Obstetric Nursing Test Preparation
Course Introduction
Obstetric Nursing is a specialized area within nursing that focuses on providing holistic care to women during pregnancy, childbirth, and the postpartum period. This course covers essential topics such as maternal physiology, prenatal assessment, labor and delivery management, postpartum care, and newborn assessment. Students will learn about risk assessment, pain management, complications of pregnancy, and the promotion of family-centered care. Through both theoretical knowledge and practical clinical experience, students will develop the skills necessary to support mothers and families, recognize signs and symptoms of complications, and promote positive outcomes for both mothers and infants.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
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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
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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 cultural group that has many proscriptions against women seeking health care.What action by women in this community would indicate that they have successfully negotiated a new role in seeking care?
A)Are able to make and keep medical appointments
B)Can afford to pay for desired health-care services
C)Follow their traditional roles and responsibilities
D)Seek health-care advice from family members
Answer: A
Q2) The clinic nurse understands the new description of nursing art/aesthetics as the way that nurses and patients help each other through a circular process.What is the event that begins this process?
A)A health threat
B)Experiencing new possibilities for health
C)Hope and understanding for the future
D)Relationship building
Answer: A
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Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44946
Sample Questions
Q1) 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
Q2) A nurse has helped organize and staff a free vaccination clinic for underserved populations in a central location of the city.The nurse is unhappy that so few people came to the clinic.In evaluating this outcome,what factors does the nurse recognize as potentially leading to the problem? (Select all that apply.)
A)Clinic hours
B)Inability to miss work
C)Lack of insurance
D)Lack of transportation
E)Language barriers
Answer: A,B,D,E
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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 nurse working in the community understands that health is often affected by social stressors.Which of the following are examples of societal pressures having a negative impact on the health of today's families? (Select all that apply.)
A)Economic trends affecting access to health care
B)Increased HIV/AIDS in women and children
C)Loss of resources in public schools
D)Restricted health-care access for adult males
E)Violence and increased teen suicides
Answer: A,B,C,E
Q2) The nurse using developmental theory offers anticipatory guidance on preventing injuries to the family of a preschooler.What concepts guide this information?
A)Coordination lagging behind activity
B)Development of personal values and ethics
C)Impact of friends and peer group
D)Poor judgment about safety risks
E)Toddler's increasing physical abilities
Answer: A,D,E
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Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/44948
Sample Questions
Q1) Playing with the same items, but not really playing together
A)Solitary play
B)Onlooker play
C)Parallel play
D)Associative play
E)Cooperative play
Q2) A postmenopausal woman asks the nurse about reducing her breast cancer risk.The woman is overweight,consumes one alcoholic drink daily,does not smoke,and works at a desk.What response by the nurse is best?
A)Exercise regularly.
B)Lose weight.
C)Stop drinking.
D)Take aspirin daily.
Q3) A nurse is planning breast education for women.What information does the nurse plan to provide about breast cancer screening recommendations?
A)Annual screening after age 40
B)MRI to replace mammography
C)No routine screening after age 65
D)Periodic screening if high risk
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Chapter 5: Reproductive Anatomy and Physiology
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/44949
Sample Questions
Q1) A woman complains of irregular menstrual periods and wonders if she is in perimenopause or menopause.Her laboratory work shows high levels of follicle-stimulating hormone (FSH)and low levels of estradiol.What response by the nurse is best?
A)"No,in menopause the FSH is low and the estradiol is high."
B)"No,those two laboratory findings are not related to the climacteric phase."
C)"These laboratory findings usually indicate menopause or perimenopause."
D)"Yes you are definitely in menopause right now."
Q2) 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.
Q3) Fetal descent more likely to be in a posterior presentation
A)Gynecoid
B)Android
C)Anthropoid
D)Platypelloid
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Page 7
Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44950
Sample Questions
Q1) The nurse is concerned about a woman who is undergoing her second in vitro fertilization (IVF)cycle.The patient is anxious,sad,and worried that her partner does not feel as motivated as she does to try to achieve a pregnancy.Which actions by the nurse are most appropriate? (Select all that apply.)
