Prenatal and Postnatal Nursing Care Test Bank
Course Introduction
This course explores the principles and practices of nursing care for women during the prenatal (before birth) and postnatal (after birth) periods. Students will learn to assess maternal and fetal health, provide education on pregnancy, childbirth, and newborn care, and address common complications during pregnancy and the postpartum phase. Emphasis is placed on holistic care approaches, including physical, emotional, and educational support for mothers and families, as well as the identification and management of at-risk pregnancies and newborns. The course prepares nursing students to promote maternal and neonatal well-being through evidence-based interventions and interdisciplinary collaboration.
Recommended Textbook
Maternal Child Nursing Care 2nd Edition by Marcia L. London
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35 Chapters
1810 Verified Questions
1810 Flashcards
Source URL: https://quizplus.com/study-set/2263 Page 2
Chapter 1: Traditional and Community Nursing Care for
Women, Families, and Children
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/44945
Sample Questions
Q1) A nurse is working in an urban clinic with a diverse population.What action by the nurse is most important?
A)Determine patients' definitions of health and desired outcomes of health care.
B)Explain policies such as appointment cancellations to ensure compliance.
C)Learn to speak one or two common languages of the patients in the clinic.
D)Read about different folk remedies common among the populations seen.
Answer: A
Q2) A nurse is describing the use of evidence-based practice (EBP)guidelines to a nursing student.Which explanation of EBP is most accurate?
A)Includes clinical experience and patient preferences
B)MEDLINE used as the primary source for EBP information
C)Requires the staff to be active participants in research
D)Uses research findings to plan interventions for care
Answer: A
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3
Chapter 2: Contemporary Issues in Womens, Families, and
Childrens Health Care
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44946
Sample Questions
Q1) A nurse ensures that a patient does not have questions regarding the upcoming surgical procedure and verifies that the signature on the consent form is the patient's signature.Which ethical principle is this nurse demonstrating?
A)Autonomy
B)Beneficence
C)Fidelity
D)Justice
Answer: A
Q2) A nurse reads in the paper that the death rate for women overall has declined substantially.To what does the nurse correlate this finding?
A)Abundant new choices in contraception
B)Better detection and treatment of breast cancer
C)Greater access to sources of fresh produce
D)Improved diagnosis of heart disease in women
Answer: D
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Chapter 3: The Evolving Family
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44947
Sample Questions
Q1) A hospice nurse is making the initial home visit to a patient who just returned home after a lengthy hospitalization.What action by the nurse is most appropriate to help the family continue to function?
A)Assess the degree of comfort in family caregiving.
B)Ensure the family understands the hospice concept.
C)Provide information about available hospice services.
D)Refer the family to a community counseling center.
Answer: A
Q2) A nurse working in the community understands that health is often affected by social stressors.Which of the following are examples of societal pressures having a negative impact on the health of today's families? (Select all that apply.)
A)Economic trends affecting access to health care
B)Increased HIV/AIDS in women and children
C)Loss of resources in public schools
D)Restricted health-care access for adult males
E)Violence and increased teen suicides
Answer: A,B,C,E
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Page 5
Chapter 4: Caring for Women, Families, and Children
Across the Life Span
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63 Verified Questions
63 Flashcards
Source URL: https://quizplus.com/quiz/44948
Sample Questions
Q1) A young couple is in the clinic for a prenatal exam.The woman expresses concern that her husband continues to binge drink and use drugs on weekends.What action by the nurse is best?
A)Assess the father for reasons why he continues to abuse alcohol and illicit drugs at his age.
B)Explain that if there are drugs in a house with a baby,the baby can be taken away.
C)Help the husband see how his drug and alcohol use is inconsistent with the father role.
D)Warn the husband that he will be putting the baby at risk unless he stops this activity.
Q2) The school nurse wants to create a safe driving program for the high school students.In order to have the greatest impact on safety,on which issue should the nurse focus?
A)Female driving
B)Late-night driving
C)Seat-belt use
D)Sleep deprivation
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Chapter 5: Reproductive Anatomy and Physiology
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/44949
Sample Questions
Q1) A nurse is planning an educational program for middle school boys focused on physical changes they can expect with puberty.Which topics should the nurse plan to include? (Select all that apply.)
