Pediatric Nursing Test Bank
Course Introduction
Pediatric Nursing focuses on the specialized care of infants, children, and adolescents, emphasizing their unique physiological, psychological, and developmental needs. This course covers the principles and practices of nursing care for young patients, including assessment, diagnosis, planning, implementation, and evaluation of health interventions. Students learn about growth and development milestones, common pediatric diseases and disorders, administration of medications and vaccinations, family-centered care, ethical and legal considerations, and strategies for effective communication with children and their families. The course prepares nursing students to deliver safe, compassionate, and evidence-based care in a variety of pediatric healthcare settings.
Recommended Textbook
Maternal Child Nursing Care 6th Edition by
Shannon E. Perry
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49 Chapters
1708 Verified Questions
1708 Flashcards
Source URL: https://quizplus.com/study-set/1706
Page 2
Chapter 1: 21st Century Maternity Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33867
Sample Questions
Q1) Pediatric imaging
A)Ask the patient to "teach back."
B)Comply with CDC guidelines.
C)Ensure that information is documented in a timely manner.
D)Promote interventions that will reduce patient risk.
E)Reduce exposure to radiation.
Answer: E
Q2) The role of the professional nurse caring for childbearing families has evolved to emphasize:
A) providing care to patients directly at the bedside.
B) primarily hospital care of maternity patients.
C) practice using an evidence-based approach.
D) planning patient care to cover longer hospital stays.
Answer: C
Q3) Alternative and complementary therapies:
A) replace conventional Western modalities of treatment.
B) are used by only a small number of American adults.
C) recognize the value of patients' input into their health care.
D) focus primarily on the disease an individual is experiencing.
Answer: C
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Chapter 2: The Family, culture, spirituality, and Home Care
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33868
Sample Questions
Q1) Step One
A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"
Answer: B
Q2) Step Four
A)Introduce yourself to the interpreter and converse informally.
B)Outline your statements and questions, listing the key pieces of information you need to know.
C)Make sure the interpreter is comfortable with technical terms.
D)Learn something about the culture of the patient.
E)Make notes on what you learned for future reference.
F)Stop every now and then and ask the interpreter "How is it going?"
Answer: C
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Chapter 3: Assessment and Health Promotion
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/33869
Sample Questions
Q1) Individual irregularities in the ovarian (menstrual)cycle are most often caused by:
A) variations in the follicular (preovulatory) phase.
B) an intact hypothalamic-pituitary feedback mechanism.
C) a functioning corpus luteum.
D) a prolonged ischemic phase.
Answer: A
Q2) During a health history interview,a woman states that she thinks that she has "bumps" on her labia.She also states that she is not sure how to check herself.The correct response would be to:
A) reassure the woman that the examination will not reveal any problems.
B) explain the process of vulvar self-examination to the woman and reassure her that she should become familiar with normal and abnormal findings during the examination.
C) reassure the woman that "bumps" can be treated.
D) reassure her that most women have "bumps" on their labia.
Answer: B
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Chapter 4: Reproductive System Concerns
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/33870
Sample Questions
Q1) With regard to dysmenorrhea,nurses should be aware that:
A) it is more common in older women.
B) it is more common in leaner women who exercise strenuously.
C) symptoms can begin at any point in the ovulatory cycle.
D) pain usually occurs in the suprapubic area or lower abdomen.
Q2) A woman has a breast mass that is not well delineated and is nonpalpable,immobile,and nontender.This is most likely:
A) fibroadenoma.
B) lipoma.
C) intraductal papilloma.
D) mammary duct ectasia.
Q3) When assessing a patient for amenorrhea,the nurse should be aware that this is unlikely to be caused by:
A) anatomic abnormalities.
B) type 1 diabetes mellitus.
C) lack of exercise.
D) hysterectomy.
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6
Chapter 5: Infertility, contraception, and Abortion
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33871
Sample Questions
Q1) In their role of implementing a plan of care for infertile couples,nurses should:
A) be comfortable with their sexuality and nonjudgmental about others to counsel their patients effectively.
B) know about such nonmedical remedies as diet, exercise, and stress management.
C) be able to direct patients to sources of information about what herbs to take that might help and which ones to avoid.
D) do all of the above plus be knowledgeable about potential drug and surgical remedies.
Q2) Which statement is true about the term contraceptive failure rate?
A) It refers to the percentage of users expected to have an accidental pregnancy over a 5-year span.
B) It refers to the minimum level that must be achieved to receive a government license.
C) It increases over time as couples become more careless.
D) It varies from couple to couple, depending on the method and the users.
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Chapter 6: Genetics, conception, and Fetal Development
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/33872
Sample Questions
Q1) 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.
Q2) Sally comes in for her first prenatal examination.This is her first child.She asks you (the nurse),"How does my baby get air inside my uterus?" The correct response is:
A) "The baby's lungs work in utero to exchange oxygen and carbon dioxide."
B) "The baby absorbs oxygen from your blood system."
C) "The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream."
D) "The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen."
