MATERNAL CHILD CH. 40 EXAM 2025
WITH CORRECT ANSWERS
Which statement best describes why children have fewer respiratory tract infections as they
j j j j j j j j j j j j j
grow older? j
a. The amount of lymphoid tissue decreases.
j j j j j j
b. Repeated exposure to organisms causes increased immunity.
j j j j j j j
c. Viral organisms are less prevalent in the population.
j j j j j j j j
d. Secondary infections rarely occur after viral illnesses. - correct answer ANS: B
j j j j j j j j j j j j
Children have increased immunity after exposure to a virus. The amount of lymphoid tissue
j j j j j j j j j j j j j j
increases as j
children grow older. Viral organisms are not less prevalent, but older children have the ability to
j j j j j j j j j j j j j j j j
resist
invading organisms. Secondary infections after viral illnesses include Mycoplasma
j j j j j j j j j
pneumoniae and groups A j j j
and B streptococcal infections.
j j j
A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
j j j j j j j j j j j j j j j j
purulent nasal j
drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes
j j j j j j j j j j j j j
that these symptoms
j j
are characteristic of which respiratory condition?
j j j j j
a. Allergic rhinitis c. Asthma
j j j j
b. Bronchitis d. Sinusitis - correct answer ANS: D
j j j j j j j j
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
j j j j j j j j j j j j j j j j j j
low-grade
fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling of
j j j j j j j j j j j j
fullness over the j j
, affected sinuses, halitosis, and a cough that increases when the child is lying down. The j j j j j j j j j j j j j j j
classic symptoms of j j
allergic rhinitis are watery rhinorrhea; itchy nose, eyes, ears, and palate; and sneezing.
j j j j j j j j j j j j j
Symptoms occur as long j j j
as the child is exposed to the allergen. Bronchitis is characterized by a gradual onset of rhinitis
j j j j j j j j j j j j j j j j j
and a cough j j
that is initially nonproductive but may change to a loose cough. The manifestations of asthma
j j j j j j j j j j j j j j j
may vary, with j j
wheezing being a classic sign. The symptoms presented in the question do not suggest j j j j j j j j j j j j j j
asthma.
Decongestant nose drops are recommended for a 10-month-old infant with an upper j j j j j j j j j j j j
respiratory tract j
infection. Instructions for nose drops should include: j j j j j j
a. Avoiding use for more than 3 days.
j j j j j j j
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 648
j j j j j j j j j j j j
b. Keeping drops to use again for nasal congestion.
j j j j j j j j
c. Administering drops until nasal congestion subsides.
j j j j j j
d. Administering drops after feedings and at bedtime. - correct answer ANS: A
j j j j j j j j j j j j
Vasoconstrictive nose drops such as Neo-Synephrine should not be used for more than 3 days j j j j j j j j j j j j j j
to avoid rebound
j j j
congestion. Drops should be discarded after one illness because they may become j j j j j j j j j j j j
contaminated with bacteria. Vasoconstrictive nose drops can have a rebound effect after 3 j j j j j j j j j j j j j
days of use. Drops administered before feedings
j j j j j j
are more helpful. j j
When caring for an infant with an upper respiratory tract infection and elevated temperature,
j j j j j j j j j j j j j j
an appropriate j
nursing intervention is to: j j j
a. Give tepid water baths to reduce fever.
j j j j j j j
b. Encourage food intake to maintain caloric needs.
j j j j j j j
c. Have child wear heavy clothing to prevent chilling.
j j j j j j j j
d. Give small amounts of favorite fluids frequently to prevent dehydration. - correct answer
j j j j j j j j j j j j j j
ANS: D j
Preventing dehydration by small frequent feedings is an important intervention in the febrile j j j j j j j j j j j j j
child. Tepid water j j
baths may induce shivering, which raises temperature. Food should not be forced; it may
j j j j j j j j j j j j j j
result in the child j j j
vomiting. The febrile child should be dressed in light, loose clothing. j j j j j j j j j j
The parent of an infant with nasopharyngitis should be instructed to notify the health care
j j j j j j j j j j j j j j j
professional if the j j
infant:
a. Becomes fussy. c. Has a fever over 99 F.