A)Ask the woman to consider herbal supplements like blue cohosh.
B)Encourage the woman to talk honestly with her partner.
C)Explain that it takes an average of five attempts to become pregnant with IVF.
D)Instruct the woman to engage in relaxation techniques.
E)Encourage the woman and her partner to contact a support group such as RESOLVE.
Q2) A nurse is explaining contraceptive options to a young woman.What benefits of an IUD does the nurse describe? (Select all that apply.)
A)Appropriate with dysmenorrhea
B)No interference with spontaneity
C)No daily attention required
D)No hormonal side effects associated with the Copper T 380A
E)One-time expense
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Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44951
Sample Questions
Q1) A student reviewing the anatomy and physiology of fetal circulation learns that fetal blood enters the aorta through which structure?
A)Ductus arteriosus
B)Ductus venosus
C)Foramen ovale
D)Portal circulation
Q2) A pregnant woman is confused about the terms "embryo" and "fetus." How does the nurse explain the difference?
A)"The baby can't be called a fetus until the limbs and organs have formed."
B)"The baby is an embryo until 8 weeks' gestation;then it is called a fetus."
C)"There really isn't any difference between the terms;they are interchangeable."
D)"Your baby is a fetus until the kidneys are matured and he makes urine."
Q3) A student asks the faculty member to explain why the fetus has such a low PO<sub>2</sub>.What explanation by the faculty member is most accurate?
A)Blood from the mother is deoxygenated.
B)It keeps the ductus arteriosus open.
C)It maintains the maternal circulation.
D)It supports the foramen ovale.
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Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/44952
Sample Questions
Q1) A woman in the first trimester of her first pregnancy is upset and worried about physical changes,the labor and birth process,and being able to care for a newborn.Which action by the nurse is best?
A)Ask the woman about her exposure to newborns.
B)Assess the woman for access to a knowledgeable support person.
C)Provide information about childbirth preparation classes.
D)Reassure the woman that these fears are natural.
Q2) A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of irregular,painless contractions that last for 10 to 15 seconds.What response by the nurse is best?
A)"If they last more than 60 seconds or become regular,come in."
B)"Oh,you are just having what are called Braxton Hicks contractions."
C)"Pregnant women often experience this type of contraction."
D)"You should come in to the clinic as soon as possible today."
Q3) The nurse caring for perinatal patients understands the term decidua to mean which of the following?
A)Collateral uterine circulation
B)Endometrial lining of the uterus
C)Endometrial tissue covering the embryo
D)Placental remnants left in the uterus
Page 10
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Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44953
Sample Questions
Q1) The nursing student in the perinatal clinic asks the registered nurse why so many pregnant women seem to be stressed despite their "happy" condition.What response by the nurse is best?
A)"It's the effect of all those hormones."
B)"Many are afraid of labor and birth."
C)"Most pregnant women don't feel well."
D)"Pregnancy is a developmental crisis."
Q2) The nurse schedules a patient for her first prenatal appointment with the certified nurse-midwife (CNM)in the clinic.About what topics does the nurse help the patient formulate questions to ask the CNM? (Select all that apply.)
A)An opportunity to meet other patients who have delivered with this practice
B)The CNM's beliefs and practices concerning epidural anesthesia and episiotomies
C)Use of complementary and alternative methods during labor and birth
D)What happens if the patient gives birth when the CNM is not available
E)Whether the CNM will be available by phone or Internet to answer questions
Q3) A woman is 10 weeks pregnant with her third baby.She has two living children with normal delivery histories.Using the GTPAL system,the nurse would document this woman's obstetrical history as ____________________.
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11
Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44954
Sample Questions
Q1) A nurse is educating a pregnant woman who has a history of pica about healthier eating.Which nutrients should the nurse include in the teaching plan? (Select all that apply.)
A)Calcium
B)Folic acid
C)Iron
D)Vitamin C
E)Vitamin D
Q2) The nurse in a family practice clinic is working with a woman of childbearing age who recently was married and has no plans to have children yet.Which action by the nurse is most important?
