C HAPTER 22: H EALTH C ARE A DAPTATIONS
FOR THE C HILD AND F AMILY
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What emergency action should be implemented for airway obstruction in
the infant?
a. Six to 10 midsternal thrusts
b. Five back blows followed by five chest thrusts
c. Five chest thrusts followed by five back blows
d. Abdominal thrusts until the object is expelled
ANS: B
Five back blows followed by five chest thrusts is the appropriate
intervention for airway obstruction in the infant.
DIF: Cognitive Level: Knowledge REF: Page 530 TOP:
Management of Airway Obstruction KEY: Nursing Process
Step: Implementation MSC: NC LEX: Physiological
Integrit y: Reduction of Risk
2. A 4-year-old asks tearfull y if the IM injection will hurt. What is the
nurses most effective response?
a. No. It is over before you know it.
b. Yes. It will sting a little.
, c. No. Would you like to see the syringe?
d. Yes. Your mom and I are going to hold you to help you be still.
ANS: B
Truthful answers will give a child a realistic expectation and help
establish trust in the nurse.
DIF: Cognitive Level: Application REF: Page 515 TOP:
Preparation for an IM Injection KEY: Nursing Process
Step: Implementation MSC: NC LEX: Psychosocial
Integrit y: Coping and Adaptation
3. Where is the best site for giving an IM injection to a 15 -month-old child?
a. Ventrogluteal muscle
b. Dorsogluteal muscle
c. Deltoid muscle
d. Vastus lateralis muscle
ANS: D
The vastus lateralis muscle is free of major blood vessels and nerves
and can be used in children of any age.
DIF: Cognitive Level: Application REF: Page 514 TOP:
Administering Injections KEY: Nursing Process Step:
Planning MSC: NC LEX: Physiological Integrit y: Basic Care
and Comfort
, 4. What factor does the nurse explain affects the infants physiological
response to medications?
a. Faster metabolism in the liver
b. Slower intestinal transit
c. Immature kidney function
d. Increased secretion o f hydrochloric acid
ANS: C
Immature kidney function prevents effective excretion of drugs from
the body in infants less than 1 year of age.
DIF: Cognitive Level: Comprehension REF: Page 511
TOP: Physiological Responses to Medication KEY:
Nursing Process Step: Implementation MSC: NC LEX:
Physiological Integrity
5. What intervention should the nurse implement after topical administration
of hydrocortisone cream to the buttocks and abdomen of an infant?
a. Diaper the infant snugl y with a disposable diaper.
b. Cover the area with a transparent dressing.
c. Appl y a cloth diaper.
d. Place the infant on a plastic pad, undiapered.
ANS: C
Plastic coverings increase the absorption of drugs. The diaper should
be cloth, or the infant should be left undiapered on a cloth pad.
FOR THE C HILD AND F AMILY
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What emergency action should be implemented for airway obstruction in
the infant?
a. Six to 10 midsternal thrusts
b. Five back blows followed by five chest thrusts
c. Five chest thrusts followed by five back blows
d. Abdominal thrusts until the object is expelled
ANS: B
Five back blows followed by five chest thrusts is the appropriate
intervention for airway obstruction in the infant.
DIF: Cognitive Level: Knowledge REF: Page 530 TOP:
Management of Airway Obstruction KEY: Nursing Process
Step: Implementation MSC: NC LEX: Physiological
Integrit y: Reduction of Risk
2. A 4-year-old asks tearfull y if the IM injection will hurt. What is the
nurses most effective response?
a. No. It is over before you know it.
b. Yes. It will sting a little.
, c. No. Would you like to see the syringe?
d. Yes. Your mom and I are going to hold you to help you be still.
ANS: B
Truthful answers will give a child a realistic expectation and help
establish trust in the nurse.
DIF: Cognitive Level: Application REF: Page 515 TOP:
Preparation for an IM Injection KEY: Nursing Process
Step: Implementation MSC: NC LEX: Psychosocial
Integrit y: Coping and Adaptation
3. Where is the best site for giving an IM injection to a 15 -month-old child?
a. Ventrogluteal muscle
b. Dorsogluteal muscle
c. Deltoid muscle
d. Vastus lateralis muscle
ANS: D
The vastus lateralis muscle is free of major blood vessels and nerves
and can be used in children of any age.
DIF: Cognitive Level: Application REF: Page 514 TOP:
Administering Injections KEY: Nursing Process Step:
Planning MSC: NC LEX: Physiological Integrit y: Basic Care
and Comfort
, 4. What factor does the nurse explain affects the infants physiological
response to medications?
a. Faster metabolism in the liver
b. Slower intestinal transit
c. Immature kidney function
d. Increased secretion o f hydrochloric acid
ANS: C
Immature kidney function prevents effective excretion of drugs from
the body in infants less than 1 year of age.
DIF: Cognitive Level: Comprehension REF: Page 511
TOP: Physiological Responses to Medication KEY:
Nursing Process Step: Implementation MSC: NC LEX:
Physiological Integrity
5. What intervention should the nurse implement after topical administration
of hydrocortisone cream to the buttocks and abdomen of an infant?
a. Diaper the infant snugl y with a disposable diaper.
b. Cover the area with a transparent dressing.
c. Appl y a cloth diaper.
d. Place the infant on a plastic pad, undiapered.
ANS: C
Plastic coverings increase the absorption of drugs. The diaper should
be cloth, or the infant should be left undiapered on a cloth pad.
