MATERNAL CHILD CH. 43 EXAM 2025
WITH CORRECT ANSWERS
An accurate description of anemia is:
d d d d d
a. Increased blood viscosity.
d d d
b. Depressed hematopoietic system.
d d d
c. Presence of abnormal hemoglobin.
d d d d
d. Decreased oxygen-carrying capacity of blood. - correct answer ANS: D
d d d d d d d d d d
Anemia is a condition in which the number of red blood cells or hemoglobin concentration is
d d d d d d d d d d d d d d d d
reduced below d
the normal values for age. This results in a decreased oxygen-carrying capacity of blood.
d d d d d d d d d d d d d d
Increased blood d
viscosity is usually a function of too many cells or of dehydration, not of anemia. A depressed
d d d d d d d d d d d d d d d d d
hematopoietic
system or abnormal hemoglobin can contribute to anemia, but the definition depends on the
d d d d d d d d d d d d d d
deceased oxygen- carrying capacity of the blood. d d d d d d
Several blood tests are ordered for a preschool child with severe anemia. She is crying and
d d d d d d d d d d d d d d d d
upset because she d d
remembers the venipuncture done at the clinic 2 days ago. The nurse should explain that: d d d d d d d d d d d d d d
a. Venipuncture discomfort is very brief.
d d d d d
b. Only one venipuncture will be needed.
d d d d d d
c. Topical application of local anesthetic can eliminate venipuncture pain.
d d d d d d d d d
d. Most blood tests on children require only a finger puncture because a small amount of blood
d d d d d d d d d d d d d d d d d
is
needed - correct answer ANS: C d d d d d
Preschool children are very concerned about both pain and the loss of blood. When preparing
d d d d d d d d d d d d d d d
the child for d d
venipuncture, a topical anesthetic will be used to eliminate any pain. This is a very traumatic d d d d d d d d d d d d d d d d
experience for d
,preschool children. They are concerned about their bodily integrity. A local anesthetic should d d d d d d d d d d d d d
be used, and a
d d d
bandage should be applied to maintain bodily integrity. A promise that only one venipuncture
d d d d d d d d d d d d d d
will be neededd d
should not be made in case multiple attempts are required. Both finger punctures and
d d d d d d d d d d d d d d
venipunctures are d
traumatic for children. Both require preparation. d d d d d
The most appropriate nursing diagnosis for a child with anemia is:
d d d d d d d d d d
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 713
d d d d d d d d d d d d
a. Activity Intolerance related to generalized weakness.
d d d d d d
b. Decreased Cardiac Output related to abnormal hemoglobin.
d d d d d d d
c. Risk for Injury related to depressed sensorium.
d d d d d d d
d. Risk for Injury related to dehydration and abnormal hemoglobin - correct answer ANS: A
d d d d d d d d d d d d d d
The basic pathology in anemia is the decreased oxygen-carrying capacity of the blood. The
d d d d d d d d d d d d d d
nurse must assess d d
the childs activity level (response to the physiologic state). The nursing diagnosis would
d d d d d d d d d d d d d
reflect the activity d d
intolerance. In generalized anemia no abnormal hemoglobin may be present. Only at a level d d d d d d d d d d d d d d
of very severe
d d
anemia does cardiac output become altered. No decreased sensorium exists until profound
d d d d d d d d d d d d
anemia occurs. Dehydration and abnormal hemoglobin are not usually part of anemia.
d d d d d d d d d d d
Which statement best explains why iron deficiency anemia is common during toddlerhood?
d d d d d d d d d d d
a. Milk is a poor source of iron.
d d d d d d d
b. Iron cannot be stored during fetal development.
d d d d d d d
c. Fetal iron stores are depleted by age 1 month.