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8
Chapter 7: Anatomy and Physiology of Pregnancy
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/33873
Sample Questions
Q1) A 31-year-old woman believes that she may be pregnant.She took an OTC pregnancy test 1 week ago after missing her period; the test was positive.During her assessment interview,the nurse enquires about the woman's last menstrual period and asks whether she is taking any medications.The woman states that she takes medicine for epilepsy.She has been under considerable stress lately at work and has not been sleeping well.She also has a history of irregular periods.Her physical examination does not indicate that she is pregnant.She has an ultrasound scan that reveals she is not pregnant.What is the most likely cause of the false-positive pregnancy test result?
A) She took the pregnancy test too early.
B) She takes anticonvulsants.
C) She has a fibroid tumor.
D) She has been under considerable stress and has a hormone imbalance.
Q2) The maternity nurse understands that vascular volume increases 40% to 45% during pregnancy to:
A) compensate for decreased renal plasma flow.
B) provide adequate perfusion of the placenta.
C) eliminate metabolic wastes of the mother.
D) prevent maternal and fetal dehydration.
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Page 9
Chapter 8: Nursing Care of the Family During Pregnancy
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33874
Sample Questions
Q1) A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity.The nurse would recommend that she:
A) do Kegel exercises.
B) do pelvic rock exercises.
C) use a softer mattress.
D) stay in bed for 24 hours.
Q2) Hyperemesis gravidarum
A)Severe vomiting in early pregnancy
B)Epigastric pain in late pregnancy
C)Severe backache and flank pain
D)Decreased fetal movement
E)Glycosuria
Q3) The multiple marker test is used to assess the fetus for which condition?
A) Down syndrome
B) Diaphragmatic hernia
C) Congenital cardiac abnormality
D) Anencephaly
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10
Chapter 9: Maternal and Fetal Nutrition
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/33875
Sample Questions
Q1) A newly pregnant patient visits her provider's office for the first prenatal appointment.To estimate accurate weight gain throughout the pregnancy,the nurse will be evaluating the appropriateness of weight for height using the body mass index (BMI).The patient weighs 51 kg and is 1.57 m tall.The BMI is:
Q2) Nutrition is one of the most significant factors influencing the outcome of a pregnancy.It is an alterable and important preventive measure for various potential problems,such as low birth weight and prematurity.While completing the physical assessment of the pregnant patient,the nurse can evaluate the patient's nutritional status by observing a number of physical signs.Which sign would indicate that the patient has unmet nutritional needs?
A) Normal heart rate, rhythm, and blood pressure
B) Bright, clear, shiny eyes
C) Alert, responsive, and good endurance
D) Edema, tender calves, and tingling
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Chapter 10: Assessment of High-Risk Pregnancy
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/33876
Sample Questions
Q1) The nurse sees a woman for the first time when she is 30 weeks pregnant.The woman has smoked throughout the pregnancy,and fundal height measurements now are suggestive of growth restriction in the fetus.In addition to ultrasound to measure fetal size,what other tool would be useful in confirming the diagnosis?
A) Doppler blood flow analysis
B) Contraction stress test (CST)
C) Amniocentesis
D) Daily fetal movement counts
Q2) Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?
A) Multiple-marker screening
B) Lecithin/sphingomyelin [L/S] ratio
C) Biophysical profile
D) Type and crossmatch of maternal and fetal serum
Q3) Abnormal placenta development
A)Polyhydramnios
B)Intrauterine growth restriction (maternal cause)
C)Oligohydramnios
D)Chromosomal abnormalities
E)Intrauterine growth restriction (fetoplacental cause)
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Chapter 11: High-Risk Perinatal Care: Preexisting Conditions
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/33877
Sample Questions
Q1) Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?
A) Hypoglycemia
B) Hypercalcemia
C) Hypobilirubinemia
D) Hypoinsulinemia
Q2) Nursing intervention for the pregnant diabetic patient is based on the knowledge that the need for insulin:
A) increases throughout pregnancy and the after birth period.
B) decreases throughout pregnancy and the after birth period.
C) varies depending on the stage of gestation.
D) should not change because the fetus produces its own insulin.
Q3) When caring for a pregnant woman with cardiac problems,the nurse must be alert for signs and symptoms of cardiac decompensation,which include:
A) a regular heart rate and hypertension.
B) an increased urinary output, tachycardia, and dry cough.
C) shortness of breath, bradycardia, and hypertension.
D) dyspnea; crackles; and an irregular, weak pulse.
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13
Chapter 12: High-Risk Perinatal Care: Gestational Conditions
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/33878
Sample Questions
Q1) The reported incidence of ectopic pregnancy in the United States has risen steadily over the past two decades.Causes include the increase in STDs accompanied by tubal infection and damage.The popularity of contraceptive devices such as the IUD has also increased the risk for ectopic pregnancy.The nurse who suspects that a patient has early signs of ectopic pregnancy should be observing her for symptoms such as: (Select all that apply.)
A) pelvic pain.
B) abdominal pain.
C) unanticipated heavy bleeding.
D) vaginal spotting or light bleeding.
E) missed period.
Q2) Methotrexate is recommended as part of the treatment plan for which obstetric complication?
