Obstetric Nursing Question Bank
Course Introduction
Obstetric Nursing is a specialized course focusing on the care of women during pregnancy, childbirth, and the postpartum period. It encompasses the assessment and management of normal and high-risk pregnancies, labor and delivery, and the immediate care of newborns. Students learn about prenatal education, maternal health promotion, detection and intervention of complications, and fostering family-centered care. The course integrates theoretical knowledge with clinical skills, preparing students to support mothers and families through evidence-based practices and effective communication in diverse healthcare settings.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
Available Study Resources on Quizplus
35 Chapters
1810 Verified Questions
1810 Flashcards
Source URL: https://quizplus.com/study-set/2263
Page 2
Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/44945
Sample Questions
Q1) A nurse uses evidence-based practice (EBP)to plan and implement nursing care.What action by the nurse best demonstrates this process?
A)Assesses,plans,implements,and evaluates nursing interventions
B)Incorporates specific research findings into the nursing care plan
C)Predicts and assesses for potential problems based on research
D)Uses a concept map for nursing care instead of a nursing care plan
Answer: C
Q2) A nurse manager is evaluating staff members on their cultural competence.Which action best demonstrates this characteristic?
A)Attends workshops on cultural diversity and health practices
B)Participates in community health events with minority populations
C)Plans care with the family members within their cultural beliefs
D)Uses family members as interpreters to make them feel important
Answer: C
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 3: The Evolving Family
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44947
Sample Questions
Q1) A patient has been dismissed from the hospital after a serious illness and needs several weeks of home care and rehabilitation.When the visiting nurse comes to the house,it is apparent that the family is not functioning.The house is dirty,there is little food available,and one parent and an older child are arguing about picking up a younger sibling from school.What action by the nurse is most appropriate?
A)Ask the parents if they need financial resources for the basic necessities.
B)Assess each family member for the roles he or she plays in the family.
C)Contact child protective services or social work to assess the home environment.
D)Provide referrals for family and couples counseling in the community.
Answer: B
Q2) A nurse working with a married couple notes that both parties seem to try to be dominant in their sessions.According to Bowen's family systems theory,which question asked by the nurse would yield the most useful information?
A)"Are you each a first-born,middle child,or youngest sibling?"
B)"How demonstrative were each of your parents when you were growing up?"
C)"How many children were in each of your families?"
D)"What socioeconomic classes did you both grow up in?"
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Caring for Women, Families, and Children
Across the Life Span
Available Study Resources on Quizplus for this Chatper
63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/44948
Sample Questions
Q1) A nulliparous 53-year-old woman is in the clinic complaining of lower abdominal fullness,heavy menses,and severe menstrual cramping.What treatment does the nurse anticipate for this woman?
A)Administration of leuprolide (Lupron)
B)Hysterectomy and bilateral salpingo-oophorectomy
C)None;issue will resolve spontaneously
D)Surgical removal of the ovaries
Q2) A clinic nurse is working with an extremely obese teen.Besides nutrition and related health effects,what else should the nurse assess the patient for?
A)Alcoholism
B)Hepatitis C
C)Lanugo
D)Seat-belt use
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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Reproductive Anatomy and Physiology
Available Study Resources on Quizplus for this Chatper
57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/44949
Sample Questions
Q1) A mother brings her 9-year-old daughter to the family practice clinic.She is worried because the daughter already has definite breast buds and is asking to wear a bra.What response by the nurse is best?
A)"At what age did you develop breast buds or start menstruating?"
B)"Does anyone in your family have a history of precocious development?"
C)"The average age for breast budding is 9.8 years,so she is normal."
D)"This is too early for breast buds;she may need endocrine studies."
Q2) A nurse is teaching a patient how to track her menstrual cycle.What day does the nurse tell the patient to label as day 1?
A)First day after the menstrual cycle
B)First day of the menstrual cycle
C)Last day before the menstrual cycle
D)Last day of the menstrual cycle
Q3) The nurse explains to the student that the development of the lining of the uterus is mediated by which hormone?
