intimate partner violence.Which answer by the nurse is best?
A) "Because teens are dependent on others for their everyday living needs."
B) "Being younger and smaller makes them more apt to be physically abused."
C) "Pregnant teens are often addicted to drugs and alcohol, or are prostitutes."
D) "So many teens make bad choices, and choosing abusive men is one of them."
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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 changes in the pelvic floor musculature that normally occur in labor include which of the following?
A) Eversion of the anus
B) Exposure of the internal rectal wall
C) Pulling downward on the levator ani muscles
D) Rectum drawn upward and backward
E) Thinning of the perineal body
Q2) A nurse is assisting with an amnioinfusion.What critical nursing actions are included in this procedure?
A) Assessing the maternal temperature
B) Assembling equipment
C) Documenting fluid exiting the vagina
D) Maintaining sterile technique
E) Monitoring the fetal heart rate
Q3) What nursing action best helps to prevent perineal lacerations during birth?
A) Providing adequate coaching on pushing and breathing
B) Applying warm compresses to the perineum
C) Helping the woman to squat during labor
D) Performing an episiotomy early in labor
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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) A nurse is teaching a woman about pain management strategies during labor.The woman expresses great fear about the experience.Which of the following statements by the nurse would help to ease the woman's fears?
A) "Don't worry about the pain; at least it's not from illness."
B) "Keep in mind there is an end to the pain with the birth."
C) "Pain during labor is normal and expected, and helps you to give birth."
D) "We can anticipate your labor pain and plan for it."
E) "You have to expect some amount of pain during labor."
Q2) A nursing faculty member is explaining potential complications from epidural anesthesia to a class of nursing students.Which information does the nurse include?
A) Bizarre behavior
B) Increased need for oxytocin (Pitocin)
C) Lengthened duration of labor
D) Shiver response
E) Urinary incontinence
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Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
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Sample Questions
Q1) 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."
Q2) The nurse is caring for a woman with a placental abruption and suspects the patient has developed disseminated intravascular coagulation (DIC).What interventions does the nurse anticipate?
A) Administering IV fibrinogen
B) Performing hourly vaginal exams to assess for cervical dilation
C) Performing blood pressure assessments every 4 hours
D) Obtaining consent for a cesarean birth
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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) A patient is receiving methylergonovine (Methergine)after a vaginal birth.What assessment finding by the nurse warrants immediate intervention?
A) Headache
B) Nausea
C) Palpitations
D) Uterine cramping
Q2) A nurse is caring for a woman who just experienced a cesarean birth under epidural anesthesia.What interventions are important to include on this woman's care plan?
A) Apply compression stockings or sequential compression devices.
B) Encourage ankle exercises while the woman remains in bed.
C) Keep the woman NPO until she is allowed out of bed into a chair.
D) Maintain bedrest until sensation returns to the woman's legs.
E) Only allow the woman to hold her infant with supervision while in bed.
Q3) A nurse has brought a newborn to his mother's room.What action by the nurse takes priority?
A) Asking the mother her full name and her birth date
B) Comparing the baby to a photograph on the mother's bedside table
C) Having the mother wash her hands before taking the baby
D) Matching the information on the mother's and baby's wristbands
Page 17
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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 woman is hospitalized after an incision and drainage of a large breast abscess that cultured methicillin-resistant Staphylococcus aureus.What dietary choices indicate that she has understood teaching regarding nutrition and wound healing?
A) Chicken breast
B) Hard-boiled egg
C) Orange slices
D) Spinach
E) Whole-wheat bread
Q2) The perinatal nurse accurately defines postpartum hemorrhage to a group of nursing students by including a decrease in hematocrit levels from prebirth to postbirth by which percentage?
A) 5%
B) 8%
C) 10%
D) 15%
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Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
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Sample Questions
Q1) A mother brings her 1-week-old baby to the clinic with complaints that the baby is not eating well.The mother is attempting to bottle feed about 120 mL every 2 hours.What action by the nurse is best?
A) Explain that this is too much volume at one time.
B) Have the mother demonstrate her feeding and burping technique.
C) Reassure the mother that the baby is eating fine.
D) Weigh the baby and plot her weight on a graph.
Q2) A nurse assesses a 2-hour-old infant's temperature and notes it to be 97.7°F (36.5°C).What action by the nurse is most appropriate?
A) Document the findings and continue to monitor.
B) Ensure the baby is wearing a hat.
C) Place the baby in a pre-warmed incubator.
D) Tightly swaddle the baby.
Q3) The nurse is assessing the cardiovascular status of a newborn.Which of the following findings indicates adequate systemic circulation?
A) Capillary refill 2 seconds
B) Capillary refill 4 seconds
C) Pale mucous membranes in a dark-skinned baby
D) Truncal cyanosis
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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) The nursery nurse notes the presence of diffuse edema on a newborn baby's head.Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth.What action by the nurse is best?
