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Pediatric Nursing Exam Answer Key - 1020 Verified Questions

Page 1


Pediatric Nursing Exam

Answer Key

Course Introduction

Pediatric Nursing focuses on the specialized care of infants, children, and adolescents within a family-centered approach. This course covers growth and development stages, common pediatric diseases, health promotion, and preventive care strategies. Students learn the principles of age-appropriate communication, assessment techniques, medication administration, and the management of acute and chronic health conditions specific to the pediatric population. Emphasis is placed on the emotional, physical, and psychological needs of children and their families, as well as addressing ethical, legal, and cultural considerations in pediatric nursing practice.

Recommended Textbook

Introduction to Maternity and Pediatric Nursing 6th Edition by Gloria Leifer

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34 Chapters

1020 Verified Questions

1020 Flashcards

Source URL: https://quizplus.com/study-set/1203

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Chapter 1: The Past, Present, and Future

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23800

Sample Questions

Q1) A nursing student has reviewed a hospitalized child's chart, interviewed her mother, and collected admission data. The next step in developing a nursing care plan for this child is to:

A) identify measurable outcomes with a timeline.

B) choose specific nursing interventions for the child.

C) determine appropriate nursing diagnoses.

D) state nursing actions related to the child's medical diagnosis.

Answer: C

Q2) The nurse clarifies to a patient that diagnosis related groups (DRGs) are designed to contain medical care costs by:

A) determining payment based on diagnosis.

B) requiring two medical opinions to confirm a diagnosis.

C) organizing HMOs.

D) defining a person who will require hospitalization.

Answer: A

Q3) The first White House Conference on Children and Youth was called by President

Answer: Theodore Roosevelt

Theodore Roosevelt called the first White House Conference in 1909.

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Page 3

Chapter 2: Human Reproductive Anatomy and Physiology

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/23801

Sample Questions

Q1) The nurse clarifies that puberty ends for a male when:

A) facial hair is evident.

B) erections can be sustained.

C) ejaculate is greater than 5 mL.

D) mature sperm form.

Answer: D

Q2) A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. An important point to teach her is that:

A) milk is produced in ducts and lobules regardless of breast size.

B) supplementing breastfeeding with formula allows the infant to receive adequate nutrition.

C) breast size can be increased with exercise.

D) drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk.

Answer: A

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Chapter 3: Fetal Development

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/23802

Sample Questions

Q1) The vessels comprising the umbilical cord are cushioned and protected by a substance called ___________ _____________.

Answer: Wharton's jelly

Wharton's jelly is a substance in the umbilical cord that cushions and protects the vessels.

Q2) A pregnant woman states, "My husband hopes I will give him a boy because we have three girls." The nurse explains that:

A) the sex chromosome of the fertilized ovum determines the gender of the child.

B) when the sperm and ovum are united, there is a 75% chance the child will be a girl.

C) when the pH of the female reproductive tract is acidic, the child will be a girl.

D) if a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.

Answer: D

Q3) The component of development that programs the genetic code into the nucleus of the cell is ____________.

Answer: DNA

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

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Page 5

Chapter 4: Prenatal Care and Adaptations to Pregnancy

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23803

Sample Questions

Q1) The woman who becomes pregnant for the first time after the age of ____ years is described as an "elderly primip."

A) 25

B) 28

C) 30

D) 35

Q2) The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy called _____ sign.

A) Chadwick's

B) Hegar's

C) McDonald's

D) Goodell's

Q3) A woman pregnant for the first time asks the nurse, "When will I begin to feel the baby move?" The nurse would answer :

A) "You may notice the baby moving around the 4th to 5th month."

B) "Quickening varies with every woman."

C) "You'll feel something by the end of the first trimester."

D) "The baby will be big enough for you to feel in your 8th month."

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Chapter 5: Nursing Care of Women with Complications

During Pregnancy

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/23804

Sample Questions

Q1) A primigravida in her first trimester is Rh negative. To prevent anti-Rh antibodies from forming, this woman would receive:

A) Rh immune globulin during labor.