A) Complete hydatidiform mole
B) Missed abortion
C) Unruptured ectopic pregnancy
D) Abruptio placentae
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Chapter 13: Labor and Birth Processes
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/33879
Sample Questions
Q1) While providing care to a patient in active labor,the nurse should instruct the woman that:
A) the supine position commonly used in the United States increases blood flow.
B) the "all fours" position, on her hands and knees, is hard on her back.
C) frequent changes in position will help relieve her fatigue and increase her comfort.
D) in a sitting or squatting position, her abdominal muscles will have to work harder.
Q2) When assessing the fetus using Leopold maneuvers,the nurse feels a round,firm,movable fetal part in the fundal portion of the uterus and a long,smooth surface in the mother's right side close to midline.What is the likely position of the fetus?
A) ROA
B) LSP
C) RSA
D) LOA
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15
Chapter 14: Maximizing Comfort for the Laboring Woman
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/33880
Sample Questions
Q1) With regard to systemic analgesics administered during labor,nurses should be aware that:
A) systemic analgesics cross the maternal blood-brain barrier as easily as they do the fetal blood-brain barrier.
B) effects on the fetus and newborn can include decreased alertness and delayed sucking.
C) intramuscular (IM) administration is preferred over intravenous (IV) administration.
D) IV patient-controlled analgesia (PCA) results in increased use of an analgesic.
Q2) While developing an intrapartum care plan for the patient in early labor,it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain.These include: (Select all that apply.)
A) culture.
B) anxiety and fear.
C) previous experiences with pain.
D) intervention of caregivers.
E) support systems.
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16
Chapter 15: Fetal Assessment During Labor
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/33881
Sample Questions
Q1) The nurse providing care for the laboring woman comprehends that accelerations with fetal movement:
A) are reassuring.
B) are caused by umbilical cord compression.
C) warrant close observation.
D) are caused by uteroplacental insufficiency.
Q2) When using intermittent auscultation (IA)for fetal heart rate,nurses should be aware that:
A) they can be expected to cover only two or three patients when IA is the primary method of fetal assessment.
B) the best course is to use the descriptive terms associated with electronic fetal monitoring (EFM) when documenting results.
C) if the heartbeat cannot be found immediately, a shift must be made to EFM.
D) ultrasound can be used to find the fetal heartbeat and reassure the mother if initial difficulty was a factor.
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17
Chapter 16: Nursing Care of the Family During Labor and Birth
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/33882
Sample Questions
Q1) A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage.The nurse's best response is:
A) "Don't worry about it. You'll do fine."
B) "It's normal to be anxious about labor. Let's discuss what makes you afraid."
C) "Labor is scary to think about, but the actual experience isn't."
D) "You can have an epidural. You won't feel anything."
Q2) As the United States and Canada continue to become more culturally diverse,it is increasingly important for the nursing staff to recognize a wide range of varying cultural beliefs and practices.Nurses need to develop respect for these culturally diverse practices and learn to incorporate these into a mutually agreed on plan of care.Although it is common practice in the United States for the father of the baby to be present at the birth,in many societies this is not the case.When implementing care,the nurse would anticipate that a woman from which country would have the father of the baby in attendance?
A) Mexico
B) China
C) Iran
D) India
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Chapter 17: Labor and Birth Complications
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/33883
Sample Questions
Q1) Prepidil (prostaglandin gel)has been ordered for a pregnant woman at 43 weeks of gestation.The nurse recognizes that this medication will be administered to:
A) enhance uteroplacental perfusion in an aging placenta.
B) increase amniotic fluid volume.
C) ripen the cervix in preparation for labor induction.
D) stimulate the amniotic membranes to rupture.
Q2) Surgical,medical,or mechanical methods may be used for labor induction.Which technique is considered a mechanical method of induction?
A) Amniotomy
B) Intravenous Pitocin
C) Transcervical catheter
D) Vaginal insertion of prostaglandins
Q3) The nurse practicing in a labor setting knows that the woman most at risk for uterine rupture is:
A) a gravida 3 who has had two low-segment transverse cesarean births.
B) a gravida 2 who had a low-segment vertical incision for delivery of a 10-lb infant.
C) a gravida 5 who had two vaginal births and two cesarean births.
D) a gravida 4 who has had all cesarean births.
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Chapter 18: Postpartum Physiologic Changes
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/33884
Sample Questions
Q1) Knowing that the condition of the new mother's breasts will be affected by whether she is breastfeeding,nurses should be able to tell their patients all the following statements except:
A) breast tenderness is likely to persist for about a week after the start of lactation.
B) as lactation is established, a mass may form that can be distinguished from cancer by its position shift from day to day.
C) in nonlactating mothers colostrum is present for the first few days after childbirth. D) if suckling is never begun (or is discontinued), lactation ceases within a few days to a week.
Q2) Several changes in the integumentary system that appear during pregnancy disappear after birth,although not always completely.What change is almost certain to be completely reversed?
A) Nail brittleness
B) Darker pigmentation of the areolae and linea nigra
C) Striae gravidarum on the breasts, abdomen, and thighs
D) Spider nevi
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Chapter 19: Nursing Care of the Family During the
Postpartum Period
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/33885
Sample Questions
Q1) Under the Newborns' and Mothers' Health Protection Act,all health plans are required to allow new mothers and newborns to remain in the hospital for a minimum of _____ hours after a normal vaginal birth and for _____ hours after a cesarean birth.