A) Document the findings in the infant's chart.
B) Measure head circumference every 12 hours.
C) Prepare to administer IV osmotic diuretics.
D) Transfer the baby to the NICU for monitoring .
Q2) 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.
Q3) The perinatal nurse notes that a newborn does not seem to have an opening inside the anal ring.Which action by the nurse takes priority?
A) Ask the mother how well the infant is eating.
B) Assess the abdomen and notify the physician.
C) Facilitate laboratory studies for kidney function.
D) Reassure the parents that this is a normal deviation.
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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 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.
Q2) An infant is born weighing 6 lb,1 oz and has gastroschisis.The nurse anticipates running this infant's IV fluids at a rate of ____________________ mL/hour.
Q3) A nurse is explaining to a student that sudden infant death syndrome (SIDS)has been reduced due mostly to what trend?
A) A decrease in preterm births
B) Decreased maternal smoking
C) Fewer drug-addicted mothers
D) The "Back to Sleep" campaign
Q4) An infant weighing 3 lb,7 oz has apnea of prematurity.The nurse needs to administer the loading dose of caffeine citrate (Cafcit).The dose for this is____________________ mg.
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21
Chapter 20: Caring for the Developing Child
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Sample Questions
Q1) A nurse is providing anticipatory guidance to the parents of a 5-month-old baby.Which nursing statements are appropriate by the nurse to these parents?
A) "Do not leave the child alone on the changing table."
B) "Until the age of 3, falls are common due to large head size."
C) "Peek-a-boo is an appropriate game for this age."
D) "Wrap up mini-blind ties so the child can't reach them."
E) "You need to childproof all your cabinets now."
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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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A child weighs 8 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.
Q2) A child has had eye testing.The nurse reads in the child's chart that the Hirschberg test demonstrated displacement of light reflection in one eye.What does this indicate to the nurse?
A) Color blindness
B) Normal ocular alignment
C) Presence of cataracts
D) Presence of strabismus
Q3) A mother brings her severely disabled child to the pediatric clinic with complaints that the child has his fourth upper respiratory infection in 3 months.The mother appears disheveled and fatigued.What action by the nurse is best?
A) Ask the mother when the last time she ate or bathed was.
B) Inquire as to the whereabouts of the child's father.
C) Make a referral to the visiting nurses for a home evaluation.
D) Offer the mother information on local respite care options.
Q4) A child who weighs 16 lb received an overdose of morphine sulfate and needs naloxone (Narcan).The safe dose for this child is ____________________ mg.
Page 23
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Chapter 22: Caring for the Child With a Psychosocial or Condition
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Sample Questions
Q1) An advanced practice nurse is working with a child diagnosed with oppositional defiant disorder.What action by the nurse is most appropriate?
A) Assess the child's performance at school.
B) Facilitate genetic testing for the entire family.
C) Screen the child for other psychosocial problems.
D) Warn the parents not to leave siblings alone with the child.
Q2) A nurse is interviewing a mother of two children,ages 5 and 14.They were in a hotel fire a year ago in which their father was killed.The mother is concerned because the younger child has nightmares.The older child does not seem to have any problems.What action by the nurse is the most appropriate?
A) Ask the mother about physical injuries to the children.
B) Determine if the mother sought counseling after the fire.
C) Focus the appointment on the younger child only.
D) Inquire if the older child avoids hotels, even on television.
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Chapter 23: Caring for the Child With a Respiratory Condition
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Sample Questions
Q1) An infant is being discharged from the hospital after treatment for respiratory syncytial virus (RSV).The infant still has some mild respiratory distress at times.Which discharge instruction is the priority for this infant?
A) "Bring the child back if she runs a temperature."
B) "Feed baby small amounts while she is sitting up."
C) "Give her antibiotics right after feeding her."
D) "If you need to use the bulb suction, bring her back."
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 nurse is assessing a 6-month-old baby with volvulus.The infant's vital signs are as follows: pulse: 118 beats/minute; blood pressure: 78/54 mm Hg; respirations: 42 breaths/minute.What action by the nurse is most appropriate?
A) Assess the infant's abdomen and skin.
B) Document the findings in the baby's chart.
C) Increase the rate of IV fluid administration.
D) Notify the health-care provider immediately.
Q2) An adolescent is being treated with sulfasalazine (Azulfadine)for moderate Crohn's disease.How does the nurse explain the action of this medication to the patient?
A) Causes immunosuppression
B) Lessens diarrhea occurrences
C) Reduces inflammation
D) Treats crampy abdominal pain
Q3) A neonate is born with rectal atresia.Which action is the priority for this patient?
A) Assist with immediate intubation.
B) Obtain informed consent for surgery.
C) Place the child in protective isolation.
D) Teach the parents colostomy care.
