• MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
MATERNITY AND PEDIATRIC NURSING
5TH EDITION BY RICCI, KYLE & CARMAN |
COMPLETE TEST BANK 1 ALL CHAPTERS
(1–51) | QUESTIONS, ANSWERS &
RATIONALES
P 1
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
1. The nurse is caring for a child who is experiencing an acute renal transplant rejection and is
to receive muromonab-CD3. What would the nurse most likely expect to assess after the first
dose is administered?
A) Fever with chills, chest tightness
B) Cough, hyperkalemia
C) Photosensitivity, gastrointestinal (GI) upset
D) Urinary retention, decreased appetite - Correct Answer :Ans: A
Feedback:
The first dose of muromonab-CD3 can cause fever, chills, chest tightness, wheezing, nausea,
and vomiting. Cough and hyperkalemia are associated with angiotensin-converting enzyme
inhibitors. Photosensitivity and GI upset are often associated with diuretics. Urinary retention
and decreased appetite are associated with imipramine.
2. The nurse is visually inspecting a urine specimen from a 12-year-old boy. The nurse
documents gross hematuria with a specimen of which color?
A) Cloudy yellow
B) Cola colored
C) Pale to almost clear urine
D) Light orange to moderately yellow colored - Correct Answer :Ans: B
Feedback:
Gross hematuria causes the urine to appear tea, cola, or even dirty green colored. Cloudy
urine is typically a sign of infection. Normal urine ranges from moderately yellow to pale or
almost clear. Orange-colored urine can occur because of medication.
3. The nurse is caring for a 4-year-old with a suspected urinary tract infection. What would be
most appropriate when obtaining a urine specimen from the child?
P 2
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
A) "I will need a urine sample."
B) "Let your mom help you tinkle in this cup."
C) "Please tinkle in this cup right now."
D) "Please void in this cup instead of the toilet." - Correct Answer :Ans: B
Feedback:
The nurse needs to use familiar terms to explain to the child what is needed and to gain
cooperation. The most positive approach would be to let the child's mother help rather than
demanding that he tinkle right now. Using the terms "urine sample" or "void" is not
appropriate for a 4-year-old.
4. The nurse is providing postsurgical care for an infant who has undergone a hypospadias
repair. Which action by the nurse would be most important to help keep the area clean while
maintaining proper position of the drainage tubing?
A) Keeping the drainage tube taped in an upright position
B) Administering antibiotics as ordered
C) Administering analgesics as prescribed
D) Using a double-diapering technique - Correct Answer :Ans: D
Feedback:
Double diapering is a method used to protect a child's urethra and stent or catheter after
surgery and additionally helps to keep the area clean and free from infection. Keeping the
drainage tube taped in an upright position, administering antibiotics, and administering
analgesics are also important, but double diapering keeps the area clean and helps prevent
infection.
5. The nurse is caring for an infant with bladder exstrophy. As part of the infant's preoperative
plan of care, the nurse monitors for abdominal skin excoriation. Which action would be most
appropriate for promoting healing and preventing further skin breakdown?
P 3
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
A) Cleaning the area well with a scented diaper wipe
B) Applying a barrier/healing cream or paste on skin
C) Keeping the bladder moist and covered with a sterile bag
D) Covering the area with sterile gauze pads after tub baths - Correct Answer :Ans: B
Feedback:
The nurse should use a barrier/healing cream or paste on surrounding skin to promote healing
and prevent further skin breakdown. Diaper wipes that contain fragrance or alcohol can sting
if used on nonintact skin and can worsen skin breakdown. It is important to protect the
bladder, but this will not address the skin excoriation. Meticulous attention to cleanliness is
important, but the nurse should sponge-bathe the infant rather than immerse him in water to
prevent pathogens from the water possibly entering the bladder.
6. The nurse is caring for a 4-year-old girl with vulvovaginitis. After explaining to the girl's
mother how to help prevent subsequent episodes, which statement by the mother indicates
a need for additional teaching?
A) "She needs to wipe from front to back."
B) "I will make sure she changes her underwear every day."
C) "She should probably avoid bubble baths."
D) "I will help supervise her wiping after bowel movements." - Correct Answer :Ans: A
Feedback:
At the age of 4, the mother should not assume that the girl will wipe properly. The mother will
need to supervise her wiping in order to train her properly. Making sure the child changes her
underwear daily, avoiding bubble baths, and supervising her wiping after bowel movements
indicate that the mother has understood the instructions.
7. A nurse is caring for a 7-year-old girl scheduled for an intravenous pyelogram (IVP). Which
action would be the priority before the test?
