INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood? a. The patent ductus arteriosus b. A ventricular septal defect c. The closure of the foramen ovale d. An atrial septal defect ANS: D Because the right side of the heart must take over pumping blood to both the lungs and systemic circulation, the ductus arteriosus must remain open to shunt the oxygenated blood from the lungs. DIF: Cognitive Level: Knowledge REF:...

MULTIPLE CHOICE 1. A 4-year-old child asks tearfully if the IM injection will hurt. What is the nurse‘s 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: ...

MULTIPLE CHOICE 1. A 13-year-old girl is diagnosed with functional scoliosis. What does the nurse explain as the cause of this spinal curvature defect? a. Juvenile rheumatoid arthritis b. Poor posture c. Heredity d. Myelomeningocele ANS: B Functional scoliosis usually is caused by poor posture, and it is not a spinal disease. DIF: Cognitive Level: Comprehension REF: p. 586 OBJ: 13 TOP: Scoliosis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integ...

MULTIPLE CHOICE 1. A child diagnosed with epilepsy had a generalized tonic-clonic seizure that lasted 90 seconds. What would the nurse expect to assess after a generalized tonic-clonic seizure? a. Restlessness b. Sleepiness c. Nausea d. Anxiety ANS: B Following a generalized tonic-clonic seizure, the child may have some confusion and may sleep for a time (postictal lethargy) and then return to full consciousness. DIF: Cognitive Level: Comprehension REF: p. 555 | Table 23.2 ...

MULTIPLE CHOICE 1. A mother reports that she has a new job and her 12-year-old child is home alone for a time after school. Which statement made by the parent alerts the nurse to a potentially unsafe situation for this child? a. “I told him that he could invite a few friends after school.” b. “I put a list of emergency numbers next to the telephone.” c. “Last week we made a first aid kit together.” d. “There is a neighbor available in case of an emergency.” ANS: A...

MULTIPLE CHOICE 1. Which nursing action would facilitate rapport with a child and the child‘s parents during the admission process? a. Direct the parents to undress the child. b. Answer questions in a calm and matter-of-fact way. c. Perform assessments and ask questions as quickly as possible. d. Express concern about the seriousness of the child‘s condition. ANS: B The nurse tries not to appear rushed. A matter-of-fact attitude must be maintained regardless of the child‘...

MULTIPLE CHOICE 1. What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game? a. A cheeseburger and soda b. A hot fudge sundae c. Two sausage and egg breakfast sandwiches and orange juice d. A bagel and skim milk ANS: D A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a slow release of carbohydrates to the muscles. DIF: Cognitive Level: Comprehension REF: p. 476 OBJ: 12 TOP: Nutrit...

MULTIPLE CHOICE 1. A preterm infant has a yellow skin color and a rising bilirubin level. The nurse knows that this infant is at risk for what? a. Skin breakdown b. Renal failure c. Brain damage d. Heart failure ANS: C The higher the bilirubin level and the deeper the jaundice, the greater is the risk for neurological damage. DIF: Cognitive Level: Comprehension REF: p. 328 OBJ: 4 TOP: Jaundice KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion ...

MULTIPLE CHOICE 1. The nurse discusses child-proofing the home for safety with the mother of a 9-month-old infant. Which statement made by the mother would indicate an unsafe behavior? a. “I put covers on all of the electrical outlets.” b. “In the car, she rides in a front-facing car seat.” c. “There are locks on all of the cabinets in the house.” d. “I have a gate at the top and bottom of the stairs.” ANS: B A rear-facing infant car seat should be used for infa...

MULTIPLE CHOICE 1. What type of play is most appropriate when planning care for a child with moderate intellectual deficiency? a. Exercise leg and arm muscles. b. Be educationally oriented to make up for lost time. c. Be adjusted to mental age rather than chronological age. d. Involve contact sports and aggressive physical activity with other children. ANS: C The nurse must consider the child‘s mental age rather than her chronological age when selecting toys for play. DIF: ...