B) intrauterine transfusions with O-negative blood.

C) Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant.

D) Rh immune globulin now and again in the last trimester.

Q2) The nurse assesses a pregnant woman for pregnancy-induced hypertension. The first sign of fluid retention suggestive of this complication is:

A) abdominal enlargement.

B) facial swelling.

C) sudden weight gain.

D) swelling of the feet and ankles.

Q3) Rh incompatibility occurs in which situation?

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

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

Birth

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/23805

Sample Questions

Q1) At a prenatal visit, a primigravida asks the nurse how she will know her labor has started. The nurse instructs the woman that the beginning of true labor is indicated by:

A) contractions that are relieved by walking.

B) discomfort in the abdomen and groin.

C) a decrease in vaginal discharge.

D) regular contractions becoming more frequent and intense.

Q2) While caring for an Arab woman in labor, the nurse should provide cultural sensitivity through which intervention(s)? Select all that apply.

A) Provide for extreme modesty.

B) Assign a male caregiver.

C) Arrange for the husband/partner to participate in labor.

D) Provide adequate pain control.

E) Respect protective amulets.

Q3) What are the advantages of a free-standing birth center? Select all that apply.

A) Home-like setting

B) Designed for high-risk pregnancies

C) Lower costs

D) Attended by certified obstetricians

E) Immediate emergency access

Page 8

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Chapter 7: Nursing Management of Pain During Labor and Birth

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23806

Sample Questions

Q1) Chemical substances produced in the body that act as natural pain relievers are:

A) endorphins.

B) morphine.

C) codeine.

D) atropine.

Q2) The nurse who is instructing a Lamaze class on abdominal breathing tells a patient that because her baseline respiratory rate is 22 breaths per minute, her rate while performing slow breathing should be no lower than:

A) 9.

B) 11.

C) 15.

D) 20.

Q3) A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. The nurse explains that giving a narcotic analgesic medication at this stage of labor will:

A) cause medication given at later stages to be ineffective.

B) have no complications for the mother or infant.

C) result in respiratory depression to the newborn.

D) speed up labor and increase pain.

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Chapter 8: Nursing Care of Women with Complications

During Labor and Birth

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23807

Sample Questions

Q1) The frustrated patient in labor that has been affected by decreased uterine muscle tone complains, "My doctor won't induce my labor because of some silly score. He said I was a 4. What kind of magic number do I need?" The nurse is aware that prior to induction, the patient should have a Bishop score of at least:

A) 6.

B) 8.

C) 10.

D) 12.

Q2) After several hours of labor, a nursing assessment reveals that a woman's cervix is 5 cm dilated but contractions are becoming shorter and less frequent. The nurse knows that this labor pattern is described as:

A) normal.

B) hypotonic.

C) hypertonic.

D) false.

Q3) A(n) _______________ is a narrow cone inserted into the cervix to "ripen" the cervix to increase uterine contractions.

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Page 10

Chapter 9: The Family After Birth

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23808

Sample Questions

Q1) The statement that indicates the new mother is breastfeeding correctly is:

A) "I will put the baby first on the breast that she took last in the previous feeding."

B) "I keep the baby on a 4-hour feeding schedule."

C) "I let the baby stay on the first breast only 5 minutes."

D) "I put only the nipple in the baby's mouth when I am breastfeeding."

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 assesses a 6-inch stain of lochia rubra on a pad that was worn for 2 hours. The nurse would document this as a(n) ________________ amount of lochia.

Q4) The nurse assesses the initial lochia postdelivery, which is known as:

A) serosa.

B) rubra.

C) alba.

D) vaginalis.

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Page 11

Chapter 10: Nursing Care of Women with Complications

After Birth

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/23809

Sample Questions

Q1) The statement that would indicate to the nurse on a postpartum home visit that the patient understands the signs of late postpartum hemorrhage is:

A) "My discharge would change to red after it has been pink or white."

B) "If I have a postpartum hemorrhage, I will have severe abdominal pain."

