NUR2513 MATERNAL CHILD EXAM
2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW
GUARANTEED PASS
What represents the major stressor of hospitalization for children from middle infancy
throughout the
preschool years?
a. Separation anxiety c. Fear of bodily injury
b. Loss of control d. Fear of pain - Answer ✓✓ANS: A
The major stress for children from infancy through the preschool years is separation anxiety,
also called
anaclitic depression. This is a major stressor of hospitalization. Loss of control, fear of bodily
injury, and fear
of pain are all stressors associated with hospitalization. However, separation from family is a
primary stressor
in this age-group.
TEST BANK A+ 1
, NUR2513 MATERNAL CHILD EXAM 2
When a preschool child is hospitalized without adequate preparation, the nurse should
recognize that the
child may likely see hospitalization as:
a. Punishment. c. An opportunity for regression.
b. Threat to childs self-image. d. Loss of companionship with friends. - Answer ✓✓ANS: A
If a toddler is not prepared for hospitalization, a typical preschooler fantasy is to attribute the
hospitalization to
punishment for real or imagined misdeeds. Threat to childs self-image and loss of
companionship with friends
are reactions typical of school-age children. Regression is a response characteristic of toddlers
when threatened
with loss of control.
Because of their striving for independence and productivity, which age-group of children is
particularly
vulnerable to events that may lessen their feeling of control and power?
a. Infants c. Preschoolers
b. Toddlers d. School-age children - Answer ✓✓ANS: D
When a child is hospitalized, the altered family role, physical disability, loss of peer
acceptance, lack of
productivity, and inability to cope with stress usurp individual power and identity. This is
especially
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 614
detrimental to school-age children, who are striving for independence and productivity and
are now
experiencing events that lessen their control and power. Infants, toddlers, and preschoolers,
although affected
by loss of power, are not as significantly affected as are school-age children.
TEST BANK A+ 2
, NUR2513 MATERNAL CHILD EXAM 2
A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the
nurse, Wait a
minute, and, Im not ready. The nurse should recognize that:
a. This is normal behavior for a school-age child.
b. This behavior is usually not seen past the preschool years.
c. The child thinks the nurse is punishing her.
d. The child has successfully manipulated the nurse in the past. - Answer ✓✓ANS: A
This school-age child is attempting to maintain control. The nurse should provide the girl with
structured
choices about when the IV will be inserted. This can be characteristic behavior when an
individual needs to
maintain some control over a situation. The child is trying to have some control in the hospital
experience.
Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse
overhears her
school-age siblings tell her, We are sick of Mom always sitting with you in the hospital and
playing with you.
It isnt fair that you get everything and we have to stay with the neighbors. The nurses best
assessment of this
situation is that:
a. The siblings are immature and probably spoiled.
b. Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.
c. The family has ineffective coping mechanisms to deal with chronic illness.
d. The siblings need to better understand their sisters illness and needs. - Answer ✓✓ANS: B
TEST BANK A+ 3
, NUR2513 MATERNAL CHILD EXAM 2
Siblings experience loneliness, fear, worry, anger, resentment, jealousy, and guilt. The siblings
experience
stress equal to that of the hospitalized child. These are not uncommon responses by normal
siblings. There is
no evidence that the family has maladaptive coping or that the siblings lack understanding.
An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler
is to:
a. Provide for privacy.
b. Encourage parents to room in.
c. Explain procedures and routines.
d. Encourage contact with children the same age. - Answer ✓✓ANS: B
A toddler experiences separation anxiety secondary to being separated from the parents. To
avoid this, the
parents should be encouraged to room in as much as possible. Maintaining routines and
ensuring privacy are
helpful interventions, but they would not substitute for the parents. Contact with same-aged
children would not
substitute for having the parents present.
Latasha, age 8 years, is being admitted to the hospital from the emergency department with
an injury from
falling off her bicycle. What will help her most in her adjustment to the hospital?
a. Explain hospital schedules such as mealtimes.
b. Use terms such as honey and dear to show a caring attitude.
c. Explain when parents can visit and why siblings cannot come to see her.
TEST BANK A+ 4