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Women's Health Nursing Mock Exam - 1995 Verified Questions

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Women's Health Nursing Mock

Exam

Course Introduction

Women's Health Nursing focuses on the comprehensive nursing care of women across the lifespan, addressing their unique physiological, psychological, and sociocultural health needs. The course explores topics such as reproductive health, prenatal and postnatal care, gynecological disorders, health promotion, disease prevention, and the impact of societal factors on women's health. Emphasis is placed on evidence-based practice, patient advocacy, education, and collaboration with interdisciplinary teams to provide holistic and culturally competent care for women in various healthcare settings.

Recommended Textbook

Maternal Child Nursing Care 5th Edition by Perry

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49 Chapters

1995 Verified Questions

1995 Flashcards

Source URL: https://quizplus.com/study-set/1278

Page 2

Chapter 1: 21st Century Maternity Nursing

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/25287

Sample Questions

Q1) Recent trends in childbirth practices in the United States indicate that:

A)More than 15% of mothers had late or no prenatal care.

B)The percentage of Hispanics, non-Hispanic African Americans, and Caucasians who received prenatal care was essentially the same.

C)Births occurring in the hospital accounted for 99% of births.

D)Cesarean births have been declining as a percentage of live births.

Answer: C

Q2) Patient care information

A)Ask the patient to "teach back."

B)Comply with CDC guidelines.

C)Ensure that information is documented in a timely manner.

D)Promote interventions that will reduce patient risk.

E)Reduce exposure to radiation.

Answer: C

Q3) Alternative and complementary therapies:

A)Replace conventional Western modalities of treatment.

B)Are used by only a small number of American adults.

C)Recognize the value of clients' input into their health care.

D)Focus primarily on the disease an individual is experiencing.

Answer: C

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Chapter 2: Community Care: the Family and Culture

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/25288

Sample Questions

Q1) A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.On the basis of the information given,what family form best describes this family?

A)Married-blended family

B)Extended family

C)Nuclear family

D)Same-sex family

Answer: A

Q2) In what form do families tend to be most socially vulnerable?

A)Married-blended family

B)Extended family

C)Nuclear family

D)Single-parent family

Answer: D

Q3) The patient's family is important to the maternity nurse because:

A)They pay the bills.

B)The nurse will know which family member to avoid.

C)The nurse will know which mothers will really care for their children.

D)The family culture and structure will influence nursing care decisions.

Answer: D

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Chapter 3: Assessment and Health Promotion

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/25289

Sample Questions

Q1) Menstruation is periodic uterine bleeding:

A)That occurs every 28 days.

B)In which the entire uterine lining is shed.

C)That is regulated by ovarian hormones.

D)That leads to fertilization.

Answer: C

Q2) The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is:

A)Genetic changes and anomalies

B)Extensive central nervous system damage

C)Fetal addiction to the substance inhaled

D)Intrauterine growth restriction

Answer: D

Q3) The stimulated release of gonadotropin-releasing hormone and follicle-stimulating hormone is part of the:

A)Menstrual cycle.

B)Endometrial cycle.

C)Ovarian cycle.

D)Hypothalamic-pituitary cycle.

Answer: D

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Chapter 4: Reproductive System Concerns

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52 Verified Questions

52 Flashcards

Source URL: https://quizplus.com/quiz/25290

Sample Questions

Q1) There is little consensus on the management of premenstrual dysphoric disorder (PMDD).However,nurses can advise women on several self-help modalities that often improve symptoms.The nurse knows that health teaching has been effective when the client reports that she has adopted a number of lifestyle changes,including (Select all that apply):

A)Regular exercise.

B)Improved nutrition.

C)A daily glass of wine.

D)Smoking cessation.

E)Oil of evening primrose.

Q2) Care management of a woman diagnosed with acute pelvic inflammatory disease (PID)most likely would include:

A)Oral antiviral therapy.

B)Bed rest in a semi-Fowler position.

C)Antibiotic regimen continued until symptoms subside.

D)Frequent pelvic examination to monitor the progress of healing.

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Chapter 5: Infertility,contraception,and Abortion

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) Practice of the calendar rhythm method is based on the number of days in each menstrual cycle.The fertile period is determined after monitoring each cycle for 6 months.The beginning of the fertile period is estimated by subtracting 18 days from the longest cycle and 11 days from the shortest.If the woman's cycles vary in length from 24 to 30 days,what would her fertile period be?

________ to _________

Q2) Isoimmunization

A)Ovarian

B)Tubal/peritoneal

C)Uterine

D)Vaginal/cervical

E)Other factors

Q3) A woman has chosen the calendar method of conception control.During the assessment process,it is most important that the nurse:

A)Obtain a history of menstrual cycle lengths for the past 6 to 12 months.

B)Determine the client's weight gain and loss pattern for the previous year.

C)Examine skin pigmentation and hair texture for hormonal changes.

D)Explore the client's previous experiences with conception control.

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Chapter 6: Genetics, conception, and Fetal Development

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36 Verified Questions

36 Flashcards

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Sample Questions

Q1) The nurse must be cognizant that an individual's genetic makeup is known as his or her:

A)Genotype.

B)Phenotype.

C)Karyotype.

D)Chromotype.

Q2) Sally comes in for her first prenatal examination.This is her first child.She asks you (the nurse),"How does my baby get air inside my uterus?" The correct response is:

A)"The baby's lungs work in utero to exchange oxygen and carbon dioxide."

B)"The baby absorbs oxygen from your blood system."

C)"The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream."

D)"The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen."