A)Changes in patterns of hair
B)Deepening of the voice
C)Growth spurt
D)Narrowing waist
E)Thinning skin
Q2) A nurse has taught a woman about the physical signs that accompany ovulation.Which statement by the patient indicates that teaching has been effective?
A)"I can still conceive for up to 48 hours after ovulation."
B)"My temperature will go down after ovulation."
C)"Thin,watery cervical mucus means I am no longer fertile."
D)"Sticky cervical mucus helps hold the sperm in place on the egg."
Q3) Oval shaped at the inlet but in the anterior-posterior plane
A)Gynecoid
B)Android
C)Anthropoid
D)Platypelloid
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Page 7
Chapter 6: Human Sexuality and Fertility
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44950
Sample Questions
Q1) After an abortion,when should the nurse advise the patient to return for a follow-up visit?
A)2 weeks
B)4 weeks
C)6 weeks
D)8 weeks
Q2) The nurse has educated a woman about bromocriptine mesylate (Parlodel).Which statement by the patient indicates that she needs more teaching about this drug?
A)"I may get a metallic taste in my mouth when using this drug."
B)"My endometriosis will regress with this medication."
C)"Some side effects include vomiting,headache,and dizziness."
D)"This medication normalizes follicle-stimulating hormone."
Q3) A woman who desires a second-trimester medical abortion has been educated about the procedure,side effects,and follow-up.What statement by the patient indicates that additional teaching is needed?
A)"I understand that I might need several doses of the prostaglandins."
B)"I will get over-the-counter medication to treat any headache that I get."
C)"I will watch for dizziness when standing if I have vomiting or diarrhea."
D)"If I get a fever with chills,I should go to the emergency department."
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Page 8
Chapter 7: Conception and Development of the Embryo and Fetus
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44951
Sample Questions
Q1) The perinatal nurse understands that 4 days after fertilization,the morula now contains how many cells?
A)2
B)4
C)8
D)16
Q2) A nurse reads in a patient's chart that the patient has a condition caused by monosomy X.What can the nurse conclude about this patient?
A)Female with one missing X chromosome
B)Female with very feminine features
C)Male with one extra X chromosome
D)Male with very feminine features
Q3) A couple has undergone prenatal testing and their fetus has an identified congenital anomaly.What action by the nurse is best?
A)"I know how you feel;my daughter has a cleft lip."
B)"I'm sure you will come to love your baby anyway."
C)"It is normal for both of you to be afraid,sad,or angry."
D)"You are lucky you found out now and can prepare."
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Chapter 8: Physiological and Psychosocial Changes During Pregnancy
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/44952
Sample Questions
Q1) A woman is in the first trimester of her first pregnancy and confides to the nurse that she is not really sure if she is happy because so many things in her life will change.She is not sure she is willing to alter her current lifestyle.What action by the nurse is most appropriate?
A)Ask the woman if she would like to see a counselor.
B)Reassure the woman that ambivalence is normal now.
C)Refer the woman to an expectant-mother support group.
D)Tell the woman she needs to think of her unborn child.
Q2) To provide anticipatory psychosocial guidance to a woman entering her third trimester,what topic should the nurse plan to include?
A)Extreme fatigue may make the woman very vulnerable at the end.
B)She may feel overwhelmed with the physical discomforts of pregnancy.
C)Initial feelings of uncertainty will go away at childbirth.
D)She may worry about impending childbirth but see it as a relief.
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Chapter 9: The Prenatal Assessment
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44953
Sample Questions
Q1) The nurse is explaining to students in the perinatal clinic that some adolescents are at higher risk of teen pregnancy than others.Which teens does the nurse include in these high-risk groups? (Select all that apply.)
A)Homeless teens
B)Incarcerated teens
C)Teens from two-parent homes
D)Teens with reliable information
E)Teens with religious affiliations
Q2) A prenatal nurse manager wants to help pregnant women in the clinic decrease their stress.Which action by the manager would be best?
A)Conduct childbirth preparation classes on site
B)Display pictures of fetal development
C)Institute primary nursing care for all patients
D)Partner with a counseling service for referrals
Q3) A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?