j j j j j j j j j
b. Has a cough. d. Shows signs of an earache. - correct answer ANS: D
j j j j j j j j j j j j j j
WITH CORRECT ANSWERS
Which statement best describes why children have fewer respiratory tract infections as they
j j j j j j j j j j j j j
grow older? j
a. The amount of lymphoid tissue decreases.
j j j j j j
b. Repeated exposure to organisms causes increased immunity.
j j j j j j j
c. Viral organisms are less prevalent in the population.
j j j j j j j j
d. Secondary infections rarely occur after viral illnesses. - correct answer ANS: B
j j j j j j j j j j j j
Children have increased immunity after exposure to a virus. The amount of lymphoid tissue
j j j j j j j j j j j j j j
increases as j
children grow older. Viral organisms are not less prevalent, but older children have the ability to
j j j j j j j j j j j j j j j j
resist
invading organisms. Secondary infections after viral illnesses include Mycoplasma
j j j j j j j j j
pneumoniae and groups A j j j
and B streptococcal infections.
j j j
A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
j j j j j j j j j j j j j j j j
purulent nasal j
drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes
j j j j j j j j j j j j j
that these symptoms
j j
are characteristic of which respiratory condition?
j j j j j
a. Allergic rhinitis c. Asthma
j j j j
b. Bronchitis d. Sinusitis - correct answer ANS: D
j j j j j j j j
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
j j j j j j j j j j j j j j j j j j
low-grade
fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling of
j j j j j j j j j j j j
fullness over the j j
, affected sinuses, halitosis, and a cough that increases when the child is lying down. The j j j j j j j j j j j j j j j
classic symptoms of j j
allergic rhinitis are watery rhinorrhea; itchy nose, eyes, ears, and palate; and sneezing.
j j j j j j j j j j j j j
Symptoms occur as long j j j
as the child is exposed to the allergen. Bronchitis is characterized by a gradual onset of rhinitis
j j j j j j j j j j j j j j j j j
and a cough j j
that is initially nonproductive but may change to a loose cough. The manifestations of asthma
j j j j j j j j j j j j j j j
may vary, with j j
wheezing being a classic sign. The symptoms presented in the question do not suggest j j j j j j j j j j j j j j
asthma.
Decongestant nose drops are recommended for a 10-month-old infant with an upper j j j j j j j j j j j j
respiratory tract j
infection. Instructions for nose drops should include: j j j j j j
a. Avoiding use for more than 3 days.
j j j j j j j
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 648
j j j j j j j j j j j j
b. Keeping drops to use again for nasal congestion.
j j j j j j j j
c. Administering drops until nasal congestion subsides.
j j j j j j
d. Administering drops after feedings and at bedtime. - correct answer ANS: A
j j j j j j j j j j j j
Vasoconstrictive nose drops such as Neo-Synephrine should not be used for more than 3 days j j j j j j j j j j j j j j
to avoid rebound
j j j
congestion. Drops should be discarded after one illness because they may become j j j j j j j j j j j j
contaminated with bacteria. Vasoconstrictive nose drops can have a rebound effect after 3 j j j j j j j j j j j j j
days of use. Drops administered before feedings
j j j j j j
are more helpful. j j
When caring for an infant with an upper respiratory tract infection and elevated temperature,
j j j j j j j j j j j j j j
an appropriate j
nursing intervention is to: j j j
a. Give tepid water baths to reduce fever.
j j j j j j j
b. Encourage food intake to maintain caloric needs.
j j j j j j j
c. Have child wear heavy clothing to prevent chilling.
j j j j j j j j
d. Give small amounts of favorite fluids frequently to prevent dehydration. - correct answer
j j j j j j j j j j j j j j
ANS: D j
Preventing dehydration by small frequent feedings is an important intervention in the febrile j j j j j j j j j j j j j
child. Tepid water j j
baths may induce shivering, which raises temperature. Food should not be forced; it may
j j j j j j j j j j j j j j
result in the child j j j
vomiting. The febrile child should be dressed in light, loose clothing. j j j j j j j j j j
The parent of an infant with nasopharyngitis should be instructed to notify the health care
j j j j j j j j j j j j j j j
professional if the j j
infant:
a. Becomes fussy. c. Has a fever over 99 F.
j j j j j j j j j
b. Has a cough. d. Shows signs of an earache. - correct answer ANS: D
j j j j j j j j j j j j j j