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8

Chapter 7: Anatomy and Physiology of Pregnancy

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34 Verified Questions

34 Flashcards

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Sample Questions

Q1) A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living.One was born at 39 weeks of gestation,twins were born at 34 weeks of gestation,and another child was born at 35 weeks of gestation.What is her gravidity and parity using the GTPAL system?

A)3-1-1-1-3

B)4-1-2-0-4

C)3-0-3-0-3

D)4-2-1-0-3

Q2) Cardiovascular system changes occur during pregnancy.Which finding would be considered normal for a woman in her second trimester?

A)Less audible heart sounds (S1, S2)

B)Increased pulse rate

C)Increased blood pressure

D)Decreased red blood cell (RBC) production

Q3) Physiologic anemia often occurs during pregnancy as a result of:

A)Inadequate intake of iron.

B)Dilution of hemoglobin concentration.

C)The fetus establishing iron stores.

D)Decreased production of erythrocytes.

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Page 9

Chapter 8: Nursing Care of the Family During Pregnancy

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41 Verified Questions

41 Flashcards

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Sample Questions

Q1) Fetal jeopardy or intrauterine fetal death

A)Severe vomiting in early pregnancy

B)Epigastric pain in late pregnancy

C)Severe backache and flank pain

D)Decreased fetal movement

E)Glycosuria

Q2) Prenatal testing for human immunodeficiency virus (HIV)is recommended for:

A)All women, regardless of risk factors.

B)A woman who has had more than one sexual partner.

C)A woman who has had a sexually transmitted infection.

D)A woman who is monogamous with her partner.

Q3) The nurse should be aware that the partner's main role in pregnancy is to:

A)Provide financial support.

B)Protect the pregnant woman from "old wives' tales."

C)Support and nurture the pregnant woman.

D)Make sure the pregnant woman keeps prenatal appointments.

Q4) A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period (LMP)was September 10,2013.Her expected date of birth (EDB)would be?

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Chapter 9: Maternal and Fetal Nutrition

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) If a patient's normal prepregnancy diet contains 45 g of protein daily,how many more grams of protein should she consume per day during pregnancy?

A)5

B)10

C)25

D)30

Q2) A pregnant woman's diet history indicates that she likes the following list of foods.The nurse would encourage this woman to consume more of which food to increase her calcium intake?

A)Fresh apricots

B)Canned clams

C)Spaghetti with meat sauce

D)Canned sardines

Q3) Maternal nutritional status is an especially significant factor of the many factors that influence the outcome of pregnancy because:

A)It is very difficult to adjust because of people's ingrained eating habits.

B)It is an important preventive measure for a variety of problems.

C)Women love obsessing about their weight and diets.

D)A woman's preconception weight becomes irrelevant.

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Chapter 10: Assessment of High Risk Pregnancy

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) Which nursing intervention is necessary before a second-trimester transabdominal ultrasound?

A)Place the woman NPO for 12 hours.

B)Instruct the woman to drink 1 to 2 quarts of water.

C)Administer an enema.

D)Perform an abdominal preparation.

Q2) Compared with contraction stress test (CST),nonstress test (NST)for antepartum fetal assessment:

A)Has no known contraindications.

B)Has fewer false-positive results.

C)Is more sensitive in detecting fetal compromise.

D)Is slightly more expensive.

Q3) Intrauterine growth restriction (IUGR)is associated with numerous pregnancy-related risk factors (Select all that apply).

A)Poor nutrition

B)Maternal collagen disease

C)Gestational hypertension

D)Premature rupture of membranes

E)Smoking

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Page 12

Chapter 11: Pregnancy at Risk: Preexisting Conditions

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48 Verified Questions

48 Flashcards

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Sample Questions

Q1) Step 6

A)Without adding air, withdraw the correct dose of NPH insulin.

B)Gently rotate the insulin to mix it, and wipe the stopper.

C)Inject air equal to the dose of NPH insulin into the vial, and remove the syringe.

D)Inject air equal to the dose of regular insulin into the vial, and withdraw the medication.

E)Check the insulin bottles for the expiration date.

F)Wash hands.

Q2) In assessing the knowledge of a pregestational woman with type 1 diabetes concerning changing insulin needs during pregnancy,the nurse recognizes that further teaching is warranted when the client states:

A)"I will need to increase my insulin dosage during the first 3 months of pregnancy."

B)"Insulin dosage will likely need to be increased during the second and third trimesters."

C)"Episodes of hypoglycemia are more likely to occur during the first 3 months."

D)"Insulin needs should return to normal within 7 to 10 days after birth if I am bottle-feeding."

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Chapter 12: Pregnancy at Risk: Gestational Conditions

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50 Verified Questions

50 Flashcards

Source URL: https://quizplus.com/quiz/25298

Sample Questions

Q1) A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours.On assessment the nurse finds the following vital signs: temperature of 37.3° C,pulse rate of 88 beats/min,respiratory rate of 10 breaths/min,blood pressure (BP)of 148/90 mm Hg,absent deep tendon reflexes,and no ankle clonus.The client complains,"I'm so thirsty and warm." The nurse:

A)Calls for a stat magnesium sulfate level.

B)Administers oxygen.

C)Discontinues the magnesium sulfate infusion.

D)Prepares to administer hydralazine.

Q2) Approximately 10% to 15% of all clinically recognized pregnancies end in miscarriage.Which is the most common cause of spontaneous abortion?

