NCM 109 (MATERNAL & CHILD) MIDTERMS
Which of the following observations would the nurse expect when assessing the
gestational age of a neonate delivered at term?
a. Pendulous testes
b. Coarse and silky hair
c. Thick cartilage is present
d. Deep and extensive rugae in the scrotum - Answers - b. Coarse and silky hair
When performing an assessment on a neonate, which assessment finding is most
suggestive of hypothermia?
a. Bradycardia
b. Hyperglycemia
c. Metabolic alkalosis
d. Shivering - Answers - a. Bradycardia
A child is admitted to the hospital with pneumonia. What is the priority need that must
be included in the nursing plan of care for this child?
a. Rest
b. Exercise
c. Nutrition
d. Elimination - Answers - a. Rest
A toddler is brought to the emergency department with sudden onset of abdominal pain,
vomiting, and stools that look like red currant jelly. To confirm intussusception, the
suspected cause of these findings, the nurse expects the physician to order:
a. a barium enema.
b. suprapubic aspiration.
c. nasogastric (NG) tube insertion.
d. indwelling urinary catheter insertion. - Answers - a. a barium enema.
During a visit to the well-baby clinic, a mother who's breast-feeding her 2-month-old
infant expresses concern over the infant's bowel movements. Which statement by the
mother would lead the nurse to believe that the infant's bowel movements are normal?
a. "The baby's stools are yellow and semi formed."
b. The baby's stools are dark green and sticky."
c. "The baby's stools are green and watery."
d. The baby's stools are bright yellow and soft - Answers - d. The baby's stools are
bright yellow and soft
A nurse who is caring for an infant with a cleft lip is concerned about preventing an
infection. Why does the cleft lip predispose the infant to infection?
a. Waste products accumulate along the defect.
b. There is inadequate circulation in the defective area.
c. Nutrition is inadequate because of ineffective feeding
,d. Mouth breathing dries the oropharyngeal mucous membrane - Answers - d. Mouth
breathing dries the oropharyngeal mucous membrane
When formulating a nursing care plan to an 8-year-old patient with down syndrome, the
nurse should.
a. Plan interventions according to the developmental levels of a 5-year-old because the
child will have developmental delays
b. Direct all teaching to the parents because the child can't understand
c. Plan interventions according to the developmental level of a 7-year-old child because
that's the child's age
d. Assess the child's current developmental level and plan care accordingly - Answers
- d. Assess the child's current developmental level and plan care accordingly
Baby girl Y develops jaundice, when does pathologic jaundice occur?
a. after the 7th day
b. upon birth
c. within 24 hours after birth
d. between 2nd and 5th day - Answers - c. within 24 hours after birth
A 6 mos. old client is admitted with possible intussusceptions. which question during the
nursing history is least helpful in obtaining information regarding this diagnosis.
a. Cab you describe the pain
b. What does his vomits look like
c. Describe his usual diet
d. Have noticed changes in his abdominal size? - Answers - c. Describe his usual diet
A 6-week-old infant and the mother arrive in the emergency department via ambulance.
The father arrives several minutes later with two children, 7 and 9 years old. The infant
is not breathing, and the eventual diagnosis is sudden infant death syndrome (SIDS).
The parents take turns holding the infant in another room. The nurse remains present
and provides emotional support to the parents. What is an important short-term goal or
this family?
a. Identify the problems that they will be facing related to the loss of the infant
b. Include the infant's siblings in the events and grieving following the infant's death.
c. Seek out other families who have lost infants to SIDS and receive support from them.
Accept that there was nothing that they should have done to prevent the infant's death -
Answers - b. Include the infant's siblings in the events and grieving following the infant's
death.
Nurses should be alert when caring for a preterm newborn, particularly for signs of:
a. Meconium aspiration syndrome
b. Hypercalcemia
c. Hypoglycemia
d. Premature closure of the foramen ovale and ductus arteriousus - Answers - c.