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Chapter 10: Promoting a Healthy Pregnancy
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44954
Sample Questions
Q1) A nurse is explaining childbirth education choices to an expectant couple.The nurse explains that although each method is different,all methods emphasize some similar concepts.Which concepts does the nurse describe as similar across different methodologies? (Select all that apply.)
A)Biological
B)Financial
C)Psychosocial
D)Relational
E)Social
Q2) A woman in the perinatal clinic is upset that her impending childbirth will cause her to lose her job.What assessment question by the nurse would yield the most important information regarding this situation?
A)"After you give birth,you will probably want to quit your job anyway."
B)"Can you make an appointment with human resources to discuss this?"
C)"Where do you work and how long have you been there?"
D)"Why do you think you will be fired after your baby is born?"
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Chapter 11: Caring for the Woman Experiencing
Complications During Pregnancy
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44955
Sample Questions
Q1) A nurse is preparing to dismiss a woman and her infant from the hospital.The woman is Rh(D)-negative and the infant is Rh(D)-positive.This was her first pregnancy.Which nursing action is most appropriate?
A)Administer Rho(D)immune globulin (RhoGAM)and document accurately.
B)Assess the father to see if he has ever received an injection of RhoGAM.
C)Educate the woman on the need for RhoGAM if she delivers an Rh(D)-negative baby.
D)Instruct the woman to get RhoGAM with her next pregnancy,not for this one.
Q2) The nurse manager in a perinatal clinic is reviewing research related to care of patients with cervical insufficiency and preterm birth.What practice change might result from this review of the literature?
A)Administering fewer doses of Rho(D)immune globulin (RhoGAM)
B)Decreased utilization of cerclage placement in women with preterm labor
C)Measuring serial cervical lengths in all women pregnant with singletons
D)Providing betamethasone (Celestone)as long-term therapy
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Chapter 12: The Process of Labor and Birth
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44956
Sample Questions
Q1) A nurse has assessed baseline fetal heart tones (FHTs)by auscultation and documents a funic soufflé of 158 beats/minute and a uterine soufflé of 90 beats/minute.When the first nurse gives a handoff report to an oncoming nurse,what can the second nurse conclude from this information?
A)Fetal and maternal heart rates are outside of normal limits.
B)Fetal and maternal heart rates are within normal limits.
C)The second nurse cannot distinguish between fetal and maternal heart rates.
D)There is a great deal of fetal heart rate variability between contractions.
Q2) A new nurse is caring for a woman in the transition phase of labor.The nurse attempts to engage the woman in conversation and chats even when the woman doesn't respond to these attempts.What action by the nurse's preceptor is most appropriate?
A)Direct the nurse to attempt conversation with the support person.
B)Encourage the nurse to keep attempting to engage the woman in conversation.
C)Gently ask the nurse to refrain from unnecessary conversation.
D)Tell the nurse not to take the woman's silence as a personal rejection.
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14
Chapter 13: Promoting Patient Comfort During Labor and Birth
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44957
Sample Questions
Q1) The OB clinic nurse is giving a pregnant woman information on different types of anesthesia and pain control for use during labor.What information does the nurse provide about spinal anesthesia block? (Select all that apply.)
A)Anesthesia occurs after only a 10- to 15-minute delay.
B)It can be used for both vaginal and cesarean births.
C)It causes decreased maternal level of consciousness.
D)It may increase the chance of an operative birth.
E)It provides excellent muscular relaxation.
Q2) The perinatal nurse observes a woman entering the transition phase of labor while she uses a patterned breathing method to cope with the increasing strength of contractions.She complains of light-headedness and tingling in her fingers.The most appropriate intervention by the nurse is to assist the patient in doing which of the following?
A)Breathing more slowly and taking a cleansing breath
B)Cupping her hands and breathing into them
C)Putting her head between her knees
D)Returning to bed and lying on her left side
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Page 15
Chapter 14: Caring for the Woman Experiencing
Complications During Labor and Birth
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61 Verified Questions
61 Flashcards
Source URL: https://quizplus.com/quiz/44958
Sample Questions
Q1) A woman is about to undergo an external version.What action by the nurse takes priority?