A)Asking the woman when the couple plans to get pregnant
B)Encouraging the woman to review her birth control plan
C)Instructing the woman to get 0.4 mg of folic acid daily
D)Reviewing the woman's family history for genetic defects
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.
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Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44955
Sample Questions
Q1) A nurse wants to conduct a community education session for women at high risk of preterm birth.Which teaching site would best meet this objective?
A)After services at a predominantly African American church
B)At the local Asian and African markets during a weekday
C)In the lobby of several OB-GYN clinics in the suburbs
D)Near the food court at the local shopping mall
Q2) 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? (Select all that apply.)
A)African American
B)Caucasian
C)Chinese
D)Hispanic
E)Native American
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13
Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44956
Sample Questions
Q1) The nurse instructs the pregnant woman to report any rupture of the membranes along with a description of the fluid.Which of the following would the nurse evaluate as normal amniotic fluid? (Select all that apply.)
A)Clear liquid
B)Contains white specks
C)Presence of lanugo
D)Slight ammonia odor
E)Yellow-greenish color
Q2) A nurse assessing fetal heart tones hears them best below the level of the maternal umbilicus.What type of fetal presentation would this nurse expect?
A)Breech
B)Cephalic
C)Footling
D)Shoulder
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
Source URL: https://quizplus.com/quiz/44957
Sample Questions
Q1) A woman is being prepared for an elective cesarean birth.The perinatal nurse assists the anesthesiologist with the spinal block and then positions the patient in a supine position.The patient's blood pressure drops to 90/52 mm Hg and there is a decrease in the fetal heart rate to 110 beats/minute.Which response by the nurse is best?
A)Administer naloxone (Narcan)per protocol.
B)Discontinue the patient's intravenous infusion.
C)Have ephedrine ready for administration.
D)Place a wedge under the patient's left hip.
Q2) A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia.The operating room nurse states that the patient received a dose of metoclopramide (Reglan)IV in the operating room.The nurse explains to a student nurse the purpose of giving this drug is to do which of the following?
A)Allow rapid anesthetic induction
B)Increase the speed of gastric emptying
C)Promote muscle relaxation
D)Reduce stomach acid production
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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
Source URL: https://quizplus.com/quiz/44958
Sample Questions
Q1) The perinatal nurse is providing care to a multiparous woman in labor.Upon arrival to the birthing suite,the cervix is 5 cm dilated and the patient is experiencing contractions every 1 to 2 minutes that she describes as "strong." The patient states that she labored for 1 hour at home and is feeling some rectal pressure.The patient is most likely experiencing what condition?
A)Hypertonic contractions
B)Hypotonic contractions
C)Precipitous labor
D)Uterine hyperstimulation
Q2) A nurse is caring for a woman who has an order for a high-dose oxytocin (Pitocin)regimen to stimulate uterine contractions.Which of the following actions are appropriate for the nurse to take? (Select all that apply.)
A)Assess frequently for uterine tachysystole.
B)Increase the infusion every 30 minutes as needed.
C)Place to woman prone to prevent dizziness.
D)Start the infusion at 2 mU/minute.
E)Use an electronic infusion device.
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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 woman is 10 hours postpartum after an uncomplicated vaginal birth.She has voided four times,and each time the volume is less than 100 mL.What action by the nurse is best?
A)Ask the woman to keep a voiding log for 24 hours.
B)Palpate the fundus and assess the amount of lochia present.
C)Request an order for a straight catheterization.
D)Run the water in the bathroom faucet during voiding attempts.
Q2) A woman with a history of mild heart failure has just vaginally given birth to a healthy baby.What action by the nurse is most important?
A)Assess the woman for signs of heart failure.
B)Facilitate an EKG.
C)Insert a Foley catheter for hourly urine output assessments.
D)Auscultate the woman's heart sounds.
Q3) A nurse assessing a postpartum woman 12 hours after uncomplicated vaginal birth finds her pulse to be 110 beats/minute.What action by the nurse is best?
