Reproductive Health Nursing Question Bank
Course Introduction
Reproductive Health Nursing is a comprehensive course designed to equip nursing students with the knowledge and skills necessary to provide holistic care across the lifespan in matters related to reproductive health. The course emphasizes the physiological, psychological, and social aspects of reproductive health, including fertility, conception, pregnancy, childbirth, postpartum care, family planning, sexually transmitted infections, and gynecological health issues. Through evidence-based practice, students explore the promotion of reproductive health, prevention of reproductive system diseases, patient education, counseling, and advocacy for reproductive rights, ensuring culturally competent and ethical care for individuals, families, and communities.
Recommended Textbook
Maternal and Child Nursing Care 5th Edition by Marcia L London
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57 Chapters
1275 Verified Questions
1275 Flashcards
Source URL: https://quizplus.com/study-set/3560
Page 2
Chapter 1: Contemporary Maternal, Newborn, and Child
Health Nursing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/70654
Sample Questions
Q1) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the nurse do to encourage the family to consider enrolling the child in this program?
A) Assessment of the details of the family's income and expenditures
B) Case management to limit costly, unnecessary duplication of services
C) Advocacy for the child by encouraging the family to investigate its CHIP eligibility
D) Education of the family about the need for keeping regular well-child visit appointments
Answer: C
Q2) The nurse tells family members the sex of a newborn baby without first consulting the parents. Which act did this nurse commit?
A) Negligence
B) Malpractice
C) A breach of ethics
D) Breach of privacy
Answer: D
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Chapter 2: Culture and the Family
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The charge nurse is reviewing the healthcare plans written by the unit's staff nurses. Which NANDA nursing diagnosis is most likely to be construed as culturally biased and possibly offensive?
A) Fear related to separation from support system during hospitalization
B) Spiritual Distress related to discrepancy between beliefs and prescribed treatment
C) Interrupted Family Processes related to a shift in family roles secondary to demands of illness
D) Impaired verbal communication related to recent immigration from non-English-speaking area
Answer: D
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Page 4
Chapter 3: Genetic and Genomic Influences in Maternal, Newborn, and Child Health
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The nurse learns that a patient from a different country and culture was married to her first cousin before moving to the United States. The couple is expecting their first child in 4 months. What should the nurse consider when counseling this patient?
A) Birth control
B) Carrier testing
C) Pregnancy termination
D) Legal issues in the United States
Answer: B
Q2) Through genetic testing a homosexual male learns of having two copies of a gene deleted in gene CCR5. What should the nurse prepare to discuss with this patient? Select all that apply.
A) Safe sexual practices
B) Reduced risk of contracting HIV
C) Increased risk of contracting HIV
D) Expectation to develop AIDS quickly
E) Delayed conversion of HIV to AIDS
Answer: A,B
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Chapter 4: Reproductive Anatomy and Physiology
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is presenting a community education session on female hormones. Which participant statement indicates the need for further information?
A) "Estrogen is what causes females to look female."
B) "Prostaglandin is responsible for achieving conception."
C) "Progesterone is present at the end of the menstrual cycle."
D) "The presence of some hormones causes others to be secreted."
Q2) The nurse is explaining the menstrual cycle to a group of women. In which phase should the nurse instruct that the corpus luteum begins to degenerate, estrogen and progesterone levels fall, and the blood supply to the endometrium is reduced?
A) Ischemic phase
B) Secretory phase
C) Menstrual phase
D) Proliferative phase
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Chapter 5: Health Promotion for Women
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which issues should the nurse consider when counseling a client on contraceptive methods? Select all that apply.
A) Age at menarche
B) Efficacy of the method
C) Future childbearing plans
D) Whether the client is a vegetarian
E) Cultural perspectives on menstruation and pregnancy
Q2) A 63-year-old female client requests information about complementary and alternative therapies that promote wellness during menopause. Which therapy should the nurse recommend?
A) Soy for reducing insomnia symptoms
B) Non-weight-bearing exercise, such as swimming
C) Calcium intake of 600 mg per day to help prevent osteoporosis
D) Increased consumption of phytoestrogens for women with a history of endometriosis or fibroids
Q3) Which client is not a good candidate for Depo-Provera (DMPA)?
A) One with a vaginal prolapse
B) One who weighs 200 pounds
C) One who wishes to breastfeed
D) One who wishes to get pregnant within 3 months
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Chapter 6: Common Gynecologic Problems
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which .client in the gynecology clinic should the nurse assess first?
A) 31-year-old, reports increasing dyspareunia
B) 15-year-old, no menses for past 4 months
C) 22-year-old, using tampons, T = 102°F, P = 122, BP = 70/55
D) 18-year-old seeking information on contraception methods
Q2) The nurse manager is interviewing nurses for a position in an infertility clinic. Which statement best indicates that the interviewee understands the role of the nurse when working with infertile clients?
A) "This position is an assistant to the physician during diagnostic testing for infertility."
B) "My job will be teaching clients how to take their medications and scheduling tests."
C) "I will both teach and support families struggling with emotions as they attempt to become pregnant."
D) "Many of my duties will involve forming therapeutic relationships with clients struggling with infertility."
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Chapter 7: Conception and Fetal Development
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) If only a small volume of sperm is discharged into the vagina, an insufficient amount of enzymes might be released when sperm encounters the ovum. What would be the result for pregnancy?
A) The block to polyspermy (cortical reaction) would not occur.
B) The fertilized ovum would be unable to implant in the uterus.
C) Sperm would be unable to penetrate the zona pellucida of the ovum.
D) Peristalsis of the fallopian tube would decrease, making it difficult for the ovum to enter the uterus.
Q2) A patient at 18 weeks' gestation thinks she might have been exposed to a toxin at work that could affect fetal development and asks what organs might be affected at this point in the pregnancy. How should the nurse respond to this patient?
A) "The brain is developing now and could be affected."
B) "Because you are in the second trimester, there is no danger."
C) "It's best to not worry about possible problems with your baby."
D) "The internal organs like the heart and lungs could be impacted."
