Maternal child Ch. 47 questions and 100%
verified answers 2025/2026 version
Manifestations of hypoglycemia include:
a. Lethargy.
b. Thirst.
c. Nausea and vomiting.
d. Shaky feeling and dizziness. - Answer ANS: D
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 802
Some of the clinical manifestations of hypoglycemia include shaky feelings; dizziness; difficulty
concentrating, speaking, focusing, and coordinating; sweating; and pallor. Lethargy, thirst, and nausea
and
vomiting are manifestations of hyperglycemia
Which symptom is considered a cardinal sign of diabetes mellitus?
a. Nausea
b. Seizures
c. Impaired vision
d. Frequent urination - Answer ANS: D
Hallmarks of diabetes mellitus are glycosuria, polyuria, and polydipsia. Nausea and seizures are not
clinical
manifestations of diabetes mellitus. Impaired vision is a long-term complication of the disease.
A nurse is reviewing the laboratory results on a school-age child with hypoparathyroidism. Which results
are consistent with this condition?
a. Decreased serum phosphorus
b. Decreased serum calcium
c. Increased serum glucose
d. Decreased serum cortisol - Answer ANS: B
,The diagnosis of hypoparathyroidism is made on the basis of clinical manifestations associated with
decreased
serum calcium and increased serum phosphorus. Decreased serum phosphorus would be seen in
hyperparathyroidism, elevated glucose in diabetes, and decreased serum cortisol in adrenocortical
insufficiency
(Addisons disease).
Which statement best describes hypopituitarism?
a. Growth is normal during the first 3 years of life.
b. Weight is usually more retarded than height.
c. Skeletal proportions are normal for age.
d. Most of these children have subnormal intelligence - Answer ANS: C
In children with hypopituitarism, the skeletal proportions are normal. Growth is within normal limits for
the
first year of life. Height is usually more delayed than weight. Intelligence is not affected by
hypopituitarism
A child will start treatment for precocious puberty. This involves injections of synthetic:
a. Thyrotropin.
b. Gonadotropins.
c. Somatotropic hormone.
d. Luteinizing hormonereleasing hormone. - Answer ANS: D
Precocious puberty of central origin is treated with monthly subcutaneous injections of luteinizing
hormonereleasing hormone. Thyrotropin, gonadotropin, and somatotropic hormone are not
appropriate
therapies for precocious puberty
A child with growth hormone (GH) deficiency is receiving GH therapy. The best time for the GH to be
administered is:
a. At bedtime.
, b. After meals.
c. Before meals.
d. On arising in the morning. - Answer ANS: A
Injections are best given at bedtime to more closely approximate the physiologic release of GH. Before
or after
meals and on arising in the morning are times that do not mimic the physiologic release of the hormone.
What is the priority nursing goal for a 14-year-old with Graves disease?
a. Relieving constipation
b. Allowing the adolescent to make decisions about whether or not to take medication
c. Verbalizing the importance of adherence to the medication regimen
d. Developing alternative educational goals - Answer ANS: C
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 795
In order to adhere to the medication schedule, children need to understand that the medication must
be taken
two or three times per day. The adolescent with Graves disease is not likely to be constipated.
Adherence to the
medication schedule is important to ensure optimal health and wellness. Medications should not be
skipped
and dose regimens should not be tapered by the child without consultation with the childs medical
provider. The management of Graves disease does not interfere with school attendance and does not
require alternative
educational plans
At what age is sexual development in boys and girls considered to be precocious?
a. Boys, 11 years; girls, 9 years
b. Boys, 12 years; girls, 10 years
c. Boys, 9 years; girls, 8 years
d. Boys, 10 years; girls, 9.5 years - Answer ANS: C
Manifestations of sexual development before age 9 in boys and age 8 in girls are considered precocious
and
verified answers 2025/2026 version
Manifestations of hypoglycemia include:
a. Lethargy.
b. Thirst.
c. Nausea and vomiting.
d. Shaky feeling and dizziness. - Answer ANS: D
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 802
Some of the clinical manifestations of hypoglycemia include shaky feelings; dizziness; difficulty
concentrating, speaking, focusing, and coordinating; sweating; and pallor. Lethargy, thirst, and nausea
and
vomiting are manifestations of hyperglycemia
Which symptom is considered a cardinal sign of diabetes mellitus?
a. Nausea
b. Seizures
c. Impaired vision
d. Frequent urination - Answer ANS: D
Hallmarks of diabetes mellitus are glycosuria, polyuria, and polydipsia. Nausea and seizures are not
clinical
manifestations of diabetes mellitus. Impaired vision is a long-term complication of the disease.
A nurse is reviewing the laboratory results on a school-age child with hypoparathyroidism. Which results
are consistent with this condition?
a. Decreased serum phosphorus
b. Decreased serum calcium
c. Increased serum glucose
d. Decreased serum cortisol - Answer ANS: B
,The diagnosis of hypoparathyroidism is made on the basis of clinical manifestations associated with
decreased
serum calcium and increased serum phosphorus. Decreased serum phosphorus would be seen in
hyperparathyroidism, elevated glucose in diabetes, and decreased serum cortisol in adrenocortical
insufficiency
(Addisons disease).
Which statement best describes hypopituitarism?
a. Growth is normal during the first 3 years of life.
b. Weight is usually more retarded than height.
c. Skeletal proportions are normal for age.
d. Most of these children have subnormal intelligence - Answer ANS: C
In children with hypopituitarism, the skeletal proportions are normal. Growth is within normal limits for
the
first year of life. Height is usually more delayed than weight. Intelligence is not affected by
hypopituitarism
A child will start treatment for precocious puberty. This involves injections of synthetic:
a. Thyrotropin.
b. Gonadotropins.
c. Somatotropic hormone.
d. Luteinizing hormonereleasing hormone. - Answer ANS: D
Precocious puberty of central origin is treated with monthly subcutaneous injections of luteinizing
hormonereleasing hormone. Thyrotropin, gonadotropin, and somatotropic hormone are not
appropriate
therapies for precocious puberty
A child with growth hormone (GH) deficiency is receiving GH therapy. The best time for the GH to be
administered is:
a. At bedtime.
, b. After meals.
c. Before meals.
d. On arising in the morning. - Answer ANS: A
Injections are best given at bedtime to more closely approximate the physiologic release of GH. Before
or after
meals and on arising in the morning are times that do not mimic the physiologic release of the hormone.
What is the priority nursing goal for a 14-year-old with Graves disease?
a. Relieving constipation
b. Allowing the adolescent to make decisions about whether or not to take medication
c. Verbalizing the importance of adherence to the medication regimen
d. Developing alternative educational goals - Answer ANS: C
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 795
In order to adhere to the medication schedule, children need to understand that the medication must
be taken
two or three times per day. The adolescent with Graves disease is not likely to be constipated.
Adherence to the
medication schedule is important to ensure optimal health and wellness. Medications should not be
skipped
and dose regimens should not be tapered by the child without consultation with the childs medical
provider. The management of Graves disease does not interfere with school attendance and does not
require alternative
educational plans
At what age is sexual development in boys and girls considered to be precocious?
a. Boys, 11 years; girls, 9 years
b. Boys, 12 years; girls, 10 years
c. Boys, 9 years; girls, 8 years
d. Boys, 10 years; girls, 9.5 years - Answer ANS: C
Manifestations of sexual development before age 9 in boys and age 8 in girls are considered precocious
and
