Obstetric Nursing Test Questions - 845 Verified Questions

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Obstetric Nursing Test Questions

Course Introduction

Obstetric Nursing focuses on the specialized care of women during pregnancy, childbirth, and the postpartum period. The course covers the physiological and psychological changes in pregnancy, prenatal assessment, management of labor and delivery, and postnatal care for both mother and newborn. Emphasis is placed on understanding fetal development, recognizing pregnancy-related complications, and promoting safe, evidence-based practices. Students will develop skills in patient education, family support, and interprofessional collaboration while addressing diverse cultural and psychosocial needs in maternal health settings.

Recommended Textbook

Study Guide for Introduction to Maternity and Pediatric Nursing 5th Edition by Gloria Leifer

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33 Chapters

845 Verified Questions

845 Flashcards

Source URL: https://quizplus.com/study-set/1540

Page 2

Chapter 1: The Past, Present, and Future

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/30418

Sample Questions

Q1) Current maternity practices focus on:

A) Hospital births for the majority of women

B) The traditional family unit

C) Teaching the proper attitudes toward childbearing

D) A quality family experience for each patient

Answer: D

Q2) The nurse explains that the individual who advocated the establishment of the Children's Bureau was:

A) Lillian Wald

B) Florence Nightingale

C) Florence Kelly

D) Clara Barton

Answer: A

Q3) The nurse explains that guidelines that define multidisciplinary patient care in terms of expected outcome and timeframe are known as:

A) Clinical pathways

B) Nursing outcome criteria

C) Standards of care

D) Nursing care plan

Answer: A

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Chapter 2: Human Reproductive Anatomy and Physiology

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A 14-year-old boy is at the pediatric clinic for a checkup. The nurse is aware that the production of testosterone is responsible for which physical change in males during puberty?

A) Stimulation of production of white cells and platelets

B) Promotion of growth of small bones

C) Increase in muscle mass and strength

D) Decrease in production of sebaceous gland secretions

Answer: C

Q2) The nurse explains to a 12-year-old patient that nocturnal emissions (wet dreams) are characterized by:

A) A drop in testosterone level

B) Sexual stimulation

C) No sperm in ejaculate

D) Association with violent dreams

Answer: C

Q3) When the nurse reads in the history and physical of a pregnant patient that she has a platypelloid pelvis, the nurse is aware that this pelvis has a narrow __________________ diameter, making a vaginal birth unlikely.

Answer: anterioposterior

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Page 4

Chapter 3: Prenatal Development

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/30420

Sample Questions

Q1) The nurse informs a class of expectant parents that the fetus is first considered viable at the age of:

A) 14 weeks

B) 20 weeks

C) 25 weeks

D) 30 weeks

Answer: B

Q2) The component of development that programs the genetic code into the nucleus of the cell is ____________.

Answer: DNA

Explanation: The DNA programs the genetic code to the nucleus of the cell to be replicated.

OTHER

Q3) The nurse explains that twins are frequently below average birth weight because of inadequate:

A) Space in the uterus

B) Blood supply

C) Maternal health

D) Placental nutrition

Answer: D

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Chapter 4: Prenatal Care and Adaptations to Pregnancy

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) A woman asks the nurse about the frequency of prenatal visits. In an uncomplicated pregnancy, the nurse would tell her that appointments are scheduled:

A) Every 3 weeks until the 6th month, then every 2 weeks until delivery

B) Every 4 weeks until the 7th month, after which appointments will become more frequent

C) Monthly until the 8th month

D) Every 2 to 3 weeks for the entire pregnancy.

Q2) An ultrasound confirms that a 16-year-old girl is pregnant. The nurse recognizes the need for prenatal care and counseling for adolescents because:

A) A pregnant adolescent is experiencing two major life transitions at the same time.

B) Adolescents who get pregnant are more likely to have other chronic health problems.

C) Adolescents are at greater risk for multifetal pregnancies.

D) At this age, a pregnant adolescent will accept the nurse's advice.

Q3) The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as ____________________.

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Chapter 5: Nursing Care of Women With Complications

During Pregnancy

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, "Will I be able to deliver vaginally?" The nurse should explain:

A) "Yes, you can deliver vaginally until 36 weeks."

