D447 Womens and Childrens Questions and Answers
Question 1.
What is the recommended treatment for pelvic inflammatory disease (PID)? (SATA)
Correct Answer: Oral antibiotics, Intravenous antibiotics
Question 2.
Which symptom is most concerning in a pregnant client with pyelonephritis?
Correct Answer: Decreased fetal movement.
Question 3.
What is the best way to screen for scoliosis in children?
Correct Answer: Have child bend forward and observe spine.
Question 4.
Which of the following are true regarding hemophilia A and B interventions?
Correct Answer: Hemophilia A is caused by a deficiency of factor VIII, Hemophilia
B is caused by a deficiency of factor IX, Administer Factor VIII concentrate for
hemophilia A, Administer Factor IX concentrate for hemophilia B, Apply ice to
the bleeding site for hemophilia A and B.
Question 5.
A nurse is administering magnesium sulfate to a client with severe preeclampsia. Which of
the following are the primary uses and monitoring considerations for magnesium sulfate?
(Select all that apply.)
Correct Answer: Prevents seizures in preeclampsia/eclampsia. Acts as a tocolytic
to stop preterm labor.Causes a decrease in maternal blood pressure.Requires
close monitoring for signs of toxicity, such as respiratory depression.Monitored
for loss of deep tendon reflexes (DTRs) as a sign of toxicity.
Question 6.
Which nursing interventions are appropriate for an infant with spina bifida?
Correct Answer: Keep the sac moist with sterile saline gauze.Place the infant in
the prone position.Perform frequent neuro assessments.
Question 7.
Which interventions help manage biliary atresia before surgery?
Correct Answer: High-calorie formula.Vitamin K supplementation.Phototherapy
Question 8.
Which of the following is the first priority action when a patient with hemophilia presents
with a bleeding episode?
Correct Answer: Administer clotting factor replacement.
Question 9.
A nurse is assessing a client at 32 weeks gestation who was recently diagnosed with
gestational hypertension. Which finding is most concerning?
Page 1
,Correct Answer: Severe headache and blurred vision
Question 10.
Oxytocin (Pitocin) is being administered for labor induction. Which findings require
stopping the infusion? (SATA)
Correct Answer: Contractions every 2 minutes lasting 90 seconds,FHR shows
late decelerations,Uterine hyperstimulation
Question 11.
Which of the following are signs of dehydration in an infant? (SATA)
Correct Answer: Dry mouth and tongue,Sunken fontanel,Decreased tears
Question 12.
What are common signs of hydrocephalus in infants? (SATA)
Correct Answer: Enlarged head circumference,Bulging fontanels,Irritability
Seizures
Question 13.
Which medication may be prescribed before surgery for hypospadias?
Correct Answer: Acetaminophen for pain.Testosterone for penile growth.
Antibiotics to prevent infection.
Question 14.
Which of the following is a characteristic of Erikson's stage of "Industry vs. Inferiority" for
children? (SATA)
Correct Answer: A 6-year-old child begins to develop a sense of accomplishment
through activities such as schoolwork and hobbies.A child may experience
feelings of inferiority if unable to meet expectations.
Question 15.
A nurse observes a prolapsed umbilical cord. What is the priority action?
Correct Answer: Place the client in Trendelenburg or knee-chest position
Question 16.
A nurse is caring for an HIV-positive mother and her newborn. Which precautions should
be followed to prevent HIV transmission? SATA
Correct Answer: Standard precautions for both mother and baby.Mother should
wear gloves when handling baby's bodily fluids. Practice good hand hygiene
when handling baby. Baby should receive vaccinations .
Question 17.
Which statements about the contraction stress test (CST) are correct? (Select all that
apply.)
Correct Answer: CST evaluates fetal response to uterine contractions. A
negative CST is reassuring, showing no late decelerations.A positive CST
indicates fetal distress and may require further action. Nonstress test (NST) is
preferred first; CST is done if NST is nonreactive.Oxytocin or nipple stimulation
Page 2
,triggers contractions for the test.
Question 18.