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Chapter 8: Physical and Psychologic Changes of Pregnancy
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse suspects that a pregnant client is experiencing effects to the gastrointestinal system because of elevated progesterone levels. What did the nurse assess to make this clinical determination? Select all that apply.
A) Nausea
B) Bloating
C) Diarrhea
D) Vomiting
E) Constipation
Q2) The partner of a pregnant client at 16 weeks' gestation accompanies her to the clinic. The partner tells you that the baby just does not seem real to him, and he is having a hard time relating to his partner's fatigue and food aversions. Which statement would be best for the nurse to make?
A) "Many men feel this way. Feeling the baby move will help make it real."
B) "My husband had no problem with this. What was your childhood like?"
C) "You might need professional psychologic counseling. Ask your physician."
D) "If you would concentrate harder, you would be aware of the reality of this pregnancy."
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10
Chapter 9: Antepartum Nursing Assessment
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse provides teaching on the signs of impending labor with a client at week 37 of gestation. Which client statements indicate that additional teaching would be beneficial? Select all that apply.
A) "A bloody show means labor will begin within 2 days."
B) "Having uterine contractions that increase over time is a sign of labor."
C) "Uterine contractions that do not radiate to the back are a sign of labor."
D) "Having a spontaneous flow of water from my vagina is a sign of labor."
E) "Expulsion of a plug of mucus means the baby has dropped into the pelvis."
Q2) The clinic nurse is assisting with an initial prenatal assessment. The following findings are present: spider nevi present on lower legs; dark pink, edematous nasal mucosa; mild enlargement of the thyroid gland; mottled skin and pallor on palms and nail beds; heart rate 88 with murmur present. What is the best action for the nurse to take based on these findings?
A) Have the healthcare provider see the client today.
B) Instruct the client to avoid direct sunlight.
C) Document the findings on the prenatal chart.
D) Analyze previous thyroid hormone laboratory results.
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Chapter 10: The Expectant Family: Needs and Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client in the third trimester of pregnancy reports frequent leg cramps. What strategy would be most appropriate for the nurse to suggest?
A) Limit activity for several days.
B) Flex the foot to stretch the calf.
C) Point the toes of the affected leg.
D) Increase intake of protein-rich foods.
Q2) The spouse accompanies a pregnant client to a prenatal visit. Which question should the nurse use to determine the amount of anticipatory guidance the spouse will need?
A) "What kind of work do you do?"
B) "How moody has your wife been lately?"
C) "What furniture have you gotten for the baby?"
D) "How are you feeling about becoming a father?"
Q3) A pregnant client who swims 3 to 5 times per week asks the nurse if she should stop this activity. What is the appropriate nursing response?
A) "You should discontinue your exercise program immediately."
B) "You should increase the number of times you swim per week."
C) "You should decrease the number of times you swim per week."
D) "You should continue your exercise program because it would be beneficial."
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Page 12
Chapter 11: Maternal Nutrition
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which statement is best to include when teaching a pregnant adolescent about nutritional needs?
A) "You just need to pay attention to what you eat now."
B) "Folic acid intake is the key to having a healthy baby."
C) "It is important eat iron-rich foods like meat every day."
D) "Calcium and milk aren't needed until the third trimester."
Q2) A pregnant client is reviewing the tentative buffet menu for her upcoming baby shower. Which items should the nurse suggest be substituted to ensure the health of the client and developing fetus? Select all that apply.
A) Baked brie with crackers
B) Greek salad with feta cheese
C) Caesar salad with sourdough croutons
D) Salmon pate with toasted bread rounds
E) Grilled orange roughy with summer vegetables
Q3) A newly pregnant client weighs 75.0 kg and has a body mass index of 28.5. What is the maximum amount of weight in pounds that this client should weigh during the pregnancy?
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Page 13
Chapter 12: Pregnancy in Selected Populations
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?
A) 17-year-old adolescent with a history of child abuse
B) 14-year-old adolescent whose 17-year-old sister is pregnant
C) 15-year-old adolescent who reports using condoms regularly
D) 16-year-old adolescent who had a chlamydial infection treated 2 weeks ago
Q2) Which statement, if made by a pregnant adolescent, indicates that she understands her increased risk of physiologic complications during pregnancy?
A) "Smoking and using crack cocaine won't harm my baby."
B) "My anemia and eating mostly fast food are not important."
C) "It's no big deal that I started prenatal care in my seventh month."
D) "I need to take good care of myself so my baby doesn't come early."
Q3) The nurse has been asked by a community organization to give a presentation on prevention of teen pregnancy. Which statement indicates appropriate steps toward reduction of the local teen pregnancy rate?
A) Classes on how to parent will be mandatory in high school.
B) Plans are made to create a low-cost reproductive health clinic.
C) Parents will be encouraged to avoid discussing sexual activity.
D) Abstinence-only education will be offered in the school and clinics.
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Page 14
Chapter 13: Assessment of Fetal Well-Being
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A pregnant client's fundal height is 26 cm at 32 weeks' gestation. Why would the healthcare provider schedule this client for sonograms every 2 weeks?
A) Evaluate fetal growth
B) Determine fetal presentation
C) Assess for congenital anomalies
D) Rule out a suspected hydatidiform mole
Q2) The nurse is preparing a client in her second trimester for a three-dimensional ultrasound examination. Which statement indicates that teaching had been effective?
A) "I might be able to see who the baby looks like with the ultrasound."
B) "If the ultrasound is normal, it means my baby has no abnormalities."
C) "The nuchal translucency measurement will diagnose Down syndrome."
D) "Measuring the length of my cervix will determine if I will deliver early."
Q3) At 32 weeks' gestation, a woman is scheduled for a second non-stress test. Which client response indicates an adequate understanding of this procedure?
A) "I'll have an IV started before the test."
B) "I need to have a full bladder for this test."
C) "I cannot get up and walk around during the test."
D) "I must avoid drinks containing caffeine for 24 hours before the test."
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15
Chapter 14: Pregnancy at Risk: Pregestational Problems
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A client who is at 18 weeks' gestation has been newly diagnosed with megaloblastic anemia. Which client statement indicates teaching has been effective?
A) "My body makes red blood cells that are smaller than they should be."