C) "I should be alert for an increase in bright red blood."

D) "I would pass a large clot that was retained from the placenta."

Q2) By flexing the patient's leg and dorsiflexing the foot, the nurse is:

A) assessing for edema in the lower limb.

B) performing range-of-motion exercises.

C) stimulating circulation to limbs.

D) assessing for deep vein thrombus.

Q3) The best response to a postpartum woman who tells the nurse that she feels "tired and sick all of the time since I had the baby 3 months ago" is:

A) "This is a normal response for the body after pregnancy. Try to get more rest."

B) "I'll bet you will snap out of this funk real soon."

C) "Why don't you arrange for a babysitter so you and your husband can have a night out?"

D) "Let's talk about this further. I am concerned about how you are feeling."

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Chapter 11: The Nurses Role in Womens Health Care

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23810

Sample Questions

Q1) A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse would respond that a woman is considered to be menopausal when:

A) her periods have stopped for 1 year.

B) her periods have been irregular and light for 12 months.

C) she has symptoms of vasomotor instability.

D) she experiences symptoms of decreased estrogen, such as dyspareunia.

Q2) The nurse is discussing cervical mucus changes with a woman who wishes to use natural family planning methods. The nurse determines the woman understands the information presented when she says the changes in cervical mucus at ovulation:

A) enhance the motility of the sperm.

B) indicate endometrial readiness for implantation.

C) facilitate movement of the ovum through the fallopian tube.

D) provide vaginal lubrication during intercourse.

Q3) What are anonymous sperm donors screened for? Select all that apply.

A) Particular physical features

B) Genetic defects

C) Infections

D) High-risk behaviors

E) Nationality

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Chapter 12: The Term Newborn

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23811

Sample Questions

Q1) To protect newborns from infection while in the nursery, the nurse plans to:

A) keep the newborn dressed warmly.

B) adjust room temperature between 23.8° C (75° F) and 26.6° C (80° F).

C) wash hands before touching each infant.

D) wear a disposable gown when giving infant care.

Q2) While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. The nurse would document this finding as:

A) molding.

B) caput succedaneum.

C) cephalohematoma.

D) enlarged fontanelle.

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

A) yellow.

B) brown.

C) greenish brown.

D) black and tarry.

Q4) The nurse advises the nursing mother that the immune globulin that is found in breast milk is ______________.

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Chapter 13: Preterm and Postterm Newborns

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23812

Sample Questions

Q1) The nurse encourages the anxious mother of a preterm infant to consider the warming technique of holding the infant between her breasts with skin-to-skin contact under a blanket. This technique is the __________ care method.

Q2) When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, and expiratory grunting. These findings are indicative of:

A) respiratory distress syndrome.

B) postmaturity syndrome.

C) apneic episode.

D) cold stress.

Q3) A preterm infant has a yellow skin color and a rising bilirubin level. The nurse is aware that this infant is at risk for:

A) skin breakdown.

B) renal failure.

C) brain damage.

D) heart failure.

Q4) The nurse is aware that the preterm infant has an increased tendency to bleed due to deficient levels of ________.

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

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23813

Sample Questions

Q1) The nurse is aware that the child with Down syndrome has a high incidence of deformities of the:

A) reproductive system.

B) urinary tract.

C) cardiovascular system.

D) lower gastrointestinal tract.

Q2) The nurse advising parents about feeding their infant who has phenylketonuria should suggest which type of formula and/or diet?

A) Lifelong high-protein diet

B) A formula that is low in the amino acid leucine

C) A soy-based formula

D) Substitute Lofenalac for some protein foods

Q3) What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? Select all that apply.

A) Keep cast uncovered to allow drying.

B) Check toes for capillary refill.

C) Circle with a pen any area of bleeding on the cast.

D) Keep casted leg lowered.

E) Observe for skin irritation.

Page 16

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

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/23814

Sample Questions

Q1) The nurse calculates the basal metabolic index (BMI) on an 8-year-old child who is 48 inches tall (1.2 meters) and weighs 100 pounds (45.4 kg) to be:

A) 28.9.

