Pediatric Nursing Pre-Test Questions
Course Introduction
Pediatric Nursing focuses on the comprehensive care of children from infancy through adolescence, addressing their unique physiological, emotional, and developmental needs. The course covers vital aspects such as growth and development, disease prevention, health promotion, and family-centered care. Students learn to assess and manage acute and chronic pediatric health conditions, communicate effectively with children of various ages, and support families through illness and wellness. Special emphasis is placed on safe medication administration, age-appropriate interventions, and the roles of advocacy and education in improving child health outcomes.
Recommended Textbook
Maternal Child Nursing 5th Edition by McKinney
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55 Chapters
1615 Verified Questions
1615 Flashcards
Source URL: https://quizplus.com/study-set/470
Page 2
Chapter 1: Foundations of Maternity, Womens Health, and Child Health Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8504
Sample Questions
Q1) The Women,Infants,and Children (WIC)program provides
A) well-child examinations for infants and children living at the poverty level.
B) immunizations for high-risk infants and children.
C) screening for infants with developmental disorders.
D) supplemental food supplies to low-income pregnant or breastfeeding women.
Answer: D
Q2) When planning a parenting class,the nurse should explain that the leading cause of death in children 1 to 4 years of age in the United States is
A) premature birth.
B) congenital anomalies.
C) accidental death.
D) respiratory tract illness.
Answer: C
Q3) The level of practice a reasonably prudent nurse provides is called
A) the standard of care.
B) risk management.
C) a sentinel event.
D) failure to rescue.
Answer: A
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Chapter 2: The Nurses Role in Maternity, Womens Health, and Pediatric Nursing
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8505
Sample Questions
Q1) Which nursing intervention is correctly written?
A) Encourage turning, coughing, and deep breathing.
B) Force fluids as necessary.
C) Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
D) Observe interaction with infant.
Answer: C
Q2) When addressing the questions of a newly pregnant woman,the nurse can explain that the certified nurse-midwife is qualified to perform
A) regional anesthesia.
B) cesarean deliveries.
C) vaginal deliveries.
D) internal versions.
Answer: C
Q3) Which statement about alternative and complementary therapies is true?
A) Replace conventional Western modalities of treatment
B) Are used by only a small number of American adults
C) Allow for more patient autonomy but also may carry risks
D) Focus primarily on the disease an individual is experiencing
Answer: C
4
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Chapter 3: The Childbearing and Child-Rearing Family
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8506
Sample Questions
Q1) Families who deal effectively with stress exhibit which behavior pattern?
A) Focus on family problems
B) Feel weakened by stress
C) Expect that some stress is normal
D) Feel guilty when stress exists
Answer: C
Q2) Which statement is true about the characteristics of a healthy family?
A) The parents and children have rigid assignments for all the family tasks.
B) Young families assume the total responsibility for the parenting tasks, refusing any assistance.
C) The family is overwhelmed by the significant changes that occur as a result of childbirth.
D) Adults agree on the majority of basic parenting principles.
Answer: D
Q3) What characteristic would most likely be found in a Mexican-American family?
A) Stoicism
B) Close extended family
C) Considering docile children weak
D) Very interested in health-promoting lifestyles
Answer: B
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Chapter 4: Communicating with Children and Families
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) What is the most important consideration for effectively communicating with a child?
A) The child's chronologic age
B) The parent-child interaction
C) The child's receptiveness
D) The child's developmental level
Q2) A preschool-age child is being admitted for some diagnostic tests and possible surgery.The nurse planning care should use which phrases when explaining procedures to the child? (Select all that apply.)
A) Fluids will be given through tubing connected to a tiny tube inserted into your arm.
B) After surgery we will be doing dressing changes.
C) You will get a shot before surgery.
D) The doctor will give you medicine that will help you go into a deep sleep.
E) We will take you to surgery on a bed on wheels.
Q3) Which behavior is most likely to encourage open communication?
A) Avoiding eye contact
B) Folding arms across chest
C) Standing with head bowed
D) Soft stance with arms loose at the side
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Page 6
Chapter 5: Health Promotion for the Developing Child
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8508
Sample Questions
Q1) A nurse uses Erikson's theory to guide nursing practice.What action by a hospitalized 4-year-old child would the nurse evaluate as developmentally appropriate?
A) Dressed and fed by the parents
B) Independently ask for play materials or other personal needs
C) Verbalizes an understanding of the reason for the hospitalization
D) Asks for a parent stay in the room at all times
Q2) The parents of a preschool-aged child are in the clinic and report the child is seen playing with the genitals frequently.What response by the nurse is best?
A) Reassure parents this is normal at this age.
B) Teach parents about behavior modification.
C) Refer parents and child to a psychologist.
D) Ask the provider to speak to the parents.
Q3) A nurse is planning to teach about injury prevention to a group of parents.What action by the nurse would best ensure a successful event?
A) Have handouts listing community resources.
B) Provide free safety gear like bike helmets.
C) Group parents by child's developmental stage.
D) Present the material in an interactive way.
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Chapter 6: Health Promotion for the Infant
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) In terms of fine motor development,what should the 7-month-old infant be able to do?
A) Transfer objects from one hand to the other.
B) Use thumb and index finger in crude pincer grasp.
C) Hold crayon and make a mark on paper.
D) Release cubes into a cup.
Q2) A mother of a 2-month-old infant tells the nurse,"My child doesn't sleep as much as his older brother did at the same age." What is the best response for the nurse?
A) "Have you tried to feed the baby more often or play more before bedtime?"
B) "Infant sleep patterns vary widely, some infants sleep only 2 to 3 hours at a time."
C) "Keep a record of your baby's eating, waking, sleeping, and elimination patterns and to come back to discuss them."
D) "This infant is difficult. It is important for you to identify what is bothering the baby."
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8
Chapter 7: Health Promotion During Early Childhood
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8510
Sample Questions
Q1) A 17-month-old child is expected to be in what stage according to Piaget?
A) Trust
B) Preoperations
C) Secondary circular reaction
D) Sensorimotor period
Q2) The nurse is planning to teach parents of a 15-month-old child.Which is the priority concern the nurse should address?