B) "Megaloblastic anemia is not known to cause any serious risks to my baby."
C) "Whenever possible, I should boil my vegetables in at least 2 quarts of water."
D) "I should include fresh leafy green vegetables, red meat, fish, poultry, and legumes in my diet."
Q2) The prenatal clinic nurse has received four phone calls. Which client should be called back first?
A) Multipara at 11 weeks with untreated hyperthyroidism describing the onset of vaginal bleeding
B) Multipara at 6 weeks with a seizure disorder inquiring what foods are good sources of folic acid
C) Primipara at 28 weeks with a history of asthma reporting difficulty breathing and shortness of breath
D) Primipara at 35 weeks with a positive hepatitis B surface antigen (HBsAG) wondering what treatment her baby will receive after birth
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Page 16
Chapter 15: Pregnancy at Risk: Gestational Onset
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse instructs a client on the importance of reducing exposure to infections while pregnant. Which client statement indicates that teaching has been effective?
A) "My genital herpes infection will have no effect on my baby."
B) "Because I have toxoplasmosis, my baby might be born with an abnormally long body."
C) "The rubella infection I experienced in my second trimester may lead me to become deaf."
D) "My baby may develop a serious blood infection because I have group B strep in my vagina."
Q2) A client is suspected of having a hydatidiform mole. What should the nurse expect to assess in this client? Select all that apply.
A) Elevated blood pressure
B) Absence of fetal heart tones
C) Frequent urination and thirst
D) Dark brown vaginal drainage
E) Larger than gestational age fundal height
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Chapter 16: Processes and Stages of Labor and Birth
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Sample Questions
Q1) A client in labor with cervical dilation of 9 cm is experiencing contractions every 2 minutes that are 60 to 90 seconds in duration and is complaining of excruciating rectal pressure. How should the nurse interpret this complaint?
A) The client's complaint is congruent with her current stage of labor.
B) The client's complaint may indicate the need for delivery via cesarean section.
C) Based upon the client's complaint, she is experiencing the active phase of labor.
D) The client's complaint is consistent with placental separation, which is normal for her current stage of labor.
Q2) The labor and delivery nurse is preparing a prenatal class about facilitating the progress of labor. Which pain response should the nurse identify as most likely to impede progress in labor?
A) Muscle tension
B) Increased pulse
C) Increased respirations
D) Elevated blood pressure
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Chapter 17: Intrapartum Nursing Assessment
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Sample Questions
Q1) The nurse is observing a student provide care to a client who is in early labor. Which student actions should be corrected?
A) Applying a fetal heart monitor followed by an explanation of the reason for its use
B) Upon entering the room, speaking with the client prior to looking at the fetal heart monitor
C) Using layman's terms to provide the client with an explanation of the reason for electronic fetal monitoring
D) Incorporating cues that arise from intuition or from observations of the client and family as opposed to focusing on the fetal heart monitor
Q2) A low-risk client is in the second stage of labor. What actions should the nurse take regarding the auscultation of this client's fetal heart rate? Select all that apply.
A) Evaluate after ambulation.
B) Assess heart sounds every 15 minutes.
C) Evaluate before the membrane rupture.
D) Evaluate before providing medications.
E) Count for 30 seconds and multiply times 2.
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Chapter 18: The Family in Childbirth: Needs and Care
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Sample Questions
Q1) One minute after delivery the following is assessed in a neonate: heart rate 120 beats per minute, vigorous cry, actively moving, resists attempts to straighten an arm, facial grimace with sole flicking, body pink, extremities blue. What Apgar score should the nurse assign to this infant?
A) 6
B) 7
C) 8
D) 9
Q2) A young adolescent is in active labor but did not know that she was pregnant. What is the most important nursing action?
A) Assess blood pressure and check for proteinuria.
B) Obtain a Social Services referral to discuss adoption.
C) Determine who might be the father of the baby for paternity testing.
D) Ask the client what kind of birthing experience she would like to have.
Q3) What should be the nurse's priority when caring for an adolescent in labor?
A) Support persons
B) Developmental level
C) Cultural background
D) Plans for keeping the infant
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Page 20
Chapter 19: Pharmacologic Pain Management
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Sample Questions
Q1) A client in labor who rates pain as 9 on a scale from 1 to 10 requests pain medication after refusing epidural anesthesia. What action should the nurse take prior to administering butorphanol tartrate (Stadol) as prescribed?
A) Offer epidural anesthesia again.
B) Administer oxygen via face mask at 6 to 10 L per minute.
C) Obtain maternal vital signs and assess the fetal heart rate (FHR).
D) Instruct on the actions and contraindications associated with the medication.
Q2) A client in labor is having a pudendal block. For which adverse effects should the nurse assess this client? Select all that apply.
A) Infection
B) Spinal headache
C) Perforated rectum
D) Sciatic nerve trauma
E) Broad ligament hematoma
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21
Chapter 20: Childbirth at Risk: Prelabor and Intrapartum
Complications
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Sample Questions
Q1) The nurse is caring for the newborn of a client who received magnesium sulfate for preterm labor. Which fetal effects should the nurse attribute to the client's medication treatment? Select all that apply.
A) Flushing
B) Lethargy
C) Hypotonia
D) Poor sucking reflex
E) Respiratory depression
Q2) A pregnant client is diagnosed with cervical insufficiency. How should the nurse expect this client to explain symptoms of this condition?
A) "I've been having contractions every 4 hours."
B) "I'm not having any pain and I do not feel any contractions."
C) "My cervical pain has gotten much worse over the past 2 days."
D) "I'm not having any pain, but my contractions are getting stronger."
Q3) A client who weighed 60 kg before becoming pregnant with twins is having a routine prenatal examination at gestational week 24. What should be this client's weight in kilograms at this time? (Round to the nearest whole number.)
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Page 22
Chapter 21: Childbirth at Risk: Labor-Related Complications
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Sample Questions
Q1) A client's fetus is estimated to weigh 4500 g (9 lb, 14 oz). Which statement indicates that additional teaching about the size of the baby is needed?
A) "His blood sugars could be high after he is born."
