MCN EXAM 3 2026 MATERNAL CHILD
NURSING INTRAPARTUM CARE FETAL
MONITORING AND LABOR PROGRESSION
STUDY GUIDE
◉ Infection assessment
Answer: - Symptoms (fever, cough, secretions, retractions)
- Age
- Size
- Seasons (flu in fall and winter)
- Decreased resistance
◉ A&P considerations for infants
Answer: - Obligate nose breather
- Small airways
- Large tongues
◉ A&P considerations for older children
Answer: Large tonsils and adenoids
,◉ Common respiratory testing
Answer: - Pulmonary function tests (PFTs) for asthma
- Bronchoscopy
- Nasopharyngeal wash for specimen
- Apnea-bradycardia monitors
- Pulse oximetry
◉ At what ages is the pulmonary functioning test most effective?
Answer: At least 5 years old
◉ Nasopharyngitis
Answer: Acute infection (7 to 10 days)
- Can be complicated by bacterial infections
- Symptomatic relief
- Care with combination cold remedies
◉ S/s of nasopharyngitis
Answer: - Clear to yellow thin nasal secretions
- Hoarseness with sore throat
- Dry cough
- Fatigue
- Decreased appetite
, - May have fever
◉ Tx. of nasopharyngitis
Answer: Symptomatic relief (bulb suction, antipyretics) along with
cold remedies
◉ Are OTC decongestants recommended for children under the age
of 2?
Answer: No; risk for serious side effects and have not been shown to
be effective
◉ Family teaching to recognize worsening symptoms
Answer: - Prolonged or new fever
- Increased throat pain or lympadenitis
- Worsening cough/cough that lasts 10 days
- Chest pain or dyspnea
- Earache, headache, or sinus pain
- Irritability
◉ Nursing education to reduce antibiotics for common colds
Answer: - Teach family that most common colds are viruses that are
not treated with antibiotics
NURSING INTRAPARTUM CARE FETAL
MONITORING AND LABOR PROGRESSION
STUDY GUIDE
◉ Infection assessment
Answer: - Symptoms (fever, cough, secretions, retractions)
- Age
- Size
- Seasons (flu in fall and winter)
- Decreased resistance
◉ A&P considerations for infants
Answer: - Obligate nose breather
- Small airways
- Large tongues
◉ A&P considerations for older children
Answer: Large tonsils and adenoids
,◉ Common respiratory testing
Answer: - Pulmonary function tests (PFTs) for asthma
- Bronchoscopy
- Nasopharyngeal wash for specimen
- Apnea-bradycardia monitors
- Pulse oximetry
◉ At what ages is the pulmonary functioning test most effective?
Answer: At least 5 years old
◉ Nasopharyngitis
Answer: Acute infection (7 to 10 days)
- Can be complicated by bacterial infections
- Symptomatic relief
- Care with combination cold remedies
◉ S/s of nasopharyngitis
Answer: - Clear to yellow thin nasal secretions
- Hoarseness with sore throat
- Dry cough
- Fatigue
- Decreased appetite
, - May have fever
◉ Tx. of nasopharyngitis
Answer: Symptomatic relief (bulb suction, antipyretics) along with
cold remedies
◉ Are OTC decongestants recommended for children under the age
of 2?
Answer: No; risk for serious side effects and have not been shown to
be effective
◉ Family teaching to recognize worsening symptoms
Answer: - Prolonged or new fever
- Increased throat pain or lympadenitis
- Worsening cough/cough that lasts 10 days
- Chest pain or dyspnea
- Earache, headache, or sinus pain
- Irritability
◉ Nursing education to reduce antibiotics for common colds
Answer: - Teach family that most common colds are viruses that are
not treated with antibiotics