B) "A vaginal delivery can be attempted, but if bleeding occurs, a cesarean section is done."

C) "A cesarean section is performed when the mother has a total placenta previa."

D) "There is no reason why you cannot have a vaginal delivery."

Q2) Rh incompatibility occurs in which of the following situations:

A) Rh-negative mother, Rh-positive fetus

B) Rh-positive mother, Rh-negative fetus

C) Rh-negative mother, Rh-negative fetus

D) Rh-positive mother, Rh-positive fetus

Q3) The nurse caring for a pregnant woman who is receiving an intravenous infusion with magnesium sulfate will:

A) Count respirations and report a rate of less than 12 breaths per minute.

B) Count respirations and report a rate of more than 20 breaths per minute.

C) Check blood pressure and report a rate of less than 100/60.

D) Monitor urinary output and report a rate of less than 100 ml per hour.

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Chapter 6: Nursing Care of Mother and Infant During Labor and

Birth

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. The nurse knows that this pattern is indicative of:

A) A well-oxygenated fetus

B) Compression of the umbilical cord

C) Compression of the fetal head

D) Uteroplacental insufficiency

Q2) The most important nursing activity during the fourth stage of labor is to:

A) Monitor the frequency and intensity of contractions

B) Provide comfort measures

C) Assess for hemorrhage

D) Promote bonding

Q3) At 1 and 5 minutes of life, a newborn's Apgar score is 9. The nurse understands that a score of 9 indicates this newborn:

A) Will require resuscitation

B) May have physical disabilities

C) Will have above average intelligence

D) Is in stable condition

Q4) After the membranes have ruptured, the nurse should assess the FHR for ____________________ minute(s).

Page 8

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Chapter 7: Nursing Management of Pain During Labor and Birth

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The nurse discussing nonpharmacological forms of pain relief will focus on methods of: Select all that apply.

A) Skin stimulation

B) Diversion and distraction

C) Breathing techniques

D) Exercise

E) Yoga

Q2) A woman received a subarachnoid block before delivery. In order to prevent the associated side effect of this type of anesthesia, the nurse would include in the teaching plan that the patient should:

A) Restrict oral fluids

B) Keep legs flexed

C) Walk with assistance as soon as possible

D) Lie flat on her back for several hours

Q3) The massage technique that stimulates the large-diameter fibers in order to block impulses from the small-diameter fibers is ____________________.

Q4) The nurse clarified that the amount of pain a person is willing to endure is referred to as _____ ______________.

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Chapter 8: Nursing Care of Women With Complications

During Labor and Birth

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) Following an amniotomy, the nursing assessment that should be reported immediately is:

A) Fetal heart rate is regular at 154 beats/min

B) Amniotic fluid is clear with flecks of vernix

C) Amniotic fluid is watery and pale green

D) Maternal temperature is 37.8°C

Q2) A pregnant woman's membranes ruptured prematurely at 34 weeks. She will be discharged to her home for the next few weeks. The nurse planning discharge instructions would teach the woman to:

A) Report any increase in fetal activity

B) Notify her obstetrician for a temperature above 37.8°C

C) Massage her breasts to promote uterine relaxation

D) Rest in a side-lying Trendelenburg position with hips elevated

Q3) The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. The nurse would assess for which adverse effect?

A) Maternal tachycardia

B) Maternal hypertension

C) Fetal bradycardia

D) Fetal hypokalemia

Page 10

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Chapter 9: The Family After Birth

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) In the recovery room, the nurse checks the newly delivered woman's fundus following a cesarean section. How would the nurse proceed with this assessment?

A) Palpate from the midline to the side of body

B) Palpate from the symphysis to the umbilicus

C) Palpate from the side of the uterus to the midline

D) Massage the abdomen in a circular motion

Q2) After birth, the nurse quickly dries and wraps the newborn in a blanket to prevent heat loss by:

A) Conduction

B) Radiation

C) Evaporation

D) Convection

Q3) The nurse explains that the only absolute contraindication for a mother to breastfeed her child is ____________________ infection.