B) "I am at risk for excessive bleeding after delivery."
C) "My perineum could experience trauma during the birth."
D) "His shoulders could get stuck and a collar bone broken."
Q2) The charge nurse is reviewing charting completed on clients in the maternal-child triage unit. Which entry requires immediate intervention?
A) Multipara at 32 weeks: "Oligohydramnios per ultrasound secondary to fetal renal agenesis."
B) Primipara at 41 weeks: "Client reports leaking clear fluid from her vagina for 7 hours."
C) Primipara at 24 weeks diagnosed with polyhydramnios: "Client reporting shortness of breath."
D) Multipara at 34 weeks diagnosed with oligohydramnios: "Cervix 6 cm, 2 station, up to walk in hallway."
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Chapter 22: Birth-Related Procedures
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Sample Questions
Q1) The nurse is completing discharge teaching for a client who delivered 2 days ago. Which statement indicates that further information is required?
A) "I can take ibuprofen (Motrin) when my perineum starts to hurt."
B) "Soaking in the tub will help my mediolateral episiotomy to heal."
C) "The tear I have through my rectum is unrelated to my episiotomy."
D) "Because I have a midline episiotomy, I should keep my perineum clean."
Q2) A client at 39 weeks' gestation being prepared for labor induction feels as though the baby has "flipped." What action should the nurse take?
A) Evaluate fetal maturity.
B) Administer dinoprostone (Cervidil) vaginal gel.
C) Implement continuous electronic fetal monitoring (EFM).
D) Notify the healthcare provider that the client feels as though the baby has changed position.
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Chapter 23: The Physiologic Responses of the Newborn to Birth
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Sample Questions
Q1) The nurse is reviewing the medical records of several newborns. Which infant requires immediate intervention?
A) 24-hour-old term male with total bilirubin level of 2
B) 3-day-old term bottle-fed female with bilirubin of 11
C) 2-week-old postterm breastfed male with bilirubin of 10
D) 12-hour-old preterm female exhibiting icterus and lethargy
Q2) A postpartum client calls the nursery to report that her 3-day-old newborn has passed a bright green stool. How should the nurse respond to the client?
A) "Your newborn has diarrhea."
B) "This is a normal occurrence."
C) "There may be a possible food allergy."
D) "Take your newborn to the pediatrician."
Q3) A new grandfather is marveling over his 12-hour-old newborn grandson. Which statement indicates that the grandfather needs additional education?
A) "I cannot believe he can already digest fats, carbohydrates, and proteins."
B) "It is amazing that his whole digestive tract moves things along at birth."
C) "Incredibly, his stomach capacity is already a cupful when he was born."
D) "He will lose some weight but then miraculously regain it by about 10 days."
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Chapter 24: Nursing Assessment of the Newborn
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Sample Questions
Q1) The nurse is assessing a newborn's musculoskeletal status. How should the nurse assess for clubfoot?
A) Stimulate the sole of the foot
B) Adduct the foot and listen for a click
C) Extend the foot and observe for pain
D) Move the foot to midline and determine resistance
Q2) The nurse is planning to assess a newborn's neurologic status. Which behaviors should the nurse focus on during this assessment? Select all that apply.
A) Cry
B) Reflexes
C) Alertness
D) Motor activity
E) Resting posture
Q3) A new parent asks why the baby appears to be occasionally cross-eyed. When should the nurse instruct the parent that this finding will resolve?
A) 1 year
B) 2 weeks
C) 2 months
D) 4 months
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Page 26
Chapter 25: The Normal Newborn: Needs, Care, and Feeding
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Sample Questions
Q1) A pregnant client has not decided on a feeding method for her infant and asks for more information about breastfeeding and formula-feeding. Which client statement indicates that the teaching was successful?
A) "Breastfeeding is more expensive than formula-feeding."
B) "My baby has a lower risk of food allergies if I breastfeed."
C) "Formula-feeding gives the baby protection from infections."
D) "Breast milk cannot be stored; it has to be thrown away after pumping."
Q2) The parents of a newborn are concerned that their baby continues to lose weight despite being held and cuddled. What should the nurse tell these parents? Select all that apply.
A) Excessive handling increases caloric use.
B) Permit the newborn to rest quietly when eyelids flutter.
C) Constant handling increases metabolic rate.
D) Gently flick the sole of the foot to stimulate.
E) Avoid stimulating when eye contact is absent.
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Chapter 26: The Newborn at Risk: Conditions Present at Birth
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Sample Questions
Q1) The nurse is working with a family that just experienced the birth of their first child at 34 weeks. Which statements indicate that additional teaching is needed? Select all that apply.
A) "Our baby will be in an Isolette to keep him warm."
B) "The growth of our baby will be faster than if he were term."
C) "Breathing might be harder for our baby because he is early."
D) "Tube feedings will be required because his stomach is small."
E) "Because he came early, he will not produce urine for 2 days."
Q2) A newborn is diagnosed with tetralogy of Fallot. What findings indicate that this client is experiencing heart failure? Select all that apply.
A) Tachypnea
B) Diaphoresis
C) Tachycardia
D) Hepatomegaly
E) Splenomegaly
Q3) An infant of a diabetic mother (IDM) weighing 11 lb is prescribed to receive an infusion of dextrose 10% and water at the rate of 5 mg/kg/min until blood glucose level remains about 45 mg/dL. How many milligrams of dextrose will the infant receive in 30 minutes? (Calculate to the nearest whole number.)
Page 28
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Chapter 27: The Newborn at Risk: Birth-Related Stressors
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Sample Questions
Q1) Place the following nursing interventions related to resuscitation in the correct order according to complexity of the method and seriousness of the infant's condition.
A) Perform chest compressions.
B) Administer epinephrine.
C) Rub the infant's back with a blanket.
D) Administer 21% oxygen in a positive-pressure ventilator.
E) Administer 100% oxygen in a positive-pressure ventilator.
Q2) An infant born to a client with type 2 diabetes mellitus is lethargic, has a high-pitched cry, and has an initial plasma glucose level of 19 mg/dL. What should the nurse do immediately?