P 4
PEDIATRIC 09/25/2026
NURSING
MATERNITY AND PEDIATRIC NURSING
5TH EDITION BY RICCI, KYLE & CARMAN |
COMPLETE TEST BANK 1 ALL CHAPTERS
(1–51) | QUESTIONS, ANSWERS &
RATIONALES
P 1
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
1. The nurse is caring for a child who is experiencing an acute renal transplant rejection and is
to receive muromonab-CD3. What would the nurse most likely expect to assess after the first
dose is administered?
A) Fever with chills, chest tightness
B) Cough, hyperkalemia
C) Photosensitivity, gastrointestinal (GI) upset
D) Urinary retention, decreased appetite - Correct Answer :Ans: A
Feedback:
The first dose of muromonab-CD3 can cause fever, chills, chest tightness, wheezing, nausea,
and vomiting. Cough and hyperkalemia are associated with angiotensin-converting enzyme
inhibitors. Photosensitivity and GI upset are often associated with diuretics. Urinary retention
and decreased appetite are associated with imipramine.
2. The nurse is visually inspecting a urine specimen from a 12-year-old boy. The nurse
documents gross hematuria with a specimen of which color?
A) Cloudy yellow
B) Cola colored
C) Pale to almost clear urine
D) Light orange to moderately yellow colored - Correct Answer :Ans: B
Feedback:
Gross hematuria causes the urine to appear tea, cola, or even dirty green colored. Cloudy
urine is typically a sign of infection. Normal urine ranges from moderately yellow to pale or
almost clear. Orange-colored urine can occur because of medication.
3. The nurse is caring for a 4-year-old with a suspected urinary tract infection. What would be
most appropriate when obtaining a urine specimen from the child?
P 2
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
A) "I will need a urine sample."
B) "Let your mom help you tinkle in this cup."
C) "Please tinkle in this cup right now."
D) "Please void in this cup instead of the toilet." - Correct Answer :Ans: B
Feedback:
The nurse needs to use familiar terms to explain to the child what is needed and to gain
cooperation. The most positive approach would be to let the child's mother help rather than
demanding that he tinkle right now. Using the terms "urine sample" or "void" is not
appropriate for a 4-year-old.
4. The nurse is providing postsurgical care for an infant who has undergone a hypospadias
repair. Which action by the nurse would be most important to help keep the area clean while
maintaining proper position of the drainage tubing?
A) Keeping the drainage tube taped in an upright position
B) Administering antibiotics as ordered
C) Administering analgesics as prescribed
D) Using a double-diapering technique - Correct Answer :Ans: D
Feedback:
Double diapering is a method used to protect a child's urethra and stent or catheter after
surgery and additionally helps to keep the area clean and free from infection. Keeping the
drainage tube taped in an upright position, administering antibiotics, and administering
analgesics are also important, but double diapering keeps the area clean and helps prevent
infection.
5. The nurse is caring for an infant with bladder exstrophy. As part of the infant's preoperative
plan of care, the nurse monitors for abdominal skin excoriation. Which action would be most
appropriate for promoting healing and preventing further skin breakdown?
P 3
, • MATERNITY AND
PEDIATRIC 09/25/2026
NURSING
A) Cleaning the area well with a scented diaper wipe
B) Applying a barrier/healing cream or paste on skin
C) Keeping the bladder moist and covered with a sterile bag
D) Covering the area with sterile gauze pads after tub baths - Correct Answer :Ans: B
Feedback:
The nurse should use a barrier/healing cream or paste on surrounding skin to promote healing
and prevent further skin breakdown. Diaper wipes that contain fragrance or alcohol can sting
if used on nonintact skin and can worsen skin breakdown. It is important to protect the
bladder, but this will not address the skin excoriation. Meticulous attention to cleanliness is
important, but the nurse should sponge-bathe the infant rather than immerse him in water to
prevent pathogens from the water possibly entering the bladder.
6. The nurse is caring for a 4-year-old girl with vulvovaginitis. After explaining to the girl's
mother how to help prevent subsequent episodes, which statement by the mother indicates
a need for additional teaching?
A) "She needs to wipe from front to back."
B) "I will make sure she changes her underwear every day."
C) "She should probably avoid bubble baths."
D) "I will help supervise her wiping after bowel movements." - Correct Answer :Ans: A
Feedback:
At the age of 4, the mother should not assume that the girl will wipe properly. The mother will
need to supervise her wiping in order to train her properly. Making sure the child changes her
underwear daily, avoiding bubble baths, and supervising her wiping after bowel movements
indicate that the mother has understood the instructions.
7. A nurse is caring for a 7-year-old girl scheduled for an intravenous pyelogram (IVP). Which
action would be the priority before the test?
P 4