A) 24, 73
B) 24, 96
C) 48, 96
D) 48, 120
Q2) Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus?
A) Notify the physician of an impending hemorrhage.
B) Assess the blood pressure and pulse.
C) Evaluate the lochia.
D) Assist the patient in emptying her bladder.
Q3) Mexican
A)Prefer not to give babies colostrum
B)Eat only warm foods and hot drinks
C)Take the placenta home to bury
D)Will not eat pork or pork products
E)Have an IUD inserted after the first child
Page 21
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Chapter 20: Transition to Parenthood
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/33886
Sample Questions
Q1) Nursing activities that promote parent-infant attachment are many and varied.One activity that should not be overlooked is management of the environment.While providing routine mother-baby care,the nurse should ensure that:
A) the baby is able to return to the nursery at night so that the new mother can sleep.
B) routine times for care are established to reassure the parents.
C) the father should be encouraged to go home at night to prepare for mother-baby discharge.
D) an environment that fosters as much privacy as possible should be created.
Q2) A man calls the nurse's station and states that his wife,who delivered 2 days ago,is happy one minute and crying the next.The man says,"She was never like this before the baby was born." The nurse's initial response could be to:
A) tell him to ignore the mood swings, as they will go away.
B) reassure him that this behavior is normal.
C) advise him to get immediate psychological help for her.
D) instruct him in the signs, symptoms, and duration of after birth blues.
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Chapter 21: Postpartum Complications
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/33887
Sample Questions
Q1) A woman who has recently given birth complains of pain and tenderness in her leg.On physical examination the nurse notices warmth and redness over an enlarged,hardened area.The nurse should suspect __________ and should confirm the diagnosis by ___________.
A) disseminated intravascular coagulation; asking for laboratory tests
B) von Willebrand disease; noting whether bleeding times have been extended
C) thrombophlebitis; using real-time and color Doppler ultrasound
D) coagulopathies; drawing blood for laboratory analysis
Q2) Arterial pulses
A)Palpation
B)Auscultation
C)Inspection
D)Observation
E)Measurement
Q3) A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests:
A) uterine atony.
B) lacerations of the genital tract.
C) perineal hematoma.
D) infection of the uterus.
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Chapter 22: Physiologic and Behavioral Adaptations of the Newborn
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/33888
Sample Questions
Q1) What infant response to cool environmental conditions is either not effective or not available to them?
A) Constriction of peripheral blood vessels
B) Metabolism of brown fat
C) Increased respiratory rates
D) Unflexing from the normal position
Q2) A first-time dad is concerned that his 3-day-old daughter's skin looks "yellow." In the nurse's explanation of physiologic jaundice,what fact should be included?
A) Physiologic jaundice occurs during the first 24 hours of life.
B) Physiologic jaundice is caused by blood incompatibilities between the mother and infant blood types.
C) The bilirubin levels of physiologic jaundice peak between 72 to 96 hours of life.
D) This condition is also known as "breast milk jaundice."
Q3) Infants in whom cephalhematomas develop are at increased risk for:
A) infection.
B) jaundice.
C) caput succedaneum.
D) erythema toxicum.
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Chapter 23: Nursing Care of the Newborn and Family
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/33889
Sample Questions
Q1) A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:
A) apply an oil-based lotion to the newborn's skin to prevent dying and cracking.
B) limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea.
C) place eye shields over the newborn's closed eyes.
D) change the newborn's position every 4 hours.
Q2) As part of their teaching function at discharge,nurses should educate parents regarding safe sleep.Which statement is incorrect?
A) Prevent exposure to people with upper respiratory tract infections.
B) Keep the infant away from secondhand smoke.
C) Avoid loose bedding, water beds, and beanbag chairs.
D) Place the infant on his or her abdomen to sleep.
Q3) At 1 minute after birth,the nurse assesses the infant and notes a heart rate of 80 beats/min,some flexion of the extremities,a weak cry,grimacing,and a pink body with blue extremities.The nurse would calculate an Apgar score of ________.
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25
Chapter 24: Newborn Nutrition and Feeding
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/33890
Sample Questions
Q1) Examples of appropriate techniques to wake a sleepy infant for breastfeeding include: (Select all that apply.)
A) unwrapping the infant.
B) changing the diaper.
C) talking to the infant.
D) slapping the infant's hands and feet.
E) applying a cold towel to the infant's abdomen.
Q2) A breastfeeding woman develops engorged breasts at 3 days' after birth.What action would help this woman achieve her goal of reducing the engorgement? The woman:
A) skips feedings to let her sore breasts rest.
B) avoids using a breast pump.
C) breastfeeds her infant every 2 hours.
D) reduces her fluid intake for 24 hours.
Q3) The best reason for recommending formula over breastfeeding is that:
A) the mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk.
B) the mother lacks confidence in her ability to breastfeed.
C) other family members or care providers also need to feed the baby.
D) the mother sees bottle-feeding as more convenient.