Hypoglycemia
, An infant is diagnosed with communicating hydrocephalus, the parents ask for
clarification of the health care provider's explanation of their baby's problem. How
should the nurse respond?
a. "Too much spinal fluid is produced within the spaces (ventricles) of the brain".
b. . "The flow of the spinal fluid through the brain cells does not empty effectively into
the spinal cord".
c. "The spinal fluid is prevented from adequate absorption by a blockage in the spaces
(ventricles) of the brain".
d. "There is a part of the brain surface that usually absorbs spinal fluid after its
production that is not functioning adequately". - Answers - d. "There is a part of the
brain surface that usually absorbs spinal fluid after its production that is not functioning
adequately".
The nurse formulates a nursing diagnosis of Risk for infection for a child with Down
syndrome. Which condition typically seen in children with this syndrome supports this
nursing diagnosis?
a. Muscular hypotonicity
b. Muscle spasticity
c. Increased mucus viscosity
d. Hypothyroidism - Answers - a. Muscular hypotonicity
A 5-month-old infant develops severe diarrhea and is given IV fluids. What is the
rationale for the nurse to closely monitor the IV flow rate?
a. Limiting output
b. replacing loss fluids
c. Avoid IV infiltration
d. Preventing cardiac overload - Answers - d. Preventing cardiac overload
A nurse is caring for an infant with bacterial meningitis. The parents ask how their baby
could have contracted the illness. What does the nurse consider as the most likely route
of transmission to the central nervous system (CNS)?
a. Genitourinary tract
b. Gastrointestinal tract
c. Skin or mucous membrane
d. Cranial apertures or sinuses - Answers - d. Cranial apertures or sinuses
The following are chromosomal aberration EXCEPT:
a. trisomy 21
b. tranlocation15/21
c. trisomy 15
d. mosaicism - Answers - c. trisomy 15
When teaching the parent of a school-age child about signs and symptoms of fever that
require immediate notification of the physician, which of the following descriptions
should the nurse include?
a. Burning or pain with urination
Which of the following observations would the nurse expect when assessing the
gestational age of a neonate delivered at term?
a. Pendulous testes
b. Coarse and silky hair
c. Thick cartilage is present
d. Deep and extensive rugae in the scrotum - Answers - b. Coarse and silky hair
When performing an assessment on a neonate, which assessment finding is most
suggestive of hypothermia?
a. Bradycardia
b. Hyperglycemia
c. Metabolic alkalosis
d. Shivering - Answers - a. Bradycardia
A child is admitted to the hospital with pneumonia. What is the priority need that must
be included in the nursing plan of care for this child?
a. Rest
b. Exercise
c. Nutrition
d. Elimination - Answers - a. Rest
A toddler is brought to the emergency department with sudden onset of abdominal pain,
vomiting, and stools that look like red currant jelly. To confirm intussusception, the
suspected cause of these findings, the nurse expects the physician to order:
a. a barium enema.
b. suprapubic aspiration.
c. nasogastric (NG) tube insertion.
d. indwelling urinary catheter insertion. - Answers - a. a barium enema.
During a visit to the well-baby clinic, a mother who's breast-feeding her 2-month-old
infant expresses concern over the infant's bowel movements. Which statement by the
mother would lead the nurse to believe that the infant's bowel movements are normal?
a. "The baby's stools are yellow and semi formed."
b. The baby's stools are dark green and sticky."
c. "The baby's stools are green and watery."
d. The baby's stools are bright yellow and soft - Answers - d. The baby's stools are
bright yellow and soft
A nurse who is caring for an infant with a cleft lip is concerned about preventing an
infection. Why does the cleft lip predispose the infant to infection?
a. Waste products accumulate along the defect.
b. There is inadequate circulation in the defective area.
c. Nutrition is inadequate because of ineffective feeding
,d. Mouth breathing dries the oropharyngeal mucous membrane - Answers - d. Mouth
breathing dries the oropharyngeal mucous membrane
When formulating a nursing care plan to an 8-year-old patient with down syndrome, the
nurse should.
