MATERNAL CHILD CH. 40 EXAM 2025
WITH CORRECT ANSWERS
Which statement best describes why children have fewer respiratory tract infections as they
f f f f f f f f f f f f f
grow older? f
a. The amount of lymphoid tissue decreases.
f f f f f f
b. Repeated exposure to organisms causes increased immunity.
f f f f f f f
c. Viral organisms are less prevalent in the population.
f f f f f f f f
d. Secondary infections rarely occur after viral illnesses. - correct answer ANS: B
f f f f f f f f f f f f
Children have increased immunity after exposure to a virus. The amount of lymphoid tissue
f f f f f f f f f f f f f f
increases as f
children grow older. Viral organisms are not less prevalent, but older children have the ability to
f f f f f f f f f f f f f f f f
resist
invading organisms. Secondary infections after viral illnesses include Mycoplasma
f f f f f f f f f
pneumoniae and groups A f f f
and B streptococcal infections.
f f f
A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
f f f f f f f f f f f f f f f f
purulent nasal f
drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes
f f f f f f f f f f f f f
that these symptoms
f f
are characteristic of which respiratory condition?
f f f f f
, a. Allergic rhinitis c. Asthma
f f f f
b. Bronchitis d. Sinusitis - correct answer ANS: D
f f f f f f f f
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
f f f f f f f f f f f f f f f f f f
low-grade
fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling of
f f f f f f f f f f f f
fullness over the f f
affected sinuses, halitosis, and a cough that increases when the child is lying down. The
f f f f f f f f f f f f f f f
classic symptoms of f f
allergic rhinitis are watery rhinorrhea; itchy nose, eyes, ears, and palate; and sneezing.
f f f f f f f f f f f f f
Symptoms occur as long f f f
as the child is exposed to the allergen. Bronchitis is characterized by a gradual onset of rhinitis
f f f f f f f f f f f f f f f f f
and a cough f f
that is initially nonproductive but may change to a loose cough. The manifestations of asthma
f f f f f f f f f f f f f f f
may vary, with f f
wheezing being a classic sign. The symptoms presented in the question do not suggest f f f f f f f f f f f f f f
asthma.
Decongestant nose drops are recommended for a 10-month-old infant with an upper f f f f f f f f f f f f
respiratory tract f
infection. Instructions for nose drops should include: f f f f f f
a. Avoiding use for more than 3 days.
f f f f f f f
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 648
f f f f f f f f f f f f
b. Keeping drops to use again for nasal congestion.
f f f f f f f f
c. Administering drops until nasal congestion subsides.
f f f f f f
d. Administering drops after feedings and at bedtime. - correct answer ANS: A
f f f f f f f f f f f f
Vasoconstrictive nose drops such as Neo-Synephrine should not be used for more than 3 f f f f f f f f f f f f f f
days to avoid rebound f f f
congestion. Drops should be discarded after one illness because they may become f f f f f f f f f f f f
contaminated with bacteria. Vasoconstrictive nose drops can have a rebound effect after 3 f f f f f f f f f f f f f
days of use. Drops administered before feedings
f f f f f f
are more helpful. f f
When caring for an infant with an upper respiratory tract infection and elevated temperature,
f f f f f f f f f f f f f f
an appropriatef
nursing intervention is to: f f f
a. Give tepid water baths to reduce fever.
f f f f f f f
b. Encourage food intake to maintain caloric needs.
f f f f f f f
c. Have child wear heavy clothing to prevent chilling.
f f f f f f f f
d. Give small amounts of favorite fluids frequently to prevent dehydration. - correct answer
f f f f f f f f f f f f f f
ANS: D f
Preventing dehydration by small frequent feedings is an important intervention in the febrile f f f f f f f f f f f f f
child. Tepid water f f
baths may induce shivering, which raises temperature. Food should not be forced; it may
f f f f f f f f f f f f f f
result in the child f f f
vomiting. The febrile child should be dressed in light, loose clothing. f f f f f f f f f f
WITH CORRECT ANSWERS
Which statement best describes why children have fewer respiratory tract infections as they
f f f f f f f f f f f f f
grow older? f
a. The amount of lymphoid tissue decreases.