A)Assess the patient for causes of tachycardia.
B)Document the findings and notify the provider.
C)Facilitate a blood draw for laboratory studies.
D)Place the patient on a 1,000-mL fluid restriction.
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
Source URL: https://quizplus.com/quiz/44960
Sample Questions
Q1) A postpartum woman has a deep vein thrombosis.The patient states,"I feel anxious and have some pain in my chest." The patient's respiratory rate is 28 breaths per minute.After calling for help,which action by the perinatal nurse takes priority?
A)Administer oxygen.
B)Document the findings.
C)Take a full set of vital signs.
D)Prepare to give pain medication.
Q2) As a member of the health-care team,the perinatal nurse finds it helpful following a maternal emergency,such as a postpartum hemorrhage,to engage in which of the following activities? (Select all that apply.)
A)A family meeting to encourage communication and understanding
B)Debriefing with the other staff members involved in the patient's care
C)Health-promoting behaviors such as adequate sleep and exercise
D)Review of the case to determine any fault in the care provided
E)Time off to resolve any conflict with other staff members
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Page 18
Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/44961
Sample Questions
Q1) What assessment finding indicates to the nurse that goals for the diagnosis of ineffective thermoregulation related to newborn's immature temperature regulatory system have been met?
A)Axillary temperature is 98.1°F (36.7°C).
B)Fluctuations in infant's temperature cease.
C)Baby stops shivering and falls asleep.
D)Rectal temperature is 101.0°F (38.3°C).
Q2) The perinatal nurse explains the cardiopulmonary adaptations that occur in the neonate to a student nurse.Which of the following statements accurately describes the sequence of these changes?
A)"As air enters the lungs,the PO2 rises in the alveoli,which causes pulmonary artery relaxation and results in an increase in pulmonary vascular resistance."
B)"As the pulmonary vascular resistance increases,pulmonary blood flow increases,reaching 100% by the first 24 hours of life."
C)"Decreased pulmonary blood volume contributes to the conversion from fetal to newborn circulation."
D)"Once the pulmonary circulation has been functionally established,blood is distributed throughout the lungs."
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Page 19
Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44962
Sample Questions
Q1) A nurse is discharging parents and their new infant.When assisting the family to place the infant in a car seat,which observation leads the nurse to reinforce teaching?
A)The baby is wearing a sack-type sleeper.
B)The baby is wearing a single layer of clothes.
C)The parent checks the temperature of the car seat.
D)A rear-facing car seat is in the back seat.
Q2) A faculty member is supervising a student who is preparing to administer vitamin K? phytonadione (AquaMEPHYTON)to an infant.What action by the student prompts the faculty member to intervene?
A)Chooses a 25-gauge needle
B)Draws up 0.5 mg/kg
C)Gently rubs the injection site
D)Uses a 1-mL syringe
Q3) The perinatal nurse teaches new parents that the best sleeping position for infants is which of the following?
A)Prone
B)Side-lying
C)Side-lying with a blanket roll behind the infant's back
D)Supine
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Page 20
Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44963
Sample Questions
Q1) A postterm baby is born,and the nurse notes that the baby has dirty-looking skin and nails.The baby has moderate respiratory distress with rales and rhonchi noted.What nursing care does the nurse anticipate providing for this infant?
A)Giving the baby oxygen via an oxygen hood
B)Increasing oxygenation by using CPAP
C)Providing chest physiotherapy every 8 hours
D)Sitting the infant upright to feed and sleep
Q2) An infant who is possibly infected with herpes simplex infection is being dismissed.What medication should the nurse anticipate instructing the parents on giving?
A)Acyclovir (Avirax)
B)Ampicillin (Omnipen)
C)Cephtriaxone (Rocephin)
D)Hydroxyzine (Atarax)
Q3) 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.
Q4) An infant is born at 35 weeks and 3 days.How would the nurse document this gestational age? ____________________
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Chapter 20: Caring for the Developing Child
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44964
Sample Questions
Q1) A nurse notes that when an infant is startled,she looks at her mother.What conclusion can the nurse make about this infant's development?
