Maternal Child Nursing Exam Test Bank
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The nurse is providing atraumatic care to children in a hospital
setting. Which of the following are principles of this philosophy of
care? Select all answers that apply.
A) Avoid or reduce painful procedures
B) Avoid or reduce physical distress
C) Minimize parent-child interactions
D) Provide child-centered care
E) Minimize child control
F) Use core primary
nursing (chapter 30)
Ans: A, B, F
Avoid or reduce painful procedures, Avoid or reduce physical
distress, Use core primary nursing
The nurse is consulting with a child life specialist (CLS) to help
minimize the stress of hospitalization for a child. Which of the
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following services would the CLS provide? Select all answers that
apply.
A) Medical preparation for tests, surgeries, and other
medical procedures
B) Support before and after, but not during, medical procedures
C) Activities to support normal growth and development
D) Grief and bereavement support
E) Emergency room interventions for children and families
F) Only inpatient consultations with families
Ans: C, D, E
Activities to support normal growth and development., Grief
and bereavement support, Emergency room interventions for
children and families
The nurse is implementing interventions to prevent physical
stressors for a 9-year-old child receiving chemotherapy in the
hospital. Which of the following is an example of using atraumatic
care for this child?
A) Use restraint or "holding down" of the child during the
procedure to prevent injury.
B) Have the parent stand near and/or rub the child's feet during
the procedure.
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C) Insert a saline lock if the child will require multiple
doses of parenteral medications.
D) Avoid using numbing techniques for multiple blood draws
or IV insertion.
Ans: C) Insert a saline lock if the child will require multiple
doses of parenteral medications.
The nurse contacts a child life specialist (CLS) to work with children
on a pediatric ward. What is the primary goal of the CLS?
A) Decrease anxiety and fear during hospitalization and
painful procedures
B) Keep children who are hospitalized distracted from pain
C) Perform medical procedures using atraumatic principles
D) Act as a liaison between the nurse and the child
Ans: A) Decrease anxiety and fear during hospitalization and
painful procedures
The nurse is preparing a child and his family for a lumbar puncture.
Which of the following would be a primary intervention instituted
by the CLS to keep the child safe?
A) Distraction methods
B) Stimulation methods
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C) Therapeutic hugging
D) Therapeutic touch
Ans: C) Therapeutic hugging
The child life specialist (CLS) is preparing a 6-year-old child for a
magnetic resonance imaging (MRI) scan. Which of the following
statements reflects the use of atraumatic principles when explaining
the procedure?
A) "You will be taken to a magnetic resonance imaging machine for
an x-ray of your
liver."
B) "You may hear some loud noises when you are lying in the
machine, but they won't
hurt you."
C) "You have nothing to worry about; the MRI machine is safe and
will not cause you
any pain."
D) "Let's just get you to the x-ray department for your test and
you'll see how simple it
is."
Ans: B) "You may hear some loud noises when you are lying in
the machine, but they won't
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