A)Chromosomal abnormalities

B)Infections

C)Endocrine imbalance

D)Immunologic factors

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14

Chapter 13: Labor and Birth Processes

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34 Verified Questions

34 Flashcards

Source URL: https://quizplus.com/quiz/25299

Sample Questions

Q1) As relates to fetal positioning during labor,nurses should be aware that:

A)Position is a measure of the degree of descent of the presenting part of the fetus through the birth canal.

B)Birth is imminent when the presenting part is at +4 to +5 cm below the spine.

C)The largest transverse diameter of the presenting part is the suboccipitobregmatic diameter.

D)Engagement is the term used to describe the beginning of labor.

Q2) One

A)Flexion

B)Internal rotation

C)External rotation

D)Expulsion

E)Engagement

F)Descent

G)Extension

Q3) Which occurrence is associated with cervical dilation and effacement?

A)Bloody show

B)False labor

C)Lightening

D)Bladder distention

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Chapter 14: Pain Management

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/25300

Sample Questions

Q1) While developing an intrapartum care plan for the patient in early labor,it is important that the nurse recognize that psychosocial factors may influence a woman's experience of pain.These include (Select all that apply):

A)Culture.

B)Anxiety and fear.

C)Previous experiences with pain.

D)Intervention of caregivers.

E)Support systems.

Q2) Maternal hypotension is a potential side effect of regional anesthesia and analgesia.What nursing interventions could you use to raise the client's blood pressure (Select all that apply)?

A)Place the woman in a supine position.

B)Place the woman in a lateral position.

C)Increase intravenous (IV) fluids.

D)Administer oxygen.

E)Perform a vaginal examination.

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16

Chapter 15: Fetal Assessment During Labor

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43 Verified Questions

43 Flashcards

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Sample Questions

Q1) Which fetal heart rate (FHR)finding would concern the nurse during labor?

A)Accelerations with fetal movement

B)Early decelerations

C)An average FHR of 126 beats/min

D)Late decelerations

Q2) What three measures should the nurse implement to provide intrauterine resuscitation? Select the response that best indicates the priority of actions that should be taken.

A)Call the provider, reposition the mother, and perform a vaginal examination.

B)Reposition the mother, increase intravenous (IV) fluid, and provide oxygen via face mask.

C)Administer oxygen to the mother, increase IV fluid, and notify the care provider.

D)Perform a vaginal examination, reposition the mother, and provide oxygen via face mask.

Q3) Fetal well-being during labor is assessed by:

A)The response of the fetal heart rate (FHR) to uterine contractions (UCs).

B)Maternal pain control.

C)Accelerations in the FHR.

D)An FHR above 110 beats/min.

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Page 17

Chapter 16: Nursing Care of the Family During Labor and Birth

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57 Verified Questions

57 Flashcards

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Sample Questions

Q1) Under which circumstance would it be unnecessary for the nurse to perform a vaginal examination?

A)An admission to the hospital at the start of labor

B)When accelerations of the fetal heart rate (FHR) are noted

C)On maternal perception of perineal pressure or the urge to bear down

D)When membranes rupture

Q2) A nulliparous woman who has just begun the second stage of her labor would most likely:

A)Experience a strong urge to bear down.

B)Show perineal bulging.

C)Feel tired yet relieved that the worst is over.

D)Show an increase in bright red bloody show.

Q3) The nurse teaches a pregnant woman about the characteristics of true labor contractions.The nurse evaluates the woman's understanding of the instructions when she states,"True labor contractions will:

A)Subside when I walk around."

B)Cause discomfort over the top of my uterus."

C)Continue and get stronger even if I relax and take a shower."

D)Remain irregular but become stronger."

Page 18

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Chapter 17: Labor and Birth Complications

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38 Verified Questions

38 Flashcards

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Sample Questions

Q1) The priority nursing care associated with an oxytocin (Pitocin)infusion is:

A)Measuring urinary output.

B)Increasing infusion rate every 30 minutes.

C)Monitoring uterine response.

D)Evaluating cervical dilation.

Q2) Induction of labor is considered an acceptable obstetric procedure if it is in the best interest to deliver the fetus.The charge nurse on the labor and delivery unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction.These include (Select all that apply):

A)Rupture of membranes at or near term.

B)Convenience of the woman or her physician.

C)Chorioamnionitis (inflammation of the amniotic sac).

D)Post-term pregnancy.

E)Fetal death.

Q3) A maternal indication for the use of vacuum extraction is:

A)A wide pelvic outlet.

B)Maternal exhaustion.

C)A history of rapid deliveries.

D)Failure to progress past 0 station.

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Page 19

Chapter 18: Maternal Physiologic Changes

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) The interval between the birth of the newborn and the return of the reproductive organs to their normal nonpregnant state is called the:

A)Involutionary period because of what happens to the uterus.

B)Lochia period because of the nature of the vaginal discharge.

C)Mini-tri period because it lasts only 3 to 6 weeks.

D)Puerperium, or fourth trimester of pregnancy.

Q2) As relates to the condition and reconditioning of the urinary system after childbirth,nurses should be aware that:

A)Kidney function returns to normal a few days after birth.

B)Diastasis recti abdominis is a common condition that alters the voiding reflex.

C)Fluid loss through perspiration and increased urinary output accounts for a weight loss of more than 2 kg during the puerperium.

D)With adequate emptying of the bladder, bladder tone usually is restored 2 to 3 weeks after childbirth.

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Chapter 19: Nursing Care of the Family During the

Postpartum Period

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/25305

Sample Questions

Q1) In a variation of rooming-in,called couplet care,the mother and infant share a room,and the mother shares the care of the infant with:

A)The father of the infant.