A)The child is slow to adapt and is distressed over small changes.
B)The developmental needs of the child are not being met.
C)The infant can develop other relationships because he is secure.
D)The infant has an unstable home environment and is insecure.
Q2) A parent is frustrated that her toddler cannot button a shirt on his own.Which teaching point is most appropriate for the nurse to provide to this parent?
A)A toddler is incapable of buttoning his own shirt,and the parent should stop pushing.
B)Developing large muscle groups has to occur before developing small muscle groups.
C)The parent should select toys and games that will help the child develop and master this skill.
D)The child has not met a major milestone and needs a developmental consultation.
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Community,and Across Care Settings
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60 Verified Questions
60 Flashcards
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Sample Questions
Q1) A 34-lb child needs acetaminophen (Tylenol).The correct dose range for this child is____________________ mg .
Q2) The pediatric nurse is assessing a teenager's past medical history.Which information should the nurse inquire about? (Select all that apply.)
A)All acute illnesses
B)Any chronic illnesses
C)Apgar scores at birth
D)Birth weight
E)Neonatal feeding problems
Q3) A nurse reads in a child's chart that the child has pectus carinatum.What does the nurse understand this term to mean?
A)Barrel chest from chronic illness
B)Depression of the lower chest
C)Protrusion of the chest
D)Underdeveloped breast bone
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.
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Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44966
Sample Questions
Q1) A nurse is caring for a child with attention deficit-hyperactivity disorder (ADHD).Which medications does the nurse anticipate may be prescribed for this child? (Select all that apply.)
A)Adderall (amphetamine salts)
B)Haldol (haloperidol)
C)Prozac (fluoxetine hydrochloride)
D)Ritalin (methylphenidate hydrochloride)
E)Strattera (atomoxetine)
Q2) The nurse is assessing a child for an anxiety disorder.What manifestations noted by the nurse are common to all anxiety disorders? (Select all that apply.)
A)Distress or avoidance of feared situations
B)Does not go away or gets worse over time
C)Impaired functioning or development
D)Leads to avoiding social situations
E)Physical symptoms such as palpitations and sweating
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Chapter 23: Caring for the Child With a Respiratory Condition
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/44967
Sample Questions
Q1) A child with pertussis is in the catarrhal stage of the disease.Which assessment findings correlate with this condition? (Select all that apply.)
A)Chronic cough lasting weeks
B)Intense cough causing vomiting
C)Low-grade fever
D)Sweating and fatigue after coughing
E)Upper respiratory symptoms
Q2) 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."
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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50 Verified Questions
50 Flashcards
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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) A child is taking azathioprine (Imuran)for moderate Crohn's disease.Which assessment finding best indicates that an important goal related to this medication has been met?
A)The child has not developed seasonal illnesses.
B)Edema and fluid retention have been eliminated.
C)Stools are more solid and passed less often.
D)Weight gain has been consistent at each visit.
Q3) A child is being discharged from the hospital after a pyloromyotomy.Which discharge instruction does the nurse provide for the parents?
A)Keep child NPO for 48 hours.
B)Monitor the skin around the colostomy.
C)No pain control should be needed.
D)Report vomiting after 48 hours.
Page 26
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44969
Sample Questions
Q1) 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
Q2) A nurse is caring for an infant with an HIV-positive mother.Which statement made by the nursing during teaching is the most appropriate?
A)"As long as your CD4+ count is fine,you can nurse."
B)"Breastfeeding is OK if you both take zidovudine (AZT)."
C)"The HIV virus is not passed through breast milk."
D)"You should bottle feed your baby consistently."
Q3) A child has been hospitalized with rubella.Which action by the charge nurse is most appropriate?
A)Do not allow pregnant nursing staff in the room.
B)Inform the parents that fresh produce is not allowed.
C)Place the child on contact isolation precautions.
D)Use standard precautions when caring for the child.
