Nursing 254 Maternal Exam 4 Exam
Hematology and Oncology Questions
& Answers, Explained Solutions 2025
Galen College
cervix completely open and pulled up into uterine wall (100% effaced, 10 cm dilated), descent 0-+2
station, may feel relief, tired; laboring down
Latent phase
infant engaged into true pelvis if possible, ends with expulsion of the infant,
second stage active phase
placenta delivery, firm contractions if the uterus, feeling vaginal fullness, cord elongation with gush of
bloody fluid from vaginal vault
third stage placenta delivered
Diagnosis of Sickle Cell
Newborn screening done in 43 states
Diagnosis of Sickle Cell
Genetic testing to identify carriers and children who have disease
Diagnosis of Sickle Cell
Sickle turbidity test Diagnosis
,Sickle Cell Management
To prevent the sickling phenomena.... Keep hydrated!
Sickle Cell Management
To treat the medical emergencies of crisis
Sickle Cell Management
Aggressive treatment of infection
Sickle Cell Management
Possible prophylactic antibiotics from 2 months to 5 yearsfirst 2 hours post-delivery; mother and infant
monitored closely, encouraged to bond, visit with family, breast feed infant; most mothers skin to skin
with neonate for first hour unless complications
Fourth stage recovery
The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of < 1000 mm.
Which of the following should the nurse include in the child's plan of care?
Administer prescribed influenza vaccination
The nurse is providing a teaching session to the health care staff regarding osteosarcoma. Which of the
following statements by an attendee indicates a need for additional teaching?
"In the early stage, the symptoms of this disease are usually attributed to normal growing pains.
,The nurse is caring for a child who is suspected of having a Wilm's tumor. Which of the following actions
by the nurse indicates the need for additional training?
Palpating the child's abdomen
The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An assessment of the child
includes the following: respirations 10 and unarousable. The child is currently on intravenous (IV) fluids
and continuous IV morphine sulfate Based on the assessment information, which of the following
actions should the nurse take first?
Administer naloxone to reverse the effect of the morphine.
The nurse is admitting a child who has a vaso-occlusive sickle cell crisis. Which of the following
interventions should the nurse anticipate to be prescribed for the child?
Hydration and pain management
The nurse working in the emergency department (ED) is caring for a child who has hemophilia and
developed a swollen knee after falling off a bicycle. The nurse is teaching the child's parents about care
when similar incidents occur at home in the future. Which of the following actions should the nurse
teach the parents?
Apply an ice pack and compression dressings to the knee.
The newly hired nurse is talking with the nurse preceptor about the prevention of irondeficiency anemia
in infants. Which of the following statements by the newly hired nurse is correct regarding prevention of
this condition?
"Iron-fortified commercial formula should be given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the following assessment
finds should the nurse expect to observe?
Pallor
, The nurse is caring for 4-year-old child who is 36 hours postoperative following a removal of a
Wilm'stumor. Which of the following requires immediate follow up by the nurse?
Incision site is pink at the edges.
The nurse is providing discharge instructions to the parents of a child who had surgical resection of a
neuroblastoma 4 days ago. Which of the following statements by the parents indicates teaching has
been effective?
We will provide pain relief using pain medication and rest."
The nurse is caring for a child who has increased intracranial pressure (ICP) and is in stable condition.
Which of the following interventionsshould the nurse implement to decrease ICP in the child?
Limit number of visitors inside the child's room.
The nurse is caring for a child who has Reye's syndrome. Which of the following should the nurse include
in the child's plan of care
Provide the child a quiet atmosphere with dimmed lighting
The nurse is caring for a child who is suspected of having bacterial meningitis. The results of the lumbar
puncture are still pending. Which of the following actions by the nurse is the priority?
Assessing neurological status every 2-4 hours.
The nurse is screening infants for early warning signs of cerebral palsy. Which of the following should
the nurse recognize as 1 of the early warning signs of cerebral palsy?
