l
LATEST TEST BANK MATERNAL CHILD
NURSING CARE, 6TH EDITION, SHANNON
PERRY, MARILYN HOCKENBERRY,
DEITRA LOWDERMILK, DAVID WILSON,
KATHRYN ALDEN, MARY CATHERINE
CASHION 2025 LATEST VERSION WITH
COMPLETE SOLUTIONS
1. Spastic cerebral palsy is characterized by:
a. Hypertonicity and poor control of posture, balance, and coordinated motion.
b. Athetosis and dystonic movements.
c. Wide-based gait and poor performance of rapid, repetitive movements.
d. Tremors and lack of active movement.
ANS: A
Hypertonicity and poor control of posture, balance, and coordinated motion are part of the classification of
spastic cerebral palsy. Athetosis and dystonic movements are part of the classification of dyskinetic/athetoid
cerebral palsy. Wide-based gait and poor performance of rapid, repetitive movements are part of the
classification of ataxic cerebral palsy. Tremors and lack of active movement may indicate other neurologic
disorders.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1572
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
2. The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their childs spasticity. The
nurses response should be based on knowing that:
a. Anticonvulsant medications are sometimes useful for controlling spasticity.
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b. Medications that would be useful in reducing spasticity are too toxic for use with children.
c. Many different medications can be highly effective in controlling spasticity.
d. Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has
recently become available.
ANS: D
Baclofen given intrathecally is best suited for children with severe spasticity that interferes with activities of
daily living and ambulation. Anticonvulsant medications are used when seizures occur in children with
cerebral palsy. The intrathecal route decreases the side effects of the drugs that reduce spasticity. Few
medications are presently available for the control of spasticity.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1574
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
3. The most common problem of children born with a myelomeningocele is:
a. Neurogenic bladder. c. Respiratory compromise.
b. Intellectual impairment. d. Cranioschisis.
ANS: A
Myelomeningocele is one of the most common causes of neuropathic (neurogenic) bladder dysfunction among
children. Risk of intellectual impairment is minimized through early intervention and management of
hydrocephalus. Respiratory compromise is not a common problem in myelomeningocele. Cranioschisis is a
skull defect through which various tissues protrude. It is not associated with myelomeningocele.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1582
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Physiologic Integrity
4. Which problem is most often associated with myelomeningocele?
a. Hydrocephalus c. Biliary atresia
b. Craniosynostosis d. Esophageal atresia
ANS: A
Hydrocephalus is an associated anomaly in 80% to 90% of children. Craniosynostosis is the premature closing
of the cranial sutures and is not associated with myelomeningocele. Biliary and esophageal atresias are not
associated with myelomeningocele.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1580
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
5. A current recommendation to prevent neural tube defects is the supplementation of:
a. Vitamin A throughout pregnancy.
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b. Multivitamin preparations as soon as pregnancy is suspected.
c. Folic acid for all women of childbearing age.
d. Folic acid during the first and second trimesters of pregnancy.
ANS: C
The widespread use of folic acid among women of childbearing age is expected to decrease the incidence of
spina bifida significantly. Vitamin A and multivitamin preparations do not have a relation to the prevention of
spina bifida. Folic acid supplementation is recommended for the preconceptual period and during the
pregnancy. Only 42% of women actually follow these guidelines.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1582
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
6. How much folic acid is recommended for women of childbearing age?
a. 0.1 mg c. 1.5 mg
b. 0.4 mg d. 2 mg
ANS: B
It has been estimated that a daily intake of 0.4 mg of folic acid in women of childbearing age will prevent 50%
to 70% of cases of neural tube defects. A dose of 0.1 mg is too low, and 1.5 mg and 2 mg are not
recommended dosages of folic acid.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1582
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
7. The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled
the next day. The most appropriate way to position and feed this neonate is to place him:
a. Prone and tube feed.
b. Prone, turn head to side, and nipple feed.
c. Supine in infant carrier and nipple feed.
d. Supine, with defect supported with rolled blankets, and nipple feed.
ANS: B
In the prone position, feeding is a problem. The infants head is turned to one side for feeding. If the child is
able to nipple feed, no indication is present for tube feeding. Before surgery, the infant is kept in the prone
position to minimize tension on the sac and risk of trauma.
PTS: 1 DIF: Cognitive Level: Application REF: 1583
, l
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
8. The nurse is talking to a parent with a child who has a latex allergy. Which statement by the parent would
indicate a correct understanding of the teaching?
a. My child will have an allergic reaction if he comes in contact with yeast products.
b. My child may have an upset stomach if he eats a food made with wheat or barley.
c. My child will probably develop an allergy to peanuts.
d. My child should not eat bananas or kiwis.
ANS: D
There are cross-reactions between latex allergies and a number of foods such as bananas, avocados, kiwi, and
chestnuts. Although yeast products, wheat and barley, and peanuts are potential allergens, they are currently
not known to cross-react with latex.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1585
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
9. Latex allergy is suspected in a child with spina bifida. Appropriate nursing interventions include:
a. Avoiding using any latex product.
b. Using only nonallergenic latex products.
c. Administering medication for long-term desensitization.
d. Teaching the family about long-term management of asthma.
ANS: A
Care must be taken that individuals who are at high risk for latex allergies do not come in direct or secondary
contact with products or equipment containing latex at any time during medical treatment. There are no
nonallergenic latex products. At this time desensitization is not an option. The child does not have asthma. The
parents must be taught about allergy and the risk of anaphylaxis.