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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58 Verified Questions
58 Flashcards
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Sample Questions
Q1) A child hospitalized with heart failure has manifestations related to increased preload.Which drug does the nurse prepare to administer?
A)Digoxin (Lanoxin)
B)Dopamine (Intropin)
C)Furosemide (Lasix)
D)Metoprolol (Toprol)
Q2) What has the greatest influence on preload?
A)Blood pressure
B)Contractility
C)Fluid volume
D)Heart rate
Q3) The parents of a child born with severe hypoplastic left heart syndrome ask the nurse about treatment options.Which option is inconsistent with the nurse's knowledge about this condition?
A)"Palliative or end-of-life care is one possibility."
B)"She can be listed for a cardiac transplant."
C)"Surgical correction involves several procedures."
D)"We can give a series of dopamine (Intropin)infusions."
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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 child has been diagnosed with hyperthyroidism and has a calcium level of 6.8 mg/dL.Which action by the nurse takes priority?
A)Administer calcium.
B)Apply telemetry.
C)Pad the side rails.
D)Start an IV.
Q2) A child is 4 hours postoperative after a total parathyroidectomy.Which assessment takes priority?
A)Airway
B)Dressing
C)IV site
D)Pain
Q3) A child is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH).Which assessment finding indicates a possible complication?
A)Crackles in lung bases
B)Decreased urine output
C)Low serum sodium level
D)Nausea and vomiting
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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 child has had an episode of lip smacking while staring into space,but did not seem to lose consciousness.She was confused afterward but said her hands felt tingly before the other symptoms started.How should the nurse document this event?
A)Alteration in consciousness
B)Convulsion
C)Focal seizure
D)Generalized seizure
Q2) A student nurse is tutoring another student on anatomy and physiology.What does the tutor explain is the function of myelin sheaths on certain nerves?
A)Allow rapid transmission of nerve impulses
B)Assist in long-term storage of memories
C)Prevent "cross-communication" between nerves
D)Protect the nerves from temperature changes
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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Q1) The parents of a 3-year old cannot understand how their child has developed osteoporosis,stating "We didn't think children could get this disease." Which assessment by the nurse is most important?
A)Attainment of developmental milestones
B)Dietary intake of calcium
C)Height and weight
D)Labor and birth history
Q2) A 15-year-old boy is brought to the emergency room by his parents following an injury to his arm that occurred during football practice.The x-ray shows a diagonal line that coils around the bone.Based on this x-ray,which type of fracture does the nurse prepare to teach the family about?
A)Greenstick
B)Oblique
C)Spiral
D)Transverse
Q3) A nurse is completing a Pediatric Fall Risk Assessment on a child.The child has had no falls in the last 3 months,had surgery to repair a femur fracture on admission,is learning to use crutches,has a saline lock,is oriented to own ability,and is on narcotics.This child's fall risk score is ____________________.
Page 31
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Chapter 30: Caring for the Child With a Integumentary Condition
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45 Verified Questions
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Q1) The clinic nurse is assessing a child who had a tick bite for tick-borne disease.What assessment finding indicates to the nurse the child may have Rocky Mountain Spotted Fever and not Lyme disease?
A)Abdominal pain
B)Clear skin
C)Fever
D)Headache
Q2) A school-age child has been prescribed "magic mouthwash" for gingival herpes simplex type I (HSV-1)infection.The parent asks how this helps the child's condition.Which response by the nurse is the most appropriate?
A)Decreases the pain so the child can eat and drink
B)Kills the virus causing the infection by suffocation
C)Prevents secondary infection of the gingiva
D)Shortens the duration of the outbreak
Q3) An adolescent is in the emergency department with partial-thickness burns covering his right anterior thigh,his abdomen,and his right anterior arm.The nurse calculates the total body surface area (TBSA)burned as ____________________.
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Q1) A child has acute kidney injury following a serious motor vehicle crash.Which intervention takes priority?
A)Administer IV fluids and blood products.
B)Insert an indwelling urinary catheter.
C)Monitor hourly urine output measurements.
D)Place the child on a low-sodium diet.
