,NUR 223 Exam 2 Care of Women and Children Questions And
Answers 2026/2027 Jersey College
Q1. Which principle is central to family-centered pediatric care?
A) Recognize the family as a constant in the child's life and involve them in
care decisions
B) Separate the child from the family during all procedures
C) Allow healthcare professionals to make all decisions independently
D) Limit parental participation to visiting hours
Correct Answer: A) Recognize the family as a constant in the child's life and
involve them in care decisions
Rationale: Family-centered care respects the family's knowledge of the child
and promotes collaboration in planning and providing care.
Q2. Which approach is most appropriate when assessing a fearful
toddler?
A) Begin immediately with the most invasive assessment
B) Allow the child to remain with the caregiver and perform less threatening
assessments first
C) Separate the child from the caregiver
D) Require the child to lie still before any interaction begins
Correct Answer: B) Allow the child to remain with the caregiver and perform
less threatening assessments first
Rationale: Toddlers often feel safer near familiar caregivers, and
progressing from noninvasive to more invasive assessment decreases fear.
Q3. Which finding is most useful when evaluating whether a child's
growth is progressing appropriately over time?
A) A single weight obtained during one illness
B) Comparison with an adult growth standard
C) Serial height, weight, and other measurements plotted on an appropriate
growth chart
D) Parental estimate of the child's current weight
Correct Answer: C) Serial height, weight, and other measurements plotted on
an appropriate growth chart
Rationale: Growth trends over time provide more meaningful information
than an isolated measurement.
,Q4. Which assessment technique is generally performed last in a
young child when it is likely to cause distress?
A) Observation
B) Respiratory-rate assessment
C) Heart auscultation
D) Examination of the throat
Correct Answer: D) Examination of the throat
Rationale: Potentially upsetting procedures such as throat examination are
often delayed until less intrusive assessment is complete.
Q5. Which pain-assessment method is most appropriate for a verbal
school-age child who can understand numerical concepts?
A) A developmentally appropriate numerical pain-rating scale
B) Assessment of crying alone
C) Parent report without asking the child
D) Blood pressure as the only pain indicator
Correct Answer: A) A developmentally appropriate numerical pain-rating
scale
Rationale: School-age children who understand numerical ordering can
usually provide useful self-reported pain ratings.
Q6. Which statement about pediatric pain is correct?
A) Children who are playing cannot have significant pain
B) A child's self-report should be used when developmentally possible
C) Infants do not experience pain in the same way as older children
D) Normal vital signs prove that pain is absent
Correct Answer: B) A child's self-report should be used when developmentally
possible
Rationale: Pain is subjective, and self-report is the preferred measure when
the child's developmental abilities permit it.
Q7. A preschool child is scheduled for a procedure. Which
explanation is most appropriate?
A) Provide detailed abstract physiology several days in advance
B) Avoid any explanation to prevent anxiety
C) Use simple concrete language shortly before the procedure and
, demonstrate when helpful
D) Explain only to the parents
Correct Answer: C) Use simple concrete language shortly before the
procedure and demonstrate when helpful
Rationale: Preschool children understand simple, concrete explanations
better than abstract descriptions.
Q8. Which action best promotes atraumatic care?
A) Perform procedures according to staff convenience
B) Separate children from caregivers routinely
C) Avoid pain-management interventions
D) Minimize physical and psychological distress whenever possible
Correct Answer: D) Minimize physical and psychological distress whenever
possible
Rationale: Atraumatic care aims to reduce pain, fear, separation, loss of
control, and other healthcare-related stressors.
Q9. Which respiratory assessment finding in an infant requires
prompt attention?
A) Nasal flaring with retractions
B) Abdominal breathing without distress
C) Brief irregularity during sleep
D) Respiratory rate that slows during quiet rest within the expected range
Correct Answer: A) Nasal flaring with retractions
Rationale: Nasal flaring and retractions indicate increased work of breathing
and possible respiratory compromise.
Q10. Why should respiratory rate generally be counted before
disturbing an infant?
A) Crying lowers the respiratory rate dramatically
B) Activity and crying can alter the respiratory pattern and reduce
assessment accuracy
C) Respirations cannot be counted while an infant is awake
D) Heart rate must always be counted afterward
Correct Answer: B) Activity and crying can alter the respiratory pattern and
reduce assessment accuracy
Answers 2026/2027 Jersey College
Q1. Which principle is central to family-centered pediatric care?
