NUR 2513 Exam 3 Maternal Child Rasmussen College
Exam (elaborations)
, Exam 3 Review Points
1. 12-year-old with pyelonephritis signs and symptoms. (3 check all that apply)
Enuresis, malodor, dysuria with frequency, urgency and discomfort,
fever/chills (especially when related to pyelonephritis) abdominal pain, flank
pain, malaise, vomiting and diarrhea.
2. Nursing interventions of seizure precautions for child (3 check all that
apply). Airway patency, ensure nothing is placed in the child's mouth during
seizure, watch for loose teeth that may be aspirated or knocked out, suction
if needed after the seizure, monitor oxygenation saturation should be at 95%
or greater. For safety raise and pad side rails when the child is in bed or crib.
During administration of medications give Iv medications slowly during a
seizure to reduce risks of side effects.
3. 9-year-old with fractured distal radius plan of care (3 check all that apply).
Provide emotional support and review management plan, principles of bone
healing, how to perform a neurovascular assessment, cast care, teach
family about adaptations to home environment. Teach the family about
nutrition and safe transfer.
4. Education presentation to prevent skin cancer topic to include (4 check all
that apply). Apply sunscreen, reduce length of time in the sun, avoid tanning
beds and 2 or more severe sunburns in a row increase skin cancer risk
5. Toddler with Kawaski Disease, findings with physical assessment (3
check all that apply). Rash, conjunctivitis with exudate, cervical
lymphadenopathy greater than 1.5mm in diameter, irritation and
inflammation of the mouth with erythema “strawberry tongue” and
cracking lips, erythema and edema of hands and feet with eventual
peeling of the skin.
6. Signs of sexual abuse in preadolescent client that parent should be
educated about (4 check all that apply). Quieter, more distant, cries for no
reason, start to have accidents and wets bed at night, can be aggressive and
angry for no obvious reason, says there tummy or head hurts, starts having
nightmares, is clingy, isn’t plating with others, having trouble sleeping,
showing problematic sexual behavior, doing worse in school, swelling and
redness in genital area, pain with urination, bruising on butt and thighs, UTIs,
STD symptoms
7. School-aged child diagnosed with obesity. Patient education to achieve
proper BMI (3 check all that apply). Make a detailed log about food they eat
the time and circumstances, always eating in one place (Kitchen table)
slowing the process of eating by counting mouthfuls and putting the fork
down between bites, encourage exercise as well.
8. 38 weeks pregnant having an NST what would RN observe for (3 check all
, that apply). Baby's movement, heartbeat and contractions. You will note
changes in
Exam (elaborations)
, Exam 3 Review Points
1. 12-year-old with pyelonephritis signs and symptoms. (3 check all that apply)
Enuresis, malodor, dysuria with frequency, urgency and discomfort,
fever/chills (especially when related to pyelonephritis) abdominal pain, flank
pain, malaise, vomiting and diarrhea.
2. Nursing interventions of seizure precautions for child (3 check all that
apply). Airway patency, ensure nothing is placed in the child's mouth during
seizure, watch for loose teeth that may be aspirated or knocked out, suction
if needed after the seizure, monitor oxygenation saturation should be at 95%
or greater. For safety raise and pad side rails when the child is in bed or crib.
During administration of medications give Iv medications slowly during a
seizure to reduce risks of side effects.
3. 9-year-old with fractured distal radius plan of care (3 check all that apply).
Provide emotional support and review management plan, principles of bone
healing, how to perform a neurovascular assessment, cast care, teach
family about adaptations to home environment. Teach the family about
nutrition and safe transfer.
4. Education presentation to prevent skin cancer topic to include (4 check all
that apply). Apply sunscreen, reduce length of time in the sun, avoid tanning
beds and 2 or more severe sunburns in a row increase skin cancer risk
5. Toddler with Kawaski Disease, findings with physical assessment (3
check all that apply). Rash, conjunctivitis with exudate, cervical
lymphadenopathy greater than 1.5mm in diameter, irritation and
inflammation of the mouth with erythema “strawberry tongue” and
cracking lips, erythema and edema of hands and feet with eventual
peeling of the skin.
6. Signs of sexual abuse in preadolescent client that parent should be
educated about (4 check all that apply). Quieter, more distant, cries for no
reason, start to have accidents and wets bed at night, can be aggressive and
angry for no obvious reason, says there tummy or head hurts, starts having
nightmares, is clingy, isn’t plating with others, having trouble sleeping,
showing problematic sexual behavior, doing worse in school, swelling and
redness in genital area, pain with urination, bruising on butt and thighs, UTIs,
STD symptoms
7. School-aged child diagnosed with obesity. Patient education to achieve
proper BMI (3 check all that apply). Make a detailed log about food they eat
the time and circumstances, always eating in one place (Kitchen table)
slowing the process of eating by counting mouthfuls and putting the fork
down between bites, encourage exercise as well.
8. 38 weeks pregnant having an NST what would RN observe for (3 check all
, that apply). Baby's movement, heartbeat and contractions. You will note
changes in