Q4) The nurse assessing a newborn recognizes a sign of hypoglycemia, which is:

A) Increased respiratory rate

B) Increased temperature

C) Active muscle tone

D) High-pitched cry

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Chapter 10: Nursing Care of Women With Complications

Following Birth

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) The nurse determines that a woman with mastitis understands treatment instructions when she says:

A) "Apply cold compresses to the painful areas."

B) "Take a warm shower before nursing the baby."

C) "Nurse first on the affected side."

D) "Empty the affected breast every 8 hours."

Q2) When the 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed, the nurse's most helpful response is:

A) Stop breastfeeding until the infection clears.

B) Pump the breasts to continue milk production, but do not give breast milk to the infant.

C) Begin all feedings with the affected breast until the mastitis is resolved.

D) Breastfeeding can continue unless there is any abscess formation.

Q3) If massage and putting the baby to breast is not effective in controlling a boggy uterus, the nurse explains that the physician may order:

A) Ritodrine

B) Magnesium sulfate

C) Pitocin

D) Parlodel

Page 12

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Chapter 11: The Nurses Role in Womens Health Care

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) The patient who has been dealing with urge incontinence tells the nurse that the symptoms have gotten worse lately. The nurse reminds the patient that many foods and drugs increase incontinence, among which are: Select all that apply.

A) Antidepressants

B) Coffee

C) Alcohol

D) Diuretics

E) Anticholinergics

F) None of the above

Q2) The nurse outlines the process of ova being mixed with sperm and then the resulting embryos being returned to the mother's uterus. This process of infertility treatment is

Q3) Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?

A) Super-absorbency tampons offer the best protection against TSS.

B) Tampons should be changed at least every 4 hours.

C) Gloves should be worn when changing tampons.

D) TSS can be prevented by using a pad for the first 2 days of menstrual flow.

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Chapter 12: The Term Newborn

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) While assessing the head of a healthy, full-term newborn, the nurse anticipates that the anterior fontanelle is:

A) Depressed and sunken

B) Triangular shaped

C) Smaller than the posterior fontanelle

D) Open and flat

Q2) The parents of a newborn baby girl express concern about the baby's vaginal discharge, which appears to be bloody mucus. The nurse explains that this is caused by:

A) Premature stimulation of the ovarian hormones by the pituitary system

B) Cessation of female sex hormones transferred in utero from mother to baby

C) The increased amount of circulating blood from the mother throughout pregnancy

D) Trauma to the genitalia during the birth process

Q3) The nurse is caring for a newborn that is being breastfed. The nurse would expect the stool color to be:

A) Yellow

B) Brown

C) Greenish brown

D) Black and tarry

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14

Chapter 13: Preterm and Postterm Newborns

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) The apnea monitor indicates that a preterm infant is having an apneic episode. The appropriate nursing action in this situation is to:

A) Administer oxygen via nasal cannula

B) Gently rub the infant's feet or back

C) Ventilate with an Ambu bag

D) Perform nasopharyngeal suctioning

Q2) The parent of a 4-month-old infant, born prematurely, asks the nurse if her daughter will always be small for her age. An appropriate nursing response would be:

A) "Preterm infants usually remain smaller than term infants throughout childhood."

B) "Your daughter will be the same size as other children by the time she goes to kindergarten."

C) "Prematurity is associated with short stature, but does not affect weight gain."

D) "It takes about two years for the preterm infant to catch up to a full-term infant."

Q3) The nurse providing stimulation to a preterm infant should schedule stimulation so as not to conflict with ____________________.

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15

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

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) The nurse observes that the infant's anterior fontanelle is bulging after placement of a ventriculoperitoneal shunt. The nurse positions this infant:

A) Prone, with the head of the bed elevated

B) Supine, with the head flat

C) Side-lying on the operative side

D) In the semi-Fowler's position

Q2) Phototherapy is instituted for an infant with jaundice. An appropriate nursing action for the infant with jaundice is to:

A) Cover the infant's head with a hat.

B) Dress the infant lightly in a T-shirt.

C) Keep the infant's eyes covered.

D) Reposition at least every 4 to 8 hours.