d d d d d d d d d
d. Dietary iron cannot be started until age 12 months. - correct answer ANS: A
d d d d d d d d d d d d d d
Children between the ages of 12 and 36 months are at risk for anemia because cows milk is a
d d d d d d d d d d d d d d d d d d d
major component d
of their diet, and it is a poor source of iron. Iron is stored during fetal development, but the
d d d d d d d d d d d d d d d d d d d
amount stored d
depends on maternal iron stores. Fetal iron stores are usually depleted by age 5 to 6 months.
d d d d d d d d d d d d d d d d d
Dietary iron can d d
be introduced by breastfeeding, iron-fortified formula, and cereals during the first 12 months
d d d d d d d d d d d d d
of life.
d
When teaching the mother of a 9-month-old infant about administering liquid iron
d d d d d d d d d d d d
preparations, the nurse d d
should include that: d d
a. They should be given with meals.
d d d d d d
b. They should be stopped immediately if nausea and vomiting occur.
d d d d d d d d d d
c. Adequate dosage will turn the stools a tarry green color.
d d d d d d d d d d
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 714
d d d d d d d d d d d d
d. Preparation should be allowed to mix with saliva and bathe the teeth before swallowing. -
d d d d d d d d d d d d d d d d
correct answer ANS: C d d d
, The nurse should prepare the mother for the anticipated change in the childs stools. If the iron
d d d d d d d d d d d d d d d d d
dose is adequate, d d
the stools will become a tarry green color. The lack of the color change may indicate
d d d d d d d d d d d d d d d d
insufficient iron. The iron d d d
should be given in two divided doses between meals, when the presence of free hydrochloric
d d d d d d d d d d d d d d d
acid is greatest. d d
Iron is absorbed best in an acidic environment. Vomiting and diarrhea may occur with iron
d d d d d d d d d d d d d d d
administration. If d
these occur, the iron should be given with meals, and the dosage reduced and gradually
d d d d d d d d d d d d d d d
increased as the child d d d
develops tolerance. Liquid preparations of iron stain the teeth. They should be administered
d d d d d d d d d d d d d
through a straw, and the mouth rinsed after administration. d d d d d d d d
Iron dextran is ordered for a young child with severe iron deficiency anemia. Nursing
d d d d d d d d d d d d d d
considerations
include:
a. Administering with meals.
d d d
b. Administering between meals.
d d d
c. Injecting deeply into a large muscle.
d d d d d d
d. Massaging injection site for 5 minutes after administration of drug - correct answer ANS: C
d d d d d d d d d d d d d d d
Iron dextran is a parenteral form of iron. When administered intramuscularly, it must be
d d d d d d d d d d d d d d
injected into a large d d d
muscle using the Z-track method. Iron dextran is for intramuscular or intravenous
d d d d d d d d d d d d
administration; it is not d d d
taken orally. The site should not be massaged to prevent leakage, potential irritation, and
d d d d d d d d d d d d d d
staining of the skin. d d d
The nurse is recommending how to prevent iron deficiency anemia in a healthy, term,
d d d d d d d d d d d d d d
breastfed infant. What d d
should she or he suggest? d d d d
a. Iron (ferrous sulfate) drops after age 1 month.
d d d d d d d d
b. Iron-fortified commercial formula can be used by ages 4 to 6 months.
d d d d d d d d d d d d
c. Iron-fortified infant cereal can be introduced at age 2 months.
d d d d d d d d d d
d. Iron-fortified infant cereal can be introduced at approximately 6 months of age. - correct
d d d d d d d d d d d d d d d
answer ANS: D d d
Breast milk supplies inadequate iron for growth and development after age 5 months.
d d d d d d d d d d d d d
Supplementation is d
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 715
d d d d d d d d d d d d
necessary at this time. Iron supplementation or the introduction of solid foods in a breastfed d d d d d d d d d d d d d d d
baby is not d d
indicated. Introducing iron-fortified infant cereal at 2 months should be done only if the mother
d d d d d d d d d d d d d d d
is choosing to
d d
discontinue breastfeeding. d
A condition in which the normal adult hemoglobin is partly or completely replaced by abnormal
d d d d d d d d d d d d d d
hemoglobin
d
WITH CORRECT ANSWERS
An accurate description of anemia is:
d d d d d
a. Increased blood viscosity.