A)Follicle-stimulating hormone
B)Luteinizing hormone
C)Progesterone
D)Prostaglandin
To view all questions and flashcards with answers, click on the resource link above.
Page 7
Chapter 6: Human Sexuality and Fertility
Available Study Resources on Quizplus for this Chatper
59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44950
Sample Questions
Q1) A nurse is working with a young couple whose contraceptive choice is latex condoms.What statement by either partner indicates the need for more teaching?
A)Man: "I don't carry these in my wallet in my pants pockets."
B)Man: "I make sure I am using the correct size of condom."
C)Woman: "I ask him to check the expiration dates each time."
D)Woman: "I buy nonoxynol-9 spermicide to use with condoms."
Q2) A nurse is counseling a couple about fertility prior to the husband beginning chemotherapy for cancer.The couple wish to delay childbirth until the husband is in remission.What information from the nurse is most accurate?
A)"Donor sperm are usually used in cases such as yours."
B)"Have you considered cryopreservation of your sperm?"
C)"Most chemotherapeutic drugs don't affect fertility."
D)"You shouldn't wait,because remission may not occur."
Q3) After an abortion,when should the nurse advise the patient to return for a follow-up visit?
A)2 weeks
B)4 weeks
C)6 weeks
D)8 weeks
To view all questions and flashcards with answers, click on the resource link above.
Page 8
Chapter 7: Conception and Development of the Embryo and Fetus
Available Study Resources on Quizplus for this Chatper
59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44951
Sample Questions
Q1) A pediatric nurse is reviewing the chart of a new school-age patient.The chart notes the child is on a phenylalanine-free diet.What does the nurse conclude about this patient?
A)Has Canavan disease
B)Has familial dysautonomia
C)Has phenylketonuria (PKU)
D)Has Tay-Sachs disease
Q2) A clinic nurse explains to a pregnant woman that the amount of amniotic fluid present at 7 or 8 months' gestation is approximately what volume?
A)500 mL
B)750 mL
C)800 mL
D)1,000 mL
Q3) A neonate whose mother is a drug addict is listless and sweating.What action by the nurse takes priority?
A)Check the baby's blood sugar.
B)Have the mother hold the baby to her skin.
C)Obtain an oxygen saturation.
D)Place the baby on a cardiac monitor.
Page 9
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Physiological and Psychosocial Changes During Pregnancy
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/44952
Sample Questions
Q1) 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.
Q2) The perinatal nurse reads the diagnosis of ptyalism in a patient's chart.What teaching does the nurse plan for this patient?
A)Chew food thoroughly before swallowing.
B)Drink plenty of decaffeinated beverages.
C)Eat something before getting up in the morning.
D)Lozenges and chewing gum can help.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: The Prenatal Assessment
Available Study Resources on Quizplus for this Chatper
61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44953
Sample Questions
Q1) A nurse is educating a woman who is 38 years old and experiencing her first pregnancy.When planning care for this woman,what information does the nurse take into consideration? (Select all that apply.)
A)Chronic health conditions are more likely in this age group.
B)Genetic screening is not recommended for women over age 30.
C)Gestational diabetes is seen more frequently in this age group.
D)Multiple gestations are rarely seen in women over age 35.
E)Older primigravidas are at higher risk for cesarean birth.
Q2) A woman in the OB clinic complains of multiple,fluid-filled blisters in her genital area that make walking extremely painful.What information should the nurse provide this patient? (Select all that apply.)
A)"There are serious adverse fetal effects of this disease."
B)"There is no cure for herpes simplex virus infection."
C)"Transmission to your baby causes eye infections."
D)"You can start antiretroviral medications immediately."
E)"We will take blood cultures for a bacterial infection."
Q3) 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?
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Promoting a Healthy Pregnancy
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44954
Sample Questions
Q1) A patient on the postpartum floor of the hospital has a body mass index (BMI)of 38 and just gave birth to a healthy baby girl by Cesarean section.Which action by the nurse takes highest priority?
A)Administering pain medication promptly when requested
B)Assisting the woman to begin breastfeeding the infant
C)Educating the woman about healthy weight loss
D)Monitoring the incision site and using strict hand-washing technique
Q2) After questioning a pregnant woman about her fluid intake,the nurse discovers that the patient is drinking four glasses of diet cola per day.Which response by the nurse is best?
