Hatfield Introductory Maternity and Pediatric Nursing Chapter 30 Procedures and Treatments Exam 2025

A nurse is caring for a hospitalized infant being treated for dehydration. What does the nurse need to do to measure the output when the child is wearing a diaper? - -Weigh the wet diaper and subtract the weight of a dry diaper; the difference is the amount to record. A nurse is administering a bolus nasogastric (NG) feeding to a child who begins gasping, coughing, and developing cyanosis. What is the first action that the nurse should take after this observation? - -Stop the feeding and withdraw the tube. A nursing student is learning how to insert and administer enteral feedings through a nasogastric (NG) tube. The student identifies the best way to check placement before each feeding as which of the following? - -Aspirating stomach contents and checking pH The nurse is preparing to administer a tube feeding to a child. Which action is correct for the nurse to include in the safe completion of the procedure? - -The nurse should measure and replace the residual stomach contents. Parents asks the nurse why their premature infant is receiving a feeding through the mouth rather than the nose. What is the best explanation by the nurse? - -Newborns are obligate nose breathers so nasogastric may obstruct their breathing. Following the repair of a cleft palate, the nurse places an 18-month-old child in restraints. The caregivers are with the child and will stay in the room at all times. Which type of restraints would the nurse most likely use for this child? - -Elbow restraint A 7-year-old boy has been admitted to the hospital with a diagnosis of fever of unknown origin. He has numerous tests ordered for diagnosis. When preparing him for the blood tests ordered, the best explanation would be: - -"The doctor needs to look at your blood to see why you are sick; it will hurt for a second." A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin breakdown and irritation at the insertion site. What would be the most appropriate method to clean and secure the gastrostomy tube? - -If any drainage is present, use a presplit 2 × 2 and place it loosely around the site. A nurse is preparing to apply heat therapy to a client who has a back abscess. Heat has which of the following benefits? Select all that apply. - - Increases circulation Causes vasodilation Maternity Maternity Promotes muscle relaxation A preschool child has been admitted to the hospital. Which prescription should the nurse question? - -Tap water enema 500 mL A nurse is preparing to insert a nasogastric (NG) tube in an infant. How will the nurse determine the appropriate length of tubing to use for the infant? - -Measure from the tip of the child's nose to the earlobe down to the tip of the sternum. The nurse instructs the mother of a preschool-aged child on the use of ibuprofen prescribed for a temperature. Which statement indicates that the teaching has been effective? - -"I should give this medication with food." A child has returned to the unit after having a lumbar puncture. Which instructions are important for the nurse to provide the parents and child? - -The child will need to remain flat to prevent a headache. A nurse working with a patient who has an elevated temperature notices that the child is beginning to shiver. Which of the following should the nurse do immediately? - -Stop whatever intervention is being done to lower the temperature. An infant is scheduled to have a painful procedure performed. Which nursing action provides the best support for the parents and infant? - -Allow the parents to hold the infant during the procedure. The nurse should consider which stool sample collected from a child as contaminated and not acceptable for analysis? - -Stool removed from surrounding urine A 4-year-old child is being prepared to undergo a bronchoscopy to remove an aspirated pea. The nurse knows that the parents need reteaching based on which statement? - "We will be able to take our child home immediately after the procedure is completed." A parent calls the nurse in the emergency department and reports giving a tepid bath to decrease temperature in a feverish child. The parent states the child is shivering and wants to know if this means the bath was effective. What is the best response by the nurse? - -"Shivering means the child is chilling, which will cause the body temperature to increase." A 13-month-old is having a dressing changed on a packed leg wound. Which action from the parents should be encouraged by the nurse during the treatment? - Encourage the father to talk quietly to the child. How will the nurse properly collect and care for the child's 24-hour urine specimen? - Empty each void into a designated container that keeps the urine cool Maternity Maternity A nurse