A) Toilet training guidelines
B) Guidelines for weaning children from bottles
C) Instructions on preschool readiness
D) Instructions on a home safety assessment
Q3) The parent of a 14-month-old child is concerned because the child's appetite has decreased.The best response for the nurse to make to the parent is,
A) "It is important for your toddler to eat three meals a day and no snacks."
B) "It is not unusual for toddlers to eat less due to slower growth."
C) "Be sure to increase your child's milk consumption, which will improve nutrition."
D) "Give your child a multivitamin daily to increase your toddler's nutrition."
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Chapter 8: Health Promotion for the School-Age Child
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8511
Sample Questions
Q1) In providing anticipatory guidance to parents,which parental behavior does the nurse teach as most important in fostering moral development?
A) Telling the child what is right and wrong
B) Vigilantly monitoring the child and her peers
C) Weekly family meetings to discuss behavior
D) Living as the parents say they believe
Q2) An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that if she dies,she will go to hell.What action by the nurse is most appropriate?
A) Reassure the child that she is not being punished.
B) Share concerns about development with the parents.
C) Request a child-life specialist to intervene.
D) Have the chaplain console the child.
Q3) Which statement is the most accurate about moral development in the 9-year-old school-age child?
A) Right and wrong are based on physical consequences of behavior.
B) The child obeys parents because of fear of punishment.
C) The school-age child conforms to rules to please others.
D) Parents are the determiners of right and wrong for the school-age child.
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Page 10
Chapter 9: Health Promotion for the Adolescent
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8512
Sample Questions
Q1) Which statement is the most appropriate advice to give parents of a 16-year-old who is rebellious?
A) "You need to be stricter so that your teen stops trying to test the limits."
B) "Try to collaborate to set limits that are perceived as being reasonable."
C) "Increasing your teen's involvement with her peers will improve her behavior."
D) "Allow your teenager to choose the type of discipline that is used in your home."
Q2) The school nurse is evaluating the school's athletic programs for safety.What factors should the nurse assess? (Select all that apply.)
A) Students get adequate rest periods.
B) Equipment is in good condition.
C) Practices are appropriate for students.
D) Post-game concussion assessment if needed
E) Adequate fluids are available at all times.
Q3) Which is assessed with Tanner staging?
A) Hormone levels
B) Secondary sex characteristics
C) Growth hormone secretion
D) Hyperthyroidism
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11
Chapter 10: Hereditary and Environmental Influences on Development
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8513
Sample Questions
Q1) Which statement is true of multifactorial disorders?
A) They may not be evident until later in life.
B) They are usually present and detectable at birth.
C) The disorders are characterized by multiple defects.
D) Secondary defects are rarely associated with multifactorial disease.
Q2) The generalist nurse working with child-bearing families understands that his or her practice related to genetics includes which of the following? (Select all that apply.)
A) Identifying families at risk and providing referrals
B) Interpreting genetic test results for the family
C) Assessing the couple's concern about genetic alterations
D) Helping create a family tree or pedigree
E) Providing support in all phases of genetic counseling
Q3) A nurse is seeing a pregnant woman who has had genetic testing on her unborn fetus and has been given the results.The nurse notes the results confirm that the husband could not be the father.What action by the nurse is best?
A) Do not discuss this information with the mother.
B) Inform the mother genetic testing does not establish paternity.
C) Call the husband immediately to break the news.
D) Be available and offer support as the mother absorbs the news.
Page 12
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Chapter 11: Reproductive Anatomy and Physiology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/8514
Sample Questions
Q1) The student nurse learns that follicle stimulating hormone is produced in which gland?
A) Anterior pituitary
B) Posterior pituitary
C) Hypothalamus
D) Adrenal glands
Q2) A student nurse just read that up to 200 million sperm are deposited in the vagina with each ejaculation and asks the faculty why so many are needed.What response by the faculty is most accurate?
A) Competition results in fewer genetic defects.
B) Sperm are weak and die off quickly.
C) Few sperm reach the fallopian tube and ova.
D) Most sperm are not the correct shape.
Q3) The average man is taller than the average woman at maturity because of A) a longer period of skeletal growth.
B) earlier development of secondary sexual characteristics.
C) earlier onset of growth spurt.
D) starting puberty at an earlier age.
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13
Chapter 12: Conception and Prenatal Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8515
Sample Questions
Q1) The nursing faculty explains to students that the upper uterus is the best place for the fertilized ovum to implant because it is here that the
A) placenta attaches most firmly.
B) developing baby is best nourished.
C) uterine endometrium is softer.
D) maternal blood flow is lower.
Q2) The purpose of the ovum's zona pellucida is to
A) make a pathway for more than one sperm to reach the ovum.
B) allow the 46 chromosomes from each gamete to merge.
C) prevent multiple sperm from fertilizing the ovum.
D) stimulate the ovum to begin mitotic cell division.
Q3) The placenta allows exchange of oxygen,nutrients,and waste products between the mother and fetus by
A) contact between maternal blood and fetal capillaries within the chorionic villi.
B) interaction of maternal and fetal pH levels within the endometrial vessels.
C) a mixture of maternal and fetal blood within the intervillous spaces.
D) passive diffusion of maternal carbon dioxide and oxygen into the fetal capillaries.
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Chapter 13: Adaptations to Pregnancy
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43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/8516
Sample Questions
Q1) A woman is at her first prenatal visit and is distressed at needing an HIV test.What response by the nurse is best?
A) "We ask all women to be tested for HIV during their pregnancy."
B) "This test is required by law for pregnant women."
C) "Infection with HIV will make your pregnancy very high risk."
D) "You could have been exposed and not know it."
Q2) While the nurse assesses the vital signs of a pregnant woman in her third trimester,the patient complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?
A) Have the patient stand up and retake her blood pressure.
B) Have the patient sit down and hold her arm in a dependent position.
C) Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms.
D) Have the patient turn to her left side and recheck her blood pressure in 5 minutes.
Q3) Which comment by a woman in her first trimester indicates ambivalent feelings?
A) "I wanted to become pregnant, but I'm scared about being a mother."