PTS: 1 DIF: Cognitive Level: Application REF: 1584
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
10. Which finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy?
a. Tremulous movements at rest and with activity
b. Sudden jerking movement caused by stimuli
LATEST TEST BANK MATERNAL CHILD
NURSING CARE, 6TH EDITION, SHANNON
PERRY, MARILYN HOCKENBERRY,
DEITRA LOWDERMILK, DAVID WILSON,
KATHRYN ALDEN, MARY CATHERINE
CASHION 2025 LATEST VERSION WITH
COMPLETE SOLUTIONS
1. Spastic cerebral palsy is characterized by:
a. Hypertonicity and poor control of posture, balance, and coordinated motion.
b. Athetosis and dystonic movements.
c. Wide-based gait and poor performance of rapid, repetitive movements.
d. Tremors and lack of active movement.
ANS: A
Hypertonicity and poor control of posture, balance, and coordinated motion are part of the classification of
spastic cerebral palsy. Athetosis and dystonic movements are part of the classification of dyskinetic/athetoid
cerebral palsy. Wide-based gait and poor performance of rapid, repetitive movements are part of the
classification of ataxic cerebral palsy. Tremors and lack of active movement may indicate other neurologic
disorders.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1572
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
2. The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their childs spasticity. The
nurses response should be based on knowing that:
a. Anticonvulsant medications are sometimes useful for controlling spasticity.
, l
b. Medications that would be useful in reducing spasticity are too toxic for use with children.
c. Many different medications can be highly effective in controlling spasticity.
d. Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has
recently become available.
ANS: D
Baclofen given intrathecally is best suited for children with severe spasticity that interferes with activities of
daily living and ambulation. Anticonvulsant medications are used when seizures occur in children with
cerebral palsy. The intrathecal route decreases the side effects of the drugs that reduce spasticity. Few
medications are presently available for the control of spasticity.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1574
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
3. The most common problem of children born with a myelomeningocele is:
a. Neurogenic bladder. c. Respiratory compromise.
b. Intellectual impairment. d. Cranioschisis.
ANS: A
Myelomeningocele is one of the most common causes of neuropathic (neurogenic) bladder dysfunction among
children. Risk of intellectual impairment is minimized through early intervention and management of
hydrocephalus. Respiratory compromise is not a common problem in myelomeningocele. Cranioschisis is a
skull defect through which various tissues protrude. It is not associated with myelomeningocele.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1582
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Physiologic Integrity
4. Which problem is most often associated with myelomeningocele?
a. Hydrocephalus c. Biliary atresia
b. Craniosynostosis d. Esophageal atresia
ANS: A
Hydrocephalus is an associated anomaly in 80% to 90% of children. Craniosynostosis is the premature closing
of the cranial sutures and is not associated with myelomeningocele. Biliary and esophageal atresias are not
associated with myelomeningocele.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1580
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
5. A current recommendation to prevent neural tube defects is the supplementation of:
a. Vitamin A throughout pregnancy.
, l
b. Multivitamin preparations as soon as pregnancy is suspected.
c. Folic acid for all women of childbearing age.
d. Folic acid during the first and second trimesters of pregnancy.
ANS: C
The widespread use of folic acid among women of childbearing age is expected to decrease the incidence of
spina bifida significantly. Vitamin A and multivitamin preparations do not have a relation to the prevention of
spina bifida. Folic acid supplementation is recommended for the preconceptual period and during the
pregnancy. Only 42% of women actually follow these guidelines.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1582
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
6. How much folic acid is recommended for women of childbearing age?
a. 0.1 mg c. 1.5 mg
b. 0.4 mg d. 2 mg
ANS: B
It has been estimated that a daily intake of 0.4 mg of folic acid in women of childbearing age will prevent 50%
to 70% of cases of neural tube defects. A dose of 0.1 mg is too low, and 1.5 mg and 2 mg are not
recommended dosages of folic acid.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1582
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
7. The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled
the next day. The most appropriate way to position and feed this neonate is to place him:
a. Prone and tube feed.
b. Prone, turn head to side, and nipple feed.
c. Supine in infant carrier and nipple feed.
d. Supine, with defect supported with rolled blankets, and nipple feed.
ANS: B
In the prone position, feeding is a problem. The infants head is turned to one side for feeding. If the child is
able to nipple feed, no indication is present for tube feeding. Before surgery, the infant is kept in the prone
position to minimize tension on the sac and risk of trauma.
PTS: 1 DIF: Cognitive Level: Application REF: 1583
, l
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
8. The nurse is talking to a parent with a child who has a latex allergy. Which statement by the parent would
indicate a correct understanding of the teaching?
a. My child will have an allergic reaction if he comes in contact with yeast products.
b. My child may have an upset stomach if he eats a food made with wheat or barley.
c. My child will probably develop an allergy to peanuts.
d. My child should not eat bananas or kiwis.
ANS: D
There are cross-reactions between latex allergies and a number of foods such as bananas, avocados, kiwi, and
chestnuts. Although yeast products, wheat and barley, and peanuts are potential allergens, they are currently
not known to cross-react with latex.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1585
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
9. Latex allergy is suspected in a child with spina bifida. Appropriate nursing interventions include:
a. Avoiding using any latex product.
b. Using only nonallergenic latex products.
c. Administering medication for long-term desensitization.
d. Teaching the family about long-term management of asthma.
ANS: A
Care must be taken that individuals who are at high risk for latex allergies do not come in direct or secondary
contact with products or equipment containing latex at any time during medical treatment. There are no
nonallergenic latex products. At this time desensitization is not an option. The child does not have asthma. The
parents must be taught about allergy and the risk of anaphylaxis.
PTS: 1 DIF: Cognitive Level: Application REF: 1584
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
10. Which finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy?
a. Tremulous movements at rest and with activity
b. Sudden jerking movement caused by stimuli
