NUR2513) Maternal Child Newborn Final Exam Review Graded A 2025

While caring for a child with bacterial pneumonia, the nurse examines the child’s respiratory system. What is an expected assessment finding for bacterial pneumonia? a. Respiratory rate of 20 heard on auscultation b. Diminished breath sounds and crackles (rales) noted with auscultation On exam worded differently just know crackles c. Longer inspiratory than expiratory rate noticed by inspection d. Absent lung sounds in the right lower lobe 2. The nurse is participating in a preschool health screening program. What are appropriate secondary health promotion activities? (select all that apply). a. Conduct vision tests b. Conduct hearing tests c. Listen to heart sounds d. Measure gait and balance e. Review immunizations received 3. A 6-month-old infant is admitted to the hospital because of a fever. When you obtain a health history, what data would the nurse obtain first? a. Details about the fever: you're supposed to collect data first: when did it start and etc. b. Family profile c. History of past illnesses d. Review of systems 4. What education should a nurse provide to a parent to help their child complete Erikson’s developmental task during the infant period? a. Respond to the child’s needs consistently b. Keep the child stimulated with many toys c. Talk to the child at a special time each da. d. y e. Expose the child to many caregivers to help learn variability 5. The pediatric nurse is familiar with Kuchler-Ross’s stages of grief. Parents who are feeling confused and refusing to discuss the disease with any provider are in which stage of grief? a. Denial b. Grief c. Bargaining d. Acceptance 6. Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be that the optimal pharmacological therapy for pain relief is. a. Non steroidal inflammatory drugs b. Oral contraceptives c. Aspirin d. Acetaminophen lOMoAR cPSD| 7. A nurse is reviewing discharge instructions with the family of a child diagnosed with a urinary tract infection. Which instruction should the nurse include with discharge teaching regarding medications? a. Complete the entire course of antibiotics ordered by the provider. b. The child may choose to take the antibiotics or stop once he or she feels better. c. As long as the fever does not return, the antibiotics have worked, and the parent may stop giving them to the child. d. Save the remainder, if there is any left, in case the child has another infection and could use the rest of the prescription. 8. Which technique should the nurse use to administer eardrops to a 4-year-old child? a. Press the pinna of the ear forward b. Pull the pinna of the ear downward c. Pull the pinna of the ear up and back d. Lift the pinna of the ear down and back 9. A nurse performs an admission assessment on a child and suspects physical abuse. Based on the suspicion, the primary legal nursing responsibility is to do which of the following? a. Refer the family to the appropriate support groups b. Assist the family in identifying resources and support systems c. Report the case in which the abuse is suspected to the local authorities and your supervisor or charge nurse d. Coordinate information with the primary physician so he may report the findings 10. Which statement by the nurse is most likely to gain the cooperation of a young child? a. Do you want to take your medicine now b. It is time for you to drink your medicine now c. If you take this medicine, I can get you a popsicle * d. If you don’t drink this medicine, you will need to get a shot 11. A 6-year-old has a diagnosis of streptococcal pharyngitis. When planning care, the nurse evaluates the client’s symptomes for which of the following dangerous outcomes? a. Swelled lymph nodes which obstruct the airway b. Infection, which may cause tooth abscess c. Development of rheumatic fever d. Nephrosis of the kidney 12. Which fluid should the nurse offer to help keep a post tonsillectomy child orally hydrated? a. Milk b. Juice c. Ice chips d. Ginger ale 13. The nurse is concerned that a school-age child is developing pneumonia. What did the nurse most likely assess in this client? (Select all that apply) lOMoAR cPSD| a. Crackles (rales) b. Cool dry skin c. Elevated temperature d. Paroxysmal dry cough e. Productive harsh cough 14. The nurse evaluates teaching provided to a school-age child and parents about the medication pancrelipase for cystic fibrosis. Which observation indicates that teaching has been effective? a. The child chews an enteric form of the medication b. The child takes a dose before having an afternoon snack c. The father tells the child that diarrhea is expected with this medication d. The mother opens the capsule and some medication spills on the fingers 15. The nurse teaches a 14-year-old child about the proper use of a metered dose inhaler to control asthma symptoms. Which teaching points should the nurse include in these instructions? (select all that apply) pg 1103 a. Take two puffs at a time b. Shake the canister before using c. Wait 5 minutes between puffs d. Hold the breath for 5 to 10 seconds e. Activate the inhaler while taking