B)Her mother (the infant's grandmother).

C)Her eldest daughter (the infant's sister).

D)The nurse.

Q2) A 25-year-old multiparous woman gave birth to an infant boy 1 day ago.Today her husband brings a large container of brown seaweed soup to the hospital.When the nurse enters the room,the husband asks for help with warming the soup so that his wife can eat it.The nurse's most appropriate response is to ask the woman:

A)"Didn't you like your lunch?"

B)"Does your doctor know that you are planning to eat that?"

C)"What is that anyway?"

D)"I'll warm the soup in the microwave for you."

Q3) Rh? immune globulin will be ordered postpartum if which situation occurs?

A)Mother Rh<sub>2</sub>-, baby Rh+

B)Mother Rh<sub>2</sub>-, baby Rh<sup>2</sup>-

C)Mother Rh+, baby Rh+

D)Mother Rh+, baby Rh2-

Page 21

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Chapter 20: Transition to Parenthood

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) To promote bonding and attachment immediately after delivery,the most important nursing intervention is to:

A)Allow the mother quiet time with her infant.

B)Assist the mother in assuming an en face position with her newborn.

C)Teach the mother about the concepts of bonding and attachment.

D)Assist the mother in feeding her baby.

Q2) After they are born,a crying infant may be soothed by being held in a position in which the newborn can hear the mother's heartbeat.This phenomenon is known as:

A)Entrainment.

B)Reciprocity.

C)Synchrony.

D)Biorhythmicity.

Q3) The best way for the nurse to promote and support the maternal-infant bonding process is to:

A)Help the mother identify her positive feelings toward the newborn.

B)Encourage the mother to provide all newborn care.

C)Assist the family with rooming-in.

D)Return the newborn to the nursery during sleep periods.

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Chapter 21: Postpartum Complications

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44 Verified Questions

44 Flashcards

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Sample Questions

Q1) The first and most important nursing intervention when a nurse observes profuse postpartum bleeding is to:

A)Call the woman's primary health care provider.

B)Administer the standing order for an oxytocic.

C)Palpate the uterus and massage it if it is boggy.

D)Assess maternal blood pressure and pulse for signs of hypovolemic shock.

Q2) Possible alternative and complementary therapies for postpartum depression (PPD)for breastfeeding mothers include (Select all that apply):

A)Acupressure.

B)Aromatherapy.

C)St. John's wort.

D)Wine consumption.

E)Yoga.

Q3) The perinatal nurse assisting with establishing lactation is aware that acute mastitis can be minimized by:

A)Washing the nipples and breasts with mild soap and water once a day.

B)Using proper breastfeeding techniques.

C)Wearing a nipple shield for the first few days of breastfeeding.

D)Wearing a supportive bra 24 hours a day.

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Page 23

Chapter 22: Physiologic and Behavioral Adaptations of the Newborn

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47 Verified Questions

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Sample Questions

Q1) How the infant responds when aroused

A)Habituation

B)Orientation

C)Range of state

D)Autonomic stability

E)Regulation of state

Q2) Part of the health assessment of a newborn is observing the infant's breathing pattern.A full-term newborn's breathing pattern is predominantly:

A)Abdominal with synchronous chest movements.

B)Chest breathing with nasal flaring.

C)Diaphragmatic with chest retraction.

D)Deep with a regular rhythm.

Q3) Measure of general arousability

A)Habituation

B)Orientation

C)Range of state

D)Autonomic stability

E)Regulation of state

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Chapter 23: Nursing Care of the Newborn and Family

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Sample Questions

Q1) The nurse administers vitamin K to the newborn for which reason?

A)Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient.

B)Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection.

C)Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.

D)The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.

Q2) As part of Standard Precautions,nurses wear gloves when handling the newborn.The chief reason is:

A)To protect the baby from infection.

B)That it is part of the Apgar protocol.

C)To protect the nurse from contamination by the newborn.

D)the nurse has primary responsibility for the baby during the first 2 hours.

Q3) At 1 minute after birth,the nurse assesses the infant and notes a heart rate of 80 beats/minute,some flexion of the extremities,a weak cry,grimacing,and a pink body with blue extremities.The nurse would calculate an Apgar score of: ________

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Chapter 24: Newborn Nutrition and Feeding

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Sample Questions

Q1) The best reason for recommending formula over breastfeeding is that:

A)The mother has a medical condition or is taking drugs that could be passed along to the infant via breast milk.

B)The mother lacks confidence in her ability to breastfeed.

C)Other family members or care providers also need to feed the baby.

D)The mother sees bottle-feeding as more convenient.

Q2) Which statement concerning the benefits or limitations of breastfeeding is inaccurate?

A)Breast milk changes over time to meet changing needs as infants grow.

B)Long-term studies have shown that the benefits of breast milk continue after the infant is weaned.

C)Breast milk/breastfeeding may enhance cognitive development.

D)Breastfeeding increases the risk of childhood obesity.

Q3) The process whereby parents awaken the infant to feed every 3 hours during the day and at least every 4 hours at night is:

A)Known as demand feeding.

B)Necessary during the first 24 to 48 hours after birth.

C)Used to set up the supply-meets-demand system.

D)A way to control cluster feeding.

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Page 26

Chapter 25: The High Risk Newborn

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57 Verified Questions

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Sample Questions

Q1) Step 6

A)Secure the infant in the car seat per guidelines using blanket rolls on the side.

B)Leave the infant undisturbed for 90 to 120 minutes.

C)Set the heart rate alarm at 80 bpm and the apnea alarm at 20 seconds.

