NUR 254 Maternal Nursing Exam 4 2025/2026 – Complete Review & Study Guide
iron deficiency anemia - (answer)SXS: lethargic, pallor, increased bleeding, murmur, (tachycardia),
cyanosis, polycythemia, PICA
Tx: iron rich diet, supplements
NI: cbc, coagulation, food diary, fix underlying cause, maintain o2, hydration, tx infection/bleeding,
**avoid with dairy, take with citrus**
**most common**
sickle cell anemia - (answer)s/s: hypoxia, splenomegaly, pain, retinopathy, CVA, chest pain,
Tx: IV, blood, abx, rest, pain meds
NI: rest, hydrate, oxygenate, abx, electrolyte imbalance, avoid stress/infection, pain mgmt, education
**HA, SOB, FEVER**
Hemophilia - (answer)SXS: pallor, fatigue, weakness, cool skin, tachycardia, decreased peripheral pulse,
low BP, bruising
Tx: platelets, desmopressin, amniocaproic acid, **replace factors**
NI: prevent bleeding, **RICE**, avoid things that can cause harm(move tables), avoid sports, dental
hygiene
Food rich in iron - (answer)- red meat
- tuna/ salmon
- eggs
- tofu
- grains
- dried beans, peas, and fruit
- leafy greens
- iron fortified cereals
, NUR 254 Maternal Nursing Exam 4 2025/2026 – Complete Review & Study Guide
Lukemia ALL/ AML - (answer)- proliferation of immature WBC (bands)
S/S: infections, pain, fractures, anemia, bleeding, cell starvation, hematomas, pallor
Tx: chemo
NI: monitor cbc, **reverse isolation, AVOID FRESH fruits, veggies, flowers, no invasive**
**nutropenia**
**STERILE**
Neuroblastoma - (answer)**primary site is abd**
s/s: firm non-tinder mass, resp obstruction, periorbital edema
Tx: removal of tumor, chemo, radiation
NI: monitor I&O, infection, pain, hydration, bowel function
Younger= better survival
**DO NOT PALPATE**
Osteogenic Sarcoma - (answer)- **mostly in the LE/ near growth plate**
S/S: pain, limping, mass, swelling, fever
Tx: surgery, radiation, chemo, possible amputation
NI: s/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump elevation (24hrs)
Ewing Sarcoma - (answer)- **long and trunk bones most common**
- minimal s/s
Tx: surgery, radiation, chemo, possible amputation
NI: s/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump elevation (24hrs)
Wilms tumor (nephroblastoma) - (answer)- Most common kidney tumor in children
s/s: painless mass, firm non-tender, discovered during general care
iron deficiency anemia - (answer)SXS: lethargic, pallor, increased bleeding, murmur, (tachycardia),
cyanosis, polycythemia, PICA
Tx: iron rich diet, supplements
NI: cbc, coagulation, food diary, fix underlying cause, maintain o2, hydration, tx infection/bleeding,
**avoid with dairy, take with citrus**
**most common**
sickle cell anemia - (answer)s/s: hypoxia, splenomegaly, pain, retinopathy, CVA, chest pain,
Tx: IV, blood, abx, rest, pain meds
NI: rest, hydrate, oxygenate, abx, electrolyte imbalance, avoid stress/infection, pain mgmt, education
**HA, SOB, FEVER**
Hemophilia - (answer)SXS: pallor, fatigue, weakness, cool skin, tachycardia, decreased peripheral pulse,
low BP, bruising
Tx: platelets, desmopressin, amniocaproic acid, **replace factors**
NI: prevent bleeding, **RICE**, avoid things that can cause harm(move tables), avoid sports, dental
hygiene
Food rich in iron - (answer)- red meat
- tuna/ salmon
- eggs
- tofu
- grains
- dried beans, peas, and fruit
- leafy greens
- iron fortified cereals
, NUR 254 Maternal Nursing Exam 4 2025/2026 – Complete Review & Study Guide
Lukemia ALL/ AML - (answer)- proliferation of immature WBC (bands)
S/S: infections, pain, fractures, anemia, bleeding, cell starvation, hematomas, pallor
Tx: chemo
NI: monitor cbc, **reverse isolation, AVOID FRESH fruits, veggies, flowers, no invasive**
**nutropenia**
**STERILE**
Neuroblastoma - (answer)**primary site is abd**
s/s: firm non-tinder mass, resp obstruction, periorbital edema
Tx: removal of tumor, chemo, radiation
NI: monitor I&O, infection, pain, hydration, bowel function
Younger= better survival
**DO NOT PALPATE**
Osteogenic Sarcoma - (answer)- **mostly in the LE/ near growth plate**
S/S: pain, limping, mass, swelling, fever
Tx: surgery, radiation, chemo, possible amputation
NI: s/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump elevation (24hrs)
Ewing Sarcoma - (answer)- **long and trunk bones most common**
- minimal s/s
Tx: surgery, radiation, chemo, possible amputation
NI: s/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump elevation (24hrs)
Wilms tumor (nephroblastoma) - (answer)- Most common kidney tumor in children
s/s: painless mass, firm non-tender, discovered during general care
