1 PEDIATRIC
NURSING
PEDIATRIC NURSING
Situation: The school health nurse conducts health education classes to graduating
high school students.
1. When teaching an adolescent about the rules for safer sex, which of the following
would you include?
A. Anal sex carries a little risk in contracting STD’s.
B. Choosing sexual partner is extremely important.
C. Sex during menstrual flow carries little risk.
D. Always use a condom when having sexual intercourse
Answer: B
Rationale: Sexual relationships expose both partners to any diseases of the other
partner. Choosing partners carefully reduces the risk of disease.
(Reference: Pillitteri A. Maternal and Child Health Nursing, 3 rd Edition, 2003, Vol. 1, p.88)
2. Responsible Parenthood means:
A. The couple must focus on the use of contraception to prevent pregnancy.
B. The parents understands their responsibility and have appropriate
plan for their family based on their capability to support them.
C. The use of natural family planning and attending seminars before marriage.
D. Both parents save up for the future of their children
Answer: B
Rationale: Responsible parenthood involves understanding of couple’s responsibility
and having appropriate plan for their family based on the ability to sustain their
needs. It does not solely focus on the use of contraception or any form of family
planning. It includes all the decisions an individual or couple make about having
children. These decisions usually include if and when to have children, how many
children to have, and how they are spaced.
(Reference: Cuevas F. Public Health Nursing in the Philippines,10 th Edition, 2007)
3. An example of methods used in natural family planning includes:
A. Calendar Method and Billings Method
B. Calendar Method and Condom
C. Contraceptive pills and Cervical Mucus
D. Tubal ligation and vasectomy
Rationale: A. Calendar and Billings Method are both natural family planning
methods. Condom and contraceptive pills are artificial methods whereas Tubal
ligation and vasectomy are permanent methods of family planning.
(Reference: Pillitteri A. Maternal and Child Health Nursing, 3 rd Edition, Vol. 1, 2003, p.101-
116)
4. A 40 year old woman, a heavy smoker, visits your family planning clinic. She told
you that she has a very irregular menstrual cycle. She wants a highly reliable
contraceptives. Assuming that all of the following methods of birth control are
acceptable for her, which of the following would be the best recommendation?
A. The Mini pill
B. A spermicidal suppository
C. A diaphragm and spermicidal suppository
D. Calendar and Billings method
Rationale: C. Combined diaphragm and suppository is the best choice for her
considering her age and smoking habits. The combined effect of two methods is
more reliable. Mini-pill contains only progesterone. Without estrogen content,
ovulation may occur, but because the progestins have not allowed the endometrium
to develop fully, implantation will not take place. When used correctly, they 99.5%
effective in preventing conception. Because women occasionally forget to take them
and there are individual differences in women’s physiology, the typical failure rate is
round 3%.
page: Sir Archie D.
Alviz
,2 PEDIATRIC
NURSING
Prepared by: Archie D. Alviz, R.N., R.M., N.C.II | |
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page: Sir Archie D.
Alviz
,3 PEDIATRIC
NURSING
Effectiveness of natural family planning methods such as calendar and Billings
methods vary mainly on couple’s ability to refrain from having sex on fertile days.
Failure rates usually range from 10% to 20%.
(Reference: Pillitteri A. Maternal and Child Health Nursing, 3 rd Edition, Vol. 1, 2003, p.101-
114)
5. A young client who has become sexually active asks the nurse. “What is the most
effective way to prevent a pregnancy?” the nurse’s best response would be:
A. “Abstain from sex”
B. “Use birth control pills”
C. “Have an IUD inserted
D. “Use condom and foam”
Rationale: A. Health teaching guidelines for adolescents regarding sexuality
involves saying “no” and being firm about their intentions to participate in sexual
relations. Pregnancy can occur with any sexual encounter unless you use prevention
to avoid it.
(Reference: Pillitteri A. Maternal and Child Health Nursing, 3 rd Edition, Vol. 1, 2003, p.924)
Situation: Nurse Matteo is assigned at the nursery of the National General Medical
Center. His clinical exposure as a novice nurse is proving to be professionally
satisfying.
