NU 335 MATERNAL/CHILD FINAL REVIEW 2026/2027 – MATERNAL & CHILD
NURSING STUDY GUIDE, PRACTICE QUESTIONS & EXAM PREP
A preschool-age child is being admitted to the hospital for treatment of cellulitis. The child's parents
appear upset and frightened. Which question should the nurse use to elicit information concerning the
parents' understanding of why the child is being admitted to the hospital?
Select one:
a. Are you worried? I'll tell you everything you need to know.
b. Has the doctor told you why your daughter requires hospitalization?
c. Why are you so concerned? We take good care of children here.
d. You seem concerned; do you have questions about your child's admission? - ANS ✔✔The correct
answer is: You seem concerned; do you have questions about your child's admission?
When admitting a child to the hospital, the nurse should determine what the parents' understanding is
of why the child is being admitted. This could be best assessed by asking if the parents have any
questions about the child's admission. The nurse may or may not be able to tell the parents everything
they need to know. Minimizing the parent's concerns is an inappropriate response. The parent's
understanding of why the child is in the hospital may be different than what the physician may have said
or believes.
The nurse will be assisting with an intraosseous infusion on a 4-year-old. How would the nurse explain
this to the child's parent?
Select one:
a. A fluid infusion into the subcutaneous tissue
b. An infusion into the skull bones of the head
c. An infusion into the bone marrow cavity of a long bone
d. A convenient long-term site for intravenous therapy - ANS ✔✔The correct answer is: An infusion into
the bone marrow cavity of a long bone
Which of the following interventions would be most appropriate when teaching a child and family?
(Select all that apply.)
Select one or more:
a. Offer an immediate, concrete reward to school-aged children to encourage learning.
b. Provide a long, clear explanation about procedures to preschool clients to facilitate understanding.
c. Avoid using puppets for teaching preschool children.
d. Correct a wrong action by first acknowledging a positive aspect of what the child did or how the child
performed the action.
e. Have parents present each time health teaching is performed with adolescents.
f. Assess the child's family patterns before planning the timing for exercise or medication activities after
discharge. - ANS ✔✔The correct answers are: Offer an immediate, concrete reward to school-aged
children to encourage learning., Assess the child's family patterns before planning the timing for exercise
or medication activities after discharge., Correct a wrong action by first acknowledging a positive aspect
of what the child did or how the child performed the action.
,When describing maternal mortality to a group of students, the instructor would define this term as the
number of
Select one:
a. fetal deaths (fetus weight over 500 g) per 1,000 live births resulting in maternal death.
b. fetal deaths occurring as a result of maternal negligence during pregnancy.
c. pregnancies per 1,000 women that result in maternal death.
d. maternal deaths per 100,000 live births due to a direct result of the reproductive process. - ANS
✔✔The correct answer is: maternal deaths per 100,000 live births due to a direct result of the
reproductive process.
Conscious sedation is a pain management technique that is used with children. During conscious
sedation for a preschooler, which of the following actions would be most important?
Select one:
a. Asking the child to periodically count from 1 to 10.
b. Keeping the child's head in a dependent position.
c. Assessing vital signs frequently because they can become depressed.
d. Keeping the room absolutely quiet so the child can sleep. - ANS ✔✔The correct answer is: Assessing
vital signs frequently because they can become depressed.
The nurse wants to do a quick evaluation of a one-month-old infant's hearing. Which assessment will
provide the best information?
Select one:
a. Examining the ear canal with an otoscope.
b. Using tympanometry
c. Using a noisemaker in the infant's presence to evaluate the child's response.
d. Using a vibrating tuning fork placed against the child's skull. - ANS ✔✔The correct answer is: Using a
noisemaker in the infant's presence to evaluate the child's response.
The nurse is caring for a 3 year old child newly diagnosed with diabetes mellitus. When writing the care
plan, the nurse includes this goal: The child will be provided with opportunities for therapeutic play.
Which of the following would be the most appropriate toy to help meet this goal?
Select one:
a. Stuffed bear with bandages to apply
b. Doll and syringe with no needle
c. Book about hospitalization
d. Puppet dressed as a nurse - ANS ✔✔The correct answer is: Doll and syringe with no needle
Which of the following would you expect to include when conducting therapeutic play? (Select all that
apply)
Select one or more:
a. Telling the child how to use the equipment
b. Using real equipment
c. Not criticizing the child's play
,d. Allowing the play to be unstructured.
e. Choosing the articles that the child will use. - ANS ✔✔The correct answers are: Allowing the play to be
unstructured., Not criticizing the child's play, Using real equipment
A patient in her third trimester has just learned that she has developed gestational diabetes. The nurse
give her an injection of insulin to help return her blood glucose levels to normal. Which phase of health
care would this action be classified as?
