NUR 254 EXAM 4 – MATERNAL AND PEDIATRICS (GALEN
COLLEGE STYLE) COMPLEX PEDIATRIC CONDITIONS AND
FAMILY-CENTERED CARE – 100 QUESTIONS LATEST UPDATED
THIS YEAR INSTANT PDF DOWNLOAD
Key NUR 254 Exam 4 Topics Covered:
Maternal: Stages of labor, fundal height, BUBBLE-HE, postpartum assessment, fetal
monitoring (late decelerations)
Pediatric Hematology/Oncology: Sickle cell crisis, iron deficiency anemia,
hemophilia, leukemia
Pediatric Renal: Nephrotic syndrome, acute glomerulonephritis
Pediatric Endocrine: Type 1 DM, DKA
Pediatric Respiratory: Asthma, cystic fibrosis, bronchiolitis, pneumonia, croup,
epiglottitis
Pediatric Cardiac: Tetralogy of Fallot, CHD, Kawasaki disease, rheumatic fever,
hypoplastic left heart syndrome
, Pediatric GI: Pyloric stenosis, Hirschsprung disease, celiac disease,
intussusception, appendicitis, gastroenteritis, dehydration, failure to thrive
Pediatric Neuro: Hydrocephalus, spina bifida, cerebral palsy, seizures, increased
ICP, brain tumor
Pediatric Musculoskeletal: Muscular dystrophy, juvenile idiopathic arthritis,
osteomyelitis, scoliosis, DDH, clubfoot
Pediatric Integumentary: Burns
Pediatric Developmental/Behavioral: Autism, ADHD, SIDS, lead poisoning, child
abuse
1. A nurse is assessing a patient at 20 weeks gestation. Where should the nurse
expect to locate the fundal height?
A. At the symphysis pubis
B. Halfway between the symphysis pubis and the umbilicus
C. At the level of the umbilicus
D. At the xiphoid process
2. A child is being treated for Sickle Cell Crisis. What is the priority nursing
intervention?
A. Administration of oxygen via non-rebreather mask
B. Intravenous hydration
C. Immediate blood transfusion
D. Administration of oral iron supplements
, 3. What is the priority intervention for a patient experiencing a Late Deceleration on the
fetal heart rate monitor?
A. Document the finding as normal
B. Administer an IV bolus of glucose
C. Reposition the patient to her side
D. Perform a scalp stimulation
4. A child with Celiac Disease should strictly avoid which of the following foods?
A. Wild rice and corn
B. Chicken and spinach
C. Barley and rye
D. Oatmeal and tapioca
5. What are the four clinical defects that comprise the Tetralogy of Fallot?
A. ASD, VSD, PDA, Coarctation
B. VSD, Pulmonary stenosis, Overriding aorta, Right ventricular hypertrophy
C. ASD, Pulmonary stenosis, Overriding aorta, Right ventricular hypertrophy
D. VSD, Aortic stenosis, Overriding aorta, Left ventricular hypertrophy
6. Define ‘Decerebrate Posturing’ and state which part of the brain is typically involved.
A. Flexion of arms and legs; Cerebral cortex
B. Rigid extension and pronation of arms and legs; Brainstem
C. Flexion of arms and extension of legs; Cerebral cortex
D. Extension of arms and flexion of legs; Cerebellum
7. What should the nurse do first when a patient complains of dizziness while lying on
her back for a fundal height measurement?
A. Call for help
B. Turn the patient to her left side
COLLEGE STYLE) COMPLEX PEDIATRIC CONDITIONS AND
FAMILY-CENTERED CARE – 100 QUESTIONS LATEST UPDATED
THIS YEAR INSTANT PDF DOWNLOAD
Key NUR 254 Exam 4 Topics Covered:
Maternal: Stages of labor, fundal height, BUBBLE-HE, postpartum assessment, fetal
monitoring (late decelerations)
Pediatric Hematology/Oncology: Sickle cell crisis, iron deficiency anemia,
hemophilia, leukemia
Pediatric Renal: Nephrotic syndrome, acute glomerulonephritis
Pediatric Endocrine: Type 1 DM, DKA
Pediatric Respiratory: Asthma, cystic fibrosis, bronchiolitis, pneumonia, croup,
epiglottitis
Pediatric Cardiac: Tetralogy of Fallot, CHD, Kawasaki disease, rheumatic fever,
hypoplastic left heart syndrome
, Pediatric GI: Pyloric stenosis, Hirschsprung disease, celiac disease,
intussusception, appendicitis, gastroenteritis, dehydration, failure to thrive
Pediatric Neuro: Hydrocephalus, spina bifida, cerebral palsy, seizures, increased
ICP, brain tumor
Pediatric Musculoskeletal: Muscular dystrophy, juvenile idiopathic arthritis,
osteomyelitis, scoliosis, DDH, clubfoot
Pediatric Integumentary: Burns
Pediatric Developmental/Behavioral: Autism, ADHD, SIDS, lead poisoning, child
abuse
1. A nurse is assessing a patient at 20 weeks gestation. Where should the nurse
expect to locate the fundal height?
A. At the symphysis pubis
B. Halfway between the symphysis pubis and the umbilicus
C. At the level of the umbilicus
D. At the xiphoid process
2. A child is being treated for Sickle Cell Crisis. What is the priority nursing
intervention?
A. Administration of oxygen via non-rebreather mask
B. Intravenous hydration
C. Immediate blood transfusion
D. Administration of oral iron supplements
, 3. What is the priority intervention for a patient experiencing a Late Deceleration on the
fetal heart rate monitor?
A. Document the finding as normal
B. Administer an IV bolus of glucose
C. Reposition the patient to her side
D. Perform a scalp stimulation
4. A child with Celiac Disease should strictly avoid which of the following foods?
A. Wild rice and corn
B. Chicken and spinach
C. Barley and rye
D. Oatmeal and tapioca
5. What are the four clinical defects that comprise the Tetralogy of Fallot?
A. ASD, VSD, PDA, Coarctation
B. VSD, Pulmonary stenosis, Overriding aorta, Right ventricular hypertrophy
C. ASD, Pulmonary stenosis, Overriding aorta, Right ventricular hypertrophy
D. VSD, Aortic stenosis, Overriding aorta, Left ventricular hypertrophy
6. Define ‘Decerebrate Posturing’ and state which part of the brain is typically involved.
A. Flexion of arms and legs; Cerebral cortex
B. Rigid extension and pronation of arms and legs; Brainstem
C. Flexion of arms and extension of legs; Cerebral cortex
D. Extension of arms and flexion of legs; Cerebellum
7. What should the nurse do first when a patient complains of dizziness while lying on
her back for a fundal height measurement?
A. Call for help
B. Turn the patient to her left side