D)Document the infant's tolerance to the test.

E)Perform the evaluation 1 to 7 days before discharge.

F)Use the parent's car seat.

G)Set the pulse oximeter low alarm at 88%.

Q2) An infant is to receive gastrostomy feedings.What intervention should the nurse institute to prevent bloating,gastrointestinal reflux into the esophagus,vomiting,and respiratory compromise?

A)Rapid bolusing of the entire amount in 15 minutes

B)Warm cloths to the abdomen for the first 10 minutes

C)Slow, small, warm bolus feedings over 30 minutes

D)Cold, medium bolus feedings over 20 minutes

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Chapter 26: 21st Century Pediatric Nursing

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Sample Questions

Q1) Which statement best describes the process of critical thinking?

A)It is a simple developmental process.

B)It is purposeful and goal directed.

C)It is based on deliberate and irrational thought.

D)It assists individuals in guessing what is most appropriate.

Q2) Which is now referred to as the "new morbidity"?

A)Limitations in the major activities of daily living

B)Unintentional injuries that cause chronic health problems

C)Discoveries of new therapies to treat health problems

D)Behavioral, social, and educational problems that alter health

Q3) Which statement regarding childhood morbidity is the most accurate?

A)Morbidity does not vary with age.

B)Morbidity is not distributed randomly.

C)Little can be done to improve morbidity.

D)Unintentional injuries do not have an effect on morbidity.

Q4) The major cause of death for children older than 1 year is:

A)Cancer.

B)Infection.

C)Unintentional injuries.

D)Congenital abnormalities.

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Chapter 27: Family, social, cultural, and Religious Influences on Child Health Promotion

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17 Verified Questions

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Sample Questions

Q1) Children are taught the values of their culture through observation and feedback relative to their own behavior.In teaching a class on cultural competence,the nurse should be aware that which factor(s)may be culturally determined (Select all that apply)?

A)Degree of competition

B)Racial variation

C)Determination of status

D)Social roles

E)Geographic boundaries

Q2) Which term best describes the emotional attitude that one's own ethnic group is superior to others?

A)Culture

B)Ethnicity

C)Superiority

D)Ethnocentrism

Q3) What type of family is one in which all members are related by blood?

A)Consanguineous

B)Affinal

C)Family of origin

D)Household

29

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Chapter 28: Developmental and Genetic Influences on

Child Health Promotion

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39 Verified Questions

39 Flashcards

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Sample Questions

Q1) Which function of play is a major component of play at all ages?

A)Creativity

B)Socialization

C)Intellectual development

D)Sensorimotor activity

Q2) Three children playing a board game would be an example of:

A)Solitary play

B)Parallel play

C)Associative play

D)Cooperative play

Q3) The intrauterine environment can have a profound and permanent effect on the developing fetus with or without chromosome or gene abnormalities.Most adverse intrauterine effects are the result of teratogens.The nurse is cognizant that this group of agents does not include:

A)Accutane

B)Rubella

C)Amniotic bands

D)Alcohol

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Chapter 29: Communication, history, and Physical Assessment

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50 Verified Questions

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Sample Questions

Q1) A nurse is planning to use an interpreter during a health history interview of a non-English speaking patient and family.Which nursing care guidelines should the nurse include when using an interpreter (Select all that apply)?

A)Elicit one answer at a time.

B)Interrupt the interpreter if the response from the family is lengthy.

C)Comments to the interpreter about the family should be made in English.

D)Arrange for the family to speak with the same interpreter, if possible.

E)Introduce the interpreter to the family.

Q2) An 8-year-old girl asks the nurse how the blood pressure apparatus works.The most appropriate nursing action is to:

A)Ask her why she wants to know.

B)Determine why she is so anxious.

C)Explain in simple terms how it works.

D)Tell her she will see how it works as it is used.

Q3) An appropriate approach to performing a physical assessment on a toddler is to:

A)Always proceed in a head-to-toe direction.

B)Perform traumatic procedures first.

C)Use minimal physical contact initially.

D)Demonstrate use of equipment.

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Chapter 30: Pain Assessment and Management in Children

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Sample Questions

Q1) In which developmental stage is the child first able to localize pain and describe both the amount and the intensity of the pain felt?

A)Toddler stage

B)Preschool stage

C)School-age stage

D)Adolescent stage

Q2) Step 4

A)Place the patient on continuous pulse oximetry to assess SaO<sub>2</sub>.

B)Administer the prescribed naloxone (Narcan) dose by slow IV push.

C)Ensure oxygen is available.

D)Prepare to calm the child as analgesia is reversed.

Q3) The nurse is caring for a child receiving intravenous (IV)morphine for severe postoperative pain.The nurse observes a slower respiratory rate,and the child cannot be aroused.The most appropriate management of this child is for the nurse to:

A)Administer naloxone (Narcan).

B)Discontinue the IV infusion.

C)Discontinue morphine until the child is fully awake.

D)Stimulate the child by calling his or her name, shaking gently, and asking the child to breathe deeply.

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Page 32

Chapter 31: The Infant and Family

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Sample Questions

Q1) Parents tell the nurse that their 1-year-old son often sleeps with them.They seem unconcerned about this.The nurse's response should be based on the knowledge that:

A)Children should not sleep with their parents.

B)Separation from parents should be completed by this age.

C)Daytime attention should be increased.

D)This is a common and accepted practice, especially in some cultural groups.

Q2) A parent asks the nurse whether her infant is susceptible to pertussis.The nurse's response should be based on which statement concerning susceptibility to pertussis?