B) "I haven't felt well since this pregnancy began."
C) "I'm concerned about the amount of weight I've gained."
D) "My body is changing so quickly."
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Page 15
Chapter 14: Nutrition for Childbearing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8517
Sample Questions
Q1) A patient who is in week 28 of gestation is concerned about her weight gain of 1 pound in 1 week.Which response by the nurse is best?
A) "You should try to decrease your amount of weight gain for the next 12 weeks."
B) "You have gained an appropriate amount for the number of weeks of your pregnancy."
C) "You should not gain any more weight until you reach the third trimester."
D) "You have not gained enough weight for the number of weeks of your pregnancy."
Q2) To prevent GI upset,patients should be instructed to take iron supplements
A) on a full stomach.
B) at bedtime.
C) after eating a meal.
D) with milk.
Q3) Which statement by a patient indicates that she understands the role of protein in her pregnancy?
A) "Protein will help my baby grow."
B) "Eating protein will prevent me from becoming anemic."
C) "Eating protein will make my baby have strong teeth after he is born."
D) "Eating protein will prevent me from being diabetic."
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Page 16
Chapter 15: Prenatal Diagnostic Tests
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8518
Sample Questions
Q1) The primary reason for evaluating alpha-fetoprotein (AFP)levels in maternal serum is to determine if the fetus has
A) hemophilia.
B) a neural tube defect.
C) sickle cell anemia.
D) a normal lecithin/sphingomyelin (L/S) ratio.
Q2) While working with the pregnant woman in her first trimester,the nurse is aware that chorionic villus sampling (CVS)can be performed during pregnancy as early as _____ weeks.
A) 4
B) 8
C) 10
D) 12
Q3) A pregnant woman has the following assessments determined from a biophysical profile: reactive nonstress test,3 fetal breathing movements within 30 minutes,1 trunk movement in 30 minutes,opened and closed hand twice in 30 minutes,largest amniotic pocket of 1 cm.Calculate this woman's score. This woman's score is _____.
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Chapter 16: Giving Birth
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8519
Sample Questions
Q1) The primary difference between the labor of a nullipara and that of a multipara is the A) amount of cervical dilation.
B) total duration of labor.
C) level of pain experienced.
D) sequence of labor mechanisms.
Q2) A woman at 40 weeks of gestation calls the OB triage nurse to report a trickle of fluid from her vagina.What action by the nurse is most appropriate?
A) Instruct the woman to come to the hospital.
B) Ask her to time her contractions.
C) Tell her if she saturates two pads in an hour to come to the hospital.
D) Reassure her that she has plenty of time before delivery.
Q3) Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?
A) The fetal head is felt at 0 station during vaginal examination.
B) Bloody mucous discharge increases.
C) The vulva bulges and encircles the fetal head.
D) The membranes rupture during a contraction.
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Chapter 17: Intrapartum Fetal Surveillance
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8520
Sample Questions
Q1) The new nurse learns that which condition related to decreased variability is considered benign?
A) A periodic fetal sleep state
B) Extreme prematurity
C) Fetal hypoxemia
D) Preexisting neurologic injury
Q2) A new nurse notes a fetal heart rate pattern of late deceleration with minimal variability in a laboring woman with vaginal bleeding.Which action by the new nurse warrants intervention by the charge nurse?
A) Assesses maternal blood pressure
B) Assesses for a prolapsed cord
C) Prepares to administer terbutaline
D) Discontinues oxytocin
Q3) A nurse might be called on to stimulate the fetal scalp
A) as part of fetal scalp blood sampling.
B) in response to tocolysis.
C) in preparation for fetal oxygen saturation monitoring.
D) to elicit an acceleration in the FHR.
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19
Chapter 18: Pain Management for Childbirth
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8521
Sample Questions
Q1) The nurse providing newborn stabilization must be aware that the primary side effect of maternal narcotic analgesia in the newborn is
A) respiratory depression.
B) bradycardia.
C) acrocyanosis.
D) tachypnea.
Q2) Which statement is true about the physiologic effects of pain in labor?
A) It usually results in a more rapid labor.
B) It is considered to be a normal occurrence.
C) It may result in decreased placental perfusion.
D) It has no effect on the outcome of labor.
Q3) The nurse caring for women in labor understands that childbirth pain is different from other types of pain in that it is
A) more responsive to pharmacologic management.
B) associated with a physiologic process.
C) designed to make one withdraw from the stimulus.
D) less intense.
Q4) A newborn infant weighing 8 lb needs naloxone (Narcan).This infant should receive approximately _____ mg.
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Chapter 19: Nursing Care during Obstetric Procedures
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8522
Sample Questions
Q1) After an amniotomy,which action by the nurse takes priority?
A) Assess the color of the amniotic fluid.
B) Change the patient's gown.
C) Estimate the amount of amniotic fluid.
D) Assess the fetal heart rate.
Q2) The nurse caring for a woman in labor understands that the primary risk associated with an amniotomy is
A) maternal infection.
B) maternal hemorrhage.
C) prolapse of the umbilical cord.
D) separation of the placenta.
Q3) The nurse understands that which condition is a contraindication for an amniotomy?
A) Dilation less than 3 cm
B) Cephalic presentation
C) -2 station
D) Right occiput posterior position
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Chapter 20: Postpartum Adaptations
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/8523
Sample Questions
Q1) Which finding 12 hours after birth requires further assessment?
A) The fundus is palpable two fingerbreadths above the umbilicus.
B) The fundus is palpable at the level of the umbilicus.
C) The fundus is palpable one fingerbreadth below the umbilicus.
D) The fundus is palpable two fingerbreadths below the umbilicus.
Q2) The postpartum woman who continually repeats the story of her labor,delivery,and recovery experiences is
A) providing others with her knowledge of events.
B) making the birth experience "real."
C) taking hold of the events leading to her labor and delivery.
D) accepting her response to labor and delivery.
Q3) Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?
A) Estrogen
B) Progesterone
C) Prolactin
D) Human placental lactogen
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Chapter 21: The Normal Newborn: Adaptation and Assessment
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/8524
Sample Questions
Q1) The cheeselike,whitish substance that fuses with the epidermis and serves as a protective coating is called
A) vernix caseosa
B) surfactant
C) caput succedaneum
D) acrocyanosis
Q2) In which infant behavioral state is bonding most likely to occur?