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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Sample Questions
Q1) The clinic nurse is assessing a teenage girl who reports fever,chills,sore throat,and extreme fatigue during the last 2 weeks.Which focused assessment should the nurse perform?
A) Assess lymph nodes.
B) Collect buccal swabs.
C) Obtain a urinalysis.
D) Palpate the abdomen.
Q2) A child is hospitalized with a serious bacterial infection.Which assessment finding indicates that the goals for a priority nursing diagnosis have been met?
A) Intact skin integrity
B) Normal temperature
C) Stable weight
D) Urine output of 1 mL/kg/hour
Q3) An immunocompromised child has been admitted to the hospital with Fifth's disease.Which action by the nurse is most appropriate?
A) Place the child in contact precautions.
B) Place the child in droplet precautions.
C) Place the child in protective isolation.
D) Place the child on standard precautions.
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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Sample Questions
Q1) A 10-year-old child is being discharged after surgical repair of a total anomalous pulmonary venous return defect (TAPVR).Which referral made by the nurse is most appropriate for this child?
A) Hospice team
B) Occupational therapy
C) School nurse
D) Visiting nurse
Q2) A child has been admitted with Kawasaki disease and is started on aspirin and warfarin (Coumadin).For which nursing diagnosis does the nurse plan interventions as the priority?
A) Acute pain related to mouth redness and cracked lips
B) Altered body image related to peeling skin rash
C) Altered nutrition: less than body requirements
D) Risk for bleeding related to medication effects
Q3) What has the greatest influence on preload?
A) Blood pressure
B) Contractility
C) Fluid volume
D) Heart rate
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) A hospitalized diabetic child is sweating,nauseated,and has a headache.What action by the nurse takes priority?
A) Administer sliding-scale insulin.
B) Call laboratory for a stat blood sugar.
C) Give the child some orange juice.
D) Perform a urine ketone test.
Q2) A child has been diagnosed with diabetic ketoacidosis (DKA)and is in the pediatric intensive care unit.Which nursing diagnosis does the nurse direct interventions toward as the priority?
A) Fluid volume deficit
B) Ineffective breathing patterns
C) Knowledge deficit
D) Risk for infection
Q3) Which information does the nurse provide the teen with type 2 diabetes mellitus regarding exercise?
A) Aim for physical activity each day.
B) Continue to exercise when sick.
C) Exercise with caution, if at all.
D) You need strenuous activity.
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
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Q1) A pediatric nurse performs a physical examination on a neonate and notes a spinal lesion with the meninges protruding through the defect that contains spinal cord elements.The nurse documents which condition as being present?
A) Hydrocephalus
B) Meningitis
C) Meningocele
D) Myelomeningocele
E) Spina bifida occulta
Q2) A nurse is teaching a parent group about caring for their infants and toddlers.What does the nurse teach to prevent a serious neurological problem in infants?
A) Always treat any temperature elevation to prevent seizures.
B) Avoid vaccinations with live, attenuated viruses.
C) Do not use artificial sweeteners in your baby's food.
D) Never give honey to a child less than 1 year of age.
Q3) The nurse is providing care for a child in the intensive care unit who requires intracranial monitoring.The child's blood pressure is 100/42 mm Hg and his ICP is 10 mm Hg.Your calculation indicates that the child's cerebral perfusion pressure (CPP)is
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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63 Verified Questions
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Sample Questions
Q1) A student athlete has a serious anterior cruciate ligament (ACL)tear,and her knee is swollen with excess synovial fluid.Which procedure does the nurse prepare this athlete for?
A) Application of heat
B) Immediate surgery
C) Joint aspiration
D) Knee reduction
Q2) A child has just been diagnosed with juvenile arthritis (JA).The parents want to know what caused this to happen.Which statement by the nurse is the most appropriate?
A) "Genetic abnormalities are triggered by infection."
B) "It seems to be an autoimmune disease."
C) "Latent infections can recur and cause JA."
D) "No one really understands how JA occurs."
Q3) A 4-year-old child is recovering from a modified Nuss procedure.Which is the priority intervention by the nurse?
A) Ambulating the child as soon as allowed
B) Encouraging food and fluids postoperatively
C) Monitoring vital signs and wound drainage
D) Playing with the child using pinwheels or bubbles
Page 31
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Chapter 30: Caring for the Child With a Integumentary Condition
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Q1) A nurse is providing anticipatory guidance to a community parent group about burn prevention.When discussing school-age and older children,which cause of burn occurs most often in this age group?
A) Cooking and kitchen activities
B) Exposure to hot water
C) Household electrical wires
D) Touching hot appliances
Q2) The nurse working in a community pediatric clinic knows that which are examples of secondary skin lesions?
A) Crusts
B) Scales
C) Scars
D) Ulcers
E) Wheals
Q3) A nurse wishes to prevent radiant heat loss from an infant.What action is the most appropriate?