B) 32.4.

C) 34.8.

D) 37.6.

Q2) The nurse includes in the care plan for a Hispanic family to encourage visits from the ____________ ____________, or _______________, for a healing ceremony.

Q3) The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime. The nurse recognizes that being able to self feed is important to the toddler in developing:

A) good nutrition.

B) a sense of independence.

C) adequate height and weight.

D) healthy teeth.

Q4) The correct term for the child aged 4 weeks to 1 year is ______________.

Q5) The nurse cautions that children who are put to sleep with a bottle are at risk for a dental problem called ___________ _____________.

Page 17

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Chapter 16: The Infant

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/23815

Sample Questions

Q1) The nurse would advise a parent when introducing solid foods to:

A) begin with one tablespoon of food.

B) mix foods together.

C) eliminate a refused food from the diet.

D) introduce each new food 4 to 7 days apart.

Q2) The nurse is aware that the earliest age at which an infant is able to sit steadily alone is _____ months.

A) 4

B) 5

C) 8

D) 15

Q3) 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.

Q4) The nurse cautions parents to place their infant in the ______________ position, rather than on his or her stomach, to reduce the risk of sudden infant death syndrome (SIDS).

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Chapter 17: The Toddler

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/23816

Sample Questions

Q1) The best advice the nurse can offer a parent concerned because her 2-year-old is very active and does not eat much is to:

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

B) help the child 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.

Q2) Which behavior reported by a parent of an 18-month-old toddler would the nurse report to the pediatrician as a cause for concern?

A) Has temper tantrums

B) Feeds self sloppily

C) Walks by holding onto furniture

D) Speaks in short sentences

Q3) Day care for the toddler differs from that of the preschooler due to the fact that toddlers:

A) have a shorter attention span.

B) need more group play.

C) are less prone to environmental dangers.

D) require less outdoor space.

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Chapter 18: The Preschool Child

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23817

Sample Questions

Q1) A preschool-age child is asked, "Why do trees have leaves?" Which response would be an example of animism?

A) "So I can have shade over my sandbox."

B) "Because God made them that way."

C) "To hide behind when they are scared."

D) "For the squirrels to play in."

Q2) Play that is designed to retrain muscles or improve eye-hand coordination is considered ____________________ play.

Q3) The nurse suggests that the most appropriate toy choice for a 3-year-old would be:

A) a board game.

B) a small pet, such as a goldfish.

C) a large construction set.

D) push-pull toys.

Q4) The nurse suggests which bedtime preparation ritual(s)? Select all that apply.

A) Telling a story

B) Placing a favorite toy in bed

C) Placing a glass of water at the bedside

D) Turning on a night light

E) Playing energetically

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Chapter 19: The School-Age Child

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/23818

Sample Questions

Q1) The school nurse planning sex education classes for school-age children should:

A) use simple terms.

B) avoid slang or "street" words and concepts.

C) keep topics on biological aspects of sexual development.

D) limit questions in order to keep content clear.

Q2) A mother reports that she has a new job and her 12-year-old child is home alone for a time after school. The statement made by the parent, indicating a potentially unsafe situation for this child, is:

A) "I told him that he could invite a few friends after school."

B) "I put a list of emergency numbers next to the telephone."

C) "Last week we made a first aid kit together."

D) "There is a neighbor available in case of an emergency."

Q3) The nurse is aware that by the age of _____, the first permanent teeth erupt.

Q4) The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child.

Q5) The nurse explains that the term _______________ refers to a sex role that incorporates both male and female traits.

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Page 21

Chapter 20: The Adolescent

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/23819

Sample Questions

Q1) A 16-year-old excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents?

A) "Your studies are too important for you to have a part-time job."

B) "When we went to high school, academics were the adolescent's priority."

C) "We want you to put your earnings in a savings account."

D) "How do you think you will manage your school work and a job?"