A) Drowsy
B) Active alert
C) Quiet alert
D) Crying
Q3) What is a result of hypothermia in the newborn?
A) Shivering to generate heat
B) Decreased oxygen demands
C) Increased glucose demands
D) Decreased metabolic rate
Q4) An infant was born weighing 7.2 pounds.Calculate this infant's oral intake needs._______
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Chapter 22: The Normal Newborn: Nursing Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8525
Sample Questions
Q1) A nurse is responsible for teaching new parents about the hygienic care of their newborn.What information does the nurse include?
A) Avoid washing the head for at least 1 week to prevent heat loss.
B) Sponge bathe only until the cord has fallen off.
C) Cleanse the ears and nose with cotton-tipped swabs, such as Q-tips.
D) Water temperature should be at least 38° C.
Q2) The parents of a newborn are considering circumcision.What possible complications does the nurse teach them about? (Select all that apply.)
A) Urinary retention
B) Adhesions
C) Necrosis of the site
D) Kidney infection
E) Unsatisfactory cosmetic result
Q3) When teaching parents about mandatory newborn screening,it is important for the nurse to explain that the main purpose is to
A) keep the state records updated.
B) allow accurate statistical information.
C) document the number of births.
D) recognize and treat newborn disorders early.
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Page 24
Chapter 23: Newborn Feeding
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8526
Sample Questions
Q1) A new mother recalls that she should feed her newborn when she exhibits feeding readiness cues rather than waiting until her infant is crying frantically.Based on this information,this woman should feed her infant when she
A) waves her arms in the air.
B) makes sucking motions.
C) has hiccups.
D) stretches out her legs straight.
Q2) A postpartum woman telephones about her 4-day-old infant.She is not scheduled for a weight check until the infant is 10 days old,and she is worried about whether breastfeeding is going well.Effective breastfeeding is indicated by the newborn who
A) sleeps for 6 hours at a time between feedings.
B) has at least one breast milk stool every 24 hours.
C) gains 1 to 2 ounces per week.
D) has at least six to eight wet diapers per day.
Q3) To initiate the milk ejection reflex,the mother should
A) wear a firm-fitting bra.
B) drink plenty of fluids.
C) place the infant to the breast
D) apply cool packs to her breast.
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Page 25
Chapter 24: The Childbearing Family with Special Needs
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8527
Sample Questions
Q1) A woman has delivered twins.The first twin was stillborn,and the second is in the intensive care nursery and is recovering quickly from respiratory distress.The woman is crying softly and says,"I wish my baby could have lived." What is the most therapeutic response?
A) "Don't be sad. At least you have one healthy baby."
B) "How soon do you plan to have another baby?"
C) "I have a friend who lost a twin and she's doing just fine now "
D) "I am so sorry about your loss. Would you like to talk about it?"
Q2) Which of the following items are inconsistent with the nurse's knowledge of symptoms of fetal alcohol syndrome?
A) Respiratory conditions
B) Impaired growth
C) CNS abnormality
D) Facial abnormalities
Q3) A woman who is older than 35 years may have difficulty achieving pregnancy,because
A) personal risk behaviors influence fertility.
B) she has used contraceptives for an extended time.
C) her ovaries may be affected by the aging process.
D) prepregnancy medical attention is lacking.
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Chapter 25: Pregnancy-Related Complications
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8528
Sample Questions
Q1) What routine nursing assessment is contraindicated in the patient admitted with suspected placenta previa?
A) Monitoring FHR and maternal vital signs
B) Observing vaginal bleeding or leakage of amniotic fluid
C) Determining frequency, duration, and intensity of contractions
D) Determining cervical dilation and effacement
Q2) The prenatal clinic nurse monitored women for preeclampsia.If all four women were in the clinic at the same time,which one should the nurse see first?
A) Blood pressure increase to 138/86 mm Hg
B) Weight gain of 0.5 kg during the past 2 weeks
C) A dipstick value of 3+ for protein in her urine
D) Pitting pedal edema at the end of the day
Q3) In which situation is a dilation and curettage (D&C)indicated?
A) Complete abortion at 8 weeks
B) Incomplete abortion at 16 weeks
C) Threatened abortion at 6 weeks
D) Incomplete abortion at 10 weeks
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27
Chapter 26: Concurrent Disorders during Pregnancy
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8529
Sample Questions
Q1) A woman has tested human immunodeficiency virus (HIV)-positive and has now discovered that she is pregnant.Which statement indicates that she understands the risks of this diagnosis?
A) "Even though my test is positive, my baby might not be affected."
B) "I know I will need to have an abortion as soon as possible."
C) "This pregnancy will probably decrease the chance that I will develop AIDS."
D) "My baby is certain to have AIDS and die within the first year of life."
Q2) In caring for a pregnant woman with sickle cell anemia the nurse is aware that signs and symptoms of sickle cell crisis include
A) anemia.
B) endometritis.
C) fever and pain.
D) urinary tract infection.
Q3) A woman in the perinatal clinic asks the nurse how her asthma will affect her pregnancy and fetus.What response by the nurse is best?
A) Asthma medications cannot be used during pregnancy.
B) The only problem is that you will not be able to breastfeed.
C) Medications for asthma do not appear to harm the fetus.
D) Pregnancy tends to make asthma worse.
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Page 28
Chapter 27: The Woman with an Intrapartum Complication
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8530
Sample Questions
Q1) Why is adequate hydration important when uterine activity occurs before pregnancy is at term?
A) Fluid and electrolyte imbalance can interfere with the activity of the uterine pacemakers.
B) Dehydration may contribute to uterine irritability for some women.
C) Dehydration decreases circulating blood volume, which leads to uterine ischemia.
D) Fluid needs are increased because of increased metabolic activity occurring during contractions.
Q2) What are the priority nursing assessments for a woman receiving tocolytic therapy with terbutaline? (Select all that apply.)