A) Recognize the family as a constant in the child's life and involve them in
care decisions
B) Separate the child from the family during all procedures
C) Allow healthcare professionals to make all decisions independently
D) Limit parental participation to visiting hours
Correct Answer: A) Recognize the family as a constant in the child's life and
involve them in care decisions
Rationale: Family-centered care respects the family's knowledge of the child
and promotes collaboration in planning and providing care.
Q2. Which approach is most appropriate when assessing a fearful
toddler?
A) Begin immediately with the most invasive assessment
B) Allow the child to remain with the caregiver and perform less threatening
assessments first
C) Separate the child from the caregiver
D) Require the child to lie still before any interaction begins
Correct Answer: B) Allow the child to remain with the caregiver and perform
less threatening assessments first
Rationale: Toddlers often feel safer near familiar caregivers, and
progressing from noninvasive to more invasive assessment decreases fear.
Q3. Which finding is most useful when evaluating whether a child's
growth is progressing appropriately over time?
A) A single weight obtained during one illness
B) Comparison with an adult growth standard
C) Serial height, weight, and other measurements plotted on an appropriate
growth chart
D) Parental estimate of the child's current weight
Correct Answer: C) Serial height, weight, and other measurements plotted on
an appropriate growth chart
Rationale: Growth trends over time provide more meaningful information
than an isolated measurement.
,Q4. Which assessment technique is generally performed last in a
young child when it is likely to cause distress?
A) Observation
B) Respiratory-rate assessment
C) Heart auscultation
D) Examination of the throat
Correct Answer: D) Examination of the throat
Rationale: Potentially upsetting procedures such as throat examination are
often delayed until less intrusive assessment is complete.
Q5. Which pain-assessment method is most appropriate for a verbal
school-age child who can understand numerical concepts?
A) A developmentally appropriate numerical pain-rating scale
B) Assessment of crying alone
C) Parent report without asking the child
D) Blood pressure as the only pain indicator
Correct Answer: A) A developmentally appropriate numerical pain-rating
scale
Rationale: School-age children who understand numerical ordering can
usually provide useful self-reported pain ratings.
Q6. Which statement about pediatric pain is correct?
A) Children who are playing cannot have significant pain
B) A child's self-report should be used when developmentally possible
C) Infants do not experience pain in the same way as older children
D) Normal vital signs prove that pain is absent
Correct Answer: B) A child's self-report should be used when developmentally
possible
Rationale: Pain is subjective, and self-report is the preferred measure when
the child's developmental abilities permit it.
Q7. A preschool child is scheduled for a procedure. Which
explanation is most appropriate?
A) Provide detailed abstract physiology several days in advance
B) Avoid any explanation to prevent anxiety
C) Use simple concrete language shortly before the procedure and
, demonstrate when helpful
D) Explain only to the parents
Correct Answer: C) Use simple concrete language shortly before the
procedure and demonstrate when helpful
Rationale: Preschool children understand simple, concrete explanations
better than abstract descriptions.
Q8. Which action best promotes atraumatic care?
A) Perform procedures according to staff convenience
B) Separate children from caregivers routinely
C) Avoid pain-management interventions
D) Minimize physical and psychological distress whenever possible
Correct Answer: D) Minimize physical and psychological distress whenever
possible
Rationale: Atraumatic care aims to reduce pain, fear, separation, loss of
control, and other healthcare-related stressors.
Q9. Which respiratory assessment finding in an infant requires
prompt attention?
A) Nasal flaring with retractions
B) Abdominal breathing without distress
C) Brief irregularity during sleep
D) Respiratory rate that slows during quiet rest within the expected range
Correct Answer: A) Nasal flaring with retractions
Rationale: Nasal flaring and retractions indicate increased work of breathing
and possible respiratory compromise.
Q10. Why should respiratory rate generally be counted before
disturbing an infant?
A) Crying lowers the respiratory rate dramatically
B) Activity and crying can alter the respiratory pattern and reduce
assessment accuracy
C) Respirations cannot be counted while an infant is awake
D) Heart rate must always be counted afterward
Correct Answer: B) Activity and crying can alter the respiratory pattern and
reduce assessment accuracy