A)"As long as you get enough fluid,soda is all right to drink."
B)"Less than two cups of caffeine a day is probably OK."
C)"The major worry with soda is the sugar content."
D)"You really should switch to decaffeinated colas."
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
Available Study Resources on Quizplus for this Chatper
59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44955
Sample Questions
Q1) A perinatal nurse is working with a woman who has had four perinatal losses in the first 20 weeks of pregnancy.The nurse should anticipate orders for which of the following diagnostic tests? (Select all that apply.)
A)Cervical cultures
B)Hysterosalpingogram
C)Maternal/paternal karyotype
D)Sickle cell screening
E)Thyroid-stimulating hormone (TSH)levels
Q2) A woman at 32 weeks' gestation is admitted to the high-risk OB unit with a diagnosis of preterm labor.On assessment the nurse finds the following: blood pressure,182/96 mm Hg;pulse,106 beats/minute;respirations,16 breaths/minute;regular uterine contractions of 5 in 10 minutes;and fetal heart rate of 145 beats/minute.She is dilated to 8 cm.Which action by the nurse is best?
A)Administer the ordered dose of betamethasone (Celestone).
B)Call for an immediate electrocardiogram (EKG).
C)Document the findings and prepare for emergent delivery.
D)Prepare to administer magnesium sulfate (Sulfamag).
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: The Process of Labor and Birth
Available Study Resources on Quizplus for this Chatper
60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44956
Sample Questions
Q1) A new nurse is assessing baseline fetal heart tones (FHTs)by auscultation and notes that the heart rate increased during a contraction from 140 to 158.What action by the nurse preceptor is best?
A)Gather equipment for internal FHT monitoring.
B)Have the nurse document FHT of 140/158.
C)Instruct the nurse to assess FHT between contractions.
D)Tell the nurse to count only for 30 seconds.
Q2) A nurse notes variable decelerations on the fetal heart monitor and is explaining them to the laboring woman and her partner.What information about these patterns does the nurse share? (Select all that apply.)
A)Last at least 15 seconds
B)Least common type of deceleration pattern
C)May be a result of cord compression
D)Occur at any time during a contraction
E)Return to baseline within 4 minutes
To view all questions and flashcards with answers, click on the resource link above.
Chapter 13: Promoting Patient Comfort During Labor and Birth
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44957
Sample Questions
Q1) 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
Q2) The perinatal nurse explains to the new graduate nurse that fear and anxiety have physiological consequences in labor.The nurse is referring to what physiological process?
A)Diminished effectiveness of contractions
B)Faster,more intense labor and delivery
C)Increased release of maternal endorphins
D)More tissue trauma due to hurrying the delivery
Q3) What nursing intervention would be most important for a postpartum woman who received spinal anesthesia?
A)Assess vital signs.
B)Facilitate bonding.
C)Monitor urine output.
D)Promote breastfeeding.
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
Available Study Resources on Quizplus for this Chatper
61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44958
Sample Questions
Q1) A woman is about to undergo an external version.What action by the nurse takes priority?
A)Determine Rh status;give Rh immune globulin if needed.
B)Explain the procedure to the woman and obtain consent.
C)Offer emotional support to both the woman and her partner.
D)Prepare to administer oxytocin (Pitocin)as per protocol.
Q2) A woman has been diagnosed with hypertonic labor.She has an order for hydromorphone (Dilaudid).The student is preparing the medication and asks the labor nurse the rationale for using it.What response by the nurse is best?
A)"It is to induce prescribed rest and relax the uterus."
B)"It's for the pain associated with those strong contractions."
C)"The patient must be allergic to other pain meds."
D)"This is the best medication for labor and birth."
Q3) A new nurse is working with a patient undergoing an induction of labor.What action by the new nurse would prompt the preceptor to intervene?
