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NUR2513 MATERNAL CHILD EXAM 3 NEWEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
A nurse is assessing patients for the presence of patent ductus
arteriosus (PDA). Which patient should the nurse assess first?
A. 1-year old, history of frequent colds
B. 4-year old, blood pressure of 102/36 mm Hg
C. Infant with history of poor feeding
D. Toddler with murmur at right sternal border - ANSWERS-ANS:
B
This child has a wide pulse pressure, which is a sign of PDA. The
nurse would assess this child first. Frequent colds and poor
feeding can be seen in PDA, but they are vague symptoms and
could be related to a number of other conditions. The murmur of a
PDA is heard best at the left subclavicular margin.
A child has been admitted with Kawasaki disease and is started
on aspirin and warfarin (Coumadin). For which nursing diagnosis
does the nurse plan interventions as the priority?
A. Acute pain related to mouth redness and cracked lips
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B. Altered body image related to peeling skin rash
C. Altered nutrition: less than body requirements
D. Risk for bleeding related to medication effects - ANSWERS-
ANS: D
Actual nursing diagnoses take priority over "risk for" diagnoses
when the actual diagnoses exist. There is no information in the
stem to show that the child has impaired mucous membranes
leading to pain, an altered body image related to rash, or altered
nutrition, although all of these are possible for this child. Risk for
injury is the priority because the child is taking two medications
that alter coagulation, and for patient safety, this is a critical
diagnosis.
The pediatric nurse is examining a newborn infant and notes a
turning in of the foot and turning out of the toes when the sole of
the foot is stroked. Which action by the nurse is most
appropriate?
A. Arrange a consultation with a developmental specialist.
B. Assess the parents' family histories for genetic defects.
C. Document the findings in the patient's chart.
D. Instruct the parents on required follow-up care. - ANSWERS-
ANS: C
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The newborn is exhibiting the Babinski reflex, one of the normal
primitive reflexes that should disappear by 9 months of age.
Documentation is all that is required.
A mother and 1-year-old child are being seen in the well-child
clinic. The mother asks the nurse for guidance in setting an
appropriate bedtime for the child. She and her husband have tried
several different times and can't seem to agree on the right time.
Which response by the nurse is the most appropriate?
A. "As long as it's consistent, it doesn't matter when bedtime is."
B. "At this age, your child needs 10 to 12 hours of sleep each
night."
C. "Children get sleepy when warm, so dress your child heavily
for bed."
D. "What 'sleepy' behaviors does your child show when tired?" -
ANSWERS-ANS: D
The parents should note any signs of fatigue in a child, such as
rubbing eyes, temper tantrums, yawning, or fussiness. They
should use this information to help set a routine bedtime. At this
age, children need between 12 and 16 hours of sleep a night.
Consistency is important, but the bedtime needs to be early
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enough to ensure adequate sleep. Children, especially infants,
should not be over-warm when sleeping.
A nurse is assessing a 1-year-old child who weighed 7 lb, 8 oz at
birth. Today's weight is 23 lb. What conclusion can the nurse
make about the child's weight?
A. The child is at an expected weight.
B. The child is over expected weight.
C. The child is seriously overweight.
D. The child is seriously underweight., - ANSWERS-ANS: A
A child's weight should triple by 12 months, so a child born at 7 lb,
8 oz should weigh around lb at 1 year.
A 2-year-old is seen for a well-child visit and is scheduled to
receive immunizations. The child weighed 22 lb (9.97 kg) at 1
year of age (1 year ago). Today the child weighs 23 lb (10.4 kg).
Which conclusion is most appropriate for the nurse to make
regarding this assessment data?
A. The child is at an expected weight.
B. The child is over expected weight.
NUR2513 MATERNAL CHILD EXAM 3 NEWEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
A nurse is assessing patients for the presence of patent ductus
arteriosus (PDA). Which patient should the nurse assess first?
A. 1-year old, history of frequent colds
B. 4-year old, blood pressure of 102/36 mm Hg
C. Infant with history of poor feeding
D. Toddler with murmur at right sternal border - ANSWERS-ANS:
B
This child has a wide pulse pressure, which is a sign of PDA. The
nurse would assess this child first. Frequent colds and poor
feeding can be seen in PDA, but they are vague symptoms and
could be related to a number of other conditions. The murmur of a
PDA is heard best at the left subclavicular margin.
A child has been admitted with Kawasaki disease and is started
on aspirin and warfarin (Coumadin). For which nursing diagnosis
does the nurse plan interventions as the priority?
A. Acute pain related to mouth redness and cracked lips
,2|Page
B. Altered body image related to peeling skin rash
C. Altered nutrition: less than body requirements
D. Risk for bleeding related to medication effects - ANSWERS-
ANS: D
Actual nursing diagnoses take priority over "risk for" diagnoses
when the actual diagnoses exist. There is no information in the
stem to show that the child has impaired mucous membranes
leading to pain, an altered body image related to rash, or altered
nutrition, although all of these are possible for this child. Risk for
injury is the priority because the child is taking two medications
that alter coagulation, and for patient safety, this is a critical
diagnosis.
The pediatric nurse is examining a newborn infant and notes a
turning in of the foot and turning out of the toes when the sole of
the foot is stroked. Which action by the nurse is most
appropriate?
A. Arrange a consultation with a developmental specialist.
B. Assess the parents' family histories for genetic defects.
C. Document the findings in the patient's chart.
D. Instruct the parents on required follow-up care. - ANSWERS-
ANS: C
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The newborn is exhibiting the Babinski reflex, one of the normal
primitive reflexes that should disappear by 9 months of age.
Documentation is all that is required.
A mother and 1-year-old child are being seen in the well-child
clinic. The mother asks the nurse for guidance in setting an
appropriate bedtime for the child. She and her husband have tried
several different times and can't seem to agree on the right time.
Which response by the nurse is the most appropriate?
A. "As long as it's consistent, it doesn't matter when bedtime is."
B. "At this age, your child needs 10 to 12 hours of sleep each
night."
C. "Children get sleepy when warm, so dress your child heavily
for bed."
D. "What 'sleepy' behaviors does your child show when tired?" -
ANSWERS-ANS: D
The parents should note any signs of fatigue in a child, such as
rubbing eyes, temper tantrums, yawning, or fussiness. They
should use this information to help set a routine bedtime. At this
age, children need between 12 and 16 hours of sleep a night.
Consistency is important, but the bedtime needs to be early
, 4|Page
enough to ensure adequate sleep. Children, especially infants,
should not be over-warm when sleeping.
A nurse is assessing a 1-year-old child who weighed 7 lb, 8 oz at
birth. Today's weight is 23 lb. What conclusion can the nurse
make about the child's weight?
A. The child is at an expected weight.
B. The child is over expected weight.
C. The child is seriously overweight.
D. The child is seriously underweight., - ANSWERS-ANS: A
A child's weight should triple by 12 months, so a child born at 7 lb,
8 oz should weigh around lb at 1 year.
A 2-year-old is seen for a well-child visit and is scheduled to
receive immunizations. The child weighed 22 lb (9.97 kg) at 1
year of age (1 year ago). Today the child weighs 23 lb (10.4 kg).
Which conclusion is most appropriate for the nurse to make
regarding this assessment data?
A. The child is at an expected weight.
B. The child is over expected weight.