A)Neonates will be immune the first few months.

B)If the mother has had the disease, the infant will receive passive immunity.

C)Children younger than 1 year seldom contract this disease.

D)Most children are highly susceptible from birth.

Q3) A nurse is teaching parents about prevention and treatment of colic.Which should the nurse include in the teaching plan?

A)Avoid use of pacifiers.

B)Eliminate all secondhand smoke contact.

C)Lay infant flat after feeding.

D)Avoid swaddling the infant.

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Chapter 32: The Toddler and Family

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41 Verified Questions

41 Flashcards

Source URL: https://quizplus.com/quiz/25318

Sample Questions

Q1) The nurse recommends to parents that peanuts are not a good snack food for toddlers.The nurse's rationale for this action is that:

A)They are low in nutritive value.

B)They are very high in sodium.

C)They cannot be entirely digested.

D)They can be easily aspirated.

Q2) The parent of 16-month-old Chris asks,"What is the best way to keep Chris from getting into our medicines at home?" The nurse should advise that:

A)"All medicines should be locked securely away."

B)"The medicines should be placed in high cabinets."

C)"Chris just needs to be taught not to touch medicines."

D)"Medicines should not be kept in the homes of small children."

Q3) Which should the nurse teach to parents of toddlers about accidental poison prevention (select all that apply)?

A)Keep toxic substances in the garage.

B)Discard empty poison containers.

C)Know the number of the nearest poison control center.

D)Remove colorful labels from containers of toxic substances.

E)Caution child against eating nonedible items, such as plants.

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Page 34

Chapter 33: The Preschooler and Family

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35 Verified Questions

35 Flashcards

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Sample Questions

Q1) Acyclovir (Zovirax)is given to children with chickenpox to:

A)Minimize scarring.

B)Decrease the number of lesions.

C)Prevent aplastic anemia.

D)Prevent spread of the disease.

Q2) Which medication may be given to high risk children after exposure to chickenpox to prevent varicella?

A)Acyclovir

B)Vitamin A

C)Diphenhydramine hydrochloride

D)Varicella zoster immune globulin (VZIG)

Q3) Which toys should a nurse provide to promote imaginative play for a 3-year-old hospitalized child (select all that apply)?

A)Plastic telephone

B)Hand puppets

C)Jigsaw puzzle (100 pieces)

D)Farm animals and equipment

E)Jump rope

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Chapter 34: The School-Age Child and Family

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39 Verified Questions

39 Flashcards

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Sample Questions

Q1) Which activity is most appropriate for developing fine motor skills in the school-age child?

A)Drawing

B)Singing

C)Soccer

D)Swimming

Q2) A 9-year-old girl often comes to the school nurse complaining of stomach pains.Her teacher says that she is completing her schoolwork satisfactorily,but lately she has been somewhat aggressive and stubborn in the classroom.The school nurse should recognize this as:

A)Signs of stress.

B)Developmental delay.

C)A physical problem causing emotional stress.

D)Lack of adjustment to the school environment.

Q3) Confidence exceeds physical capacity

A)Motor vehicle accidents

B)Drowning

C)Burns

D)Poisoning

E)Bodily damage

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Chapter 35: The Adolescent and Family

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51 Verified Questions

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Sample Questions

Q1) According to Erikson,the psychosocial task of adolescence is developing:

A)Intimacy.

B)Identity.

C)Initiative.

D)Independence.

Q2) Which aspect of cognition develops during adolescence?

A)Capability to use a future time perspective

B)Ability to place things in a sensible and logical order

C)Ability to see things from the point of view of another

D)Progress from making judgments based on what they see to making judgments based on what they reason

Q3) A nurse is teaching adolescent boys about pubertal changes.The first sign of pubertal change seen with boys is:

A)Testicular enlargement.

B)Facial hair.

C)Scrotal enlargement.

D)Voice deepens.

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Chapter 36: Chronic Illness, disability, and End-Of-Life Care

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39 Verified Questions

39 Flashcards

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Sample Questions

Q1) At what developmental period do children have the most difficulty coping with death,particularly if it is their own?

A)Toddlerhood

B)Preschool

C)School-age

D)Adolescence

Q2) What is the most appropriate response to a school-age child who asks if she can talk to her dying sister?

A)"You need to speak loudly so she can hear you."

B)"Holding her hand would be better because at this point she can't hear you."

C)"Although she can't hear you, she can feel your presence so sit close to her."

D)"Even though she will probably not answer you, she can still hear what you say to her."

Q3) The parents of a child born with disabilities ask the nurse for advice about discipline.The nurse's response should be based on knowledge that discipline is:

A)Essential for the child.

B)Too difficult to implement with a special-needs child.

C)Not needed unless the child becomes problematic.

D)Best achieved with punishment for misbehavior.

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Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family

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45 Verified Questions

45 Flashcards

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Sample Questions

Q1) The nurse is talking to the parent of a 13-month-old child.The mother states,"My child does not make noises like 'da' or 'na' like my sister's baby,who is only 9 months old."

Which statement by the nurse would be most appropriate to make?

A)"I am going to request a referral to a hearing specialist."

B)"You should not compare your child to your sister's child."

C)"I think your child is fine, but we will check again in 3 months."

D)"You should ask other parents what noises their children made at this age."

Q2) A young child who has an intelligence quotient (IQ)of 45 would be described as:

A)Within the lower limits of the range of normal intelligence.

B)Mildly cognitively impaired but educable.

C)Moderately cognitively impaired but trainable.

D)Severely cognitively impaired and completely dependent on others for care.