A)Assesses contractions every 5 minutes in the second stage of labor
B)Calculates and charts the maternal total urine output every 4 hours
C)Documents an IV intake of 1,500 mL in 8 hours
D)Records the maternal vital signs a minimum of every 60 minutes
Page 16
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44960
Sample Questions
Q1) A perinatal nurse explains to the nursing student that pregnant women have risk factors for deep vein thrombosis (DVT)as a result of their pregnancy.To which components of Virchow's triad is the nurse referring? (Select all that apply.)
A)Dehydration
B)Hypercoagulability
C)Trauma to veins
D)Vascular distention
E)Venous stasis
Q2) Approximately 8 hours ago,a woman gave birth after 2.5 hours of pushing.She required an episiotomy and an assisted birth (forceps).The perinatal nurse assesses a slight bulge in the perineum and the presence of ecchymosis to the right of the episiotomy.The area feels "full" and is approximately 4 cm in diameter.The patient describes this area as "tender." What intervention does the nurse anticipate for this situation?
A)Application of ice
B)Exploratory surgery
C)Incision and drainage
D)Sitz bath every 12 hours
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Physiological Transition of the Newborn
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/44961
Sample Questions
Q1) A healthy term infant is being discharged at 48 hours of age.When should the nurse instruct the mother to follow up with a bilirubin assessment?
A)Within 24 hours
B)Within 24-48 hours
C)Within 5 days
D)In 1 week
Q2) A mother-baby nurse assesses newborns for their risk of developing hypoglycemia.Which infant would the nurse assess as being at highest risk?
A)Asian ethnic background
B)Delayed feedings after birth
C)Infant with heat stress
D)Maternal use of terbutaline (Brethine)
Q3) A nurse is assessing a newborn who is jittery,diaphoretic,and hypothermic,and has poor feeding.What laboratory value would the nurse correlate with this condition?
A)Bilirubin: 5 mg/dL
B)Blood glucose: 32 mg/dL
C)Hematocrit: 50%
D)White blood cell count: 25,000/mm<sup>3</sup>
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Caring for the Normal Newborn
Available Study Resources on Quizplus for this Chatper
60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44962
Sample Questions
Q1) The perinatal nurse notes that a newborn's respiratory rate is 68 breaths/minute.What actions by the nurse are appropriate? (Select all that apply.)
A)Auscultating all lung fields (anterior and posterior)
B)Documenting the infant's chest measurement
C)Inspecting chest for skin color and retractions
D)Notifying the physician of the assessment findings
E)Withholding oral feedings while the infant is tachypneic
Q2) The perinatal nurse completes the Ballard Gestational Age by Maturity rating tool.The nurse assesses which components as part of this tool? (Select all that apply.)
A)Behavioral
B)Neuromuscular
C)Physical
D)Psychological
E)Reflexive
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Caring for the Newborn at Risk
Available Study Resources on Quizplus for this Chatper
59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44963
Sample Questions
Q1) A premature infant is born and admitted to the NICU.A student nurse questions why the primary nurse is starting to plan discharge teaching so early.Which response by the nurse is best?
A)"All these babies have the same needs,so discharge planning here is pretty routine."
B)"By starting early I can ensure that social work and specialty nurses can see the baby."
C)"I'm not really planning the baby's discharge;I'm just writing some notes about it."
D)"The parents have so much to learn we have to start planning discharge on admission."
Q2) A preterm infant has been started on IV fluids.When assessing the patient,which findings would indicate to the nurse that goals for this therapy are being met? (Select all that apply.)
A)Intake greater than output by 24 hours
B)Lack of tremors and irritability
C)Respiratory rate of 35 breaths/minute
D)Urine output of \(2 / 5\) mL/kg/hour
E)Urine specific gravity of < 1.012
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Caring for the Developing Child
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44964
Sample Questions
Q1) A young couple brings their 20-month-old daughter to the pediatrician's office for immunizations.The mother tells the nurse that she is going back to work and is looking for a day-care center in the vicinity of the clinic.What assessment is priority before recommending a day-care center that would help the parent and child adapt to the experience?
A)Available financial assets
B)Available support people
C)Potty-training status
D)The child's temperament
Q2) Which outcome is most appropriate for a 3-year-old with the nursing diagnosis of delayed growth and development related to chronic illness?