d d d
b. Depressed hematopoietic system.
d d d
c. Presence of abnormal hemoglobin.
d d d d
d. Decreased oxygen-carrying capacity of blood. - correct answer ANS: D
d d d d d d d d d d
Anemia is a condition in which the number of red blood cells or hemoglobin concentration is
d d d d d d d d d d d d d d d d
reduced below d
the normal values for age. This results in a decreased oxygen-carrying capacity of blood.
d d d d d d d d d d d d d d
Increased blood d
viscosity is usually a function of too many cells or of dehydration, not of anemia. A depressed
d d d d d d d d d d d d d d d d d
hematopoietic
system or abnormal hemoglobin can contribute to anemia, but the definition depends on the
d d d d d d d d d d d d d d
deceased oxygen- carrying capacity of the blood. d d d d d d
Several blood tests are ordered for a preschool child with severe anemia. She is crying and
d d d d d d d d d d d d d d d d
upset because she d d
remembers the venipuncture done at the clinic 2 days ago. The nurse should explain that: d d d d d d d d d d d d d d
a. Venipuncture discomfort is very brief.
d d d d d
b. Only one venipuncture will be needed.
d d d d d d
c. Topical application of local anesthetic can eliminate venipuncture pain.
d d d d d d d d d
d. Most blood tests on children require only a finger puncture because a small amount of blood
d d d d d d d d d d d d d d d d d
is
needed - correct answer ANS: C d d d d d
Preschool children are very concerned about both pain and the loss of blood. When preparing
d d d d d d d d d d d d d d d
the child for d d
venipuncture, a topical anesthetic will be used to eliminate any pain. This is a very traumatic d d d d d d d d d d d d d d d d
experience for d
,preschool children. They are concerned about their bodily integrity. A local anesthetic should d d d d d d d d d d d d d
be used, and a
d d d
bandage should be applied to maintain bodily integrity. A promise that only one venipuncture
d d d d d d d d d d d d d d
will be neededd d
should not be made in case multiple attempts are required. Both finger punctures and
d d d d d d d d d d d d d d
venipunctures are d
traumatic for children. Both require preparation. d d d d d
The most appropriate nursing diagnosis for a child with anemia is:
d d d d d d d d d d
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 713
d d d d d d d d d d d d
a. Activity Intolerance related to generalized weakness.
d d d d d d
b. Decreased Cardiac Output related to abnormal hemoglobin.
d d d d d d d
c. Risk for Injury related to depressed sensorium.
d d d d d d d
d. Risk for Injury related to dehydration and abnormal hemoglobin - correct answer ANS: A
d d d d d d d d d d d d d d
The basic pathology in anemia is the decreased oxygen-carrying capacity of the blood. The
d d d d d d d d d d d d d d
nurse must assess d d
the childs activity level (response to the physiologic state). The nursing diagnosis would
d d d d d d d d d d d d d
reflect the activity d d
intolerance. In generalized anemia no abnormal hemoglobin may be present. Only at a level d d d d d d d d d d d d d d
of very severe
d d
anemia does cardiac output become altered. No decreased sensorium exists until profound
d d d d d d d d d d d d
anemia occurs. Dehydration and abnormal hemoglobin are not usually part of anemia.
d d d d d d d d d d d
Which statement best explains why iron deficiency anemia is common during toddlerhood?
d d d d d d d d d d d
a. Milk is a poor source of iron.
d d d d d d d
b. Iron cannot be stored during fetal development.
d d d d d d d
c. Fetal iron stores are depleted by age 1 month.
d d d d d d d d d
d. Dietary iron cannot be started until age 12 months. - correct answer ANS: A
d d d d d d d d d d d d d d
Children between the ages of 12 and 36 months are at risk for anemia because cows milk is a
d d d d d d d d d d d d d d d d d d d
major component d
of their diet, and it is a poor source of iron. Iron is stored during fetal development, but the
d d d d d d d d d d d d d d d d d d d
amount stored d
depends on maternal iron stores. Fetal iron stores are usually depleted by age 5 to 6 months.