Q3) Which statement by a parent about a child's conjunctivitis indicates that further teaching is needed?

A)"I'll have separate towels and washcloths for each family member."

B)"I'll notify my doctor if the eye gets redder or the drainage increases."

C)"When the eye drainage improves, we'll stop giving the antibiotic ointment."

D)"After taking the antibiotic for 24 hours, my child can return to school."

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Chapter 38: Family-Centered Care of the Child During

Illness and Hospitalization

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/25324

Sample Questions

Q1) A nurse plans therapeutic play time for a hospitalized child.Which are the benefits of therapeutic play (select all that apply)?

A)Serves as method to assist disturbed children

B)Allows the child to express feelings

C)The nurse can gain insight into the child's feelings

D)The child can deal with concerns and feelings

E)Gives the child a structured play environment

Q2) Ryan has just been unexpectedly admitted to the intensive care unit after abdominal surgery.The nursing staff has completed the admission process,and Ryan's condition is beginning to stabilize.When speaking with the parents,the nurses should expect which stressors to be evident (select all that apply)?

A)Unfamiliar environment

B)Usual day-night routine

C)Strange smells

D)Provision of privacy

E)Inadequate knowledge of condition and routine

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40

Chapter 39: Pediatric Variations of Nursing Interventions

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54 Verified Questions

54 Flashcards

Source URL: https://quizplus.com/quiz/25325

Sample Questions

Q1) Using knowledge of child development,the best approach when preparing a toddler for a procedure is to:

A)Avoid asking the child to make choices.

B)Demonstrate the procedure on a doll.

C)Plan for the teaching session to last about 20 minutes.

D)Show necessary equipment without allowing child to handle it.

Q2) In preparing to give "enemas until clear" to a young child,the nurse should select:

A)Tap water.

B)Normal saline.

C)Oil retention.

D)Fleet solution.

Q3) What should the nurse consider when having consent forms signed for surgery and procedures on children?

A)Only a parent or legal guardian can give consent.

B)The person giving consent must be at least 18 years old.

C)The risks and benefits of a procedure are part of the consent process.

D)A mental age of 7 years or older is required for a consent to be considered "informed."

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Chapter 40: Respiratory Dysfunction

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47 Verified Questions

47 Flashcards

Source URL: https://quizplus.com/quiz/25326

Sample Questions

Q1) The nurse is assessing a child with acute epiglottitis.Examining the child's throat by using a tongue depressor might precipitate which symptom or condition?

A)Inspiratory stridor

B)Complete obstruction

C)Sore throat

D)Respiratory tract infection

Q2) A child has had cold symptoms for more than 2 weeks,a headache,nasal congestion with purulent nasal drainage,facial tenderness,and a cough that increases during sleep.The nurse recognizes that these symptoms are characteristic of which respiratory condition?

A)Allergic rhinitis

B)Bronchitis

C)Asthma

D)Sinusitis

Q3) Which statement is characteristic of acute otitis media (AOM)?

A)The etiology is unknown.

B)Permanent hearing loss often results.

C)It can be treated by intramuscular antibiotics.

D)It is treated with a broad range of antibiotics.

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Page 42

Chapter 41: Gastrointestinal Dysfunction

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56 Verified Questions

56 Flashcards

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Sample Questions

Q1) The nurse is caring for an infant with suspected pyloric stenosis.Which clinical manifestation would indicate pyloric stenosis?

A)Abdominal rigidity and pain on palpation

B)Rounded abdomen and hypoactive bowel sounds

C)Visible peristalsis and weight loss

D)Distention of lower abdomen and constipation

Q2) What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching?

A)Oatmeal

B)Rice cake

C)Corn muffin

D)Meat patty

Q3) An infant is brought to the emergency department with poor skin turgor,weight loss,lethargy,and tachycardia.This is suggestive of:

A)Overhydration.

B)Dehydration.

C)Sodium excess.

D)Calcium excess.

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43

Chapter 42: Cardiovascular Dysfunction

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62 Verified Questions

62 Flashcards

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Sample Questions

Q1) A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting.While an airway is being established,what medication should the nurse prepare for immediate administration?

A)Diphenhydramine (Benadryl)

B)Dopamine

C)Epinephrine

D)Calcium chloride

Q2) When caring for the child with Kawasaki disease,the nurse should understand that:

A)The child's fever is usually responsive to antibiotics within 48 hours.

B)The principal area of involvement is the joints.

C)Aspirin is contraindicated.

D)Therapeutic management includes administration of gamma globulin and aspirin.

Q3) The nurse is caring for a child after heart surgery.What should she or he do if evidence is found of cardiac tamponade?

A)Increase analgesia.

B)Apply warming blankets.

C)Immediately report this to the physician.

D)Encourage the child to cough, turn, and breathe deeply.

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Chapter 43: Hematologic and Immunologic Dysfunction

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55 Verified Questions

55 Flashcards

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Sample Questions

Q1) Which should the nurse teach about prevention of sickle cell crises to parents of a preschool child with sickle cell disease (Select all that apply)?

A)Limit fluids at bedtime.

B)Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs.

C)Give penicillin as prescribed.

D)Use ice packs to decrease the discomfort of vaso-occlusive pain in the legs.

E)Notify the health care provider if your child begins to develop symptoms of a cold.

Q2) Fourth priority

A)Take the vital signs.

B)Stop the transfusion.

C)Notify the practitioner.

D)Maintain a patent intravenous (IV) line with normal saline.

Q3) A common clinical manifestation of Hodgkin's disease is:

A)Petechiae.