A)Child will attain age-appropriate milestones in 3 months.
B)Child will attain normal weight and height in 2 months.
C)Child will draw using large crayons in 2 months.
D)Child will have fewer tantrums in 3 months.
To view all questions and flashcards with answers, click on the resource link above.
22
Chapter
Community,and Across Care Settings
Available Study Resources on Quizplus for this Chatper
60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44965
Sample Questions
Q1) A nurse is listening to a school-age child's heart sounds and hears an abnormal noise after S? that is heard best when the child is lying in the left lateral position.What action by the nurse is most appropriate?
A)Arrange a cardiology consult.
B)Document the findings in the chart.
C)Notify the provider immediately.
D)Perform assessments for fluid balance.
Q2) A nurse is assessing a school-age child who complains of stomach aches after eating.Which question is appropriate for the "D" component of the OLD CAT mnemonic?
A)"Can you describe how your tummy pain feels?"
B)"Have you tried any over-the-counter drugs?"
C)"How long does the pain last after you eat?"
D)"What day did you first notice the pain?"
Q3) A 34-lb child needs acetaminophen (Tylenol).The correct dose range for this child is____________________ mg .
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.
To view all questions and flashcards with answers, click on the resource link above. Page 23
Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44966
Sample Questions
Q1) A nurse is making a referral for a family whose teenage daughter has anorexia nervosa.Which referral is the most appropriate?
A)Crisis intervention counseling
B)Family-oriented therapy
C)Multidisciplinary team
D)Psychiatrist
Q2) A mother brings a child to the clinic with concerns about attention deficit-hyperactivity disorder (ADHD).Which behavioral assessment findings support this diagnosis? (Select all that apply.)
A)Compulsive "collecting"
B)Inability to stay in chair for a meal
C)Nonstop talking
D)Refusal to complete homework
E)Sleeping whenever possible
To view all questions and flashcards with answers, click on the resource link above.
24
Chapter 23: Caring for the Child With a Respiratory Condition
Available Study Resources on Quizplus for this Chatper
64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/44967
Sample Questions
Q1) A 2-year-old child in a pediatric unit accidentally swallows a loose toy part and begins to exhibit signs of choking and wheezing.The pediatric nurse begins the Heimlich maneuver.After performing abdominal thrusts,what action does the nurse take next?
A)Begin performing cardiopulmonary resuscitation (CPR).
B)Activate the rapid response team then return to the child.
C)Continue until the object is dislodged or the child becomes unconscious.
D)Give five back blows,then alternate back blows and abdominal thrusts.
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).
To view all questions and flashcards with answers, click on the resource link above.
Page 25
Chapter 24: Caring for the Child With a Gastrointestinal Condition
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44968
Sample Questions
Q1) The pediatric nurse is caring for a hospitalized child with cirrhosis who has 4+ pitting edema.Which laboratory value would the nurse correlate with the edema?
A)Albumin: low
B)Cholesterol: low
C)Prothrombin time: high
D)White blood cell count: high
Q2) The pediatric nurse is monitoring a child for signs of hepatitis.Which documented assessment findings indicate that the child is experiencing the preicteric phase of this disease process? (Select all that apply.)
A)Anorexia
B)Hepatomegaly
C)Jaundice
D)Nausea
E)Spleenomegaly
To view all questions and flashcards with answers, click on the resource link above.
26
Chapter 25: Caring for the Child With an Immunological or Infectious Condition
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44969
Sample Questions
Q1) A child has been diagnosed with a localized herpes simplex virus (HSV)type 1 infection.The nurse is educating the parents on topical acyclovir (Zovirax)ointment.Which statement by the nurse is most appropriate to include during the medication teaching session?
A)"Acyclovir can shorten the outbreak."
B)"If this doesn't work we can give it IV."
C)"This medication will cure the infection."
D)"Zovirax must be used for the child's life."
Q2) The pediatric nurse explains to a student that which actions are most important in preventing and controlling infections? (Select all that apply.)