A) Fetal heart rate
B) Maternal heart rate
C) Intake and output
D) Maternal blood glucose
E) Maternal blood pressure
F) Odor of amniotic fluid
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Chapter 28: The Woman with a Postpartum Complication
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8531
Sample Questions
Q1) A mother with mastitis is concerned about breastfeeding while she has an active infection.The nurse should explain that
A) the infant is protected from infection by immunoglobulins in the breast milk.
B) the infant is not susceptible to the organisms that cause mastitis.
C) the organisms that cause mastitis are not passed to the milk.
D) the organisms will be inactivated by gastric acid.
Q2) A postpartum patient is at increased risk for postpartum hemorrhage if she delivers a(n)
A) 5-lb, 2-oz infant with outlet forceps.
B) 6.5-lb infant after a 2-hour labor.
C) 7-lb infant after an 8-hour labor.
D) 8-lb infant after a 12-hour labor.
Q3) The perinatal nurse is caring for a woman in the immediate postbirth period.Assessment reveals that the woman is experiencing profuse bleeding.The most likely etiology for the bleeding is
A) uterine atony.
B) uterine inversion.
C) vaginal hematoma.
D) vaginal laceration.
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Page 30
Chapter 29: The High-Risk Newborn: Problems Related to
Gestational Age and Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8532
Sample Questions
Q1) A nurse is caring for a preterm infant who has a weak cry and is irritable.What action by the nurse is best?
A) Assess the infant for pain.
B) Take the infant's temperature.
C) Obtain a bedside glucose reading.
D) Reduce stimulation in the environment.
Q2) What is most helpful in preventing premature birth?
A) High socioeconomic status
B) Adequate prenatal care
C) Transitional Assistance to Needy Families
D) Women, Infants, and Children nutritional program
Q3) A nurse is caring for a late preterm infant.What action by the nurse is inconsistent with best practice to prevent cold stress?
A) Wean the infant directly to an open crib.
B) Check temperature every 3 to 4 hours.
C) Encourage kangaroo care.
D) Place infant on a radiant warmer.
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Page 31
Chapter 30: The High-Risk Newborn: Acquired and Congenital Conditions
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/8533
Sample Questions
Q1) The difference between physiologic and nonphysiologic jaundice is that nonphysiologic jaundice
A) usually results in kernicterus.
B) appears during the first 24 hours of life.
C) results from breakdown of excessive erythrocytes not needed after birth.
D) begins on the head and progresses down the body.
Q2) The nurse learns that the most common cause of pathologic hyperbilirubinemia is which of the following?
A) Hepatic disease
B) Hemolytic disorders in the newborn
C) Postmaturity
D) Congenital heart defect
Q3) The goal of treatment of the infant with phenylketonuria (PKU)is to A) cure cognitive delays.
B) prevent central nervous system (CNS) damage.
C) prevent gastrointestinal symptoms.
D) prevent the renal system damage.
Q4) The nurse is preparing a dose of naloxone for a newborn who weighs 6.9 pounds.How much naloxone does the nurse administer? ______ mg
Page 32
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Chapter 31: Management of Fertility and Infertility
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8534
Sample Questions
Q1) Which woman is the safest candidate for the use of oral contraceptives?
A) 39-year-old with a history of thrombophlebitis
B) 16-year-old with a benign liver tumor
C) 20-year-old who suspects she may be pregnant
D) 43-year-old who does not smoke cigarettes
Q2) A woman has been prescribed metformin at the infertility clinic.She says "Why am I on this? I am not a diabetic; my sister takes it for her diabetes!" What response by the nurse is best?
A) "It is used to promote ovulation in polycystic ovary disease."
B) "It will prevent your body from forming antibodies to sperm."
C) "It helps prepare the uterine lining for eventual implantation."
D) "I don't know but I will find out and let you know right away."
Q3) What does the nurse know about postcoital emergency contraception with Ella or Next Choice?
A) Requires that the first dose be taken within 72 hours of unprotected intercourse
B) Requires that the woman take second and third doses at 24 and 36 hours after the first dose
C) Must be taken in conjunction with an IUD insertion
D) Most states require the woman to have a valid prescription
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Page 33
Chapter 32: Womens HealthCare
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8535
Sample Questions
Q1) Which statement by the patient indicates that she understands breast self-examination?
A) "I will examine both breasts in two different positions."
B) "I will perform breast self-examination 1 week after my menstrual period starts."
C) "I will examine the outer upper area of the breast only."
D) "I will use the palm of the hand to perform the examination."
Q2) Which statement by a woman diagnosed with premenstrual syndrome indicates that further health teaching is needed?
A) "I may have to try some antidepressants."
B) "I need to limit my intake of caffeine."
C) "I might try taking some vitamin E."
D) "Salty foods will not affect this condition."
Q3) A woman calls the triage nurse at the family medicine clinic and reports a raised area on her vulva.What response by the nurse is best?
A) Ask her when her next annual physical is due.
B) Make an appointment for the next day or two.
C) Send her directly to the emergency department.
D) Ask about protection she uses during sexual activity.
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Page 34
Chapter 33: Physical Assessment of Children
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8536
Sample Questions
Q1) Which tool measures body fat most accurately?
A) Measuring board
B) Calipers
C) Cloth tape measure
D) Paper or metal tape measure
Q2) A student nurse hears two registered nurses discussing a child who has neurologic soft signs.The student asks what this means.What response by the nurse is best?
A) The baby's fontanels have not yet closed.
B) Tests of neurologic function are indeterminate.
C) The child can't perform activities he should be able to.
D) The child has a significant neurologic disorder.
Q3) Which chart should the nurse use to assess the visual acuity of an 8-year-old child?
A) Lea chart
B) Snellen chart
C) HOTV chart
D) Tumbling E chart
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Chapter 34: Emergency Care of the Child
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A 5-year-old child is in cardiopulmonary arrest,and the nursing staff is performing CPR.One of the nurses is doing compressions at the rate of 90 per minute.What action by the charge nurse is best?
A) Take over compressions.
B) Tell the nurse to speed up.
C) Tell the nurse to slow down.
D) Have the nurse compress more deeply.
