Maternal child Chapter. 44 questions and
100% verified answers 2025/2026 version
A nursing faculty member explains to the class that which item is the most important for tumor cell
growth?
a. Age of transforming cells
b. Programmed cell death
c. Proximity to a capillary
d. Rapidity of cell growth - Answer ANS: C
All cells, including tumor cells, need a consistent supply of oxygen and nutrients, delivered via the
capillaries. Neoplastic cells must be in close enough proximity to a capillary to provide these required
elements. The other
factors do not have such an important role, if any, in neoplastic growth.
A nursing student asks the faculty member to explain an oncogene. Which response by the faculty
member
is the most appropriate?
a. A cell that changes into a malignancy after environmental stress
b. Any gene found inside a solid tumor that can be removed for biopsy
c. A gene in a virus that encourages malignant transformation in cells
d. An inherited gene that is programmed to become a malignant cell - Answer ANS: C
An oncogene is a gene found inside a virus that has the ability to encourage a normal cell to become
malignant.
A nurse is reviewing a patients chart and notes that the patient has a cancerous tumor that has invaded
other
organs. Based on this information, at which stage is this patients cancer classified?
a. Stage O
b. Stage I
c. Stage III
d. Stage IV - Answer ANS: D
,A stage IV cancer is one that has invaded other organs. Stage 0 is early cancer, present only in the cells in
which it began. Stages I-III are more extensive, with larger tumors and spread to nearby lymph nodes or
adjacent organs.
. A nurse hears that a new admission to the hospital was recently diagnosed with the most common kind
of
childhood cancer. Which collaborative care does the nurse prepare to provide to this patient?
a. Antibiotic administration
b. Bone marrow transplant
c. Chemotherapy
d. Liver transplant - Answer ANS: C
The most common type of childhood cancer is acute lymphocytic leukemia (ALL). First-line treatment for
ALL is inducing remission with chemotherapy. Antibiotics are not used unless the child has an infection.
Bone
marrow transplant may be considered later in the childs course of care. A liver transplant would not be a
treatment for ALL
A parent brings a child to the clinic and reports that the child is reluctant to walk and has a new limp.
The
parent also reports that the child seems lethargic and tired all the time. The nurse notes that the child
appears
pale. Which other finding would warrant immediate notification of the health-care provider?
a. Difficulty staying asleep at night
b. Left-sided abdominal enlargement
c. Polyphagia and polydipsia
d. Swelling of the legs and feet - Answer ANS: B
This child has some manifestations of acute lymphocytic leukemia (ALL). Left-sided abdominal
enlargement
could be indicative of splenomegaly, which is another manifestation of this disease. The nurse should
report
, these findings immediately. Difficulty staying asleep at night is vague and could be related to a number
of
causes, both physical and behavioral. Polydipsia and polyphagia are two of the three classic signs of
diabetes. Swelling of the legs and feet is not a manifestation of ALL.
A nurse is caring for a child who is scheduled to have intrathecal chemotherapy today. Which action by
the
nurse is most important when providing care to this patient and family?
a. Educating family on side effects of chemotherapy
b. Ensuring a signed consent is on the chart
c. Providing distraction techniques during the process
d. Reassuring the child the parents will be present - Answer ANS: B
Intrathecal chemotherapy (introducing chemotherapy into the subarachnoid space of the spinal cord) is
an
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 737
invasive procedure and requires a signed consent. Although all actions are important for this child, the
priority
is ensuring the consent is executed appropriately and on the chart
A child is admitted and is scheduled to receive intravenous asparginase (Elspar). Which action by the
nurse
is most important when administering this medication?
a. Arranging an outpatient hearing test
b. Having emergency drugs on hand
c. Monitoring the childs intake and output
d. Providing anti-emetic drugs as needed - Answer ANS: B
Anaphylaxis is a possible side effect of this drug. Emergency medications should be readily available.