a deep breath 16. Upon assessment of a 3-year-old who has been diagnosed with croup, the nurse notes stridor while the child is asleep. Which of the following interventions would the nurse expect to perform to the client? a. Administering an oral analgesic. b. Urging the child to take oral fluids c. Teaching a child to take long slow breaths d. Assisting with racemic epinephrine nebulizer therapy pg 1110 17. An infant is prescribed digoxin. The nurse teaches the parents that the action of digoxin is to do which of the following? a. Slow and strengthen her heartbeat b. Increase the infant's heart rate c. Thicken the walls of The myocardium d. Prevent subacute bacterial endocarditis 18. After cardiac surgery, a child has chest tubes inserted that are attached to an under water seal drainage system. When should the nurse be prepared to clamp chest tubes. a. A clot obstructs the tubing b. The tube becomes disconnected c. Red stained drainage appears in a tube lOMoAR cPSD| d. When the child is sitting up to help with coughing 19. The nurse is caring for a newborn diagnosed with patent ductus arteriosus. Which finding will the nurse assess that is consistent with this diagnosis. a. Slow heart rate b. Expiratory grunt c. Machine like murmur heard at the left sub clavicular margin d. Absent femoral pulses 20. Health teaching that the nurse would provide for parents of an immunosuppressed child focus on which important measure a. Nutrition b. Pain control c. Hand washing d. Restricted visiting hours 21. A newborn is diagnosed with coarctation of the aorta. Which assessment should the nurse make when caring for this infant a. Observing for excessive crying b. Auscultating for a cardiac murmur c. Assessing femoral and radial pulses simultaneously d. Recording an upper extremity blood pressure 22. What should the nurse teach the parents of a child with tetralogy of fallot to do if the child suddenly becomes cyanotic and disconnect a. Place in a knee chest position b. Lie prone and maintain the airway c. Lie supine with the head turned to one side d. Place in a semi Fowler's position in an infant seat 23. A woman is 39 weeks gestation with severe abdominal pain that remains constant. She is being admitted to the labor and delivery unit. She suddenly experiences increased contraction frequently for every one to two minutes, has dark vaginal bleeding, and a rigid abdomen. What should the nurse expect at this time? a. Placenta abruption b. Placenta previa c. Preterm labor d. Eclamptic seizure 24. An 8 year old child presents with a diagnosis of sickle cell anemia. The child is hospitalized and the nurse recognizes which of the following as the initial nursing intervention. a. Hydration and Pain Management b. Blood Administration and lab values for hemoglobin and hematocrit lOMoAR cPSD| c. Antibiotic therapy and blood cultures d. Physical and occupational therapy 25. A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting therapeutic management of this child will begin with which nursing intervention a. Intravenous fluids b. Oral rehydration solution c. Clear liquids 1 to 2 ounces at a time d. Administration of anti-diarrheal medication 26. The clinic is providing a federally approved car seat to an infant's family. The nurse should explain that the safest place to install this car seat in the vehicle is a. Front facing in the back seat b. Rear facing in back seat c. Front facing in front seat with airbag on passenger side d. Rear facing in front seat if an airbag is on the passenger side 27. A student nurse notes that the population of a sexually transmitted infection Health Clinic consists largely of teenagers. The nurse explains that adolescents are at a greater risk for contracting STIs because of which factor? a. The immune system of an adolescent is immature b. Untreated Urinary tract infection will develop into an STI c. Adolescents are risk takers and believe they are invincible d. Adolescents often lack parental supervision 28. A 4 year old child with a urinary tract infection is scheduled to have a voided cystourethrogram. What would a nurse do to prepare for the child for this procedure? a. Inject a local anesthetic prior to the procedure b. Drink three glasses of water during the procedure c. Insert foley catheter for instillation of contrast d. Anticipate a headache afterward. 29. A child in kidney failure has had a kidney transplant. What should the nurse include in the teaching regarding postoperative care? a. Full Body irradiation that will leave him nauseated b. A transient rash from t-cell suppression c. Reduce socialization for infection control precautions d. Burning on urination from high uric acid content 30. A hospitalized 2 year old child with croup is receiving corticosteroid therapy and the mother asks why the provider did not prescribe antibiotics? What is the nurse's best response to the mother? a. The child still has the maternal antibodies form birth and does not need antibiotics lOMoAR cPSD| b. The child may be allergic to the antibiotics c. Antibiotics are not indicated unless a bacterial infection is the cause of the illness d. The