A)Administering antibiotics
B)Educating the public
C)Monitoring for outbreaks
D)Providing immunizations
E)Scheduling physical exams
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Caring for the Child With a Cardiovascular Condition
Available Study Resources on Quizplus for this Chatper
58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/44970
Sample Questions
Q1) A child has been admitted for suspected bacterial endocarditis.What action takes priority?
A)Administering antibiotics
B)Education on valve replacement
C)Giving an antipyretic
D)Obtaining blood cultures
Q2) The student is learning about atrioventricular canal defects (AVCs).Which information stated by the student reflects appropriate understanding of the disease process? (Select all that apply.)
A)Cyanosis is the cardinal manifestation.
B)It often occurs in children with Down syndrome.
C)Prostaglandin is administered preoperatively.
D)The tricuspid and mitral valves form one opening.
E)It will usually close on its own without surgery.
Q3) A new nurse is taking a child's blood pressure.What action would cause an experienced nurse to intervene?
A)Allows the child to get familiar with equipment
B)Chooses a cuff that covers 65% of the child's arm
C)Has a parent stay with the child to calm him or her
Page 28
D)Uses an automatic cuff if the heart rate is normal
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/44971
Sample Questions
Q1) 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
Q2) An adolescent with type 1 diabetes mellitus is hospitalized for the third time in 1 year with an infection.Which laboratory value would provide the nurse the most important information?
A)Albumen: 4 g/dL
B)Fasting blood sugar: 99 mg/dL
C)Hemoglobin A1C: 9.8%
D)White blood count: 15,000/mm<sup>3</sup>
Q3) A 55-lb (25-kg)child in the hospital has syndrome of inappropriate antidiuretic hormone (SIADH).The nurse calculates the child's 24-hour fluid allowance at what volume?
To view all questions and flashcards with answers, click on the resource link above.
Page 29
Chapter 28: Caring for the Child With a Neurological or Sensory Condition
Available Study Resources on Quizplus for this Chatper
60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44972
Sample Questions
Q1) A child has been admitted with bacterial meningitis.Which action by the nurse takes priority?
A)Administering broad-spectrum antibiotics
B)Assessing and treating pain aggressively
C)Facilitating blood cultures and lumbar puncture
D)Maintaining a quiet,nonstimulating environment
Q2) A nurse is caring for a child who only awakens to painful stimuli and produces no verbal responses.Which term is the most appropriate when documenting this child's status?
A)Lethargy
B)Obtundation
C)Persistent vegetative state
D)Stupor
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 ____________________.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Caring for the Child With a Musculoskeletal Condition
Available Study Resources on Quizplus for this Chatper
63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/44973
Sample Questions
Q1) A young teen has been diagnosed with Osgood-Schlatter disease.Which information does the nurse teach the patient and family regarding this diagnosis? (Select all that apply.)
A)Activity level is determined by pain.
B)Apply ice to the knee after activity.
C)Modified bedrest for 1 week is needed.
D)Surgical correction is usually required.
E)Use ibuprofen (Motrin)for pain.
Q2) A child is 3 hours postoperative,having had an open reduction and internal fixation (ORIF)of a type IV tibial fracture,which is now also casted.Which action by the nurse takes priority?
A)Assess neurovascular status every hour.
B)Change IV pain medication to oral pills.
C)Provide an ice bag for 30 minutes every hour.
D)Teach parents about activity restrictions.
Q3) A nurse is caring for a patient with juvenile arthritis during an exacerbation.The child weighs 95 lb (43 kg).The physician orders sulfasalazine (Azulfidine)to be given in two divided doses per day.The safe dose range for a single dose of this drug for this child is ____________________ mg per dose.
Page 31
To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Caring for the Child With a Integumentary Condition
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/44974
Sample Questions
Q1) When teaching a parenting group how to prevent the most common cause of childhood burns,what action does the nurse advise?
A)Cover electrical outlets.
B)Keep children out of the kitchen.
C)Install smoke detectors.
D)Lock up household chemicals.
Q2) 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
Q3) 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
Page 32
To view all questions and flashcards with answers, click on the resource link above.