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Chapter 25: The High-Risk Newborn
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/33891
Sample Questions
Q1) Human immunodeficiency virus (HIV)may be perinatally transmitted:
A) only in the third trimester from the maternal circulation.
B) by a needlestick injury at birth from unsterile instruments.
C) only through the ingestion of amniotic fluid.
D) through the ingestion of breast milk from an infected mother.
Q2) A plan of care for an infant experiencing symptoms of drug withdrawal should include:
A) administering chloral hydrate for sedation.
B) feeding every 4 to 6 hours to allow extra rest.
C) swaddling the infant snugly and holding the baby tightly.
D) playing soft music during feeding.
Q3) In caring for the preterm infant,what complication is thought to be a result of high arterial blood oxygen level?
A) Necrotizing enterocolitis (NEC)
B) Retinopathy of prematurity (ROP)
C) Bronchopulmonary dysplasia (BPD)
D) Intraventricular hemorrhage (IVH)
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Chapter 26: 21st Century Pediatric Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/33892
Sample Questions
Q1) In addition to injuries,the leading causes of death in adolescents ages 15 to 19 years are:
A) suicide, cancer.
B) homicide, suicide
C) homicide, heart disease.
D) drowning, cancer.
Q2) Which action by the nurse demonstrates use of evidence-based practice (EBP)?
A) Gathering equipment for a procedure
B) Documenting changes in a patient's status
C) Questioning the use of daily central line dressing changes
D) Clarifying a physician's prescription for morphine
Q3) Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)
A) Spending off-duty time with children and families
B) Asking questions if families are not participating in the care
C) Clarifying information for families
D) Buying toys for a hospitalized child
E) Learning about the family's religious preferences
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Chapter 27: Family, social, cultural, and Religious Influences on Child Health Promotion
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/33893
Sample Questions
Q1) Which term best describes a group of people who share a set of values,beliefs,practices,social relationships,law,politics,economics,and norms of behavior?
A) Race
B) Culture
C) Ethnicity
D) Social group
Q2) The mother of a school-age child tells the school nurse that she and her spouse are going through a divorce.The child has not been doing well in school and sometimes has trouble sleeping.The nurse should recognize this as:
A) indicative of maladjustment.
B) common reaction to divorce.
C) suggestive of lack of adequate parenting.
D) unusual response that indicates need for referral.
Q3) In which cultural group is good health considered to be a balance between yin and yang?
A) Asians
B) Australian aborigines
C) Native Americans
D) African-Americans
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Chapter 28: Developmental and Genetic Influences on
Child Health Promotion
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/33894
Sample Questions
Q1) Step 2
A)Crawl
B)Creep
C)Stand
D)Walk
Q2) The nurse is observing parents playing with their 10-month-old daughter.What should the nurse recognize as evidence that the child is developing object permanence?
A) She looks for the toy the parents hide under the blanket.
B) She returns the blocks to the same spot on the table.
C) She recognizes that a ball of clay is the same when flattened out.
D) She bangs two cubes held in her hands.
Q3) Trauma to which site can result in a growth problem for children's long bones?
A) Matrix
B) Connective tissue
C) Calcified cartilage
D) Epiphyseal cartilage plate
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Chapter 29: Communication and Physical Assessment of the Child and Family
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/33895
Sample Questions
Q1) When interviewing the mother of a 3-year-old child,the nurse asks about developmental milestones such as the age of walking without assistance.This should be considered because these milestones are:
A) unnecessary information because the child is age 3 years.
B) an important part of the family history.
C) an important part of the child's past growth and development.
D) an important part of the child's review of systems.
Q2) A school nurse is screening children for scoliosis.Which assessment findings should the nurse expect to observe for scoliosis? (Select all that apply.)
A) Complaints of a sore back
B) Asymmetry of the shoulders
C) An uneven hemline
D) Inability to bend at the waist
E) Unequal waist angles
Q3) Which age-group is most concerned with body integrity?
A) Toddler
B) Preschooler
C) School-age child
D) Adolescent
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Chapter 30: Pain Assessment and Management in Children
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33896
Sample Questions
Q1) Step 3
A)Initiate resuscitation efforts as appropriate
B)Administer the prescribed naloxone (Narcan) dose by slow IV push
C)Prepare to administer naloxone (Narcan) as needed every 2 minutes until desired effect
Q2) Kyle,age 6 months,is brought to the clinic.His parent says,"I think he hurts.He cries and rolls his head from side to side a lot." This most likely suggests which feature of pain?
A) Type
B) Severity
C) Duration
D) Location
Q3) Step 1
A)Initiate resuscitation efforts as appropriate
B)Administer the prescribed naloxone (Narcan) dose by slow IV push
C)Prepare to administer naloxone (Narcan) as needed every 2 minutes until desired effect
Q4) A dose of oxycodone (OxyContin)2 mg/kg has been ordered for a child weighing 33 lbs.The nurse should administer ______ mg of OxyContin.(Record your answer as a whole number.)
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Chapter 31: The Infant and Family
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/33897
Sample Questions
Q1) A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections.The nurse should explain that:
A) this cannot be prevented.
B) infants do not feel pain as adults do.