Q2) A preschool child in the emergency department has a respiratory rate of 10 breaths per minute.How should the nurse interpret this finding?
A) The child is relaxed.
B) Respiratory failure is likely.
C) This child is in respiratory distress.
D) The child's condition is improving.
Q3) What is the goal of the initial intervention for a child in cardiopulmonary arrest?
A) Establishing a patent airway
B) Determining a pulse rate
C) Removing clothing
D) Reassuring the parents
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Chapter 35: The Ill Child in the Hospital and Other Care Settings
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Based on concepts related to the normal growth and development of children,which child would have the most difficulty with separation from family during hospitalization?
A) A 5-month-old infant
B) A 15-month-old toddler
C) A 4-year-old child
D) A 7-year-old child
Q2) Which is an appropriate nursing intervention for the hospitalized neonate?
A) Assign the neonate to a room with other neonates.
B) Provide play activities in the hospital room.
C) Offer the neonate a pacifier between feedings.
D) Request that parents bring a security object from home.
Q3) Which question most likely elicits information about how a family is coping with a child's hospitalization?
A) "Was this admission an emergency?"
B) "How has your child's hospitalization affected your family?"
C) "Who is taking care of your other children while you are here?"
D) "Is this the child's first hospitalization?"
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Page 37
Chapter 36: The Child with a Chronic Condition or Terminal Illness
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/8539
Sample Questions
Q1) A nurse is caring for a dying child.What action by the nurse best meets the the primary concern of the parents?
A) Giving the child pain medication on a schedule
B) Placing the child on fall and safety precautions
C) Providing the child with favorite foods when requested
D) Ensuring the child gets the minimum fluid requirement
Q2) Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability.After the shock phase,a period of adjustment usually follows.This is often characterized by which response?
A) Denial
B) Anger
C) Social reintegration
D) Acceptance of child's limitations
Q3) At what age do most children have an adult concept of death as being inevitable,universal,and irreversible?
A) 4 to 5 years
B) 6 to 8 years
C) 9 to 11 years
D) 12 to 16 years
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Chapter 37: Principles and Procedures for Nursing Care of Children
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8540
Sample Questions
Q1) Which action is appropriate to promote a toddler's nutrition during hospitalization?
A) Allow the child to walk around during meals.
B) Require the child to empty his or her plate.
C) Ask the child's parents to bring a cup and utensils from home.
D) Select new foods for the child from the menu.
Q2) An important nursing consideration when performing a bladder catheterization on a young child is to
A) use clean technique, not Standard Precautions.
B) insert 2% lidocaine lubricant into the urethra.
C) lubricate catheter with water-soluble lubricant such as K-Y Jelly.
D) delay catheterization for 20 minutes while anesthetic lubricant is absorbed.
Q3) In preparing to give enemas to a 4-year-old child,what action by the nurse is best?
A) Use tap water.
B) Only use normal saline.
C) Insert the tip of the tube at least 3 inches.
D) Instill 120 to 240 mL of solution.
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Chapter 38: Medication Administration and Safety for
Infants and Children
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8541
Sample Questions
Q1) Which food is appropriate to mix with medication?
A) Formula or milk
B) Applesauce
C) Baby food
D) Orange juice
Q2) When teaching a mother how to administer eye drops,where should the nurse tell her to place them?
A) In the conjunctival sac that is formed when the lower lid is pulled down
B) Carefully under the eyelid while it is gently pulled upward
C) On the sclera while the child looks to the side
D) Anywhere as long as drops contact the eye's surface
Q3) A provider orders odansetron 0.15 mg/kg IV push for a child who weighs 15 pounds.How much medication does the nurse draw up?
Q4) Which muscle should the nurse select to give a 6-month-old infant an intramuscular injection?
A) Deltoid
B) Ventrogluteal
C) Dorsogluteal
D) Vastus lateralis
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Chapter 39: Pain Management for Children
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/8542
Sample Questions
Q1) Which medications are the most effective choices for treating pain associated with inflammation in children? (Select all that apply.)
A) Morphine
B) Acetaminophen
C) Ibuprofen
D) Ketorolac
E) Aspirin
Q2) When assessing a child for pain,the nurse is aware that
A) neonates do not feel pain.
B) pain is an individualized experience.
C) children do not remember pain.
D) a child must cry to express pain.
Q3) In which developmental stage is the child first able to localize pain and describe both the amount and the intensity of the pain felt?
A) Toddler stage
B) Preschool stage
C) School-age stage
D) Adolescent stage
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Chapter 40: The Child with a Fluid and Electrolyte Alteration
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What is the best response for the nurse to give a parent about contacting the physician regarding an infant with diarrhea?
A) "Call your pediatrician if the infant has not had a wet diaper for 6 hours."
B) "The pediatrician should be contacted if the infant has two loose stools in an 8-hour period."
C) "Call the doctor immediately if the infant has a temperature greater than 100° F."
D) "Notify the pediatrician if the infant naps more than 2 hours."
Q2) A child has a 2-day history of vomiting and diarrhea.He has hypoactive bowel sounds and an irregular pulse.Electrolyte values are sodium,139 mEq/L; potassium,3.3 mEq/L; and calcium,9.5 mg/dL.This child is likely to have which of the following electrolyte imbalances?
A) Hyponatremia
B) Hypocalcemia
C) Hyperkalemia
D) Hypokalemia
Q3) Bodily fluids are composed of two elements: water and _____.
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Chapter 41: The Child with an Infectious Disease
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A parent asks the nurse how she will know whether her child has fifth disease.The nurse should advise the parent to be alert for which manifestation?
A) Bull's-eye rash at the site of a tick bite
B) Lesions in various stages of development on the trunk
C) Maculopapular rash on the trunk that lasts for 2 days
D) Bright red rash on the cheeks that looks like slapped cheeks
Q2) How should the nurse respond to a parent who asks,"How can I protect my baby from whooping cough?"
A) "Don't worry; your baby will have maternal immunity to pertussis that will last until approximately 18 months old."
B) "Make sure your child gets the pertussis vaccine."
C) "See the doctor when the baby gets a respiratory infection."
D) "Have your pediatrician prescribe erythromycin."