Select one:
a. Health rehabilitation
b. Health maintenance
c. Health restoration
d. Health promotion - ANS ✔✔The correct answer is: Health restoration
When a procedure is being performed that requires a consent form, which of the following is true?
Select one:
a. The nurse must explain the procedure and obtain signed consent if the physician does not.
b. Emancipated minors must have parental permission to sign a consent form.
c. A consent form can be omitted if the procedure involves only a minimal risk.
d. In single-parent families, the custodial parent must sign the consent form. - ANS ✔✔The correct
answer is: In single-parent families, the custodial parent must sign the consent form.
The nurse is planning to assess the amount of pain that a 15-year-old child is experiencing after a motor
vehicle crash. Which pain scale should the nurse use to measure this patient's pain?
Select one:
a. FACES
b. The COMFORT Behavior Scale
c. Adolescent Pediatric Pain Tool
d. CRIES - ANS ✔✔The correct answer is: Adolescent Pediatric Pain Tool
The Adolescent Pediatric Pain Tool combines a visual activity and a numerical scale. On one half of the
form is an outline figure showing the anterior and posterior view of a child. To use the tool, tell a child to
color in the figure, drawing at the point where pain is felt. In addition, on the right side of the form, tell
the child to rate present pain in reference to no pain, little pain, medium pain, large pain, and worst
possible pain. For a third activity, tell children to point to or circle as many words as possible on the form
that describe their pain. The scale is suggested for use in children 8 through 17 years of age. The CRIES
tool and COMFORT Behavior Scale are tools appropriate for use with infants. The FACES tool is
appropriate for use with small children starting around age 3 years.
The nurse is providing instructions to the parent of a school-age child who received conscious sedation
for a bronchoscopy. What should the nurse include in this teaching? (Select all that apply.)
Select one or more:
a. Encourage the child to engage in physical activity such as riding a bicycle.
b. Expect to stay with the child for at least 4 hours to ensure dizziness does not occur.
c. Provide the child with something to eat if hungry.
d. Determine that the child is able to swallow without choking before providing solid food.
, e. Provide an antiemetic if vomiting occurs. - ANS ✔✔The correct answers are: Expect to stay with the
child for at least 4 hours to ensure dizziness does not occur., Determine that the child is able to swallow
without choking before providing solid food.
The nurse should instruct the parent to stay with the child for at least 4 hours to ensure dizziness does
not occur with walking. The parent should also make sure that the child can swallow liquids without
choking before providing solid food. If vomiting occurs, the health care provider should be contacted.
The child's swallowing ability needs to be assessed before providing with solid food. Physical activity that
requires alertness should be avoided for 12 hours because the sedation can affect coordination and
balance.
A nurse is conducting a yearly health assessment of a 14-year-old girl. The nurse should understand
which of the following findings will require further evaluation?
Select one:
a. Her menstrual cycle is irregular.
b. There is a lateral curvature to her spine.
c. She has acne vulgaris on her face.
d. She has not gained in height since her last visit. - ANS ✔✔The correct answer is: There is a lateral
curvature to her spine.
Prior to providing a preschool-age child with a prescribed dose of medication, the nurse is concerned
that the child is underweight. Which should the nurse do at this time?
Select one:
a. Measure the child's height and weight and check whether the dose is correct.
b. Give the child the prescribed dose.
c. Call the child's physician and alert to the dosage error.
d. Give the child one half the ordered dose. - ANS ✔✔The correct answer is: Measure the child's height
and weight and check whether the dose is correct.
Before administering any medication to a child, confirm that the dose prescribed is correct for the child's
weight or body surface area. The nurse should not give the child the prescribed dose or one half the
ordered dose. A dosage error has not occurred. The nurse is just calculating the dose according to the
child's current correct weight.
Which technique should the nurse use to teach an adolescent about a newly diagnosed disease process?
Select one:
a. Urge the adolescent to listen attentively during teaching
b. Help the adolescent understand how this information will improve future health
c. Help the adolescent realize that teaching is needed above what peers need to learn
d. Help the adolescent understand how this information will improve health status now. - ANS ✔✔The
correct answer is: Help the adolescent understand how this information will improve health status now.
The mother of a child newly diagnosed with muscular dystrophy appears overwhelmed the care the child
will need once discharge occurs. Which nursing diagnosis is the most appropriate for the nurse to select
to help guide this mother's learning needs?