6. Vitamin K is administered to all neonates immediately after birth because:
A. their fetal blood cells are prone to coagulation problems
B. their immature livers predispose them to low vitamin K levels
C. they lack intestinal organisms to synthesize vitamin K
D. they all experience avitaminosis
Answer: C. Neonates have sterile GI tracts at birth and, therefore, are incapable of
synthesizing vitamin K until about 8 days after birth. At 8 days, the intestinal tract
becomes colonized with organisms.
Reference: Straight A’s in Maternal – Neonatal Nursing © 2004 Lippincott Williams &
Wilkins Companion CD. The Normal Neonate. Item No. 2.
7. While evaluating a neonate in the surgery, you check his hips for signs of
dislocation. Which of the following signs indicates that the hips are in the normal
position?
A. Both legs abduct easily
B. Skin folds are asymmetrical
C. A click is heard when hip integrity is assessed
D. The femur head is felt to slip forward in the acetabulum
Answer: A. Inspection of a neonate’s hips during assessment should reveal
symmetrical skin folds, easy abduction of both legs, and absence of a click or sense
that the femur is moving within the acetabulum.
Reference: Straight A’s in Maternal – Neonatal Nursing © 2004 Lippincott Williams &
Wilkins Companion CD. The Normal Neonate. Item No. 5.
8. A new mother asks you why her neonate is voiding so often. Your best reply is that
the:
A. kidneys of the neonate can’t concentrate urine well
B. intestines of a neonate aren’t yet absorbing fluid
C. fluid retained during fetal life is being excreted
D. neonate’s fluid intake is too great for his age
Answer: A. The neonate’s kidneys are immature at birth and, therefore, unable to
properly concentrate urine. This causes the neonate to void frequently. A neonate’s
intestines don’t regulate the amount of fluid excreted. Fluid isn’t retained during fetal
life; it’s excreted after the kidneys form. Frequent voiding in neonates isn’t a sign of
excess fluid intake.
Reference: Straight A’s in Maternal – Neonatal Nursing © 2004 Lippincott Williams &
Wilkins Companion CD. The Normal Neonate. Item No. 6.
page: Sir Archie D.
Alviz
, 4 PEDIATRIC
NURSING
Prepared by: Archie D. Alviz, R.N., R.M., N.C.II | |
facebook fan
page: Sir Archie D.
Alviz
NURSING
PEDIATRIC NURSING
Situation: The school health nurse conducts health education classes to graduating
high school students.
1. When teaching an adolescent about the rules for safer sex, which of the following
would you include?
A. Anal sex carries a little risk in contracting STD’s.
B. Choosing sexual partner is extremely important.
C. Sex during menstrual flow carries little risk.
D. Always use a condom when having sexual intercourse
Answer: B
Rationale: Sexual relationships expose both partners to any diseases of the other
partner. Choosing partners carefully reduces the risk of disease.
(Reference: Pillitteri A. Maternal and Child Health Nursing, 3 rd Edition, 2003, Vol. 1, p.88)
2. Responsible Parenthood means:
A. The couple must focus on the use of contraception to prevent pregnancy.
B. The parents understands their responsibility and have appropriate
plan for their family based on their capability to support them.
C. The use of natural family planning and attending seminars before marriage.
D. Both parents save up for the future of their children
Answer: B
Rationale: Responsible parenthood involves understanding of couple’s responsibility
and having appropriate plan for their family based on the ability to sustain their
needs. It does not solely focus on the use of contraception or any form of family
planning. It includes all the decisions an individual or couple make about having
children. These decisions usually include if and when to have children, how many
children to have, and how they are spaced.
(Reference: Cuevas F. Public Health Nursing in the Philippines,10 th Edition, 2007)
3. An example of methods used in natural family planning includes:
A. Calendar Method and Billings Method
B. Calendar Method and Condom
C. Contraceptive pills and Cervical Mucus
D. Tubal ligation and vasectomy
Rationale: A. Calendar and Billings Method are both natural family planning
methods. Condom and contraceptive pills are artificial methods whereas Tubal
ligation and vasectomy are permanent methods of family planning.
(Reference: Pillitteri A. Maternal and Child Health Nursing, 3 rd Edition, Vol. 1, 2003, p.101-
116)
4. A 40 year old woman, a heavy smoker, visits your family planning clinic. She told
you that she has a very irregular menstrual cycle. She wants a highly reliable
contraceptives. Assuming that all of the following methods of birth control are
acceptable for her, which of the following would be the best recommendation?