Q2) The nurse suggests the use of "I" messages to communicate a parent's feeling to an adolescent. The most appropriate example of an "I" message is:

A) "I feel frightened when you stay out past your curfew."

B) "I am your mother, and I insist that you observe your curfew."

C) "I am sick and tired of your staying out late."

D) "I expect you to show me proper respect."

Q3) An adolescent's parent comments, "My son seems so preoccupied with his appearance these days. Is this normal?" The nurse's best response would be:

A) "It is his attempt to express his individualism."

B) "His preoccupation with his looks is quite normal."

C) "He is probably troubled with his physical changes."

D) "This shows that he has a positive self-image."

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Page 22

Chapter 21: The Childs Experience of Hospitalization

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/23820

Sample Questions

Q1) The nurse suggests to parents that they use the outpatient surgical center for their child's upcoming surgery because the surgical center has what advantage(s)? Select all that apply.

A) Lower cost

B) Less incidence of health care associated infections

C) Reduction of parent-child separation

D) Ample time for recuperation at the facility

E) Decreased emotional impact of illness

Q2) The nurse notices that the mother of a child with cerebral palsy corrects and redoes many of the things the nurse does for her child. The most appropriate response to this mother would be:

A) "Would you like to do all of your child's care?"

B) "I'm doing the very best job that I can with your child."

C) "Why don't you go have a cup of coffee? You are going to be exhausted if you don't take a break."

D) "I'd love for you to share with me some of the special things you do for your child."

Q3) A(n) _______________ ______________ is a person under the age of 18 who can legally sign for consent for medical treatment for themselves or their children.

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Chapter 22: Health Care Adaptations for the Child and Family

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23821

Sample Questions

Q1) The restraint that is most appropriate for the insertion of an intravenous line in a scalp vein of an infant is the:

A) mummy.

B) clove hitch.

C) jacket.

D) elbow.

Q2) The nurse is aware that for the 3-month-old who has a surgery time of 2:30 PM, the start order for NPO should be no earlier than ____________________.

Q3) The nurse is caring for a 4-year-old child. When reviewing yesterday's intake and output record, the nurse would expect the child's daily urinary output to be approximately _____ mL.

A) 400 to 500

B) 500 to 600

C) 600 to 700

D) 700 to 1000

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.

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Chapter 23: The Child with a Sensory or Neurological Condition

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/23822

Sample Questions

Q1) The situation in which the nurse would suspect a hearing impairment is a(n):

A) 3-month-old infant with a positive Moro reflex.

B) 15-month-old toddler who is babbling.

C) 18-month-old toddler who is speaking one-syllable words.

D) 24-month-old toddler who communicates by pointing.

Q2) The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?

A) Use aspirin instead of acetaminophen for children with viral illness.

B) Advise parents to have their children immunized against Reye's syndrome.

C) Avoid giving salicylate-containing medications to a child who has viral symptoms.

D) Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.

Q3) The sign that suggests possible damage to the cortex of the brain is ____________ posturing.

Q4) The nurse records the finding of ______________ _____________ when the child with meningitis cries out in pain when his head is flexed toward his chest.

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Page 25

Chapter 24: The Child with a Musculoskeletal Condition

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/23823

Sample Questions

Q1) The nurse is providing instructions about how to treat a sprained ankle. The nurse will recognize the need for additional teaching when the mother states:

A) "Apply warm compresses to the ankle for the first 24 hours."

B) "Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off."

C) "Wrap the ankle in an Ace bandage for support."

D) "Keep the leg elevated when sitting."

Q2) A 6-year-old sustained a fractured femur and was put in Russell traction 2 days ago. She screams in pain when she raises herself onto the bedpan. The nursing diagnosis that takes highest priority for this child is:

A) pain resulting from tissue trauma.

B) high risk for impaired skin integrity resulting from immobility.

C) altered growth and development related to separation from family.

D) altered urinary elimination related to immobility and traction.

Q3) The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

Q4) The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.