Select one:
a. Health-seeking behaviors related to ways to care for the child at home
b. Effective coping related to understanding the home care needs of the child
NURSING STUDY GUIDE, PRACTICE QUESTIONS & EXAM PREP
A preschool-age child is being admitted to the hospital for treatment of cellulitis. The child's parents
appear upset and frightened. Which question should the nurse use to elicit information concerning the
parents' understanding of why the child is being admitted to the hospital?
Select one:
a. Are you worried? I'll tell you everything you need to know.
b. Has the doctor told you why your daughter requires hospitalization?
c. Why are you so concerned? We take good care of children here.
d. You seem concerned; do you have questions about your child's admission? - ANS ✔✔The correct
answer is: You seem concerned; do you have questions about your child's admission?
When admitting a child to the hospital, the nurse should determine what the parents' understanding is
of why the child is being admitted. This could be best assessed by asking if the parents have any
questions about the child's admission. The nurse may or may not be able to tell the parents everything
they need to know. Minimizing the parent's concerns is an inappropriate response. The parent's
understanding of why the child is in the hospital may be different than what the physician may have said
or believes.
The nurse will be assisting with an intraosseous infusion on a 4-year-old. How would the nurse explain
this to the child's parent?
Select one:
a. A fluid infusion into the subcutaneous tissue
b. An infusion into the skull bones of the head
c. An infusion into the bone marrow cavity of a long bone
d. A convenient long-term site for intravenous therapy - ANS ✔✔The correct answer is: An infusion into
the bone marrow cavity of a long bone
Which of the following interventions would be most appropriate when teaching a child and family?
(Select all that apply.)
Select one or more:
a. Offer an immediate, concrete reward to school-aged children to encourage learning.
b. Provide a long, clear explanation about procedures to preschool clients to facilitate understanding.
c. Avoid using puppets for teaching preschool children.
d. Correct a wrong action by first acknowledging a positive aspect of what the child did or how the child
performed the action.
e. Have parents present each time health teaching is performed with adolescents.
f. Assess the child's family patterns before planning the timing for exercise or medication activities after
discharge. - ANS ✔✔The correct answers are: Offer an immediate, concrete reward to school-aged
children to encourage learning., Assess the child's family patterns before planning the timing for exercise
or medication activities after discharge., Correct a wrong action by first acknowledging a positive aspect
of what the child did or how the child performed the action.
,When describing maternal mortality to a group of students, the instructor would define this term as the
number of
Select one:
a. fetal deaths (fetus weight over 500 g) per 1,000 live births resulting in maternal death.
b. fetal deaths occurring as a result of maternal negligence during pregnancy.
c. pregnancies per 1,000 women that result in maternal death.
d. maternal deaths per 100,000 live births due to a direct result of the reproductive process. - ANS
✔✔The correct answer is: maternal deaths per 100,000 live births due to a direct result of the
reproductive process.
Conscious sedation is a pain management technique that is used with children. During conscious
sedation for a preschooler, which of the following actions would be most important?
Select one:
a. Asking the child to periodically count from 1 to 10.
b. Keeping the child's head in a dependent position.
c. Assessing vital signs frequently because they can become depressed.
d. Keeping the room absolutely quiet so the child can sleep. - ANS ✔✔The correct answer is: Assessing
vital signs frequently because they can become depressed.
The nurse wants to do a quick evaluation of a one-month-old infant's hearing. Which assessment will
provide the best information?
Select one:
a. Examining the ear canal with an otoscope.
b. Using tympanometry
c. Using a noisemaker in the infant's presence to evaluate the child's response.
d. Using a vibrating tuning fork placed against the child's skull. - ANS ✔✔The correct answer is: Using a
noisemaker in the infant's presence to evaluate the child's response.
The nurse is caring for a 3 year old child newly diagnosed with diabetes mellitus. When writing the care
plan, the nurse includes this goal: The child will be provided with opportunities for therapeutic play.
Which of the following would be the most appropriate toy to help meet this goal?
Select one:
a. Stuffed bear with bandages to apply
b. Doll and syringe with no needle
c. Book about hospitalization
d. Puppet dressed as a nurse - ANS ✔✔The correct answer is: Doll and syringe with no needle
Which of the following would you expect to include when conducting therapeutic play? (Select all that
apply)
Select one or more:
a. Telling the child how to use the equipment
b. Using real equipment
c. Not criticizing the child's play
,d. Allowing the play to be unstructured.
e. Choosing the articles that the child will use. - ANS ✔✔The correct answers are: Allowing the play to be
unstructured., Not criticizing the child's play, Using real equipment
A patient in her third trimester has just learned that she has developed gestational diabetes. The nurse
give her an injection of insulin to help return her blood glucose levels to normal. Which phase of health
care would this action be classified as?