A) Have the mother breastfeed the infant.
B) Start an IV with D<sub>5</sub>W dextrose solution.
C) Start an IV with D<sub>10</sub>W dextrose solution.
D) Wait 30 minutes and retest plasma glucose levels.
Q3) An infant weighing 1500 g is prescribed intravenous normal saline 10 mL/kg. How many milliliters of fluid should the nurse expect to provide this infant? (Calculate to the nearest whole number.)
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Chapter 28: Postpartum Adaptation and Nursing Assessment
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Sample Questions
Q1) A postpartum client weighing 165 lb is prescribed to take 12 mg/kg/day of lysine to help with afterpains. If the client ingests 375 mg of lysine in food, how many additional milligrams of the supplement should the client take? (Calculate to the nearest whole number.)
Q2) A postpartum client is not going to breastfeed her newborn. What should the nurse include when teaching this client about breast care?
A) The let-down reflex
B) Lactation suppression
C) The purpose of fundal massage
D) The cause of afterpains
Q3) The nurse is observing a graduate nurse's assessment of a postpartum client. For which action by the graduate nurse should the nurse intervene?
A) Asking the client to void before applying clean gloves
B) Instructing visitors to leave the room prior to beginning the assessment
C) Requesting the client lie flat in bed with the head on a pillow prior to the fundal assessment
D) Discussing the effectiveness of comfort measures while performing the perineal assessment
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Chapter 29: The Postpartum Family: Early Care Needs and Home Care
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Sample Questions
Q1) The nurse is providing care to a postpartum client who is relinquishing custody of her newborn through an open adoption. Which nursing action is most important?
A) Assigning the client a room on the GYN surgical floor instead of the postpartum floor
B) Preparing to have teaching done in time for discharging the client at 24 hours postdelivery
C) Making an effort not to bring up the topic of the baby, and discuss the mother's health instead
D) Asking the client if she wants to feed her baby, and how much contact she wants to have
Q2) The hospital is developing a new maternity unit. What aspects should be included in the planning of this new unit to best promote family wellness?
A) Normal newborn nursery centrally located to all client rooms
B) A kitchen with refrigerator stocked with juice and sandwiches
C) Small, cozy rooms with a client bed and rocking chair
D) A nursing model based on providing couplet care
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Chapter 30: The Postpartum Family at Risk
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Q1) The nurse is revising the care plan of a postpartum client who develops mastitis. Which nursing diagnosis is most appropriate for inclusion in this client's updated plan of care?
A) Ineffective Peripheral Tissue Perfusion related to obstructed venous return
B) Risk for Trauma related to lack of information about appropriate breastfeeding practices
C) Deficient Knowledge related to self-care after discharge on anticoagulant therapy
D) Acute Pain related to tissue hypoxia and edema secondary to vascular obstruction
Q2) The nurse conducts discharge teaching for a postpartum client who is diagnosed with deep vein thrombosis (DVT). Which statements indicate accurate understanding of the information presented? Select all that apply.
A) "I will cross my legs while I sit and watch TV in the evening."
B) "I will wear supportive stockings if I have to stand for long periods of time."
C) "I will only have to continue taking Coumadin for 1 month once I am home."
D) "If I develop bleeding gums, I should contact my healthcare provider."
E) "I should plan to elevate my legs during times of rest."
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Chapter 31: Growth and Development
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Q1) An adolescent client diagnosed with cystic fibrosis suddenly becomes noncompliant with the medication regimen. Which nursing intervention would most likely improve compliance?
A) Give the client a computer-animated game that presents information on the management of cystic fibrosis.
B) Set up a meeting with other adolescents with the cystic fibrosis who have been managing their disease effectively.
C) Arrange for the primary healthcare provider to sit down and talk to the client about the risks related to noncompliance with medications.
D) Discuss with the client's parents that privileges, such as a cell phone, can be taken away if compliance fails to improve.
Q2) Which activities will the nurse suggest to the parents of a preschool-age child to enhance fine motor skills? Select all that apply.
A) Using scissors
B) Playing with clay
C) Riding a bicycle
D) Throwing a ball
E) Tying shoe laces
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Chapter 32: Infant, Child, and Adolescent Nutrition
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Q1) An adolescent is admitted to the eating disorders unit with a 2-year history of anorexia nervosa. Assessment data indicate that the adolescent has recently sustained additional weight loss and electrolyte imbalances. Which is the priority when planning care for this client?
A) Individual counseling
B) Family therapy
C) Regulation of antidepressant drugs
D) Nutritional support
Q2) Which statement should the nurse include when teaching parents of an infant about normal growth and development regarding weight gain?
A) "Your baby's weight should triple by 9 months of age."
B) "Your baby's weight should double by 5 months of age."
C) "Your baby's weight should triple by 6 months of age."
D) "Your baby's weight should double by 1 year of age."
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Chapter 33: Pediatric Assessment
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Q1) Which would the nurse consider as normal during a newborn assessment? Select all that apply.
A) Swelling over the occiput that crosses suture lines
B) Tiny white papules located primarily on the nose and chin
C) Tiny red macules and pustules that come and go, primarily on the trunk and extremities
D) When the Moro reflex is elicited, the right arm extends and returns to the body. The left arm remains resting against the chest.
E) Greenish discoloration of skin over the entire body that is not removed by the initial bath
Q2) Which question from the nurse during a health history and physical assessment for the school-age child would best determine cognitive development?
A) "What grade are you in?"
B) "What is your least favorite class?"
C) "What books have you read lately?"
D) "What classes are you taking, and what are your grades in them?"
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Chapter 34: Health Promotion and Maintenance: General
Concepts, the Newborn, and the Infant
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Q1) A nurse is assessing an 11-month-old infant, and notes that the infant's height and weight are at the 5th percentile on the growth chart; the infant was previously plotted at the 25th percentile. Psychosocial history reveals that the parents are separated and are planning to divorce. Which is the priority when planning this infant's care?
A) Parental anxiety
B) Risk for failure to thrive
C) Excessive nutritional intake
D) Risk for injury
Q2) The nurse is preparing for a health maintenance visit for a 9-month-old infant. Which teaching topics are appropriate for the nurse to include during the scheduled visit? Select all that apply.