will explain to a child's caregiver any procedure that is to be done. What is the primary reason for this explanation? - -It helps to reduce anxiety. The nurse should consider which stool sample collected from a child as contaminated and not acceptable for analysis? - -Stool removed from surrounding urine The nurse needs to obtain a blood sample from a 7-year-old child. How should the nurse explain this procedure to the client? - -"The doctor needs to look at your blood to see why you are sick; it will hurt for a second." How will the nurse properly collect and care for the child's 24-hour urine specimen? - Empty each void into a designated container that keeps the urine cool A nurse inserts a nasogastric (NG) tube into a child for enteral feeding. How will the nurse ensure appropriate placement of the tube after insertion? - -Obtain radiologic confirmation. The nurse is caring for an infant recovering from surgery for a cleft palate. Which type of restraint would be appropriate for the nurse to use when caring for this infant? - -Elbow The nurse is caring for an 11-year-old admitted with a respiratory condition. The child requires occasional administration of low-flow oxygen. Which of the following methods of oxygen administration would likely be used for this child? - -Nasal prongs A 13-month-old is having a dressing changed on a packed leg wound. Which action from the parents should be encouraged by the nurse during the treatment? - Encourage the father to talk quietly to the child. The nurse is caring for a child who has a gastrostomy tube in place. The nurse is about to give a feeding when it becomes evident that the tube is filled with dark brown fluid. The nurse's best action would be to: - -report to the primary care provider that a complication may be occurring. Colin, age 1, has been admitted for an injury on his head that requires sutures to be placed. He is crying and trying to sit up when he is placed on the examining table. To keep him safe during the procedure, the nurse would choose which method to restrain him? - -Restrain him with a mummy restraint and release it as soon as the procedure is completed. After inserting a nasogastric tube (NG) into a young child, how will the nurse tape the tube in place? - -Below nose and to cheek A nurse is teaching a parent ways to reduce fever in a child. What statement made by the parent would require further education? - -"I will give my child a tepid sponge bath to reduce the fever." Maternity Maternity A pediatric nurse is teaching a class about SIDS to new mothers. Which of the following positions for sleep would the nurse emphasize for parents to use? - -back or side The nurse is caring for a breastfed infant hospitalized for gastroenteritis. What method can be used to most accurately measure intake? - -Weigh the infant before and after feeding and subtract weight. The nurse aspirates stomach contents before administering a nasogastric (NG) tube feeding. How will the nurse manage the aspirate? Select all that apply. - -1. Return the aspirate to the stomach 2. Determine the pH of the aspirate 3. Record the amount of the aspirate A pediatric nurse is preparing to use a jacket restraint with a client. After making sure it is the correct size and applying the jacket, the nurse will secure the ties to which of the following? - -Bed frame A pediatric nurse is instructing a new mother on the best position to burp her infant after feeding. Which of the following positions does the nurse recommend? - -sitting position What supply is best to use to catheterize a young toddler for a urine specimen? - Sterile feeding tube with small lumen When the nurse is holding an infant, which positions are the most common methods used? Select all that apply. - -Football hold, Upright, and Horizontal A child has been admitted to the pediatric unit with vomiting and diarrhea. The physician orders strict monitoring of intake and output. The mother asks the nurse what fluids she will need to measure. The nurse responds that fluid intake can include which of the following? Select all that apply. - -Popsicles, gatorade, jello, IV fluids While teaching parents how to effectively reduce the child's fever, the nurse should emphasize avoiding which intervention? - -acetylsalicylic acid A child is undergoing a painful procedure and is upset. Which statement by the nurse would be the best approach in dealing with the child? - -"I know that this hurts some but you are being so strong. It is OK to cry." As part of the admitting process for a child on the pediatric unit, the nurse instills a small amount of saline into the nose, aspirates, and then places solution into a sterile specimen container. What is the most likely reason this will be done? - -To diagnose an infection The nurse instructs the mother of a preschool-a