What APGAR score would be assigned to a newborn with the following
findings?Appearance: Body pink, extremities blue Pulse: 90 bpm Grimace: Grimaces when
stimulated Activity: Some flexion of the arms and legs Respiration: Slow, irregular
Correct Answer: 7-Appearance: 1 point (body pink, extremities blue). Pulse: 1
point (below 100 bpm). Grimace: 1 point (grimaces). Activity: 1 point (some
flexion). Respiration: 1 point (slow/irregular). Total: 7 points.
Question 19.
What is the most common symptom of testicular torsion?
Correct Answer: Sudden severe pain in the scrotum
Question 20.
Hypospadias
Correct Answer: urethral opening on the underside of the penis
Question 21.
What is the recommended treatment for Lyme disease? (SATA)
Correct Answer: Doxycycline,Amoxicillin
Question 22.
Which vaccines are given at 2 months of age? (SATA)
Correct Answer: DTaP,Hepatitis B,Rotavirus
Question 23.
Which interventions are appropriate for a child with impetigo?
Correct Answer: Apply topical antibiotics.Keep lesions covered. Encourage
frequent handwashing.Administer oral antibiotics if severe
Question 24.
Which of the following statements about fetal well-being testing are true? (Select all that
apply.)
Correct Answer: Chorionic villus sampling (CVS) ’ Performed at 10-13 weeks to
diagnose genetic disorders. Amniocentesis ’ Done after 15 weeks to detect
chromosomal abnormalities and assess lung maturity.Nonstress test (NST) ’
Evaluates fetal heart rate in response to movement to assess oxygenation.
Biophysical profile (BPP) ’ Uses ultrasound and NST to assess fetal well-being
based on 5 parameters.Kick counts ’ Mother tracks fetal movements to ensure
fetal activity and well-being.Amniocentesis is the first-choice test for diagnosing
neural tube defects in the first trimester.
Question 25.
Which of the following are part of the dietary management for a child with phenylketonuria
(PKU)? (SATA)
Correct Answer: Low-protein diet, Avoid foods meat, fish, eggs, and dairy.
Page 3
, Question 26.
A patient with sickle cell disease is asking if drinking lemonade will help with hydration.
What is the nurse's best response?(SATA)
Correct Answer: Lemonade is a good choice because it helps hydrate the body
and provides vitamin C."
Question 27.
Which of the following are priority interventions for a patient with suspected testicular
torsion?
Correct Answer: Perform an ultrasound to confirm diagnosis, Administer pain
relief, Prepare for surgical intervention if necessary
Question 28.
Which parameters are evaluated in a biophysical profile (BPP)? (SATA)
Correct Answer: Fetal breathing movements, Fetal tone,Amniotic fluid
volume,Reactive NST
Question 29.
What is the purpose of administering hepatitis B immune globulin to a newborn?
Correct Answer: Provide passive immunity to prevent hepatitis B infection.
Question 30.
A nurse is assessing a client receiving magnesium sulfate. Which signs are indicative of
magnesium sulfate toxicity? (Select all that apply.)
Correct Answer: Loss of deep tendon reflexes (DTRs). Respiratory rate <12
breaths per minute. Increased urine output. Decreased level of consciousness
(LOC).Serum magnesium level >8 mg/dL.
Question 31.
What lifestyle changes should be taught to a client with gestational hypertension?
Correct Answer: Rest frequently, avoid high-sodium foods, monitor blood
pressure at home, report any headaches, vision changes, or swelling, and
attend all prenatal visits.
Question 32.
Which of the following are true about the FLACC Pain Scale and how to calculate ratings?
(Select all that apply.)
Correct Answer: FLACC stands for Face, Legs, Activity, Cry, Consolability. Each
category(5) is rated from 0 to 2.Total score ranges from 0 to 10. Example: A
score of 2 in all categories would equal a total score of 10 (severe pain)
Question 33.
Which interventions should the nurse implement for a client with gestational
hypertension?
Correct Answer: Monitor blood pressure closely, Assess for signs of
preeclampsia, Educate on fetal movement monitoring,. Administer
antihypertensive medications as prescribed.