Ototoxicity can be caused by carboplatin (Paraplatin). Monitoring intake and output is important for any
child
on IV therapy. Anti-emetic drugs are important for any child receiving chemotherapy
100% verified answers 2025/2026 version
A nursing faculty member explains to the class that which item is the most important for tumor cell
growth?
a. Age of transforming cells
b. Programmed cell death
c. Proximity to a capillary
d. Rapidity of cell growth - Answer ANS: C
All cells, including tumor cells, need a consistent supply of oxygen and nutrients, delivered via the
capillaries. Neoplastic cells must be in close enough proximity to a capillary to provide these required
elements. The other
factors do not have such an important role, if any, in neoplastic growth.
A nursing student asks the faculty member to explain an oncogene. Which response by the faculty
member
is the most appropriate?
a. A cell that changes into a malignancy after environmental stress
b. Any gene found inside a solid tumor that can be removed for biopsy
c. A gene in a virus that encourages malignant transformation in cells
d. An inherited gene that is programmed to become a malignant cell - Answer ANS: C
An oncogene is a gene found inside a virus that has the ability to encourage a normal cell to become
malignant.
A nurse is reviewing a patients chart and notes that the patient has a cancerous tumor that has invaded
other
organs. Based on this information, at which stage is this patients cancer classified?
a. Stage O
b. Stage I
c. Stage III
d. Stage IV - Answer ANS: D
,A stage IV cancer is one that has invaded other organs. Stage 0 is early cancer, present only in the cells in
which it began. Stages I-III are more extensive, with larger tumors and spread to nearby lymph nodes or
adjacent organs.
. A nurse hears that a new admission to the hospital was recently diagnosed with the most common kind
of
childhood cancer. Which collaborative care does the nurse prepare to provide to this patient?
a. Antibiotic administration
b. Bone marrow transplant
c. Chemotherapy
d. Liver transplant - Answer ANS: C
The most common type of childhood cancer is acute lymphocytic leukemia (ALL). First-line treatment for
ALL is inducing remission with chemotherapy. Antibiotics are not used unless the child has an infection.
Bone
marrow transplant may be considered later in the childs course of care. A liver transplant would not be a
treatment for ALL
A parent brings a child to the clinic and reports that the child is reluctant to walk and has a new limp.
The
parent also reports that the child seems lethargic and tired all the time. The nurse notes that the child
appears
pale. Which other finding would warrant immediate notification of the health-care provider?
a. Difficulty staying asleep at night
b. Left-sided abdominal enlargement
c. Polyphagia and polydipsia
d. Swelling of the legs and feet - Answer ANS: B
This child has some manifestations of acute lymphocytic leukemia (ALL). Left-sided abdominal
enlargement
could be indicative of splenomegaly, which is another manifestation of this disease. The nurse should
report
, these findings immediately. Difficulty staying asleep at night is vague and could be related to a number
of
causes, both physical and behavioral. Polydipsia and polyphagia are two of the three classic signs of
diabetes. Swelling of the legs and feet is not a manifestation of ALL.
A nurse is caring for a child who is scheduled to have intrathecal chemotherapy today. Which action by
the
nurse is most important when providing care to this patient and family?
a. Educating family on side effects of chemotherapy
b. Ensuring a signed consent is on the chart
c. Providing distraction techniques during the process
d. Reassuring the child the parents will be present - Answer ANS: B
Intrathecal chemotherapy (introducing chemotherapy into the subarachnoid space of the spinal cord) is
an
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 737
invasive procedure and requires a signed consent. Although all actions are important for this child, the
priority
is ensuring the consent is executed appropriately and on the chart
A child is admitted and is scheduled to receive intravenous asparginase (Elspar). Which action by the
nurse
is most important when administering this medication?
a. Arranging an outpatient hearing test
b. Having emergency drugs on hand
c. Monitoring the childs intake and output
d. Providing anti-emetic drugs as needed - Answer ANS: B
Anaphylaxis is a possible side effect of this drug. Emergency medications should be readily available.
Ototoxicity can be caused by carboplatin (Paraplatin). Monitoring intake and output is important for any
child
on IV therapy. Anti-emetic drugs are important for any child receiving chemotherapy