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

A) Elevate the child's head

B) Check bowel sounds

C) Record retention of feeding

D) Notify charge nurse of possible malabsorption

Page 16

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

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) The nurse assesses an unmet need in a hospitalized child who clings to his mother as she is about to leave. The basic needs, as described by Maslow, that are unmet in this case are: __________ and ____________________.

Q2) When the nurse asks the 10-year-old American Indian if he is ready to go to therapy, he does not answer immediately. The nurse assesses this as:

A) Indecision

B) Considering the answer in silence

C) Shyness with strangers

D) Fear of medical personnel

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

A) Does not want to be punished

B) Wants to please her mother

C) Respects authority figures

D) Believes that following the rules is right

Q4) The nurse includes in the care plan for a Hispanic family to encourage visits from the ______ ____________ or _______________ for a healing ceremony.

Page 17

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Chapter 16: The Infant

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The nurse is aware that the age at which the posterior fontanelle closes is:

A) 2 to 3 months

B) 3 to 6 months

C) 6 to 9 months

D) 9 to 12 months

Q2) The nurse would expect a 4-month-old to be able to:

A) Hold a cup

B) Stand with assistance

C) Lift head and shoulders

D) Sit with back straight

Q3) The nurse cautions parents to place their baby in the ____________________ or ____________________ positions, rather than on its stomach, to reduce the risk of sudden infant death syndrome (SIDS).

Q4) A mother calls the pediatrician's office because her infant is "colicky." The helpful measure the nurse would suggest to the parent is:

A) Sing songs to the infant in a soft voice.

B) Place the infant in a well-lit room.

C) Walk around and massage the infant's back.

D) Rock the fussy infant slowly and gently.

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Chapter 17: The Toddler

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) The parent of a toddler tells the nurse, "My daughter's appetite has decreased. Thank goodness she loves to drink milk." The most appropriate response for the nurse to make is:

A) "Has your daughter been sick recently?"

B) "How much milk does she drink in a day?"

C) "Has she become a fussy eater, too?"

D) "Have you tried offering her finger foods?"

Q2) The nurse recognizes that when the toddler claims everything in the environment as "mine," it is an example of the toddler trait of ____________________.

Q3) The best advice the nurse can offer a parent who is concerned because her 2-year-old is very active and does not eat much is:

A) Insist that the child eat one food on the plate.

B) Help the child to wind down with a quiet activity before mealtime.

C) Maintain a consistent eating schedule for the family.

D) Serve the meal with a variety of interesting plates, cups, and utensils.

Q4) The nurse explains that with the completion of myelination, the toddler will have the neuromuscular maturity to attain ____________________ or ____________________ control.

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Page 19

Chapter 18: The Preschool Child

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24 Verified Questions

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Sample Questions

Q1) A 3-year-old child, while playing with her favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. The nurse anticipates that the 3-year-old will:

A) Play well with the other child

B) Give the toy up and then not play any more

C) Become angry and a physical response might ensue

D) Ignore the toy and go on to something else

Q2) The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis. The nurse would base a response on the knowledge that:

A) This behavior indicates a normal curiosity about sexuality.

B) Masturbation suggests the boy has an excessive fear of castration.

C) It is usually a result of discomfort from a penile rash or irritation.

D) The behavior is abnormal and the child should be referred for counseling.

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

Q4) Play that is designed to retrain muscles or improve eye-hand coordination is considered ____________________ play.

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Chapter 19: The School-Age Child

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23 Verified Questions

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Sample Questions

Q1) When the fifth-grade class collected geckos in a special aquarium in the classroom, the school nurse cautioned the teacher to be alert for symptoms of ____________________ that can be carried by the reptiles.

Q2) When asked about her activities, a 10-year-old girl responded, "I like school. I play the flute in the school band and I take tennis lessons." The nurse knows these activities will help this child develop a sense of:

A) Initiative

B) Industry

C) Identity

D) Intimacy

Q3) The nurse advises the parents of a 6-year-old to try and ensure at least ____________________ hours of sleep daily.