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Page 26

Chapter 25: The Child with a Respiratory Disorder

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/23824

Sample Questions

Q1) The nurse is caring for a toddler with acute laryngotracheobronchitis. The assessment finding that would indicate the child is experiencing increased respiratory obstruction is:

A) restlessness.

B) tachycardia.

C) brassy cough.

D) expiratory wheezing.

Q2) The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in either of their families has CF. The nurse's response is based on the understanding that with CF:

A) only one parent carries the CF gene.

B) both parents are carriers of the CF gene.

C) the inheritance pattern is multifactorial.

D) the result is probably a genetic mutation.

Q3) The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration.

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Chapter 26: The Child with a Cardiovascular Disorder

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/23825

Sample Questions

Q1) The nurse is aware that the infant born with hypoplastic left heart syndrome must acquire his or her oxygenated blood through:

A) the patent ductus arteriosus.

B) a ventricular septal defect.

C) the closure of the foramen ovale.

D) an atrial septal defect.

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) The nurse takes into consideration that the most common congenital heart defect is the ____________ ____________ defect.

Q4) Because the diagnosis of rheumatic fever is difficult, an aid used to identify the presence of rheumatic fever is the _____________ _______________.

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28

Chapter 27: The Child with a Condition of the Blood,

Blood-Forming Organs, or

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33 Verified Questions

33 Flashcards

Source URL: https://quizplus.com/quiz/23826

Sample Questions

Q1) The statement made by a parent indicating understanding of health maintenance of a child with sickle cell disease is:

A) "I should give my child a daily iron supplement."

B) "It is important for my child to drink plenty of fluids."

C) "He needs to wear protective equipment if he plays contact sports."

D) "He shouldn't receive any immunizations until he is older."

Q2) The nurse, caring for a child receiving chemotherapy, notes that the child's abdomen is firm and slightly distended. Also, there is no record of a bowel movement for the last 2 days. These assessment findings suggest the possibility of:

A) peripheral neuropathy.

B) stomatitis.

C) myelosuppression.

D) hemorrhage.

Q3) The nurse would include in a teaching plan about mouth care of a child receiving chemotherapy to:

A) use commercial mouthwash.

B) clean teeth with a soft toothbrush.

C) avoid use of a Water-Pik.

D) inspect the mouth weekly for ulcerations.

Page 29

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Chapter 28: The Child with a Gastrointestinal Condition

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/23827

Sample Questions

Q1) The nurse, planning a parent education program about lead poisoning prevention, would include the information that the sources of lead in the community are most likely:

A) increased lead content of air.

B) use of aluminum cookware.

C) deteriorating paint in older buildings.

D) inhaling smog.

Q2) A child has been diagnosed with ascariasis (roundworm). The statement made by her mother that may suggest a cause for her condition is:

A) "I've been airing out the house on these nice breezy days."

B) "My child often goes out to the garden and pulls up a carrot to eat."

C) "She runs barefoot so much I have to wash her feet at least twice a day."

D) "We just remodeled our bathroom at home."

Q3) A frightened mother calls the pediatrician's office because her child swallowed dishwashing detergent. The most appropriate action is to:

A) induce vomiting by giving the child syrup of ipecac.

B) take the child to the local emergency department.

C) give the child activated charcoal mixed with juice.

D) give the child milk to soothe affected mucous membranes.

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Chapter 29: The Child with a Genitourinary Condition

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/23828

Sample Questions

Q1) The nurse is aware that genitourinary surgery is especially stressful for preschool children because of what factor(s)? Select all that apply.

A) They may perceive the treatment as punishment.

B) They are especially prone to separation anxiety.

C) They are sexually curious and developmentally fixated on their genitals.

D) They have a fear of castration.

E) They are embarrassed by having their genitals exposed.

F) None of the above

Q2) The statement made by a parent of a child with nephrotic syndrome indicating an understanding of discharge teaching is:

A) "I will make sure he gets his measles vaccine as soon as he gets home."

B) "He can stop taking his medication next week."

C) "I should check his urine for protein when he goes to the bathroom."

D) "He should eat a low-protein diet for the next few weeks."