A)Determine Rh status;give Rh immune globulin if needed.
B)Explain the procedure to the woman and obtain consent.
C)Offer emotional support to both the woman and her partner.
D)Prepare to administer oxytocin (Pitocin)as per protocol.
Q2) The perinatal nurse notes a rapid decrease in the fetal heart rate (FHR)that does not recover immediately following an amniotomy.What action should the nurse perform first?
A)Administer oxygen at 100%.
B)Assess the maternal temperature.
C)Perform a vaginal examination.
D)Recheck the FHR in 30 minutes.
Q3) When caring for a laboring patient,the nurse notes the onset of sudden vaginal bleeding at the beginning of cervical dilation.The patient denies any pain.What action by the nurse is best?
A)Document the findings in the woman's chart.
B)Place the woman in a knee-chest position.
C)Prepare the woman for an immediate cesarean birth.
D)Perform a careful vaginal exam to assess for exposed umbilical cord vessels.
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Chapter 15: Caring for the Postpartal Woman and Her Family
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/44959
Sample Questions
Q1) A visiting nurse is concerned that a mother has not properly bonded with her infant.The nurse should assess for what factors that could impact this process? (Select all that apply.)
A)Chaotic home life
B)Disappointment in her birth experience
C)Lack of family support
D)Poverty
E)Substance abuse
Q2) A mother brings her 3-month-old baby to the clinic for a well-baby check.She appears exhausted and when the nurse questions her,the mother explains that she feels that she is the only person who can look after and care for her infant properly,so all of her time is devoted to this task.The nurse should document which of the following?
A)Difficulty with letting-go,as evidenced by excluding her partner from infant care
B)Poor bonding,as evidenced by resentment toward the baby and fatigue
C)Personal neglect,as evidenced by exhaustion and by not taking care of herself
D)Time management problems,as evidenced by needing the entire day to care for the baby
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Page 17
Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44960
Sample Questions
Q1) A woman is hospitalized emergently for postpartum psychosis.For which of the following does the nurse prepare the patient as initial treatment? (Select all that apply.)
A)Amphetamine and dextroamphetamine (Adderall)
B)Electroconvulsive therapy (ECT)
C)Lithium (Lithobid)
D)Chlorpromazine (Thorazine)
E)Diazepam (Valium)
Q2) A postpartum patient is hemorrhaging despite receiving several medications and fundal massage.What action by the nurse takes priority?
A)Begin weighing all used perineal pads.
B)Obtain informed consent for surgery.
C)Place the woman on her left side.
D)Switch the IV solution to dextrose.
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18
Chapter 17: Physiological Transition of the Newborn
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/44961
Sample Questions
Q1) A healthy term infant is being discharged at 48 hours of age.When should the nurse instruct the mother to follow up with a bilirubin assessment?
A)Within 24 hours
B)Within 24-48 hours
C)Within 5 days
D)In 1 week
Q2) A nurse is assessing a newborn who is jittery,diaphoretic,and hypothermic,and has poor feeding.What laboratory value would the nurse correlate with this condition?
A)Bilirubin: 5 mg/dL
B)Blood glucose: 32 mg/dL
C)Hematocrit: 50%
D)White blood cell count: 25,000/mm<sup>3</sup>
Q3) The nurse is assessing the cardiovascular status of a newborn.Which of the following findings indicates adequate systemic circulation?
A)Capillary refill 2 seconds
B)Capillary refill 4 seconds
C)Pale mucous membranes in a dark-skinned baby
D)Truncal cyanosis
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19
Chapter 18: Caring for the Normal Newborn
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44962
Sample Questions
Q1) The nursery nurse notes the presence of diffuse edema on a newborn baby's head.Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth.What action by the nurse is best?
A)Document the findings in the infant's chart.
B)Measure head circumference every 12 hours.
C)Prepare to administer IV osmotic diuretics.
D)Transfer the baby to the NICU for monitoring .
Q2) The perinatal nurse wants to contact the pediatrician about a heart murmur that was auscultated during a newborn assessment.During what time frame would hearing the murmur lead the nurse to contact the health-care provider?