C) this is not a good reason for refusing immunizations.
D) a topical anesthetic, eutectic mixture of local anesthetic (EMLA), will minimize the discomfort.
Q2) Second
A)Voluntary palmar grasp
B)Reflex palmar grasp
C)Puts objects into a container
D)Neat pincer grasp
E)Builds a tower of two blocks
Q3) How should the nurse describe the fact that a 6 month old has 6 teeth?
A) Normal tooth eruption.
B) Delayed tooth eruption.
C) Unusual and dangerous.
D) Earlier-than-normal tooth eruption.
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33
Chapter 32: The Toddler and Family
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/33898
Sample Questions
Q1) A parent of an 18 month old tells the nurse that the child says "no" to everything and has rapid mood swings.If scolded,the child shows anger and then immediately wants to be held.What is the nurse's best interpretation of this behavior?
A) This is normal behavior for the child's age.
B) This is unusual behavior for the child's age.
C) The child is not effectively coping with stress.
D) The child is showing the need for more attention.
Q2) A parent asks the nurse about how to respond to negativism in toddlers.What is the most appropriate recommendation?
A) Punish the child.
B) Provide more attention.
C) Ask child not always to say "no."
D) Reduce the opportunities for a "no" answer.
Q3) What is the leading cause of death during the toddler period?
A) Injuries
B) Infectious diseases
C) Congenital disorders
D) Childhood diseases
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Chapter 33: The Preschooler and Family
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/33899
Sample Questions
Q1) The nurse is guiding parents in selecting a day care facility for their child.When making the selection,it is especially important to focus on which consideration?
A) Structured learning environment.
B) Socioeconomic status of children.
C) Cultural similarities of children.
D) Teachers knowledgeable about development.
Q2) What is descriptive of the preschooler's understanding of time?
A) Has no understanding of time
B) Associates time with events
C) Can tell time on a clock
D) Uses terms like "yesterday" appropriately
Q3) What is a normal characteristic of the language development of a preschool-age child?
A) Lisp
B) Stammering
C) Echolalia
D) Repetition without meaning
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35
Chapter 34: The School-Age Child and Family
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/33900
Sample Questions
Q1) A nurse teaches parents that team play is important for school-age children.Which abilities can children develop by experiencing team play? (Select all that apply.)
A) Achieve personal goals over group goals.
B) Learn complex rules.
C) Experience competition.
D) Learn about division of labor.
Q2) Which statement accurately describes physical development of a child during the school-age years?
A) The child's weight almost triples.
B) A child grows an average of 2 inches/year.
C) Few physical differences are apparent among children at the end of middle childhood.
D) Fat gradually increases, which contributes to the child's heavier appearance.
Q3) What is the role of the peer group in the life of school-age children?
A) Gives them an opportunity to learn dominance and hostility.
B) Allows them to remain dependent on their parents for a longer time.
C) Decreases their need to learn appropriate sex roles.
D) Provides them with security as they gain independence from their parents.
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36
Chapter 35: The Adolescent and Family
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/33901
Sample Questions
Q1) A 17 year old tells the nurse that he/she is not having sex because it would make his/her parents very angry.This response indicates that the adolescent has a developmental lag in which area?
A) Cognitive development
B) Moral development
C) Psychosocial development
D) Psychosexual development
Q2) Which statement is most descriptive of bulimia during adolescence?
A) Strong sense of control over eating behavior
B) Feelings of elation after the binge-purge cycle
C) Profound lack of awareness that the eating pattern is abnormal
D) Weight that can be normal, slightly above normal, or below normal
Q3) Which is the most commonly used method in completed suicides?
A) Firearms
B) Drug overdose
C) Self-inflected laceration
D) Carbon monoxide poisoning
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Chapter 36: Impact of Chronic Illness, disability, or
End-Of-Life Care for the Child and Family
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/33902
Sample Questions
Q1) A nurse is caring for a child who is near death.Which physical signs indicate the child is approaching death? (Select all that apply.)
A) Body feels warm
B) Tactile sensation decreasing
C) Speech becomes rapid
D) Change in respiratory pattern
E) Difficulty swallowing
Q2) The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home.Whom should the nurse invite to the conference?
A) Family and nursing staff
B) Social worker, nursing staff, and primary care physician
C) Family and key health professionals involved in child's care
D) Primary care physician and key health professionals involved in child's care
Q3) Which is the most descriptive of a school-age child's reaction to death?
A) Is very interested in funerals and burials
B) Has little understanding of words such as forever
C) Imagines the deceased person to be still alive
D) Has an idealistic view of the world and criticizes funerals as barbaric
Page 38
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Chapter 37: Impact of Cognitive or Sensory Impairment on the Child
and Family
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/33903
Sample Questions
Q1) What is the major consideration when selecting toys for a child who is cognitively impaired?
A) Safety
B) Age appropriateness
C) Ability to provide exercise
D) Ability to teach useful skills
Q2) An adolescent male visits his primary care provider complaining of difficulty with his vision.When the nurse asks the adolescent to explain what visual deficits he/she is experiencing,the adolescent states,"I am having difficulty seeing distant objects; they are less clear than things that are close." What disorder does the nurse suspect the adolescent has?