Q3) Which statement indicates that a father understands the treatment for his child who has scarlet fever?
A) "I can stop the medicine when my child feels better."
B) "I will apply antibiotic cream to her rash twice a day."
C) "I will give the penicillin for the full 10 days."
D) "My child can go back to school after 7 days of antibiotics."
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Page 43
Chapter 42: The Child with an Immunologic Alteration
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8545
Sample Questions
Q1) Which organs and tissues control the two types of specific immune functions?
A) The spleen and mucous membranes
B) Upper and lower intestinal lymphoid tissue
C) The skin and lymph nodes
D) The thymus and bone marrow
Q2) What is the primary nursing concern for a hospitalized child with HIV infection?
A) Maintaining growth and development
B) Eating foods that the family brings to the child
C) Consideration of parental limitations and weaknesses
D) Resting for 2 to 3 hours twice a day
Q3) A nurse is teaching parents about the importance of immunizations for infants because of immaturity of the immune system.The parents demonstrate that they understand the teaching if they make which statement?
A) "We plan to opt out of most childhood vaccinations."
B) "There are only a few diseases that have effective immunizations."
C) "Babies are born with a sophisticated immune system so they need few, if any, immunizations."
D) "Newborns have a hard time fighting infection so they need vaccinations."
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44
Chapter 43: The Child with a Gastrointestinal Alteration
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/8546
Sample Questions
Q1) The nurse is providing home care instructions to the parents of an infant being discharged after repair of a bilateral cleft lip.Which instructions should the nurse include? (Select all that apply.)
A) Acetaminophen (Tylenol) should not be given to your infant.
B) Feed your infant in an upright position.
C) Place your infant prone for a period of time each day.
D) Burp your child frequently during feedings.
E) Apply antibiotic ointment to the lip as prescribed.
Q2) The nurse has educated the parents of a child with celiac disease on diet modifications.Which food choices by the child's parents indicate understanding of teaching? (Select all that apply.)
A) Oatmeal
B) Steamed rice
C) Corn on the cob
D) Baked chicken
E) Peanut butter and jelly sandwich on wheat bread
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Chapter 44: The Child with a Genitourinary Alteration
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A child with secondary enuresis who complains of dysuria or urgency should be evaluated for which condition?
A) Hypocalciuria
B) Nephrotic syndrome
C) Glomerulonephritis
D) UTI
Q2) A nurse is teaching a class on acute kidney injury.The nurse relates that acute kidney injury as a result of hemolytic-uremic syndrome (HUS)is classified as
A) Intrinsic renal.
B) Prerenal.
C) Postrenal.
D) Chronic.
Q3) The primary clinical manifestations of acute kidney injury are which of the following?
A) Oliguria and hypertension
B) Hematuria and pallor
C) Proteinuria and muscle cramps
D) Bacteriuria and facial edema
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Chapter 45: The Child with a Respiratory Alteration
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Sample Questions
Q1) A child has a chronic,nonproductive cough and diffuse wheezing during the expiratory phase of respiration.What action by the nurse is most appropriate?
A) Prepare to administer a bronchodilator.
B) Give ordered antibiotics on time.
C) Provide oxygen via face tent.
D) Assess the airway for a foreign body.
Q2) Which statement is characteristic of acute otitis media (AOM)?
A) The etiology is unknown.
B) Permanent hearing loss often results.
C) It can be treated by intramuscular (IM) antibiotics.
D) It is treated with a broad range of antibiotics.
Q3) Which statement made by a parent indicates an understanding about the genetic transmission of cystic fibrosis (CF)?
A) "Only one parent carries the cystic fibrosis gene."
B) "Both parents are carriers of the cystic fibrosis gene."
C) "The presence of the disease is most likely the result of a genetic mutation."
D) "The mother is usually the carrier of the cystic fibrosis gene."
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Page 47
Chapter 46: The Child with a Cardiovascular Alteration
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A child has a total cholesterol level of 180 mg/dL.What dietary recommendations should the nurse make to the child and the child's parents? (Select all that apply.)
A) Replace whole milk with 1% milk.
B) Increase servings of red meat.
C) Increase servings of fish.
D) Avoid excessive intake of fruit juices.
E) Limit servings of whole grain.
Q2) Which strategy is appropriate when feeding the infant with congestive heart failure?
A) Continue the feeding until a sufficient amount of formula is taken.
B) Limit feeding time to no more than 30 minutes.
C) Always bottle feed every 4 hours.
D) Feed larger volumes of concentrated formula less frequently.
Q3) Before giving a dose of digoxin the nurse checked an infant's apical heart rate and it was 114 beats/minute.What should the nurse do next?
A) Administer the dose as ordered.
B) Hold the medication until the next dose.
C) Wait and recheck the apical heart rate in 30 minutes.
D) Notify the physician about the infant's heart rate.
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Chapter 47: The Child with a Hematologic Alteration
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) What should the discharge plan for a school-age child with sickle cell disease include?
A) Restricting the child's participation in outside activities
B) Administering aspirin for pain or fever
C) Limiting the child's interaction with peers
D) Administering penicillin daily as ordered
Q2) Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vaso-occlusive crisis?
A) Circulatory collapse
B) Cardiomegaly, systolic murmurs
C) Hepatomegaly, intrahepatic cholestasis
D) Painful swelling of hands and feet, painful joints
Q3) What is a priority intervention in planning care for the child with disseminated intravascular coagulation (DIC)?
A) Hospitalization at the first sign of bleeding
B) Teaching the child relaxation techniques for pain control
C) Management in the intensive care unit
D) Provision of adequate hydration to prevent complications
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Chapter 48: The Child with Cancer
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A nurse has taught parents about diagnostic testing for their child who is suspected of having leukemia.What test described by the parents shows good understanding of this information?
A) Complete blood cell count (CBC)
B) Lumbar puncture
C) Bone marrow biopsy
D) Computed tomography (CT) scan
Q2) Children with non-Hodgkin lymphoma are at risk for complications resulting from tumor lysis syndrome (TLS).What findings would the nurse assess for to identify this complication early?