child is too young for antibiotics 31. An infant is brought to the emergency department with poor skin turgor, weight loss, lethargy, and tachycardia. What does the nurse suspect is the problem? a. Overhydration b. Potassium excess c. Sodium excess d. Dehydration 32. The parents of a child with acute glomerulonephritis ask the nurse to explain the cause of the disease. What organism should the nurse instruct the parents as being the cause for the disorder? a. Group b streptococci b. One of the rhinoviruses c. Staphylococcus viridans d. Group A beta hemolytic streptococci * 33. The nurse is caring for a 10-year-old child with growth hormone deficiency. Which therapy would you anticipate being prescribed for the child? a. Short term aldosteron provocation b. Injections of growth hormone c. Oral administration of somatotropin d. Long term blocking of beta cells 34. What is the most important observation the nurse should watch for in a newborn who has a salt-losing form of congenital adrenal hyperplasia? a. Excessive cortisone secretion b. Dehydration c. Hypoglycemia d. Bleeding tendencies 35. A 7 year old child is diagnosed with type 1 diabetes. What is one of the first symptoms noticed by parents when this illness develops in the child? a. Loss of weight * b. Craving for sweets c. Severe itching d. Swelling of soft tissue 36. A school age child is diagnosed as having Cushing syndrome from a long term therapy with oral prednisone. What assessment finding is consistent with this child’s diagnosis and treatment? a. Child appears pale and fatigued lOMoAR cPSD| b. There are purple striae on the abdomen c. The child is excessively tall for chronologic age d. The child is demonstrating signs of hypoglycemia. 37. A parent of a school-aged child is distressed to learn of the child is diagnosed with type 2 diabetes mellitus. The parent asks the nurse how this could happen because no one in the family has diabetes. Which response is most accurate? a. Diabetes mellitus type 2 is caused by the pancreas not making enough insulin. b. This disorder usually occurs when inadequate calories are ingested on a regular basis c. Because this disorder is genetic, someone in the family will eventually develop the illness d. This disorder is associated with metabolic disturbances that result in insulin resistance 38. Shortly after delivery, a newborn is diagnosed with hypocalcemia/hypoglycemia. What manifestations will the nurse assess in this client? a. Jitteriness b. Constipation c. Excessive sleepiness d. A distended abdomen 39. The nurse is teaching a child with type 1 diabetes melitus to administer her own insulin. The child is receiving a combination of short-acting and long acting insulin. How will the nurse know that the child has appropriately learned the technique. a. Administers the insulin into a doll at a 20-degree angle. b. Draws up the short acting insulin into the syringe first* c. Wipes off the needle with an alcohol swab d. Administers the insulin intramuscularly into rotating sites. 40. A 4 year old has developed acute lymphocytic leukemia (ALL) for which of the following reasons does the nurse take axillary, rather than rectal temperatures? a. The child is anemic and had an increased risk of bleeding. b. The child has a low white blood cell count and a rectal temperature would decrease the blood cell count c. The rectum is highly vascular and rectal temps would result in trauma to the tissue which may bleed easily or cause painful bruising d. The child is prone to diarrhea and inserting a rectal thermometer would cause further diarrhea 41. The student nurse is preparing education for the parents of a 6 year old that will begin iron supplementation following a diagnosis of iron-deficiency anemia. What should be included in the education? (select all that apply) pg 1241 a. Iron should be given with a glass of orange juice b. Iron should be given with food c. Iron may cause black tarry stools d. Iron may cause constipation lOMoAR cPSD| e. Iron may cause increase in appetite 42. A school nurse is preparing an educational presentation to a group of teens, parents, and teachers about how to prevent skin cancer. Which topics need to be included in the presentation? (select all that apply) could look into this one more because all my teacher suggested was sunscreen, wide brimmed hat, 2 or more bad sunburns increase risk for developing melanoma) a. Avoid getting a severe sunburn* b. It is important to avoid tanning beds* c. Sunscreen application needs to include tops of ears and back of neck* d. Children need to apply sunscreen if out in the sun for longer than 60 minutes.