Q4) The pediatric nurse assesses the child who has been diagnosed with diabetes to ensure that he does to come to believe that his disease is a form of

Q5) The nurse reminds the parents who are trying to select a dog for their allergic child that the best selection would be a female dog that is ____________________ and

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Chapter 20: The Adolescent

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23 Flashcards

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Sample Questions

Q1) A parent comments that her adolescent daughter seems to be daydreaming a lot these days. The nurse understands that this behavior indicates she is:

A) Bored

B) Not getting enough rest

C) Trying to block out stress and anxiety

D) Mentally preparing for real situations

Q2) The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. The nurse should assess this score as:

A) Nonindicative of potential substance abuse

B) Normal experimentation of the adolescent

C) Need to schedule another PACE interview in 3 months

D) Indication for referral for counseling

Q3) The school nurse is planning a program for girls about the physical changes of puberty; this program should be directed to girls of the age:

A) 16 years

B) 14 years

C) 12 years

D) 10 years

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22

Chapter 21: The Childs Experience of Hospitalization

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24 Verified Questions

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Sample Questions

Q1) The nurse must make a room assignment for a 16-year-old teenager with cystic fibrosis. An optimal roommate might be:

A) A 4-year-old child who had an appendectomy

B) A 10-year-old child with sickle cell disease in vaso-occlusive crisis

C) A 15-year-old teenager with type 1 diabetes mellitus

D) To assign the adolescent to a private room

Q2) A nurse encourages a school-age child to draw a picture after a painful procedure. The best rationale for this intervention is that the nurse is:

A) Attempting to reestablish rapport

B) Providing a way for the child to express his feelings

C) Encouraging quiet play

D) Distracting the child from thinking about the pain

Q3) The nurse determines a parent understands a hospitalized toddler's need for transitional objects when the parent states:

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

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

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

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

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Chapter 22: Health Care Adaptations for the Child and Family

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Sample Questions

Q1) Garamycin ear drops are prescribed for a 4-year-old child. To administer the ear drops the nurse would pull the auricle:

A) Up and back

B) Down and back

C) Up and out

D) Down and out

Q2) The emergency action for airway obstruction in the infant is to give:

A) 6 to 10 midsternal thrusts

B) 5 back blows followed by 5 chest thrusts

C) 5 chest thrusts followed by 5 back blows

D) Abdominal thrusts until the object is expelled

Q3) The nurse explains that the factor that affects the infant's physiological response to medications is:

A) Faster metabolism in the liver

B) Slower intestinal transit

C) Immature kidney function

D) Increased secretion of hydrochloric acid

Q4) The order reads: Give Ampicillin oral suspension 400 mg PO every day. The vial reads Ampicillin 125 mg/5 ml. The nurse will give a dose of ____________________ ml.

Page 24

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Chapter 23: The Child With a Sensory or Neurological Condition

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26 Verified Questions

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Sample Questions

Q1) The school nurse recognizes the cardinal sign of a hyphema when she assesses:

A) Opacity of the lens

B) A yellow-white reflex on the pupil

C) A dark-red spot in front of the iris

D) Inflamed mucous membranes of the eyelids

Q2) The school nurse would suspect amblyopia when the child:

A) Has a reddened sclera in one eye

B) Covers one eye to read the board

C) Complains of a headache

D) Has copious tears while watching TV

Q3) A child is brought to the emergency department after he fell and hit his head on the ground. The nursing assessment that suggests the child has a concussion is:

A) Sleepy but easily arousable

B) Complaining of a stiff neck

C) Cannot remember what happened to him

D) Pupils react sluggishly to light

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Chapter 24: The Child With a Musculoskeletal Condition

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27 Verified Questions

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Sample Questions

Q1) The nurse, assessing the neurovascular status of a child in Russell traction, should report immediately the finding of:

A) Skin warm to the touch

B) Capillary refill less than 30 seconds

C) Ability to wiggle toes

D) Bluish coloration of skin

Q2) The nurse reminds the adolescent boy with Ewing's sarcoma that he is prohibited from vigorous weight-bearing during treatment with radiation to reduce the risk of a ____________________ fracture.