Select one:
a. Health rehabilitation
b. Health maintenance
c. Health restoration
d. Health promotion - ANS ✔✔The correct answer is: Health restoration
When a procedure is being performed that requires a consent form, which of the following is true?
Select one:
a. The nurse must explain the procedure and obtain signed consent if the physician does not.
b. Emancipated minors must have parental permission to sign a consent form.
c. A consent form can be omitted if the procedure involves only a minimal risk.
d. In single-parent families, the custodial parent must sign the consent form. - ANS ✔✔The correct
answer is: In single-parent families, the custodial parent must sign the consent form.
The nurse is planning to assess the amount of pain that a 15-year-old child is experiencing after a motor
vehicle crash. Which pain scale should the nurse use to measure this patient's pain?
Select one:
a. FACES
b. The COMFORT Behavior Scale
c. Adolescent Pediatric Pain Tool
d. CRIES - ANS ✔✔The correct answer is: Adolescent Pediatric Pain Tool
The Adolescent Pediatric Pain Tool combines a visual activity and a numerical scale. On one half of the
form is an outline figure showing the anterior and posterior view of a child. To use the tool, tell a child to
color in the figure, drawing at the point where pain is felt. In addition, on the right side of the form, tell
the child to rate present pain in reference to no pain, little pain, medium pain, large pain, and worst
possible pain. For a third activity, tell children to point to or circle as many words as possible on the form
that describe their pain. The scale is suggested for use in children 8 through 17 years of age. The CRIES
tool and COMFORT Behavior Scale are tools appropriate for use with infants. The FACES tool is
appropriate for use with small children starting around age 3 years.
The nurse is providing instructions to the parent of a school-age child who received conscious sedation
for a bronchoscopy. What should the nurse include in this teaching? (Select all that apply.)
Select one or more:
a. Encourage the child to engage in physical activity such as riding a bicycle.
b. Expect to stay with the child for at least 4 hours to ensure dizziness does not occur.
c. Provide the child with something to eat if hungry.
d. Determine that the child is able to swallow without choking before providing solid food.
, e. Provide an antiemetic if vomiting occurs. - ANS ✔✔The correct answers are: Expect to stay with the
child for at least 4 hours to ensure dizziness does not occur., Determine that the child is able to swallow
without choking before providing solid food.
The nurse should instruct the parent to stay with the child for at least 4 hours to ensure dizziness does
not occur with walking. The parent should also make sure that the child can swallow liquids without
choking before providing solid food. If vomiting occurs, the health care provider should be contacted.
The child's swallowing ability needs to be assessed before providing with solid food. Physical activity that
requires alertness should be avoided for 12 hours because the sedation can affect coordination and
balance.
A nurse is conducting a yearly health assessment of a 14-year-old girl. The nurse should understand
which of the following findings will require further evaluation?
Select one:
a. Her menstrual cycle is irregular.
b. There is a lateral curvature to her spine.
c. She has acne vulgaris on her face.
d. She has not gained in height since her last visit. - ANS ✔✔The correct answer is: There is a lateral
curvature to her spine.
Prior to providing a preschool-age child with a prescribed dose of medication, the nurse is concerned
that the child is underweight. Which should the nurse do at this time?
Select one:
a. Measure the child's height and weight and check whether the dose is correct.
b. Give the child the prescribed dose.
c. Call the child's physician and alert to the dosage error.
d. Give the child one half the ordered dose. - ANS ✔✔The correct answer is: Measure the child's height
and weight and check whether the dose is correct.
Before administering any medication to a child, confirm that the dose prescribed is correct for the child's
weight or body surface area. The nurse should not give the child the prescribed dose or one half the
ordered dose. A dosage error has not occurred. The nurse is just calculating the dose according to the
child's current correct weight.
Which technique should the nurse use to teach an adolescent about a newly diagnosed disease process?
Select one:
a. Urge the adolescent to listen attentively during teaching
b. Help the adolescent understand how this information will improve future health
c. Help the adolescent realize that teaching is needed above what peers need to learn
d. Help the adolescent understand how this information will improve health status now. - ANS ✔✔The
correct answer is: Help the adolescent understand how this information will improve health status now.
The mother of a child newly diagnosed with muscular dystrophy appears overwhelmed the care the child
will need once discharge occurs. Which nursing diagnosis is the most appropriate for the nurse to select
to help guide this mother's learning needs?
Select one:
a. Health-seeking behaviors related to ways to care for the child at home
b. Effective coping related to understanding the home care needs of the child