Page 4
Question 1.
What is the recommended treatment for pelvic inflammatory disease (PID)? (SATA)
Correct Answer: Oral antibiotics, Intravenous antibiotics
Question 2.
Which symptom is most concerning in a pregnant client with pyelonephritis?
Correct Answer: Decreased fetal movement.
Question 3.
What is the best way to screen for scoliosis in children?
Correct Answer: Have child bend forward and observe spine.
Question 4.
Which of the following are true regarding hemophilia A and B interventions?
Correct Answer: Hemophilia A is caused by a deficiency of factor VIII, Hemophilia
B is caused by a deficiency of factor IX, Administer Factor VIII concentrate for
hemophilia A, Administer Factor IX concentrate for hemophilia B, Apply ice to
the bleeding site for hemophilia A and B.
Question 5.
A nurse is administering magnesium sulfate to a client with severe preeclampsia. Which of
the following are the primary uses and monitoring considerations for magnesium sulfate?
(Select all that apply.)
Correct Answer: Prevents seizures in preeclampsia/eclampsia. Acts as a tocolytic
to stop preterm labor.Causes a decrease in maternal blood pressure.Requires
close monitoring for signs of toxicity, such as respiratory depression.Monitored
for loss of deep tendon reflexes (DTRs) as a sign of toxicity.
Question 6.
Which nursing interventions are appropriate for an infant with spina bifida?
Correct Answer: Keep the sac moist with sterile saline gauze.Place the infant in
the prone position.Perform frequent neuro assessments.
Question 7.
Which interventions help manage biliary atresia before surgery?
Correct Answer: High-calorie formula.Vitamin K supplementation.Phototherapy
Question 8.
Which of the following is the first priority action when a patient with hemophilia presents
with a bleeding episode?
Correct Answer: Administer clotting factor replacement.
Question 9.
A nurse is assessing a client at 32 weeks gestation who was recently diagnosed with
gestational hypertension. Which finding is most concerning?
Page 1
,Correct Answer: Severe headache and blurred vision
Question 10.
Oxytocin (Pitocin) is being administered for labor induction. Which findings require
stopping the infusion? (SATA)
Correct Answer: Contractions every 2 minutes lasting 90 seconds,FHR shows
late decelerations,Uterine hyperstimulation
Question 11.
Which of the following are signs of dehydration in an infant? (SATA)
Correct Answer: Dry mouth and tongue,Sunken fontanel,Decreased tears
Question 12.
What are common signs of hydrocephalus in infants? (SATA)
Correct Answer: Enlarged head circumference,Bulging fontanels,Irritability
Seizures
Question 13.
Which medication may be prescribed before surgery for hypospadias?
Correct Answer: Acetaminophen for pain.Testosterone for penile growth.
Antibiotics to prevent infection.
Question 14.
Which of the following is a characteristic of Erikson's stage of "Industry vs. Inferiority" for
children? (SATA)
Correct Answer: A 6-year-old child begins to develop a sense of accomplishment
through activities such as schoolwork and hobbies.A child may experience
feelings of inferiority if unable to meet expectations.
Question 15.
A nurse observes a prolapsed umbilical cord. What is the priority action?
Correct Answer: Place the client in Trendelenburg or knee-chest position
Question 16.
A nurse is caring for an HIV-positive mother and her newborn. Which precautions should
be followed to prevent HIV transmission? SATA
Correct Answer: Standard precautions for both mother and baby.Mother should
wear gloves when handling baby's bodily fluids. Practice good hand hygiene
when handling baby. Baby should receive vaccinations .
Question 17.
Which statements about the contraction stress test (CST) are correct? (Select all that
apply.)
Correct Answer: CST evaluates fetal response to uterine contractions. A
negative CST is reassuring, showing no late decelerations.A positive CST
indicates fetal distress and may require further action. Nonstress test (NST) is
preferred first; CST is done if NST is nonreactive.Oxytocin or nipple stimulation
Page 2
,triggers contractions for the test.
Question 18.