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

A) Child in high-Fowler's position

B) Child pulled up in bed

C) Child's heel on the bed surface

D) Child's feet against the foot of the bed

Q4) When caring for a child in Buck's extension, the nurse would include:

A) Positioning the child with hips flexed 90° at all times

B) Keeping the weights in contact with the floor

C) Checking for skin irritation from traction equipment

D) Releasing the weights on a schedule

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Chapter 25: The Child With a Respiratory or Cardiovascular Disorder

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) The asthmatic child who has been taking theophylline complains of stomach ache and tachycardia and is sweating profusely. The nurse recognizes these symptoms as:

A) Severe asthma attack

B) Allergic response to theophylline

C) Onset of bronchitis

D) Drug toxicity

Q2) The assessment that would lead the nurse to suspect that a newborn infant has a ventricular septal defect, is:

A) A loud, harsh murmur with a systolic tremor

B) Cyanosis when crying

C) Blood pressure higher in the arms than in the legs

D) A machinery-like murmur

Q3) When a father asks why his child with tetralogy of Fallot seems to favor a squatting position, the nurse would explain that squatting:

A) Increases the return of venous blood back to the heart

B) Decreases arterial blood flow away from the heart

C) Is a common resting position when a child is tachycardic

D) Increases the workload of the heart

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Chapter 26: The Child With a Condition of the Blood, Blood-Forming

Organs, or Lymphatic System

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Sample Questions

Q1) The nurse reviews for a family how the development of synthetic recombinant antihemophilic factor has improved the management of hemophilia, because this drug: Select all that apply.

A) Eliminates the need for frequent transfusions

B) Can be administered by family at home

C) Prevents hemorrhage

D) Reduces cost of care of the hemophiliac

E) Reduces risk of HIV and hepatitis A and B transmission

Q2) When teaching the mother of a young child about iron deficiency anemia, the nurse would tell her that a rich source of iron is:

A) Egg whites

B) Cream of wheat

C) Bananas

D) Carrots

Q3) A child who is receiving a transfusion should be closely assessed for:

A) Fever

B) Lethargy

C) Jaundice

D) Bradycardia

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Chapter 27: The Child With a Gastrointestinal Condition

Available Study Resources on Quizplus for this Chatper

33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/30444

Sample Questions

Q1) The nurse would expect a child admitted to the hospital for nonorganic failure to thrive to:

A) Cry to be picked up

B) Be limp like a rag doll

C) Be responsive to cuddling

D) Weigh in the 10th percentile for age

Q2) Nursing interventions for the mother of a 10-month-old infant with nonorganic failure to thrive would include:

A) Pointing out errors that the nurse observes when the mother is caring for the infant

B) Discussing negative characteristics of the infant with the mother

C) Having the nurse provide as much of the infant's care as possible

D) Teaching the mother about the developmental milestones to expect in the next few months

Q3) One reason that infants are more vulnerable to fluid and electrolyte imbalances than adults is that:

A) They have a smaller surface area than adults in proportion to body weight.

B) Water needs and losses per kilogram are lower than those for adults.

C) A greater percentage of body water in infants is extracellular.

D) Infants have a lower metabolic turnover of water.

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Page 29

Chapter 28: The Child With a Genitourinary Condition

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/30445

Sample Questions

Q1) During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis. The nurse should:

A) Forcibly push the foreskin down over the head of the penis.

B) Place a warm compress on the penis.

C) Notify the charge nurse.

D) Wait a few hours and try again.

Q2) When diuresis has not occurred after a month on corticosteroids, the nurse explains to the parents of a child with nephrotic syndrome that diuresis can be brought about by a protocol of:

A) Ibuprofen, an antiinflammatory agent

B) Lasix, a diuretic

C) Cipro, an antibiotic

D) Cytoxan, an antisuppressant

Q3) The initial sign of nephrosis that the nurse might note in the child would be:

A) Raspberry-like rash

B) Periorbital edema

C) Temperature elevation

D) Abdominal pain

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Page 30

Chapter 29: The Child With a Skin Condition

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/30446

Sample Questions

Q1) The statement made by a parent, indicating the need for further teaching about strategies to control itching for the infant with eczema, is:

A) "Wool is the best fabric for the baby's clothing."

B) "I should avoid laundry detergents with fragrances."

C) "I put cotton gloves on the baby's hands."