B)Bone and joint pain.

C)Painful, enlarged lymph nodes.

D)Enlarged, firm, nontender lymph nodes.

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45

Chapter 44: Genitourinary Dysfunction

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40 Verified Questions

40 Flashcards

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Sample Questions

Q1) What should the nurse include in a teaching plan for the parents of a child with vesicoureteral reflux?

A)The importance of taking prophylactic antibiotics

B)Suggestions for how to maintain fluid restrictions

C)The use of bubble baths as an incentive to increase bath time

D)The need for the child to hold urine for 6 to 8 hours

Q2) Which clinical manifestation would be seen in a child with chronic renal failure?

A)Hypotension

B)Massive hematuria

C)Hypokalemia

D)Unpleasant "uremic" breath odor

Q3) Which factor predisposes a child to urinary tract infections?

A)Increased fluid intake

B)Short urethra in young girls

C)Prostatic secretions in males

D)Frequent emptying of the bladder

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Chapter 45: Cerebral Dysfunction

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53 Verified Questions

53 Flashcards

Source URL: https://quizplus.com/quiz/25331

Sample Questions

Q1) Clinical manifestations of increased intracranial pressure (ICP)in infants are (Select all that apply):

A)Low-pitched cry.

B)Sunken fontanel.

C)Diplopia and blurred vision.

D)Irritability.

E)Distended scalp veins.f. Increased blood pressure.

Q2) A child is brought to the emergency department after experiencing a seizure at school.There is no previous history of seizures.The father tells the nurse that he cannot believe the child has epilepsy.The nurse's best response is:

A)"Epilepsy is easily treated."

B)"Very few children have actual epilepsy."

C)"The seizure may or may not mean that your child has epilepsy."

D)"Your child has had only one convulsion; it probably won't happen again."

Q3) Which clinical manifestations would suggest hydrocephalus in a neonate?

A)Bulging fontanel and dilated scalp veins

B)Closed fontanel and high-pitched cry

C)Constant low-pitched cry and restlessness

D)Depressed fontanel and decreased blood pressure

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Page 47

Chapter 46: Endocrine Dysfunction

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42 Verified Questions

42 Flashcards

Source URL: https://quizplus.com/quiz/25332

Sample Questions

Q1) The nurse is discussing various sites used for insulin injections with a child and her family.Which site usually has the fastest rate of absorption?

A)Arm

B)Leg

C)Buttock

D)Abdomen

Q2) Which statement best describes hypopituitarism?

A)Growth is normal during the first 3 years of life.

B)Weight is usually more retarded than height.

C)Skeletal proportions are normal for age.

D)Most of these children have subnormal intelligence.

Q3) A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia.Therapeutic management includes administration of:

A)Vitamin D.

B)Cortisone.

C)Stool softeners.

D)Calcium carbonate.

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Chapter 47: Integumentary Dysfunction

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53 Verified Questions

53 Flashcards

Source URL: https://quizplus.com/quiz/25333

Sample Questions

Q1) Isotretinoin (Accutane)is indicated for the treatment of acne during adolescence when:

A)Acne has not responded to other treatments.

B)The adolescent is or may become pregnant.

C)The adolescent is unable to give up foods causing acne.

D)Frequent washing with antibacterial soap has been unsuccessful.

Q2) Cellulitis is often caused by:

A)Herpes zoster.

B)Candida albicans.

C)Human papillomavirus.

D)Streptococcus or Staphylococcus organisms.

Q3) After the acute stage and during the healing process,the primary complication from burn injury is:

A)Asphyxia.

B)Shock.

C)Renal shutdown.

D)Infection.

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Chapter 48: Musculoskeletal or Articular Dysfunction

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37 Verified Questions

37 Flashcards

Source URL: https://quizplus.com/quiz/25334

Sample Questions

Q1) What would cause a nurse to suspect that an infection has developed under a cast?

A)Complaint of paresthesia

B)Cold toes

C)Increased respirations

D)"Hot spots" felt on cast surface

Q2) The nurse is preparing an adolescent with scoliosis for a Luque-rod segmental spinal instrumentation procedure.Which consideration should the nurse include?

A)Nasogastric intubation and urinary catheter may be required.

B)Ambulation will not be allowed for up to 3 months.

C)Surgery eliminates the need for casting and bracing.

D)Discomfort can be controlled with nonpharmacologic methods.

Q3) An advantage to using a fiberglass cast instead of a plaster cast is that a fiberglass cast:

A)Is less expensive.

B)Dries rapidly.

C)Molds closely to body parts.

D)Has a smooth exterior.

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Chapter 49: Neuromuscular or Muscular Dysfunction

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24 Verified Questions

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Source URL: https://quizplus.com/quiz/25335

Sample Questions

Q1) What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?

A)"One of the parents carries a defective gene that causes myelomeningocele."

B)"A deficiency in folic acid in the father is the most likely cause."

C)"Offspring of parents who have a spinal abnormality are at greater risk for myelomeningocele."

D)"There may be no definitive cause identified."

Q2) Which finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy?

A)Tremulous movements at rest and with activity

B)Sudden jerking movement caused by stimuli

C)Writhing, uncontrolled, involuntary movements

D)Clumsy, uncoordinated movements

Q3) Therapeutic management of a child with tetanus includes the administration of:

A)Nonsteroidal antiinflammatory drugs (NSAIDs) to reduce inflammation.

B)Muscle stimulants to counteract muscle weakness.

C)Bronchodilators to prevent respiratory complications.

D)Antibiotics to control bacterial proliferation at the site of injury.

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