A) Hyphema
B) Astigmatism
C) Amblyopia
D) Myopia
Q3) Which is the most common congenital anomaly associated with Down syndrome?
A) Hypospadias
B) Pyloric stenosis
C) Septal defects
D) Congenital hip dysplasia
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Chapter 38: Family-Centered Care of the Child During
Illness and Hospitalization
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33904
Sample Questions
Q1) The nurse needs to take a blood pressure on the child playing in the playroom.Which is the appropriate procedure for obtaining the blood pressure?
A) Take the blood pressure in the playroom.
B) Ask the child to come to the exam room to obtain the blood pressure.
C) Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom.
D) Document that the blood pressure was not obtained because the child was in the playroom.
Q2) What is an appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler?
A) Provide for privacy
B) Encourage parents to room in
C) Explain procedures and routines
D) Encourage contact with children the same age
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Chapter 39: Pediatric Variations of Nursing Interventions
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/33905
Sample Questions
Q1) The most appropriate nursing action to implement when a preschooler being prepped for outpatient surgery refused to allow the parent to remove his/her underwear?
A) Allow the child to wear their underpants.
B) Discuss to the mother why this is important.
C) Ask the mother to explain to her child why he/she must remove the underwear.
D) Explain in a kind, matter-of-fact manner that this is hospital policy.
Q2) What intervention should the nurse implement when suctioning a child with a tracheostomy?
A) Encouraging the child to cough to raise the secretions before suctioning.
B) Selecting a catheter with a diameter three-fourths as large as the diameter of the tracheostomy tube.
C) Ensuring that each pass of the suction catheter take no longer than 10 seconds.
D) Allowing the child to rest after every 5 times the suction catheter is passed.
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Chapter 40: The Child With Respiratory Dysfunction
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/33906
Sample Questions
Q1) Which vitamin supplements are necessary for children with cystic fibrosis?
A) Vitamin C and calcium
B) Vitamins B<sub>6</sub> and B<sub>12</sub>
C) Magnesium
D) Vitamins A, D, E, and K
Q2) The nurse is caring for a child with carbon monoxide (CO)poisoning associated with smoke inhalation.What intervention is essential in this child's care?
A) Monitor pulse oximetry
B) Monitor arterial blood gases (ABGs)
C) Administer oxygen if respiratory distress develops
D) Administer oxygen if child's lips become bright, cherry red
Q3) Which statement best describes why children have fewer respiratory tract infections as they grow older?
A) The amount of lymphoid tissue decreases.
B) Repeated exposure to organisms causes increased immunity.
C) Viral organisms are less prevalent in the population.
D) Secondary infections rarely occur after viral illnesses.
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Chapter 41: The Child With Gastrointestinal Dysfunction
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/33907
Sample Questions
Q1) Careful hand washing before and after contact can prevent the spread of which condition in day care and school settings?
A) Irritable bowel syndrome
B) Ulcerative colitis
C) Hepatic cirrhosis
D) Hepatitis A
Q2) An infant is brought to the emergency department with poor skin turgor,sunken fontanel,lethargy,and tachycardia.This is suggestive of which condition?
A) Overhydration
B) Dehydration
C) Sodium excess
D) Calcium excess
Q3) The best chance of survival for a child with cirrhosis is:
A) liver transplantation.
B) treatment with corticosteroids.
C) treatment with immune globulin.
D) provision of nutritional support.
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Chapter 42: The Child With Cardiovascular Dysfunction
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/33908
Sample Questions
Q1) In which situation is there the greatest risk that a newborn infant will have a congenital heart defect (CHD)?
A) Trisomy 21 detected on amniocentesis
B) Family history of myocardial infarction
C) Father has type 1 diabetes mellitus
D) Older sibling born with Turner's syndrome
Q2) The nurse is talking to a parent of an infant with heart failure about feeding the infant.Which statement about feeding the child is correct?
A) "You may need to increase the caloric density of your infant's formula."
B) "You should feed your baby every 2 hours."
C) "You may need to increase the amount of formula your infant eats with each feeding."
D) "You should place a nasal oxygen cannula on your infant during and after each feeding."
Q3) Third priority
A)Administer 100% oxygen by blow-by
B)Place infant in knee-chest position
C)Remain calm
D)Give morphine subcutaneously or by an existing intravenous line
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Chapter 43: The Child With Hematologic or Immunologic Dysfunction
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/33909
Sample Questions
Q1) A school-age child is admitted in vaso-occlusive sickle cell crisis.The child's care should include which intervention? (Select all that apply.)
A) Correction of acidosis
B) Adequate hydration
C) Pain management
D) Administration of heparin
E) Replacement of factor VIII
Q2) Which should the nurse teach about prevention of sickle cell crises to parents of a preschool child with sickle cell disease? (Select all that apply.)
A) Limit fluids at bedtime.
B) Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs.
C) Give penicillin as prescribed.
D) Use ice packs to decrease the discomfort of vaso-occlusive pain in the legs.
E) Notify the health care provider if your child begins to develop symptoms of cold.