A) Increased ALT, AST
B) Change in level of consciousness
C) Elevated BUN and creatinine
D) Oxygen saturation of 93%
Q3) What should the nurse teach parents about oral hygiene for the child receiving chemotherapy?
A) Brush the teeth briskly to remove bacteria.
B) Use a mouthwash that contains alcohol.
C) Inspect the child's mouth daily for ulcers.
D) Perform oral hygiene twice a day.
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Chapter 49: The Child with an Alteration in Tissue Integrity
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/8552
Sample Questions
Q1) The primary clinical manifestation of scabies is A) edema.
B) redness.
C) pruritus.
D) maceration.
Q2) The skin condition commonly known as "warts" is the result of an infection by which organism?
A) Bacteria
B) Fungus
C) Parasite
D) Virus
Q3) What procedure is contraindicated in the care of a child with a minor partial-thickness burn injury wound?
A) Cleaning the affected area with mild soap and water
B) Applying antimicrobial ointment to the burn wound
C) Changing dressings daily
D) Leaving all loose tissue or skin intact
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Chapter 50: The Child with a Musculoskeletal Alteration
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/8553
Sample Questions
Q1) A priority nursing intervention when caring for a child in a Pavlik harness is A) skin care.
B) bowel function.
C) feeding patterns.
D) respiratory function.
Q2) When providing education for the parents of a child with Duchenne muscular dystrophy,the nurse plans to include
A) testing all female children for the disease.
B) testing the father for the presence of the trait on the Y chromosome.
C) genetic counseling for all female children.
D) testing the parents to determine the carrier.
Q3) A boy who has fractured his forearm is unable to extend his fingers.The nurse knows that this
A) is normal following this type of injury.
B) may indicate compartment syndrome.
C) may indicate fat embolism.
D) may indicate damage to the epiphyseal plate.
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Chapter 51: The Child with an Endocrine or Metabolic Alteration
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which sign is the nurse most likely to assess in a child with hypoglycemia?
A) Urine positive for ketones and serum glucose greater than 300 mg/dL
B) Normal sensorium and serum glucose greater than 160 mg/dL
C) Irritability and serum glucose less than 60 mg/dL
D) Increased urination and serum glucose less than 120 mg/dL
Q2) A neonate is displaying mottled skin,has a large fontanel and tongue,is lethargic,and is having difficulty feeding.The nurse recognizes that this is most suggestive of which disorder?
A) Hypocalcemia
B) Hypothyroidism
C) Hypoglycemia
D) Phenylketonuria (PKU)
Q3) What is the primary concern for a 7-year-old child with type 1 diabetes mellitus who asks his mother not to tell anyone at school that he has diabetes?
A) The child's safety
B) The privacy of the child
C) Development of a sense of industry
D) Peer group acceptance
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Chapter 52: The Child with a Neurologic Alteration
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse is preparing a school-age child for computed tomography (CT scan)to assess cerebral function.Which statement should the nurse include when preparing the child?
A) "Pain medication will be given."
B) "The scan will not hurt."
C) "You will be able to move once the equipment is in place."
D) "Unfortunately no one can remain in the room with you during the test."
Q2) The Glasgow Coma Scale consists of an assessment of A) pupil reactivity and motor response.
B) eye opening and verbal and motor responses.
C) level of consciousness and verbal response.
D) ICP and level of consciousness.
Q3) A 14-year-old is in the intensive care unit after a spinal cord injury 2 days ago.Nursing care for this child includes (Select all that apply.)
A) monitoring and maintaining systemic blood pressure.
B) administering corticosteroids.
C) minimizing environmental stimuli.
D) discussing long-term care issues with the family.
E) monitoring for respiratory complications.
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Page 54
Chapter 53: Psychosocial Problems in Children and Families
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which behavior verbalized by a school-age child should alert the school nurse to a problem of possible obsessive-compulsive disorder (OCD)?
A) States feelings of worthlessness and sadness every day
B) Feels need to ride a bike around the tree in front of the house seven times every day before entering the house
C) Recurrent episodes of chest pain, heart palpitations, and shortness of breath when entering the computer classroom
D) Deterioration of relationships with family members
Q2) A home health care nurse is working with a child whose parents seem to be quite rigid in their rules and expectations and seem very distrustful of the nurse.What action by the nurse is most appropriate?
A) Ask the parents why they don't trust outsiders.
B) Interview the parents separately.
C) Monitor the child for signs of abuse.
D) Assess the parents for substance abuse.
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Chapter
54: The Child With an Intellectual Disability or Developmental Disability
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A parent asks the nurse why a developmental assessment is being conducted for a child during a routine well-child visit.The nurse answers based on the knowledge that routine developmental assessments during well-child visits are
A) not necessary unless the parents request them.
B) the best method for early detection of cognitive disorders.
C) frightening to parents and children and should be avoided.
D) valuable in measuring intelligence in children.
Q2) What should be the major consideration when selecting toys for a child with an intellectual or developmental disability?
A) Safety
B) Age appropriateness
C) Ability to provide exercise
D) Ability to teach useful skills
Q3) The most appropriate nursing diagnosis for a child with a cognitive dysfunction is A) impaired social interaction.
B) deficient knowledge.
C) risk for injury.
D) ineffective coping.
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Chapter 55: The Child with a Sensory Alteration
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32 Verified Questions
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Sample Questions
Q1) A 5-year-old diagnosed with chlamydial conjunctivitis should be carefully assessed for which of the following?
A) Sexual abuse
B) Immune deficiency
C) Congenital cataract
D) Secondary glaucoma
Q2) Discharge planning for an 8-year-old child with a patched eye after a large corneal abrasion should include which instruction?
A) Removing the patch after 8 hours for instillation of antibiotic ointment
B) Gently massaging the affected eye to prevent edema
C) Keeping the patch in place for 24 hours
D) Returning after 7 days of patching for reassessment
Q3) The teaching plan for the parents of a 3-year-old child with amblyopia ("lazy eye")should include what instruction?
A) Apply a patch to the child's eyeglass lenses.
B) Apply a patch only during waking hours.
C) Apply a patch over the "bad" eye to strengthen it.
D) Cover the "good" eye completely with a patch.
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