a. Plan interventions according to the developmental levels of a 5-year-old because the
child will have developmental delays
b. Direct all teaching to the parents because the child can't understand
c. Plan interventions according to the developmental level of a 7-year-old child because
that's the child's age
d. Assess the child's current developmental level and plan care accordingly - Answers
- d. Assess the child's current developmental level and plan care accordingly
Baby girl Y develops jaundice, when does pathologic jaundice occur?
a. after the 7th day
b. upon birth
c. within 24 hours after birth
d. between 2nd and 5th day - Answers - c. within 24 hours after birth
A 6 mos. old client is admitted with possible intussusceptions. which question during the
nursing history is least helpful in obtaining information regarding this diagnosis.
a. Cab you describe the pain
b. What does his vomits look like
c. Describe his usual diet
d. Have noticed changes in his abdominal size? - Answers - c. Describe his usual diet
A 6-week-old infant and the mother arrive in the emergency department via ambulance.
The father arrives several minutes later with two children, 7 and 9 years old. The infant
is not breathing, and the eventual diagnosis is sudden infant death syndrome (SIDS).
The parents take turns holding the infant in another room. The nurse remains present
and provides emotional support to the parents. What is an important short-term goal or
this family?
a. Identify the problems that they will be facing related to the loss of the infant
b. Include the infant's siblings in the events and grieving following the infant's death.
c. Seek out other families who have lost infants to SIDS and receive support from them.
Accept that there was nothing that they should have done to prevent the infant's death -
Answers - b. Include the infant's siblings in the events and grieving following the infant's
death.
Nurses should be alert when caring for a preterm newborn, particularly for signs of:
a. Meconium aspiration syndrome
b. Hypercalcemia
c. Hypoglycemia
d. Premature closure of the foramen ovale and ductus arteriousus - Answers - c.
Hypoglycemia
, An infant is diagnosed with communicating hydrocephalus, the parents ask for
clarification of the health care provider's explanation of their baby's problem. How
should the nurse respond?
a. "Too much spinal fluid is produced within the spaces (ventricles) of the brain".
b. . "The flow of the spinal fluid through the brain cells does not empty effectively into
the spinal cord".
c. "The spinal fluid is prevented from adequate absorption by a blockage in the spaces
(ventricles) of the brain".
d. "There is a part of the brain surface that usually absorbs spinal fluid after its
production that is not functioning adequately". - Answers - d. "There is a part of the
brain surface that usually absorbs spinal fluid after its production that is not functioning
adequately".
The nurse formulates a nursing diagnosis of Risk for infection for a child with Down
syndrome. Which condition typically seen in children with this syndrome supports this
nursing diagnosis?
a. Muscular hypotonicity
b. Muscle spasticity
c. Increased mucus viscosity
d. Hypothyroidism - Answers - a. Muscular hypotonicity
A 5-month-old infant develops severe diarrhea and is given IV fluids. What is the
rationale for the nurse to closely monitor the IV flow rate?
a. Limiting output
b. replacing loss fluids
c. Avoid IV infiltration
d. Preventing cardiac overload - Answers - d. Preventing cardiac overload
A nurse is caring for an infant with bacterial meningitis. The parents ask how their baby
could have contracted the illness. What does the nurse consider as the most likely route
of transmission to the central nervous system (CNS)?
a. Genitourinary tract
b. Gastrointestinal tract
c. Skin or mucous membrane
d. Cranial apertures or sinuses - Answers - d. Cranial apertures or sinuses
The following are chromosomal aberration EXCEPT:
a. trisomy 21
b. tranlocation15/21
c. trisomy 15
d. mosaicism - Answers - c. trisomy 15
When teaching the parent of a school-age child about signs and symptoms of fever that
require immediate notification of the physician, which of the following descriptions
should the nurse include?
a. Burning or pain with urination