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Chapter 44: The Child With Cancer
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33910
Sample Questions
Q1) The nurse is taking care of an adolescent with osteosarcoma.The parents ask the nurse about treatment.The nurse should make which accurate response about treatment for osteosarcoma?
A) Treatment usually consists of surgery and chemotherapy.
B) Amputation of the affected extremity is rarely necessary.
C) Intensive irradiation is the primary treatment.
D) Bone marrow transplantation offers the best chance of long-term survival.
Q2) Which is most descriptive of the pathophysiology of leukemia?
A) Increased blood viscosity occurs.
B) Thrombocytopenia (excessive destruction of platelets) occurs.
C) Unrestricted proliferation of immature white blood cells (WBCs) occurs.
D) First stage of coagulation process is abnormally stimulated.
Q3) The nurse is administering an IV chemotherapeutic agent to a child diagnosed with leukemia.The child suddenly begins to wheeze and have severe urticaria.Which is the most appropriate nursing action?
A) Stop drug infusion immediately.
B) Recheck rate of drug infusion.
C) Observe child closely for next 10 minutes.
D) Explain to child that this is an expected side effect.
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Page 46
Chapter 45: The Child With Genitourinary Dysfunction
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/33911
Sample Questions
Q1) A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI).Which urinalysis result should the nurse expect with these conditions?
A) WBC <1; specific gravity 1.008
B) WBC <2; specific gravity 1.025
C) WBC >2; specific gravity 1.016
D) WBC >2; specific gravity 1.030
Q2) A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria.Which dietary menu items should be allowed for this child? (Select all that apply.)
A) Apples
B) Bananas
C) Cheese
D) Carrot sticks
E) Strawberries
Q3) An objective of care for the child with nephrosis is what desired outcome?
A) Reduced blood pressure
B) Reduced excretion of urinary protein
C) Increased excretion of urinary protein
D) Increased ability of tissues to retain fluid
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Chapter 46: The Child With Cerebral Dysfunction
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33912
Sample Questions
Q1) A 5 year old sustained a concussion when falling out of a tree.In preparation for discharge,the nurse is discussing home care with the mother.Which statement made by the mother indicates a correct understanding of the teaching?
A) "I should expect my child to have a few episodes of vomiting."
B) "If I notice sleep disturbances, I should contact the physician immediately."
C) "I should expect my child to have some difficulty concentrating for a while."
D) "If I notice diplopia, I will have my child rest for 1 hour."
Q2) The nurse is caring for a child with severe head trauma after a car accident.Which is an ominous sign that often precedes death?
A) Papilledema
B) Delirium
C) Doll's head maneuver
D) Periodic and irregular breathing
Q3) What is the common vector reservoir for agents causing viral encephalitis in the United States?
A) Tarantula spiders
B) Mosquitoes
C) Carnivorous wild animals
D) Domestic and wild animals
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Page 48
Chapter 47: The Child With Endocrine Dysfunction
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/33913
Sample Questions
Q1) The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise.The nurse should provide the parents with what information to address the child's safety needs?
A) Exercise will increase blood glucose.
B) Exercise should be restricted.
C) Extra snacks are needed before exercise.
D) Extra insulin is required during exercise.
Q2) A child diagnosed with hypoparathyroidism is receiving vitamin D therapy.The parents should be advised to watch for which sign of vitamin D toxicity?
A) Headache and seizures
B) Physical restlessness and voracious appetite without weight gain
C) Weakness and lassitude
D) Anorexia and insomnia
Q3) Which symptom is considered a cardinal sign of diabetes mellitus?
A) Nausea
B) Seizures
C) Impaired vision
D) Frequent urination
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Chapter 48: The Child With Musculoskeletal or Articular Dysfunction
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/33914
Sample Questions
Q1) Which term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine?
A) Scoliosis
B) Ankylosis
C) Lordosis
D) Kyphosis
Q2) Which term is used to describe a type of fracture that does not produce a break in the skin?
A) Simple
B) Compound
C) Complicated
D) Comminuted
Q3) The nurse is teaching the parents of a 7-year-old child who has just had a cast applied for a fractured arm with the wrist and elbow immobilized.Which instructions should be included in the teaching?
A) Swelling of the fingers is to be expected for the next 48 hours.
B) Immobilize the shoulder to decrease pain in the arm.
C) Allow the affected limb to hang down for 1 hour each day.
D) Elevate casted arm when resting and when sitting up.
Page 50
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Chapter 49: The Child With Neuromuscular or Muscular Dysfunction
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33915
Sample Questions
Q1) The nurse is talking to a parent with a child who has a latex allergy.Which statement by the parent would indicate a correct understanding of the teaching?
A) "My child will have an allergic reaction if he comes in contact with yeast products."
B) "My child may have an upset stomach if he eats a food made with wheat or barley."
C) "My child will probably develop an allergy to peanuts."
D) "My child should not eat bananas or kiwis."
Q2) The nurse is caring for an infant with myelomeningocele who is scheduled for surgical repair in the morning.Which early signs of infection should the nurse monitor on this infant? (Select all that apply.)
A) Temperature instability
B) Irritability
C) Lethargy
D) Bradycardia
E) Hypertension
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