A) Using iron-fortified formula
B) Encouraging self-feeding of finger foods
C) Increasing the number of daily milk feedings
D) Encouraging cups for all feedings
E) Introducing burping techniques
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Chapter 35: Health Promotion and Maintenance: the
Toddler and the Preschooler
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Q1) The nurse is planning health promotion activities for a toddler-age child during a scheduled health maintenance visit. Which action by the nurse is appropriate during this visit?
A) Connecting developmental skills with risks for injury
B) Recognizing that childcare attendance increases the risk for communicable disease
C) Planning education for treatment of common disease processes
D) Illustrating developmental progression on a screening tool
Q2) Which action by the nurse is appropriate when teaching the parents of a 2-year-old child during a scheduled health maintenance visit?
A) Encouraging the parents to allow the child to pour liquids using a pitcher
B) Being sure that all major foods group have been introduced to the child
C) Teaching the parents that it is appropriate to switch from whole to 2% milk
D) Educating the child about food groups
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Chapter 36: Health Promotion and Maintenance: the
School-Age Child and the Adolescent
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Sample Questions
Q1) Which nursing action maintains confidentiality when performing height and weight measurements during a co-ed physical education class?
A) Having a student worker record the screening findings on the appropriate adolescent's record
B) Having a volunteer weigh and measure the adolescents and verbally give the findings to the nurse to calculate the body mass index and record
C) Providing a privacy screen and having the health aid record the findings directly on the record. The nurse will then calculate body mass index
D) Using a buddy system with the students, having the students measure each other, and then recording the findings.
Q2) During the psychosocial portion of the nursing assessment a school-age child states, "I know I am not as good as them, so I just play by myself at recess every day."
Which conclusion by the nurse is accurate?
A) The child has a good sense of self-worth.
B) The child has a poor body image.
C) The child has decreased self-esteem.
D) The child has a self-determined concept.
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Page 38
Chapter 37: Family Assessment and Concepts of Nursing
Care in the Community
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Q1) Which pediatric client will the community health nurse assess first?
A) A 6-year-old who is wheezing and short of breath.
B) A 2-year-old who has been pulling at his ear.
C) A 2-month-old with a 2-day history of diarrhea.
D) A 10-year-old with a sore throat and low-grade fever.
Q2) The nurse is developing an ecomap for a pediatric client and family. Which explanation should the nurse provide prior to beginning this task?
A) "It provides information about your family structure including family life events, health, and illness."
B) "It illustrates your family relationships and interactions with community activities including school, parental jobs, and children's activities."
C) "It is a short questionnaire of five questions that measures your family's growth, affection, and resolve."
D) "It is an assessment that consists of three categories of information about your family's strengths and problems."
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Chapter 38: Nursing Considerations for the Child and
Family With a Chronic Condition
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Q1) The nurse provides care to pediatric clients with chronic disease process. Which diagnoses does the nurse categorize as needing increased use of healthcare services? Select all that apply.
A) Cancer
B) Sickle cell disease
C) Renal failure
D) Cystic fibrosis
E) Autism spectrum disorder
Q2) The nurse is partnering with the family of a hospitalized premature neonate who suffered an intraventricular hemorrhage (IVH). After 3 months in the neonatal intensive care unit (NICU), the infant is being discharged. Which activities will the nurse suggest to the family to help stimulate the infant's development? Select all that apply.
A) Using a day care for stimulation
B) Discouraging sibling interaction
C) Holding and rocking the infant
D) Interacting face to face
E) Talking softly and singing to the infant
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Chapter 39: Nursing Considerations for the Hospitalized Child
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Q1) The parents of a child who is critically injured wish to stay in the room while the child is receiving emergency care. Which nursing action is most appropriate in this situation?
A) Asking the healthcare provider if the parents can stay with the child
B) Allowing the parents to stay with the child
C) Escorting the parents to the waiting room and assuring them that they can see their child soon
D) Telling the parents that they do not need to stay with the child
Q2) The nurse is caring for a child in the pediatric intensive care unit (PICU). The parents have expressed anger over the nursing care their child is receiving. Which nursing action is most appropriate?
A) Explaining to the parents that their anger is affecting their child, and they will not be allowed to visit the child until they calm down
B) Asking the healthcare provider to talk with the family
C) Acknowledging the parents' concerns and collaborating with them regarding the care of their child
D) Calling the hospital chaplain to sit with the family
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Chapter 40: Pain Assessment and Management in Children
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Q1) Which are discharge criteria the nurse includes in the plan of care for a client who has received sedation? Select all that apply.
A) Stable vital signs
B) Patent airway
C) Ability to sit up without assistance
D) Adequate fluid intake
E) Ability to urinate
Q2) A 6-year-old postoperative client's IV infiltrates and has to be restarted immediately for medication. There is no time for placing local anesthetic cream on the skin. Which complementary therapy would be helpful when placing this IV?
A) Restraints
B) Moderate sedation
C) Anesthesia
D) Distraction
Q3) The healthcare provider prescribes hydromorphine (Dilaudid) intravenously for the postoperative 4-year-old child. The therapeutic range for Dilaudid has been determined to be 0.01 to 0.015 mg/kg/dose every 3 to 4 hours. What is the maximum therapeutic dose of Dilaudid if the child weighs 30 pounds? Round your answer to the nearest hundredth.
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Page 42
Chapter 41: The Child With a Life-Threatening Condition and
End-Of-Life
Care
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Sample Questions
Q1) Which is the most appropriate nursing diagnosis for the adolescent diagnosed with cystic fibrosis who is intubated with an endotracheal tube?
A) Anxiety related to leaving chores undone at home
B) Fear of future pain related to medical procedures
C) Risk for Overweight related to inactivity
D) Powerlessness (moderate) related to inability to speak or communicate with friends
Q2) The nurse is doing a follow-up home visit to a family who lost their 3-month-old
infant to SIDS 8 weeks ago. The mother answers the door in her nightgown, with hair uncombed. During the interview, the mother states: "I don't see the point of getting dressed each day." Which stage of grief will the nurse document based on the current data?