D) "The baby's fingernails are kept short."

Q2) A child is brought to the emergency department with burns on the face and chest. The nurse's first priority is:

A) Assessing respiratory status

B) Administering pain medication

C) Removing clothing

D) Inserting a Foley catheter

Q3) The appropriate technique for the application of a topical treatment for a child with eczema is:

A) Apply skin lotions in a circular motion.

B) Apply prescribed ointments with a gloved hand.

C) Apply as much and as frequently as relieves the symptoms.

D) Choose lanolin-based ointments.

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Chapter 30: The Child With a Metabolic Condition

Available Study Resources on Quizplus for this Chatper

25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/30447

Sample Questions

Q1) The general dietary measure the nurse will include in a teaching plan for the child with type 1 diabetes mellitus is:

A) Control intake of carbohydrates and consume fewer calories.

B) Restrict concentrated carbohydrates and eat foods high in fiber.

C) Calories must come from proteins and fats.

D) Eat a diet low in fat and low in complex carbohydrates.

Q2) What would be the most appropriate nursing response to a woman who says, "My sister had a child with Tay-Sachs disease. I want to know if I could have a child with this condition."

A) "The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease."

B) "A screening test can be done to determine if you are a carrier of the gene."

C) "The gene for Tay-Sachs disease is transmitted by the father."

D) "The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus."

Q3) The nurse explains that because of an inadequate secretion of insulin:

A) Protein synthesis is increased.

B) Increased fat breakdown leads to ketonemia.

C) Serum glucose levels are markedly decreased.

D) More rapid conversion and storage of carbohydrates to glucose occurs.

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Page 32

Chapter 31: The Child With a Communicable Disease

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/30448

Sample Questions

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

A) Contact

B) Protective

C) Airborne infection

D) Large droplet infection

Q2) The nurse would delay the administration of DTaP when the mother says that her infant:

A) Has diarrhea

B) Had a temperature of 105º F from the previous inoculation

C) Is teething

D) Is traveling with her to Europe in a week

Q3) The priority nursing diagnosis for a hospitalized infant who is HIV-positive would be:

A) Risk for injury

B) Altered nutrition

C) Impaired skin integrity

D) Risk for infection

Q4) The nurse uses a diagram showing how the wood tick acts as a ____________________ in the transmission of Lyme disease.

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Page 33

Chapter 32: The Child With an Emotional or Behavioral Condition

Available Study Resources on Quizplus for this Chatper

24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/30449

Sample Questions

Q1) An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. The nurse suspects the adolescent has used:

A) Alcohol

B) Cocaine

C) Amphetamines

D) PCP

Q2) The nurse documents that every time the child is directed to discuss the relationship with her brother, she complains of shortness of breath and begins to have asthma-like symptoms. The nurse assesses this behavior as a ____________________ reaction.

Q3) The nurse assesses an early sign of depression in a 15- year-old boy who previously was active in a band, and had saved his money to buy a special guitar when he:

A) Gives up the band to spend time with his girlfriend

B) Spends all of his time at the library studying in order to qualify for the honor society

C) Gives his guitar away and spends his time listening to music in his room

D) Withdraws all of his money out of the bank to buy an expensive leather jacket

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Page 34

Chapter 33: Complementary and Alternative Therapies in Maternity

and Pediatric Nursing

Available Study Resources on Quizplus for this Chatper

17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/30450

Sample Questions

Q1) The nurse clarifies that the difference between coomplementary therapy and alternative therapy is that complementary therapy:

A) Must be administered by a medical doctor

B) Is adminstered with conventional therapy

C) Replaces conventiional therapy

D) Is adminstered to a group of patients at the same time

Q2) The nurse outlines the advantages of alternative health care as: Select all that apply.

A) Offering more patient control of health care

B) Being less expensive

C) Allowing patients to be part of the decision-making process

D) Using natural products rather than chemical

E) Incorporating cultural beliefs and practices

F) None of the above

Q3) The nurse uses a diagram to show the location of meridians, which are:

A) Lymph nodes

B) Invisible pathways for energy

C) Lines that divide the body into 10 zones

D) Areas of skin thich are specifically innervated

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