A)8 to 12 hours
B)12 to 24 hours
C)24 to 48 hours
D)48 to 72 hours
Q3) When assessing a newborn baby,which action should the nurse perform first?
A)Auscultate the baby's heart and lungs.
B)Don clean gloves before taking the baby.
C)Record the parents' choice of name.
D)Suction the nares and then the mouth.
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Page 20
Chapter 19: Caring for the Newborn at Risk
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/44963
Sample Questions
Q1) An experienced NICU nurse is explaining to a new nurse why premature infants have such great nutritional needs.What information should the experienced nurse include?
(Select all that apply.)
A)The pancreas doesn't produce enough insulin for food use.
B)Their guts are premature and don't absorb nutrients.
C)They haven't built up stores in utero like term babies.
D)They have complications that increase their metabolic rate.
E)They lose 10% of their already-low weight at birth.
Q2) A nurse is caring for a premature infant on oxygen.What action is critical for the infant's safety?
A)Educate the parents to care for an infant on oxygen.
B)Keep the infant in an incubator while on oxygen.
C)Obtain daily chest x-rays to monitor lung maturity.
D)Use the lowest amount of oxygen possible.
Q3) A newborn baby has a calcium level of 7.1 mg/dL.What information should the nurse provide the parents?
A)Low calcium can cause high blood sugars.
B)Postterm babies are most at risk for this condition.
C)The level will be rechecked at 72 hours.
D)Your baby needs to have a magnesium level check.
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Chapter 20: Caring for the Developing Child
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44964
Sample Questions
Q1) A nurse educator is presenting developmental theories to a group of students.Which statement encompasses the impact that Carol Gilligan had on developmental theories?
A)Helped define moral development in women as unique from men
B)Described the seven stages of religious/faith development
C)Identified nine temperamental traits present at birth in all children
D)Viewed the status of the family's oldest child as the marker for transition
Q2) A nurse is teaching parents about appropriate discipline for their toddler.Which information is appropriate for the nurse to include in the session? (Select all that apply.)
A)Be firm and specific but respectful.
B)Deliver consequences immediately.
C)Tie consequences to the action if possible.
D)Time-outs are 5 minutes for each year of life.
E)Try to anticipate and avoid tantrums.
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Chapter
Community,and Across Care Settings
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/44965
Sample Questions
Q1) A 34-lb child needs acetaminophen (Tylenol).The correct dose range for this child is____________________ mg .
Q2) A father is at the bedside of his hospitalized disabled child.He begins crying,saying he has lost his job and no longer has insurance,so he is unsure of how to pay for the child's medical bills.What action by the nurse would be most helpful?
A)Consult with a social worker who can discuss state and federal insurance programs.
B)Give the father written information on state health insurance options for children.
C)Listen to the father's concerns and tell him you understand how he must feel.
D)Tell the father not to worry;the health of his child is more important than money.
Q3) A child weighs 8 lb.The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL.
Q4) A child who weighs 16 lb received an overdose of morphine sulfate and needs naloxone (Narcan).The safe dose for this child is ____________________ mg.
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Page 23
Chapter 22: Caring for the Child With a Psychosocial or Cognitive Condition
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/44966
Sample Questions
Q1) A father brings his child to the clinic with complaints that the child jumps around,gestures continuously with the hands,and makes grunting noises.He wants to know if the child has attention deficit-hyperactivity disorder (ADHD).What response by the nurse is the most appropriate?
A)"Does your child have risks for obsessive-compulsive disorder?"
B)"I don't think so;that sounds more like a tic disorder."
C)"Possibly;those are some classic symptoms of ADHD."
D)"Yes,that definitely sounds like ADHD to me."
Q2) A child with Down's syndrome has been admitted to the hospital with a respiratory condition and is producing thick,tenacious mucus.Which nursing action is the priority?
A)Ensuring a patent airway
B)Involving child-life therapy
C)Preventing nosocomial infection
D)Relieving stress at hospitalization
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Chapter 23: Caring for the Child With a Respiratory Condition
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/44967
Sample Questions
Q1) The pediatric clinic nurse cares for many children with viral upper respiratory infections.Which seasonal characteristics of these infections would the clinic nurse include when educating parents? (Select all that apply.)