A) Recovery
B) Yearning, pining
C) Hostile
D) Disorganization
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Chapter 42: Social and Environmental Influences on the Child
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Q1) A high school student calls to ask the nurse for advice on how to care for a new navel piercing. Which response by the nurse is appropriate?
A) "Avoid contact with another person's bodily fluids until the area is well healed."
B) "Do not move or turn the jewelry for the first 3 days."
C) "Apply lotion to the area, rubbing gently, to prevent skin from becoming dry and irritated."
D) "Apply warm soaks to the area for the first 2 days to minimize swelling."
Q2) The nurse is providing care to a pediatric client who is homeless. Which nursing actions will decrease the risk for the child developing an infectious disease? Select all that apply.
A) Teaching hygienic methods
B) Arranging for medications, as needed
C) Evaluating the family for food security
D) Performing a nutritional assessment
E) Teaching oral hygiene
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Chapter 43: Immunizations and Communicable Diseases
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Sample Questions
Q1) Which recombinant vaccines should the nurse teach to parents as being used to decrease the risk of communicable diseases? Select all that apply.
A) Poliovirus
B) Tetanus
C) Measles
D) Acellular pertussis
E) Hepatitis B
Q2) Which communicable diseases, preventable through childhood immunization, should the nurse include in a presentation to families at a local community center wellness fair? (Select all that apply.)
A) Measles
B) Chickenpox
C) Fifth disease
D) Mononucleosis
E) Whooping cough
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45
Chapter 44: The Child With Alterations in Fluid, Electrolyte, and Acidbase Balance
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Q1) As a result of opioid administration, a child's respirations are slow and shallow. Which should the nurse anticipate when assessing the child's arterial blood gas?
A) Increased PCO<sub>2 </sub>and respiratory acidosis
B) Decreased PCO<sub>2</sub> and respiratory alkalosis
C) Low pH and low PCO<sub>2</sub>
D) High pH and high PCO<sub>2</sub>
Q2) A 9-month-old infant is hospitalized with vomiting and diarrhea. The mother questions why her child needed hospitalization since her school-age nephew had the same symptoms and was treated at home. Which should the nurse include in the explanation to the infant's mother? Select all that apply.
A) Infants have a lower proportion of their body weight as water.
B) The percentage of extracellular fluid is higher in the infant than the school-age child.
C) School-age children have a larger body surface area.
D) The school-age child's kidneys are more mature and better able to conserve water.
E) The metabolic rate of the school-age child is higher.
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Chapter 45: The Child With Alterations in Eye, Ear, Nose, and Throat Function
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Q1) Which parental statements indicate correct understanding of the anatomy and physiology of the infant's mouth, nose, and throat? Select all that apply.
A) "My baby will breathe through her mouth during the first 3 months of life."
B) "When my baby has a cold she may have trouble with bottle feedings."
C) "My baby's tonsils will be largest during infancy."
D) "I should expect my baby's first tooth to erupt during the first 6 months of life."
E) "I should expect my baby to lose her first tooth during the first year of life."
Q2) Which is the priority nursing assessment for a pediatric client who is postoperative for tonsillectomy?
A) Arrhythmias
B) Dehydration
C) Increased blood sugar
D) Increased urinary output
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Chapter 46: The Child With Alterations in Respiratory Function
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Q1) Which positions are appropriate for the nurse to include in a plan of care for the infant who is diagnosed with acute respiratory distress? Select all that apply.
A) Upright
B) Semi-Fowler position
C) Prone position
D) With the infant's head hyperextended
E) With the infant's head in a sniffing position
Q2) Which nursing action is appropriate for the parents of a 4-month-old infant who died due to sudden infant death syndrome (SIDS)?
A) Sheltering parents from the grief by not giving them any personal items of the infant, such as footprints
B) Allowing parents to hold, touch, and rock the infant
C) Advising parents that an autopsy is not necessary
D) Interviewing parents to determine the cause of the incident
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Chapter 47: The Child With Alterations in Cardiovascular Function
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Q1) Which treatment options should the nurse anticipate for a 10-month-old infant admitted to the emergency department with supraventricular tachycardia? Select all that apply.
A) Administering intravenous adenosine (Adenocard)
B) Administering intravenous amiodarone (Cardarone)
C) Preparing for cardioversion
D) Applying ice to the face
E) Having the child perform a Valsalva maneuver
Q2) The nurse is teaching a pregnant client about fetal circulation. Which is the correct sequence of blood flow that indicates the pregnant client understands the information presented?
A) Ductus arteriosus
B) Ductus venosus
C) Foramen ovale
Q3) Which is the priority nursing action when providing care to a pediatric client who is diagnosed with hypovolemic shock?
A) Assessing the cause of bleeding
B) Establishing an open airway and administering oxygen
C) Administering analgesics for pain control
D) Providing replacement of volume
Page 49
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Chapter 48: The Child With Alterations in Immune Function
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Q1) In which position should the nurse place a child who is experiencing an anaphylactic shock reaction?
A) Trendelenburg position
B) Flat, with legs slightly elevated
C) High Fowler position
D) Reverse Trendelenburg position
Q2) The nurse is providing care for the family of a child who is diagnosed with acquired immunodeficiency syndrome (AIDS). Which priority nursing diagnosis should the nurse include in the plan of care?
A) Anticipatory Grieving
B) Risk for Impaired Parenting
C) Compromised Family Coping
D) Parental Role Conflict
Q3) Which is the priority nursing action when providing care to a pediatric client who has documented allergies to cow's milk, peanuts, and latex?
A) Evaluating the hospital room for equipment containing latex
B) Ordering an EpiPen for the child
C) Notifying dietary of the milk and peanut allergy
D) Placing a sign on the door which identifies all allergies
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Page 50
Chapter 49: The Child With Alterations in Hematologic Function
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Q1) The heatlthcare provider prescribes a unit of packed red blood cells for a pediatric client. Which intravenous fluid should the nurse hang during the blood transfusion?