Q3) When a child's ureter becomes completely obstructed from scarring, the nurse explains that urinary diversion may be necessary to prevent the reflux back into the renal pelvis from causing ____________________.

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31

Chapter 30: The Child with a Skin Condition

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/23829

Sample Questions

Q1) The adolescent girl whose acne is being treated with an antibiotic in addition to topical applications is cautioned by the nurse to expect:

A) lessened effectiveness of oral contraceptives.

B) urinary burning and frequency.

C) breast engorgement.

D) vaginitis.

Q2) An adolescent is at the pediatrician's office because he has been experiencing intense itching, particularly in the axilla and between the fingers. The itching is worse during the night and he has not been sleeping well. This symptom is associated with:

A) scabies.

B) pediculosis capitis.

C) tinea corporis.

D) eczema.

Q3) The nurse recognizes the blisters and erythema of the hands of a person recovering from frostbite as the skin disorder called _________________.

Q4) The nurse differentiates a type of topical medication that is an oil-based emulsion to be used on dry skin as a(n) _________________.

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Chapter 31: The Child with a Metabolic Condition

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/23830

Sample Questions

Q1) The nurse explains that the diagnosis of diabetes is made when the fasting blood glucose level is _______ mg/dL on two separate occasions, and the history is positive for indication of the disease.

Q2) Which food sources are high in soluble fiber? Select all that apply.

A) Raw fruits

B) Cooked vegetables

C) Beans

D) Lean meat

E) Bran cereal

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.

Q4) The nurse determines a parent is administering levothyroxine (Synthroid) correctly when she states:

A) "I stopped giving the medication because my daughter was losing her hair."

B) "I am using a different brand now because it costs less money."

C) "I don't give the medication on the weekends."

D) "I give the medication at 8:00 AM every day."

Page 33

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Chapter 32: The Child with a Communicable Disease

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/23831

Sample Questions

Q1) The nurse would base a response to a parent about how his child got hepatitis A on the information that the child:

A) came in contact with infected blood.

B) came in contact with droplets in the air.

C) was bitten by a mosquito or a tick.

D) ate shrimp while they were in Mexico.

Q2) The nurse explains that some families do not have their children immunized for what reason(s)? Select all that apply.

A) Parental lack of knowledge

B) Lack of access to clinics

C) Religious beliefs

D) Cost of immunization

E) Fear of adverse reaction

F) None of the above

Q3) The nurse gives an example of an opportunistic infection as:

A) measles.

B) Pneumocystis jiroveci.

C) Clostridium difficile.

D) smallpox.

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Page 34

Chapter 33: The Child with an Emotional or Behavioral Condition

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/23832

Sample Questions

Q1) When the nurse is collecting a nursing history, an adolescent states that she has tried speed. The nurse recognizes this as the street name for:

A) barbiturates.

B) cocaine.

C) methamphetamine.

D) marijuana.

Q2) The school nurse cautions a group of parents about the prevalence of children who get high by inhaling hydrocarbons and fluorocarbons that are included in which product(s)? Select all that apply.

A) Glue

B) Chlorine

C) Cleaning fluid

D) Copy machine toner

E) Aerosol sprays

Q3) The nurse assists with the intervention of ____________ therapy, which provides a physical and social environment that is stable and therapeutic.

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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/23833

Sample Questions

Q1) The nurse clarifies that a person who is ____________ _____________ demonstrates sensitivity and respect for different practices and philosophies.

Q2) While taking care of a Navajo child, the nurse welcomes their folk healer, called a ___________.

Q3) The nurse explains that _______________ are areas of skin that are innervated by the dorsal roots of the spinal cord, which are the basis of acupressure therapy.

Q4) A young mother asks, "Is there an alternative medicine for children with asthma?" The nurse's most helpful reply would be, "Yes. Children with asthma have found relief with the practice of:

A) reflexology."

B) rolfing.

C) guided imagery.

D) acupressure.

Q5) The practice of ____________ is a process of fascia pressure and stretching.

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