A)Adenovirus is very prevalent in the winter.
B)Coronavirus is commonly seen in the spring.
C)Infections with parainfluenza are seen in autumn.
D)Respiratory syncytial virus is a problem in summer.
E)Rhinovirus is more common in the early fall.
Q2) A nurse is using the CUPS method of assessing a child's respiratory status and documents the following: open airway containing secretions,increased respiratory rate and effort,wheezing,mucous membranes pale pink in color,and fever.Based on this system,which is the appropriate rating for this child?
A)Critical
B)Potentially unstable
C)Stable
D)Unstable
Q3) A child who weighs 32 lb (14.5 kg)is prescribed erythromycin (Sumycin)every 8 hours.Calculate the dose range for a single dose of this drug.(Round to the nearest hundredth).
Page 25
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Chapter 24: Caring for the Child With a Gastrointestinal Condition
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44968
Sample Questions
Q1) A nurse is conducting prenatal classes and teaches about common congenital defects.A pregnant woman asks how to prevent Meckel diverticulum,which she had when she was born.What information does the nurse provide to this pregnant woman?
A)Adequate intake of folic acid will prevent this condition from developing.
B)Avoid second-hand smoke,pollution,and exposure to heavy metals.
C)Early initiation of breastfeeding after birth is a preventative measure.
D)This condition is not preventable,but good prenatal care is still important.
Q2) An adolescent is being treated with sulfasalazine (Azulfadine)for moderate Crohn's disease.How does the nurse explain the action of this medication to the patient?
A)Causes immunosuppression
B)Lessens diarrhea occurrences
C)Reduces inflammation
D)Treats crampy abdominal pain
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/44969
Sample Questions
Q1) A nurse is caring for a 5-year-old child diagnosed with Wiskott-Aldrich syndrome.When reviewing today's laboratory results,which finding does the nurse correlate with this condition?
A)Hemoglobin: 7.3 mg/dL
B)PaO<sub>2</sub>: 64 mm Hg
C)Platelet count: 6,000
D)White blood cell count: 33,000/mm<sup>3</sup>
Q2) A child is hospitalized with a serious bacterial infection.Which assessment finding indicates that the goals for a priority nursing diagnosis have been met?
A)Intact skin integrity
B)Normal temperature
C)Stable weight
D)Urine output of 1 mL/kg/hour
Q3) A nursing student is learning about the immune system.Which statement about immunoglobulins is correct?
A)Adult levels of IgG are reached by the age of 6 months.
B)Children are born with adult levels of IgA.
C)IgE leads the body's attack against bacteria and viruses.
D)IgM is the first type of antibody made in response to infection.
Page 27
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Chapter 26: Caring for the Child With a Cardiovascular Condition
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58 Verified Questions
58 Flashcards
Source URL: https://quizplus.com/quiz/44970
Sample Questions
Q1) A nurse notes that a child's chart describes a heave.Which assessment should the nurse perform to correlate with this finding?
A)Assess for nausea.
B)Auscultate for heart sounds.
C)Listen to lung sounds.
D)Review the last ECG.
Q2) A child has coarctation of the aorta (CoA).The parents report that the child is hesitant to participate in activities due to aching in his legs.Which information does the nurse provide?
A)"Aching or pain is due to lower blood pressure in the legs."
B)"Encourage activity so that collateral circulation develops."
C)"Maybe he is getting to much blood pressure medication."
D)"Your child needs to rest and limit participation in activities."
Q3) A 5-year-old child is being discharged after valve replacement surgery.Which discharge information specific to this child does the nurse provide?
A)"Be sure to keep all follow-up appointments."
B)"Encourage your child to eat a healthy diet."
C)"Monitor the chest incision for redness or heat."
D)"This valve will need replacement in about 5 years."
Page 28
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Chapter 27: Caring for the Child With an Endocrinological or
Metabolic Condition
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) A child is diagnosed with congenital adrenal hyperplasia.The child's parents ask the nurse what this means.Which response by the nurse is the most appropriate?
A)"Your child is not producing ACTH."