A) D<sub>5</sub>W
B) D<sub>5</sub>LR
C) D<sub>5</sub> 1/4NS
D) NS
Q2) Which functions of white blood cells (WBCs) should the nurse include in a teaching session for the family of a pediatric client who is diagnosed with human immunodeficiency virus (HIV)? Select all that apply.
A) Carry oxygen from the lungs to the tissues
B) Return carbon dioxide from the tissues to the lungs
C) Assist the body to fight infection
D) Assist the body to fight allergens
E) Form hemostatic plugs to stop bleeding
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Chapter 50: The Child With Cancer
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Q1) The school-age child is admitted to the pediatric neurologic unit with a suspected craniopharyngioma. Which assessment data collected by the nurse supports the suspected diagnosis? Select all that apply.
A) Evening nausea
B) Excessive urination
C) Nystagmus
D) Headaches
E) Orbital ecchymosis
Q2) Which assessment findings, indicative of a hematologic emergency, should the nurse report to the healthcare provider due to the need for immediate intervention? Select all that apply.
A) Anemia
B) Thrombocytopenia
C) Disseminated intravascular coagulation
D) Cardiac arrhythmias
E) Tetany
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Chapter 51: The Child With Alterations in Gastrointestinal Function
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Q1) Which topics should the nurse include in discharge instructions related to enhanced safety for a pediatric client who experienced an abdominal injury after a biking accident? Select all that apply.
A) Use of hand signals
B) Age-appropriate use of child safety seats
C) Age-appropriate bicycles
D) Use of a helmet
E) Avoid assigning blame
Q2) Which are the leading causes of pediatric abdominal injuries for which the nurse should provide client teaching during scheduled health maintenance visits? Select all that apply.
A) Motor vehicle crashes
B) Falls
C) Blunt trauma
D) Stabbing
E) Impalement
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Chapter 52: The Child With Alterations in Genitourinary Function
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Q1) Which parental statement indicates understanding of the process involved with a kidney transplant for a child with renal failure?
A) "We are happy our child will not have to take any more medicine after the transplant."
B) "We understand our child will not be at risk anymore for catching colds from other children at school."
C) "We will be glad we will not have to bring our child in to see the doctor again."
D) "We know it is important to see that our child takes prescribed medications after the transplant."
Q2) Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
A) Bloody urine
B) One void since returning from surgery
C) Bladder spasms responding to pharmacologic intervention
D) Double diapering from the previous shift
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Chapter 53: The Child With Alterations in Endocrine Function
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Q1) Which functions of the adrenal hormone aldosterone should the nurse include in a teaching session for a pediatric client diagnosed with alterations in adrenal function? Select all that apply.
A) Stimulates bone development
B) Increases sodium ion reabsorption
C) Stimulates secondary sexual characteristics
D) Increases potassium excretion by the kidneys
E) Activates the sympathetic nervous system
Q2) The nurse is teaching the caregiver of a child who is newly diagnosed with type 1 diabetes mellitus how to minimize pain with insulin injections. Which interventions should the nurse include in the teaching session? Select all that apply.
A) Do not reuse needles.
B) Remove all bubbles from the syringe before injecting.
C) Have the child flex the muscle during injection.
D) Inject insulin when it is cold.
E) Do not change the direction of the needle during insertion or withdrawal.
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Chapter 54: The Child With Alterations in Neurologic Function
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Q1) Which nursing diagnoses should the nurse include in the plan of care for a pediatric client diagnosed with hydrocephalus? Select all that apply.
A) Risk for Infection
B) Impaired Physical Mobility
C) Risk for Caregiver Role Strain
D) Risk for Injury
E) Risk for Constipation
Q2) A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?
A) Take vital signs.
B) Establish an intravenous line.
C) Perform rapid neurologic assessment.
D) Maintain patent airway.
Q3) Which assessment finding for a 4-month-old infant would require further action by the nurse?
A) The posterior fontanel is open.
B) The infant has good head control when held upright.
C) The infant is able to roll only from abdomen to back.
D) The anterior fontanel is open and soft.
Page 56
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Chapter 55: The Child With Alterations in Mental Health and Cognitive Function
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Sample Questions
Q1) Which data, noted by the nurse during the physical assessment, would indicate the need to refer an adolescent client for further treatment due to possible depression? Select all that apply.
A) Agoraphobia
B) Somatic complaints
C) Focus on violence
D) Poor self-care
E) Poor school performance
Q2) A school-age client presents to the pediatric clinic with a history of abdominal pain 3 to 4 mornings per week over the last 2 months. The mother states the child usually complains on school days and always seems to be better by afternoon. Which mental health disorder does the nurse suspect?
A) Separation anxiety
B) Depression
C) School phobia
D) Bipolar disorder
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Chapter 56: The Child With Alterations in Musculoskeletal Function
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Q1) An infant returns to the unit following surgical correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The nurse notes that the toes on both feet are edematous, but there is color, sensitivity, and movement to them. Which action by the nurse is the priority?
A) Apply a warm, moist pack to the feet.
B) Elevate the legs on pillows.
C) Encourage movement of the toes.
D) Call the surgical provider to report the edema.
Q2) Which action by the nurse is appropriate for a child who presents in the emergency department with an ankle injury?
A) Avoid compressing the area to allow tissue swelling as necessary.
B) Perform passive range-of-motion to the extremity.
C) Lower the extremity below the level of the heart.
D) Apply ice to the extremity.
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Chapter 57: The Child With Alterations in Skin Integrity
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Q1) Which is the priority nursing diagnosis when planning care for an infant who is diagnosed with a severe case of oral thrush (Candida albicans)?
A) Ineffective Infant Feeding Pattern related to discomfort
B) Ineffective Breathing Pattern related to oral thrush
C) Activity Intolerance related to oral thrush
D) Ineffective Airway Clearance related to mucus
Q2) Which interventions should the nurse include in the plan of care for a pediatric client who suffered a full-thickness burn injury to decrease the risk for infection? Select all that apply.
A) Using an age-appropriate assessment scale
B) Covering the affected skin as much as possible
C) Providing analgesics prior to wound care
D) Keeping the skin as clean and dry as possible
E) Clipping hair around the wound
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