Poor head control
Hematology and Oncology Questions
& Answers, Explained Solutions 2025
Galen College
cervix completely open and pulled up into uterine wall (100% effaced, 10 cm dilated), descent 0-+2
station, may feel relief, tired; laboring down
Latent phase
infant engaged into true pelvis if possible, ends with expulsion of the infant,
second stage active phase
placenta delivery, firm contractions if the uterus, feeling vaginal fullness, cord elongation with gush of
bloody fluid from vaginal vault
third stage placenta delivered
Diagnosis of Sickle Cell
Newborn screening done in 43 states
Diagnosis of Sickle Cell
Genetic testing to identify carriers and children who have disease
Diagnosis of Sickle Cell
Sickle turbidity test Diagnosis
,Sickle Cell Management
To prevent the sickling phenomena.... Keep hydrated!
Sickle Cell Management
To treat the medical emergencies of crisis
Sickle Cell Management
Aggressive treatment of infection
Sickle Cell Management
Possible prophylactic antibiotics from 2 months to 5 yearsfirst 2 hours post-delivery; mother and infant
monitored closely, encouraged to bond, visit with family, breast feed infant; most mothers skin to skin
with neonate for first hour unless complications
Fourth stage recovery
The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of < 1000 mm.
Which of the following should the nurse include in the child's plan of care?
Administer prescribed influenza vaccination
The nurse is providing a teaching session to the health care staff regarding osteosarcoma. Which of the
following statements by an attendee indicates a need for additional teaching?
"In the early stage, the symptoms of this disease are usually attributed to normal growing pains.
,The nurse is caring for a child who is suspected of having a Wilm's tumor. Which of the following actions
by the nurse indicates the need for additional training?
Palpating the child's abdomen
The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An assessment of the child
includes the following: respirations 10 and unarousable. The child is currently on intravenous (IV) fluids
and continuous IV morphine sulfate Based on the assessment information, which of the following
actions should the nurse take first?
Administer naloxone to reverse the effect of the morphine.
The nurse is admitting a child who has a vaso-occlusive sickle cell crisis. Which of the following
interventions should the nurse anticipate to be prescribed for the child?
Hydration and pain management
The nurse working in the emergency department (ED) is caring for a child who has hemophilia and
developed a swollen knee after falling off a bicycle. The nurse is teaching the child's parents about care
when similar incidents occur at home in the future. Which of the following actions should the nurse
teach the parents?
Apply an ice pack and compression dressings to the knee.
The newly hired nurse is talking with the nurse preceptor about the prevention of irondeficiency anemia
in infants. Which of the following statements by the newly hired nurse is correct regarding prevention of
this condition?
"Iron-fortified commercial formula should be given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the following assessment
finds should the nurse expect to observe?
Pallor
, The nurse is caring for 4-year-old child who is 36 hours postoperative following a removal of a
Wilm'stumor. Which of the following requires immediate follow up by the nurse?
Incision site is pink at the edges.
The nurse is providing discharge instructions to the parents of a child who had surgical resection of a
neuroblastoma 4 days ago. Which of the following statements by the parents indicates teaching has
been effective?
We will provide pain relief using pain medication and rest."
The nurse is caring for a child who has increased intracranial pressure (ICP) and is in stable condition.
Which of the following interventionsshould the nurse implement to decrease ICP in the child?
Limit number of visitors inside the child's room.
The nurse is caring for a child who has Reye's syndrome. Which of the following should the nurse include
in the child's plan of care
Provide the child a quiet atmosphere with dimmed lighting
The nurse is caring for a child who is suspected of having bacterial meningitis. The results of the lumbar
puncture are still pending. Which of the following actions by the nurse is the priority?
Assessing neurological status every 2-4 hours.
The nurse is screening infants for early warning signs of cerebral palsy. Which of the following should
the nurse recognize as 1 of the early warning signs of cerebral palsy?
Poor head control