B)"Your child is not producing androgens."
C)"Your child is not producing cortisol."
D)"Your child is not producing corticosteroid-releasing hormone."
Q2) A nurse is caring for four teenagers with diabetic ketoacidosis.Which patient should the nurse see first?
A)pH: 7.22
B)Potassium: 7.2 mEq/L
C)Sodium: 128 mEq/L
D)White blood cell count: 17,250 mm<sup>3</sup>
Q3) A nurse is caring for a 45-kg (99-lb)child undergoing a water deprivation test.At a routine assessment during the test,the nurse notes the child's weight at 42 kg.Which action by the nurse takes priority?
A)Allows the child to have clear liquids,like broth
B)Documents the findings and continues to monitor
C)Increases the rate of the IV fluid infusion by 5%
D)Notifies the health-care provider immediately
Page 29
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Chapter 28: Caring for the Child With a Neurological or Sensory Condition
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60 Verified Questions
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Sample Questions
Q1) A nurse assesses a 1-month old's Glasgow Coma Scale (GCS)and finds the following: opens eyes to pain,irritable cry,localizes pain.Your calculation indicates that this child's GCS is ____________________.
Q2) A hospitalized child is having a seizure.Which action by the nurse takes priority?
A)Apply oxygen and oximeter.
B)Give anti-seizure medications.
C)Pad the side rails of the bed.
D)Turn the child on his or her side.
Q3) A school-aged child wishes to learn embroidery from her grandmother,but the grandmother reports that the child can only concentrate on the projects for a short time and seems frustrated.What action by the nurse is the most appropriate?
A)Advise that the child needs more physical activity.
B)Explain that the child is too young for this project.
C)Suggest that the child have a routine vision exam.
D)Teach behavior modification to the grandmother.
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Chapter 29: Caring for the Child With a Musculoskeletal Condition
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63 Verified Questions
63 Flashcards
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Sample Questions
Q1) A 5-year-old child is hospitalized with osteomyelitis and will be going home in the next few days on intravenous (IV)antibiotics.Which action by the nurse is the most appropriate?
A)Ensure that a valid permit for a PICC line is on the chart.
B)Locate a pharmacy that will supply the IV medications.
C)Research the patient's insurance for home infusion coverage.
D)Teach the child about a PICC line using a doll.
Q2) A child has been hospitalized with suspected osteomyelitis.The child's white blood cell count (WBC)is 22,000/mm³ and his C-reactive protein is 15 mg/dL.Which conclusion by the nurse is appropriate based on these laboratory values?
A)The child has an infection somewhere.
B)The child has osteomyelitis.
C)The child is immunocompromised.
D)These tests are not related to the condition.
Q3) A nurse is completing a Pediatric Fall Risk Assessment on a child.The child has had no falls in the last 3 months,had surgery to repair a femur fracture on admission,is learning to use crutches,has a saline lock,is oriented to own ability,and is on narcotics.This child's fall risk score is ____________________.
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Chapter 30: Caring for the Child With a Integumentary Condition
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45 Verified Questions
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Sample Questions
Q1) A 10-year-old child is in the emergency department with burns on her buttocks,the backs of her thighs,and the soles of her feet.The nurse calculates this child's total body surface area (TBSA)burned as ____________________.
Q2) A child in the emergency department has cellulitis on the forearm.A nursing student is preparing to administer benzathine penicillin (Bicillin LA).Which action by the nursing student warrants intervention by the staff nurse?
A)Instructs the family members that they must wait at least 15 minutes before leaving
B)Plans to use a 25-gauge, \(3 / 4\) -inch needle to administer the medication
C)Reconstitutes the medication using sterile normal saline solution
D)Selects a large,well-defined muscle for a deep intramuscular injection
Q3) The clinic nurse is assessing a child who had a tick bite for tick-borne disease.What assessment finding indicates to the nurse the child may have Rocky Mountain Spotted Fever and not Lyme disease?
A)Abdominal pain
B)Clear skin
C)Fever
D)Headache
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Chapter 31: Caring for the Child With a Genitourinary Condition
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Sample Questions
Q1) A child is receiving hemodialysis.The parents ask why hypotension is a possible complication.Which response by the nurse is the most appropriate?