f f f f f f
b. Repeated exposure to organisms causes increased immunity.
f f f f f f f
c. Viral organisms are less prevalent in the population.
f f f f f f f f
d. Secondary infections rarely occur after viral illnesses. - correct answer ANS: B
f f f f f f f f f f f f
Children have increased immunity after exposure to a virus. The amount of lymphoid tissue
f f f f f f f f f f f f f f
increases as f
children grow older. Viral organisms are not less prevalent, but older children have the ability to
f f f f f f f f f f f f f f f f
resist
invading organisms. Secondary infections after viral illnesses include Mycoplasma
f f f f f f f f f
pneumoniae and groups A f f f
and B streptococcal infections.
f f f
A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
f f f f f f f f f f f f f f f f
purulent nasal f
drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes
f f f f f f f f f f f f f
that these symptoms
f f
are characteristic of which respiratory condition?
f f f f f
, a. Allergic rhinitis c. Asthma
f f f f
b. Bronchitis d. Sinusitis - correct answer ANS: D
f f f f f f f f
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
f f f f f f f f f f f f f f f f f f
low-grade
fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling of
f f f f f f f f f f f f
fullness over the f f
affected sinuses, halitosis, and a cough that increases when the child is lying down. The
f f f f f f f f f f f f f f f
classic symptoms of f f
allergic rhinitis are watery rhinorrhea; itchy nose, eyes, ears, and palate; and sneezing.
f f f f f f f f f f f f f
Symptoms occur as long f f f
as the child is exposed to the allergen. Bronchitis is characterized by a gradual onset of rhinitis
f f f f f f f f f f f f f f f f f
and a cough f f
that is initially nonproductive but may change to a loose cough. The manifestations of asthma
f f f f f f f f f f f f f f f
may vary, with f f
wheezing being a classic sign. The symptoms presented in the question do not suggest f f f f f f f f f f f f f f
asthma.
Decongestant nose drops are recommended for a 10-month-old infant with an upper f f f f f f f f f f f f
respiratory tract f
infection. Instructions for nose drops should include: f f f f f f
a. Avoiding use for more than 3 days.
f f f f f f f
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 648
f f f f f f f f f f f f
b. Keeping drops to use again for nasal congestion.
f f f f f f f f
c. Administering drops until nasal congestion subsides.
f f f f f f
d. Administering drops after feedings and at bedtime. - correct answer ANS: A
f f f f f f f f f f f f
Vasoconstrictive nose drops such as Neo-Synephrine should not be used for more than 3 f f f f f f f f f f f f f f
days to avoid rebound f f f
congestion. Drops should be discarded after one illness because they may become f f f f f f f f f f f f
contaminated with bacteria. Vasoconstrictive nose drops can have a rebound effect after 3 f f f f f f f f f f f f f
days of use. Drops administered before feedings
f f f f f f
are more helpful. f f
When caring for an infant with an upper respiratory tract infection and elevated temperature,
f f f f f f f f f f f f f f
an appropriatef
nursing intervention is to: f f f
a. Give tepid water baths to reduce fever.
f f f f f f f
b. Encourage food intake to maintain caloric needs.
f f f f f f f
c. Have child wear heavy clothing to prevent chilling.
f f f f f f f f
d. Give small amounts of favorite fluids frequently to prevent dehydration. - correct answer
f f f f f f f f f f f f f f
ANS: D f
Preventing dehydration by small frequent feedings is an important intervention in the febrile f f f f f f f f f f f f f
child. Tepid water f f
baths may induce shivering, which raises temperature. Food should not be forced; it may
f f f f f f f f f f f f f f
result in the child f f f
vomiting. The febrile child should be dressed in light, loose clothing. f f f f f f f f f f