A. The Mini pill
B. A spermicidal suppository
C. A diaphragm and spermicidal suppository
D. Calendar and Billings method
Rationale: C. Combined diaphragm and suppository is the best choice for her
considering her age and smoking habits. The combined effect of two methods is
more reliable. Mini-pill contains only progesterone. Without estrogen content,
ovulation may occur, but because the progestins have not allowed the endometrium
to develop fully, implantation will not take place. When used correctly, they 99.5%
effective in preventing conception. Because women occasionally forget to take them
and there are individual differences in women’s physiology, the typical failure rate is
round 3%.
page: Sir Archie D.
Alviz
,2 PEDIATRIC
NURSING
Prepared by: Archie D. Alviz, R.N., R.M., N.C.II | |
facebook fan
page: Sir Archie D.
Alviz
,3 PEDIATRIC
NURSING
Effectiveness of natural family planning methods such as calendar and Billings
methods vary mainly on couple’s ability to refrain from having sex on fertile days.
Failure rates usually range from 10% to 20%.
(Reference: Pillitteri A. Maternal and Child Health Nursing, 3 rd Edition, Vol. 1, 2003, p.101-
114)
5. A young client who has become sexually active asks the nurse. “What is the most
effective way to prevent a pregnancy?” the nurse’s best response would be:
A. “Abstain from sex”
B. “Use birth control pills”
C. “Have an IUD inserted
D. “Use condom and foam”
Rationale: A. Health teaching guidelines for adolescents regarding sexuality
involves saying “no” and being firm about their intentions to participate in sexual
relations. Pregnancy can occur with any sexual encounter unless you use prevention
to avoid it.
(Reference: Pillitteri A. Maternal and Child Health Nursing, 3 rd Edition, Vol. 1, 2003, p.924)
Situation: Nurse Matteo is assigned at the nursery of the National General Medical
Center. His clinical exposure as a novice nurse is proving to be professionally
satisfying.
6. Vitamin K is administered to all neonates immediately after birth because:
A. their fetal blood cells are prone to coagulation problems
B. their immature livers predispose them to low vitamin K levels
C. they lack intestinal organisms to synthesize vitamin K
D. they all experience avitaminosis
Answer: C. Neonates have sterile GI tracts at birth and, therefore, are incapable of
synthesizing vitamin K until about 8 days after birth. At 8 days, the intestinal tract
becomes colonized with organisms.
Reference: Straight A’s in Maternal – Neonatal Nursing © 2004 Lippincott Williams &
Wilkins Companion CD. The Normal Neonate. Item No. 2.
7. While evaluating a neonate in the surgery, you check his hips for signs of
dislocation. Which of the following signs indicates that the hips are in the normal
position?
A. Both legs abduct easily
B. Skin folds are asymmetrical
C. A click is heard when hip integrity is assessed
D. The femur head is felt to slip forward in the acetabulum
Answer: A. Inspection of a neonate’s hips during assessment should reveal
symmetrical skin folds, easy abduction of both legs, and absence of a click or sense
that the femur is moving within the acetabulum.
Reference: Straight A’s in Maternal – Neonatal Nursing © 2004 Lippincott Williams &
Wilkins Companion CD. The Normal Neonate. Item No. 5.
8. A new mother asks you why her neonate is voiding so often. Your best reply is that
the:
A. kidneys of the neonate can’t concentrate urine well
B. intestines of a neonate aren’t yet absorbing fluid
C. fluid retained during fetal life is being excreted
D. neonate’s fluid intake is too great for his age
Answer: A. The neonate’s kidneys are immature at birth and, therefore, unable to
properly concentrate urine. This causes the neonate to void frequently. A neonate’s
intestines don’t regulate the amount of fluid excreted. Fluid isn’t retained during fetal
life; it’s excreted after the kidneys form. Frequent voiding in neonates isn’t a sign of
excess fluid intake.
Reference: Straight A’s in Maternal – Neonatal Nursing © 2004 Lippincott Williams &
Wilkins Companion CD. The Normal Neonate. Item No. 6.
page: Sir Archie D.
Alviz
, 4 PEDIATRIC
NURSING
Prepared by: Archie D. Alviz, R.N., R.M., N.C.II | |
facebook fan
page: Sir Archie D.
Alviz