A)"It could be from the anticoagulant we use."
B)"Kidney disease can often cause hypotension."
C)"The treatment is removing fluid from his body."
D)"Your child is critically ill and is unstable."
Q2) A new mother asks the nurse why babies are more prone to dehydration than adults.Which rationales from the nurse best answer this mother's question? (Select all that apply.)
A)A greater body surface area than adults
B)Higher percentage of total body water
C)Improved ability of kidneys to concentrate urine
D)Kidneys too efficient in excreting waste
E)More fluids losses through GI tract and skin
Q3) A child weighs 32 kg (74.4 lb).This child's 24-hour fluid requirements would be calculated as ____________________.
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Chapter 32: Caring for the Child With a Hematological Condition
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Sample Questions
Q1) Which health promotion measure does the nurse teach as being most important for the child with sickle cell disease?
A)Adequate nutrition
B)Ensured rest periods
C)Plenty of fluids
D)Routine vaccinations
Q2) The pediatric nurse knows that which of the following might be included in the collaborative care of children with mild to moderate anemia? (Select all that apply.)
A)Administration of epopoietin alfa (Epogen)
B)Blood product transfusions
C)Bone marrow transplantation
D)Routine laboratory analysis
E)Supplements and iron-rich diet
Q3) A child presents to the emergency department with sickle cell crisis.Which intervention does the nurse perform first?
A)Administer oxygen.
B)Assess and treat pain.
C)Provide warm blankets.
D)Start IV fluids.
34
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Chapter 33: Caring for the Child With Cancer
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55 Verified Questions
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Q1) A student nurse wants to provide nonpharmacological pain management interventions to a hospitalized child with cancer.Which action by the student causes the faculty member to intervene?
A)Applying a moist heat pack
B)Giving the child a massage
C)Reading the child a story
D)Using candles for aromatherapy
Q2) A parent brings a 10-year-old child to the clinic,reporting that the child fell while playing and now has a limp several days later.In completing a history,which other finding would the nurse correlate more with bone cancer than a minor trauma?
A)Decreased appetite for the last month
B)Fatigues easily when playing outdoors
C)Limping several weeks prior to the fall
D)Often has unexplained extremity bruises
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Chapter 34: Caring for the Child With a Chronic Condition or
the Dying Child
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30 Verified Questions
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Sample Questions
Q1) A nurse notes that a patient with cystic fibrosis develops difficult breathing.The nurse calls the father to report his condition.The father,who has been continually present,cannot be there because the patient's sister has influenza and the father stayed at home to care for his daughter.In the morning,the nurse sees the patient's father and approaches him to talk.Which statement by the nurse is most appropriate at this time?
A)"I feel sorry that you were not here when your son got so sick last night."
B)"Please sit down.I want to update you about your son's condition."
C)"Your son had a difficult night.It is too bad you were not here with him."
D)"Your son might die.Come with me now and see him before it's too late."
Q2) As part of therapeutic play for the patients,the pediatric nurse reads a book about children receiving injections.For which age group is this nursing intervention most appropriate?
A)Adolescents
B)Preschoolers
C)School-aged children
D)Toddlers
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Chapter 35: Caring for the Critically Ill Child
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Q1) A child has just had an invasive hemodynamic monitor inserted.After connecting the monitoring device to the monitor,what action should the nurse take next?
A)Assess the child's postprocedural pain status.
B)Document hemodynamic assessments.
C)Have the parents return to the room to comfort the child.
D)Perform hand hygiene and dispose of equipment.
Q2) A nurse is supervising a student who is suctioning a 5-year-old patient in the pediatric intensive care unit.Which action by the student results in the nurse intervening?
A)Auscultates lung sounds beforehand
B)Cleanses catheter after suctioning
C)Hyperoxygenates prior to suctioning
D)Sets suction pressure to 150 mm Hg
Q3) A child who weighs 28 lb needs fluid resuscitation.The nurse plans to administer
Q4) A child weighs 32 lb.The health-care provider orders a loading dose of midazolam (Versed)prior to intubation.The safe dose range for this drug is
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