Chapter 31: Caring for the Child With a Genitourinary Condition
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/44975
Sample Questions
Q1) A child is hospitalized with acute kidney injury (AKI)and has a critical hyperkalemia.Which order would the nurse question as inappropriate for this child?
A)Calcium gluconate
B)Dextrose and insulin
C)Emergent dialysis
D)Kayexalate (sodium polystyrene)enema
Q2) A child has acute kidney injury (AKI).Which primary acid-base balance does the nurse assess the child for?
A)Metabolic acidosis
B)Metabolic alkalosis
C)Respiratory acidosis
D)Respiratory alkalosis
Q3) A child is being treated for nephrotic syndrome.Which assessment finding indicates that an important goal for this child is being met?
A)Decreased abdominal girth
B)Diminished urine output
C)Improved rash
D)Increased weight over a week
To view all questions and flashcards with answers, click on the resource link above. Page 33
Chapter 32: Caring for the Child With a Hematological Condition
Available Study Resources on Quizplus for this Chatper
45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/44976
Sample Questions
Q1) The student studying pediatric hematological disorders learns that anemia can occur in several ways,including which of the following? (Select all that apply.)
A)Acute or chronic blood loss
B)Altered shape of RBCs
C)Decreased RBC production
D)Increased RBC destruction
E)Lack of functional RBCs
Q2) A child is taking desmopressin acetate (DDAVP)for von Willebrand's disease.What teaching about this medication does the nurse provide?
A)Avoid products with aspirin (salicylate)in them.
B)Get a new needle for each injection.
C)Monitor your child's weight and report a gain.
D)Use ice packs and pressure for epistaxis.
Q3) 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.
To view all questions and flashcards with answers, click on the resource link above. Page 34
Chapter 33: Caring for the Child With Cancer
Available Study Resources on Quizplus for this Chatper
55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/44977
Sample Questions
Q1) The nurse is teaching a community group about early warning signs of cancer.Which signs does the nurse include? (Select all that apply.)
A)A sore that does not heal
B)Change in bowel or bladder habits
C)Difficulty swallowing or indigestion
D)Nagging feeling that something is wrong
E)Unusual bleeding or discharge
Q2) A parent confides to the nurse that a friend,who is 32,has been diagnosed with Hodgkin's disease.The parent says "I thought only children get that!" What response by the nurse is the most appropriate?
A)"No,there are both young adult and older adult forms."
B)"Usually people over the age of 50 do not get this."
C)"Yes,only children under the age of 10 are affected."
D)"You are right;your friend must have misspoken."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 34: Caring for the Child With a Chronic Condition or
the Dying Child
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/44978
Sample Questions
Q1) A teenager with a chronic medical condition requiring frequent hospitalizations has the nursing diagnosis of impaired self-esteem.Which action by the adolescent best indicates that outcomes for this diagnosis have been met?
A)Complies politely with hospital rules and routines
B)Makes choices as to when to bathe or eat meals
C)States understanding of the need for hospitalization
D)Uses social media sites to maintain contact with peers
Q2) The pediatric nurse is caring for an adolescent with cancer.The parents are interested in exploring complementary and alternative (CAM)therapies.Which response by the nurse is the most appropriate?
A)"Be careful;many CAM providers prey on desperation."
B)"CAM therapies have worked well for many cancer patients."
C)"These treatments only provide relief through a placebo effect."
D)"Although many people like CAM,many therapies have not been researched."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Caring for the Critically Ill Child
Available Study Resources on Quizplus for this Chatper
50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44979
Sample Questions
Q1) 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
Q2) A nurse is removing an arterial line from a patient's radial artery.What actions by the nurse are most appropriate after the line is removed? (Select all that apply.)
A)Apply pressure for at least 5 minutes.
B)Assess perfusion distal to the site.
C)Monitor the patient for bleeding.
D)Place a clean dressing over the site.
E)Secure the insertion site with Steri-Strips.
Q3) A child's blood pressure is 92/64 mm Hg.Therefore,the mean arterial pressure is
Q4) 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
To view all questions and flashcards with answers, click on the resource link above.