- It should be if longer than 20 minutes e. There is a direct association between two or more episodes of sunburn and development of malignant melanoma * 43. A 3 month old is admitted to the hospital for failure to thrive. Which of the following are indications of failure to thrive in a 3 month old infant? a. Interference with gastrointestinal absorption b. Infant falls below 5% in growth percentile c. Limited calcium metabolism d. A reaction to severe stress 44. No picture (SATA) A,C,D WE DIDN'T HAVE A PICTURE BUT THIS IS ON THE STUDY GUIDE AND IT GOES QUESTION FOR QUESTION.. SO GUESSING ITS REGARDING SEIZURES 1. Nursing considerations for a patient with seizures, what precautions should we take? Don’t stick anything in the airway, move objects away, safe environment , stay with child, patent airway 45. The nurse is visiting the home of a previous history of physical neglect. Which observation indicates that interventions have not been successful? a. The mother feeds the children a vegetarian diet b. The father encourages male children to play high school football c. The mother worries that immunizations will be painful for the children d. The father allows the children to stay home from school whenever they desire. pg 1566 46. The nurse visits the foster home of a newborn with failure to thrive syndrome. Which observation indicates a successful outcome for the child's care? lOMoAR cPSD| a. Birth mother has stopped visiting the child. b. Birth father comes by the home to bring toys. c. Child eagerly takes a bottle and is gaining weight d. Child is crying and has bruises over the lower legs 47. The nurse is assessing a child who has just been admitted to the hospital for observations after a head injury. What is the most essential part of the nursing assessment to detect early signs of a worsening condition? a. Vital signs b. Focal neurological signs c. Posturing d. Level of consciousness 48. A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. What should this suggest to the nurse? a. Bronchiolitis b. Pneumonia c. Tonsillitis d. Asthma 49. During a routine well child visit, the mother of a preadolescent client asks the nurse to explain signs of sexual abuse. The mother is concerned because an older male neighbor has been making comments and overly admiring the child when playing outdoors. What signs of sexual abuse should the nurse tell the mother to look for? (select all that apply) a. Child reports abdominal pain b. Child has a change in school performance c. Child demonstrates anxiety or trouble sleeping d. Child does not want to be left alone with a certain adult e. Child spends a great deal of time with peer group friends. 50. During an assessment, the nurse determines that a 3 month old baby has a moro reflex. What does this finding to indicate to the nurse? a. It usually lasts until 9 months b. It will persist until the age of 1 year c. Most 3 month olds still have a moro reflex* d. If present at 3 months of age, a neurological exam is needed 51. An infant weighed 6 pounds at birth. What is the expected weight in pounds at 1 year of age? a. 12 b. 18 c. 34 d. 27 lOMoAR cPSD| 52. A toddler insists on brushing his own teeth and dressing himself. What advice would you give his parents regarding this? a. Helping with his own cares allows him to experience autonomy b. It is unusual for 2 year olds to have such strong opinions c. His mother should continue to give full care in all aspects d. Leaving him alone in the bathtub is a good way to encourage autonomy. 53. A nurse is caring for an adolescent who has a newly applied fiberglass cast for a fractured tibia. Immediately following application of the cast, the nurse should recognize that the priority nursing action is to do which of the following? a. Explain the discharge instructions to the client and parents b. Apply an ice pack to the casted leg c. Provide range of motion exercises to the unaffected extremity d. Perform a neurovascular assessment* 54. The nurse is preparing to assess a toddler during a routine health maintenance visit. Which assessment will the nurse perform to determine the child’s growth milestone? a. Blood pressure b. Urine specimen c. Hemoglobin level d. Height and weight 55. The nurse receives an order to administer LR 1000mL of IV fluid with Pitocin 20 units. What is the IV rate (mL per hour) if you want to run the medication at 1mU/min? (whole number) 56. The nurse is caring for a preschool aged child who needs a computerized tomography (CT) scan. Which action would the nurse use to --it prepare the child for this diagnostic test? a. Tell the child to follow directions to avoid being hurt b. Help the child to pretend that the CT scan machine is a camera c. Explain that the child must behave because the technician is busy d. Tell the child that his parents cannot be with him 57. The mother of a school age child is distraught because this child has been diagnosed with obesity. What teaching will the nurse provide to the family regarding achieving the goal of BMIwithin normal range? (select all that apply) a. Explain that obesity will lead to an early death b. Maintain a balanced eating approach in the home c. Purchase books explaining the latest ways to lose weight d. Encourage participation in a new sport in which the child has an interest e. Encourage increased activity such as walking the dog after school 58. At 1 minute after birth the nurse assesses the infant and notes: heart rate of 120 beats/min, strong flexion of extremities, a strong cry, active grimacing and a pink body but blue extremities. The nurse would calculate an Apgar score of which number for this infant?