What APGAR score would be assigned to a newborn with the following
findings?Appearance: Body pink, extremities blue Pulse: 90 bpm Grimace: Grimaces when
stimulated Activity: Some flexion of the arms and legs Respiration: Slow, irregular
Correct Answer: 7-Appearance: 1 point (body pink, extremities blue). Pulse: 1
point (below 100 bpm). Grimace: 1 point (grimaces). Activity: 1 point (some
flexion). Respiration: 1 point (slow/irregular). Total: 7 points.
Question 19.
What is the most common symptom of testicular torsion?
Correct Answer: Sudden severe pain in the scrotum
Question 20.
Hypospadias
Correct Answer: urethral opening on the underside of the penis
Question 21.
What is the recommended treatment for Lyme disease? (SATA)
Correct Answer: Doxycycline,Amoxicillin
Question 22.
Which vaccines are given at 2 months of age? (SATA)
Correct Answer: DTaP,Hepatitis B,Rotavirus
Question 23.
Which interventions are appropriate for a child with impetigo?
Correct Answer: Apply topical antibiotics.Keep lesions covered. Encourage
frequent handwashing.Administer oral antibiotics if severe
Question 24.
Which of the following statements about fetal well-being testing are true? (Select all that
apply.)
Correct Answer: Chorionic villus sampling (CVS) ’ Performed at 10-13 weeks to
diagnose genetic disorders. Amniocentesis ’ Done after 15 weeks to detect
chromosomal abnormalities and assess lung maturity.Nonstress test (NST) ’
Evaluates fetal heart rate in response to movement to assess oxygenation.
Biophysical profile (BPP) ’ Uses ultrasound and NST to assess fetal well-being
based on 5 parameters.Kick counts ’ Mother tracks fetal movements to ensure
fetal activity and well-being.Amniocentesis is the first-choice test for diagnosing
neural tube defects in the first trimester.
Question 25.
Which of the following are part of the dietary management for a child with phenylketonuria
(PKU)? (SATA)
Correct Answer: Low-protein diet, Avoid foods meat, fish, eggs, and dairy.
Page 3
, Question 26.
A patient with sickle cell disease is asking if drinking lemonade will help with hydration.
What is the nurse's best response?(SATA)
Correct Answer: Lemonade is a good choice because it helps hydrate the body
and provides vitamin C."
Question 27.
Which of the following are priority interventions for a patient with suspected testicular
torsion?
Correct Answer: Perform an ultrasound to confirm diagnosis, Administer pain
relief, Prepare for surgical intervention if necessary
Question 28.
Which parameters are evaluated in a biophysical profile (BPP)? (SATA)
Correct Answer: Fetal breathing movements, Fetal tone,Amniotic fluid
volume,Reactive NST
Question 29.
What is the purpose of administering hepatitis B immune globulin to a newborn?
Correct Answer: Provide passive immunity to prevent hepatitis B infection.
Question 30.
A nurse is assessing a client receiving magnesium sulfate. Which signs are indicative of
magnesium sulfate toxicity? (Select all that apply.)
Correct Answer: Loss of deep tendon reflexes (DTRs). Respiratory rate <12
breaths per minute. Increased urine output. Decreased level of consciousness
(LOC).Serum magnesium level >8 mg/dL.
Question 31.
What lifestyle changes should be taught to a client with gestational hypertension?
Correct Answer: Rest frequently, avoid high-sodium foods, monitor blood
pressure at home, report any headaches, vision changes, or swelling, and
attend all prenatal visits.
Question 32.
Which of the following are true about the FLACC Pain Scale and how to calculate ratings?
(Select all that apply.)
Correct Answer: FLACC stands for Face, Legs, Activity, Cry, Consolability. Each
category(5) is rated from 0 to 2.Total score ranges from 0 to 10. Example: A
score of 2 in all categories would equal a total score of 10 (severe pain)
Question 33.
Which interventions should the nurse implement for a client with gestational
hypertension?
Correct Answer: Monitor blood pressure closely, Assess for signs of
preeclampsia, Educate on fetal movement monitoring,. Administer
antihypertensive medications as prescribed.
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