d d d d d d d d d d d d d d d d d
Dietary iron can d d
be introduced by breastfeeding, iron-fortified formula, and cereals during the first 12 months
d d d d d d d d d d d d d
of life.
d
When teaching the mother of a 9-month-old infant about administering liquid iron
d d d d d d d d d d d d
preparations, the nurse d d
should include that: d d
a. They should be given with meals.
d d d d d d
b. They should be stopped immediately if nausea and vomiting occur.
d d d d d d d d d d
c. Adequate dosage will turn the stools a tarry green color.
d d d d d d d d d d
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 714
d d d d d d d d d d d d
d. Preparation should be allowed to mix with saliva and bathe the teeth before swallowing. -
d d d d d d d d d d d d d d d d
correct answer ANS: C d d d
, The nurse should prepare the mother for the anticipated change in the childs stools. If the iron
d d d d d d d d d d d d d d d d d
dose is adequate, d d
the stools will become a tarry green color. The lack of the color change may indicate
d d d d d d d d d d d d d d d d
insufficient iron. The iron d d d
should be given in two divided doses between meals, when the presence of free hydrochloric
d d d d d d d d d d d d d d d
acid is greatest. d d
Iron is absorbed best in an acidic environment. Vomiting and diarrhea may occur with iron
d d d d d d d d d d d d d d d
administration. If d
these occur, the iron should be given with meals, and the dosage reduced and gradually
d d d d d d d d d d d d d d d
increased as the child d d d
develops tolerance. Liquid preparations of iron stain the teeth. They should be administered
d d d d d d d d d d d d d
through a straw, and the mouth rinsed after administration. d d d d d d d d
Iron dextran is ordered for a young child with severe iron deficiency anemia. Nursing
d d d d d d d d d d d d d d
considerations
include:
a. Administering with meals.
d d d
b. Administering between meals.
d d d
c. Injecting deeply into a large muscle.
d d d d d d
d. Massaging injection site for 5 minutes after administration of drug - correct answer ANS: C
d d d d d d d d d d d d d d d
Iron dextran is a parenteral form of iron. When administered intramuscularly, it must be
d d d d d d d d d d d d d d
injected into a large d d d
muscle using the Z-track method. Iron dextran is for intramuscular or intravenous
d d d d d d d d d d d d
administration; it is not d d d
taken orally. The site should not be massaged to prevent leakage, potential irritation, and
d d d d d d d d d d d d d d
staining of the skin. d d d
The nurse is recommending how to prevent iron deficiency anemia in a healthy, term,
d d d d d d d d d d d d d d
breastfed infant. What d d
should she or he suggest? d d d d
a. Iron (ferrous sulfate) drops after age 1 month.
d d d d d d d d
b. Iron-fortified commercial formula can be used by ages 4 to 6 months.
d d d d d d d d d d d d
c. Iron-fortified infant cereal can be introduced at age 2 months.
d d d d d d d d d d
d. Iron-fortified infant cereal can be introduced at approximately 6 months of age. - correct
d d d d d d d d d d d d d d d
answer ANS: D d d
Breast milk supplies inadequate iron for growth and development after age 5 months.
d d d d d d d d d d d d d
Supplementation is d
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 715
d d d d d d d d d d d d
necessary at this time. Iron supplementation or the introduction of solid foods in a breastfed d d d d d d d d d d d d d d d
baby is not d d
indicated. Introducing iron-fortified infant cereal at 2 months should be done only if the mother
d d d d d d d d d d d d d d d
is choosing to
d d
discontinue breastfeeding. d
A condition in which the normal adult hemoglobin is partly or completely replaced by abnormal
d d d d d d d d d d d d d d
hemoglobin
d