A) Apply warm blankets to the baby.
B) Cover the baby's head with a cap.
C) Place a space heater near the baby.
D) Warm and humidify the oxygen.
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Q1) A faculty member is explaining complications of hemodialysis to a group of students.Which complications does the faculty member include in the discussion with the students?
A) Bleeding
B) Febrile reactions
C) Hypotension
D) Infection
E) Pulmonary embolism
Q2) A nurse is assigned to care for four children who have acute kidney injury (AKI).Which child should the nurse see first after obtaining the handoff report?
A) Anuric
B) Oliguric
C) Has deep, rapid respirations
D) Having in-room dialysis
Q3) A child weighs 32 kg (74.4 lb).This child's 24-hour fluid requirements would be calculated as ____________________.
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Chapter 32: Caring for the Child With a Hematological Condition
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Sample Questions
Q1) A child has mild anemia and the parent asks why this makes the child have difficulty concentrating.What response by the nurse is best?
A) "All sick children have trouble concentrating."
B) "Her anemia makes her too tired to think."
C) "She may have another problem with her brain."
D) "The brain isn't getting enough oxygen."
Q2) The nurse administering a blood transfusion is aware that which of the following is the most important nursing action to prevent a transfusion reaction?
A) Checking the provider's orders for transfusion
B) Identifying the patient with two unique identifiers
C) Monitoring vital signs per protocol
D) Staying with patient for the first 15 minutes
Q3) A child is hospitalized with the following laboratory values: WBCs,2,100 mm³; segs,48%; and bands,2%.What action by the nurse is best?
A) Move the child to a laminar airflow room.
B) Place the child on strict protective isolation.
C) Use good hand hygiene measures consistently.
D) Wear a mask when entering the child's room.
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Chapter 33: Caring for the Child With Cancer
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Q1) A child has liver cancer.The most recent results for the alpha-fetoprotein level show it has been reduced by 50%.Which statement by the nurse to the parents and child is most appropriate at this time?
A) "Once the level gets to normal, we can resect the tumor."
B) "This shows the cancer is responding to therapy."
C) "Unfortunately, the chemotherapy is not working."
D) "Your child will need a liver transplant soon."
Q2) The student nurse studying childhood cancers understands that neoplasms are caused by which factors?
A) Chromosomal/genetic abnormalities
B) External stimuli or environment
C) Maternal nutrition during gestation
D) Substance abuse during pregnancy
E) Viruses that alter the immune system
Q3) Prior to administering IV chemotherapy,which action by the nurse is most important?
A) Ensure the IV has a good blood return.
B) Provide diversionary activities.
C) Take and record a set of vital signs.
D) Weigh the child.
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Chapter 34: Caring for the Child With a Chronic Condition or
the Dying Child
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30 Verified Questions
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Q1) A nurse notes that a patient with cystic fibrosis develops difficult breathing.The nurse calls the father to report his condition.The father,who has been continually present,cannot be there because the patient's sister has influenza and the father stayed at home to care for his daughter.In the morning,the nurse sees the patient's father and approaches him to talk.Which statement by the nurse is most appropriate at this time?
A) "I feel sorry that you were not here when your son got so sick last night."
B) "Please sit down. I want to update you about your son's condition."
C) "Your son had a difficult night. It is too bad you were not here with him."
D) "Your son might die. Come with me now and see him before it's too late."
Q2) The nurse is caring for the parents of a chronically ill child,who display chronic sorrow.Which action by the nurse would be most beneficial for this family?
A) Encourage the parents to use resources such as respite care.
B) Help the parents establish a routine for school and bedtime.
C) Offer the parents resources to deal with their grieving.
D) Refer the parents to a community center for counseling.
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Chapter 35: Caring for the Critically Ill Child
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Q1) A child in the intensive care unit had a pulmonary artery catheter inserted 2 hours ago.The child is increasingly restless.The child's vital sign trends show a slow increase in pulse rate.Which action by the nurse is the most appropriate based on the assessment findings?
A) Check to ensure the connections are secure.
B) Document the findings in the patient's chart.
C) Increase the frequency of hemodynamic readings.
D) Notify the health-care provider immediately.
Q2) A child's blood pressure is 92/64 mm Hg.Therefore,the mean arterial pressure is
Q3) Family members are visiting a child who is mechanically ventilated and heavily sedated.The parents are visibly distressed.Which statement from the nurse is most appropriate?
A) "Her latest arterial blood gases show compensated acidosis."
B) "I'm glad you are here; let me get you some chairs to sit in."
C) "She is so heavily sedated that she will not know if you are here or not."
D) "You can talk to and touch your child to let her know you are here."
Q4) A child who weighs 28 lb needs fluid resuscitation.The nurse plans to administer
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