Chapter 39: Pediatric Variations of Nursing
Interventions Perry: Maternal Child Nursing
Care, 6th Edition questions and 100%
verified answers all in chapter 39 2025/2026
version
1. What should the nurse consider when having consent forms signed for surgery and procedures on
children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18 years old.
c. The risks and benefits of a procedure are part of the consent process.
d. A mental age of 7 years or older is required for a consent to be considered "informed."
\ - Answer ANS: C
The informed consent must include the nature of the procedure, benefits and risks, and alternatives to
the procedure. In special circumstances such as emancipated minors, the consent can be given by
someone younger than 18 years without the parent or legal guardian. A mental age of 7 years is too
young for consent to be informed.
2. The nurse is planning how to best prepare a 4-year-old child for some diagnostic procedures. What
guideline should the nurse consider when preparing a preschooler for a diagnostic procedure?
a. Planning for a short teaching session of about 30 minutes.
b. Telling the child that procedures are never a form of punishment.
c. Keeping equipment out of the child's view.
d. Using correct scientific and medical terminology in explanations. - Answer ANS: B
Illness and hospitalization may be viewed as punishment in preschoolers. Always state directly that
procedures are never a form of punishment. Teaching sessions for this age-group should be 10 to 15
minutes in length. Demonstrate the use of equipment and allow the child to play with miniature or
actual equipment. Explain the procedure and how it affects the child in simple terms.
3. The most appropriate nursing action to implement when a preschooler being prepped for outpatient
surgery refused to allow the parent to remove his/her underwear?
a. Allow the child to wear their underpants.
, b. Discuss to the mother why this is important.
c. Ask the mother to explain to her child why he/she must remove the underwear.
d. Explain in a kind, matter-of-fact manner that this is hospital policy. - Answer ANS: A
It is appropriate for the child to leave his/her underpants on. This allows his/her some measure of
control during the foot surgery. The mother should not be required to make the child more upset. The
child is too young to understand what hospital policy means.
4. Using knowledge of child development, what is the best approach when preparing a toddler for a
procedure?
a. Avoid asking the child to make choices.
b. Demonstrate the procedure on a doll.
c. Plan for the teaching session to last about 20 minutes.
d. Show necessary equipment without allowing child to handle it. - Answer ANS: B
Prepare toddlers for procedures by using play. Demonstrate on a doll, but avoid the child's favorite doll
because the toddler may think the doll is really "feeling" the procedure. In preparing a toddler for a
procedure, the child is allowed to participate in care and help whenever possible. Teaching sessions for
toddlers should be about 5 to 10 minutes. Use a small replica of the equipment and allow the child to
handle it.
5. The nurse is cleaning multiple facial abrasions on a 9-year-old who was brought to the emergency
department by his/her mother. When the child begins crying and screaming loudly, what intervention
should the nurse implement to best manage this situation?
a. Calmly ask the child to be quieter.
b. Suggest that his/her mother help the child to relax.
c. Tell the child it is okay to cry and scream.
d. Suggest that he/she talk to his/her mother as a form of distraction. - Answer ANS: C
The child should be allowed to express feelings of anger, anxiety, fear, frustration, or any other emotion.
The child needs to know that it is all right to cry. There is no reason for him to be quieter. He is too upset
and needs to be able to express his feelings.
6. The nurse monitoring a child for signs and symptoms of malignant hyperthermia should be alert for
which early sign of this disorder?
a. Apnea
Interventions Perry: Maternal Child Nursing
Care, 6th Edition questions and 100%
verified answers all in chapter 39 2025/2026
version
1. What should the nurse consider when having consent forms signed for surgery and procedures on
children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18 years old.
c. The risks and benefits of a procedure are part of the consent process.
d. A mental age of 7 years or older is required for a consent to be considered "informed."
\ - Answer ANS: C
The informed consent must include the nature of the procedure, benefits and risks, and alternatives to
the procedure. In special circumstances such as emancipated minors, the consent can be given by
someone younger than 18 years without the parent or legal guardian. A mental age of 7 years is too
young for consent to be informed.
2. The nurse is planning how to best prepare a 4-year-old child for some diagnostic procedures. What
guideline should the nurse consider when preparing a preschooler for a diagnostic procedure?
a. Planning for a short teaching session of about 30 minutes.
b. Telling the child that procedures are never a form of punishment.
c. Keeping equipment out of the child's view.
d. Using correct scientific and medical terminology in explanations. - Answer ANS: B
Illness and hospitalization may be viewed as punishment in preschoolers. Always state directly that
procedures are never a form of punishment. Teaching sessions for this age-group should be 10 to 15
minutes in length. Demonstrate the use of equipment and allow the child to play with miniature or
actual equipment. Explain the procedure and how it affects the child in simple terms.
3. The most appropriate nursing action to implement when a preschooler being prepped for outpatient
surgery refused to allow the parent to remove his/her underwear?
a. Allow the child to wear their underpants.
, b. Discuss to the mother why this is important.
c. Ask the mother to explain to her child why he/she must remove the underwear.
d. Explain in a kind, matter-of-fact manner that this is hospital policy. - Answer ANS: A
It is appropriate for the child to leave his/her underpants on. This allows his/her some measure of
control during the foot surgery. The mother should not be required to make the child more upset. The
child is too young to understand what hospital policy means.
4. Using knowledge of child development, what is the best approach when preparing a toddler for a
procedure?
a. Avoid asking the child to make choices.
b. Demonstrate the procedure on a doll.
c. Plan for the teaching session to last about 20 minutes.
d. Show necessary equipment without allowing child to handle it. - Answer ANS: B
Prepare toddlers for procedures by using play. Demonstrate on a doll, but avoid the child's favorite doll
because the toddler may think the doll is really "feeling" the procedure. In preparing a toddler for a
procedure, the child is allowed to participate in care and help whenever possible. Teaching sessions for
toddlers should be about 5 to 10 minutes. Use a small replica of the equipment and allow the child to
handle it.
5. The nurse is cleaning multiple facial abrasions on a 9-year-old who was brought to the emergency
department by his/her mother. When the child begins crying and screaming loudly, what intervention
should the nurse implement to best manage this situation?
a. Calmly ask the child to be quieter.
b. Suggest that his/her mother help the child to relax.
c. Tell the child it is okay to cry and scream.
d. Suggest that he/she talk to his/her mother as a form of distraction. - Answer ANS: C
The child should be allowed to express feelings of anger, anxiety, fear, frustration, or any other emotion.
The child needs to know that it is all right to cry. There is no reason for him to be quieter. He is too upset
and needs to be able to express his feelings.
6. The nurse monitoring a child for signs and symptoms of malignant hyperthermia should be alert for
which early sign of this disorder?
a. Apnea