Q2) A school-age boy is in the emergency department with testicular torsion.Which action by the nurse takes priority for this patient?
A)Administer prophylactic antibiotics.
B)Assess and treat the child's pain.
C)Ensure surgical consent is on the chart.
D)Ice and elevate the scrotum.
Q3) A child is prescribed gentamycin (Garamycin)and develops acute kidney injury.Which etiology is the most likely cause of the child's acute kidney injury?
A)Intrarenal
B)Postrenal
C)Prerenal
D)Streptococcal
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Chapter 32: Caring for the Child With a Hematological Condition
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Q1) A hospitalized child is receiving antithymocyte globulin (ATG)for aplastic anemia.What action by the nurse is most important?
A)Assess the IV site for good blood return.
B)Ensure emergency equipment is nearby.
C)Obtain informed consent for each dose.
D)Pad side rails and institute seizure precautions.
Q2) An 8-year-old child had a hematopoietic stem cell transplant 10 months ago.The father brings her to the clinic,where the child reports "I just don't feel well." Dad relates that the child has been lethargic and sleeping a lot.The child's vital signs are within normal range for age.What action by the nurse is best?
A)Explain that growth spurts can cause fatigue.
B)Prepare the family for a "fever" workup.
C)Provide reassurance to the father and child.
D)Review side effects of immunosuppressants.
Q3) A child who weighs 32 kg (74.4 lb)is hospitalized with a sickle cell crisis.By your calculation,this child's 24-hour fluid requirement would be ____________________ mL/24 hours.
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Chapter 33: Caring for the Child With Cancer
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Sample Questions
Q1) A nurse is looking at photographs of a friend's infant.The nurse notes a whitish glow in the child's eyes,and the friend asks why the baby's eyes look so odd.Which response by the nurse is the most appropriate?
A)"If his eyes look like this by 6 months,he needs to see a doctor."
B)"Take him to the doctor to see what's wrong with his eyes."
C)"This is called leukocoria and may signify retinoblastoma."
D)"Your baby may have a brain tumor;take him to the hospital."
Q2) A pediatric patient is receiving asparaginase (Elspar).What manifestations would lead the nurse to determine that the child is having a possible side effect from this drug?
(Select all that apply.)
A)Blistering at infusion site
B)Increased PT and INR
C)Potassium of 2.7 mEq/L
D)Seizures
E)Shortness of breath
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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 providing nursing care for a 12-year-old girl listens as her mother describes her family situation.She states that the patient's 10-year-old sister is asking many questions about the patient's illness.The patient's mother feels that it is best not to talk about the patient with her sister.Which response by the nurse is the most appropriate?
A)"Having a child in the hospital and having another daughter at home must be challenging.Focusing on the future when your child goes home would be best."
B)"It must be challenging to balance the needs of both of your children.Both children need information about her illness and hospitalization."
C)"It must be difficult for you to balance everyone's needs at this time.Doing what you think is best is most important."
D)"You and your husband know your children best.I am sure that you will decide the best way to handle this situation."
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Chapter 35: Caring for the Critically Ill Child
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Sample Questions
Q1) A nursing student asks how excessive noise and sensory overload could cause feelings of panic in hospitalized children.Which response by the registered nurse is the most appropriate?
A)"Children are frightened by all the activity in the intensive care unit."
B)"Excessive noise irritates the inner ear,which leads to behavior changes."
C)"It's just the body's natural way of dealing with unfamiliar stimuli."
D)"Stimulation of the adrenal glands leads to secretion of stress hormones."
Q2) The nursing manager is collaborating with health-care providers to determine appropriate candidates for ventilator weaning in the pediatric intensive care unit.Which child is the best candidate?
A)Oxygen requirement: 60%
B)Peak inspiratory pressure: 32 cm H2O
C)Spontaneous tidal volume: 2 mL/kg
D)Ventilator rate: 6 breaths/minute
Q3) A child who weighs 28 lb needs fluid resuscitation.The nurse plans to administer
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 ____________________.
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