Nurs 2026: Maternity And Pediatric Nursing (5Th Ed.) Comprehensive Test Bank & Study Guide

1. Common Treatment for Amblyopia What might the nurse explain as a common treatment for amblyopia? Patching the good eye to force the brain to use the affected eye 2. Instructions for Dilantin (Phenytoin) What would the nurse instruct the parents of a child who takes dilantin? Give meticulous oral hygiene. 3. Nursing Action for Generalized Tonic-Clonic Seizure What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure? Move objects out of the child's immediate area. 2 4. Reye's Syndrome Prevention The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching? Avoid giving salicylate-containing medications to a child who has viral symptoms. 5. Cradle Cap Treatment What is the correct nursing response to a mother who asks, "How can I get rid of the baby's cradle cap?" "Rub baby oil on the infant's head and brush the hair out carefully." 6. Diaper Rash Avoidance (Select all that apply) What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.) • Use disposable diapers. • Avoid plastic bloomer or pants. • Change diapers frequently. 7. LVN Scope of Practice the LVN scope of practice is set by the state board of nursing 8. Communication with a Hearing-Impaired Child What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment? Face the child and speak clearly in short sentences. 9. Haemophilus influenzae Type B Immunization The nurse urges the mother of a 6-month-old child to get her child inoculated with Haemophillus influenzae type B. What does this immunization protect against? Bacterial meningitis 3 10. Signs of Increased Intracranial Pressure (ICP) The nurse is caring for a preschooler with a head injury. Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP)? Increase in blood pressure with a decrease in pulse 11. Acute Conjunctivitis Instructions What will the nurse teach parents when giving instructions for acute conjunctivitis? Clear the drainage from the inner to the outer aspect of the eye. 12. Signs of Ear Infection in a Toddler (Select all that apply) Which assessments would cause the pediatric nurse to suspect the probability of an ear infection in a 15-month-old child. (Select all that apply.) • Pulling at ears • Irritability • Rolls head from side to side • Temperature of $39.4text{ C}$ ($103text{ F}$) 13. Immediate Report for Meningitis Which assessment finding in a child with meningitis should be reported immediately? Irregular respirations 14. Silver Nitrate Prophylaxis carl cred recommended that silver nitrate be placed in the eyes of the newborn 15. White House Conference on Children & Youth the purpose of the white house conference on children & youth is to promote comprehensive child welfare. 16. Clinical/Critical Pathway the clinical pathway (or critical pathway) improves quality of care by outlining expected progress w/ stated timelines. 4 17. Empowerment in Family-Centered Care empowerment is the term used when explaining the philosophy of family-centered care & to provide control to the family over health care decisions 18. Family Medical Leave Act (FMLA) the family medical leave act (FMLA) allows an employee to be absent from work for 12 wks after childbirth or to care for a sick family member. 19. LVN Role in Nursing Diagnosis the role of the LVN w/ nursing Dx formulation is to have an understanding of nursing Dx terminology. 20. Uterine Layer for Implantation the endometrium is the uterine layer involved in implantation. 21. Oogenesis when do women develop all of their ova (oogenesis)? females are born with it. 22. Most Favorable Pelvic Type for Birth the gynecoid is the most favorable pelvic type for vaginal birth. 23. Hormones Decreased During Menstruation shedding of the endometrium decreases estrogen & progesterone during the menstrual cycle 24. Puberty when secondary sex characteristics, such as pubic hair, appear, the child is considered to have entered puberty. 25. Fimbriae Function fimbriae are fingerlike projections that "capture" the ovum 26. Absence of Sperm in Ejaculate absence of sperm in ejaculate characterizes nocturnal emission 5 27. Sperm Viability sperm remain viable in the female reproductive tract for 4 days 28. Chromosome for Male Offspring if a sperm carrying a Y chromosome fertilizes the ovum, the baby will be a boy. 29. Umbilical Vein Function the umbilical vain carries blood to the fetus. 30. Start of Fetal Heart Pump the infant's heart begins to pump blood by the end of week 3. 31. Ultrasound Findings for Dizygotic Twins if pregnant w/ dizygotic twins, the ultrasound will show two placenta & two amnion. 32. Folic Acid and Prevention taking folic acid is known to prevent neuro tube defect 33. Fetal Tissue Development the mesoderm in the fetal body develops into muscle. 34. TPALM Calculation the pregnant woman tells the nurse that she has a 2yr old & has had one spontaneous abortion. the TPALM would be charted as: Gravida 3, para 10110. 35. Cause of Chadwick's Sign the cause of Chadwick's signs is vascular congestion in the pelvic area. 36. Normal Fetal Heart Rate at 37 Weeks the normal fetal heart rate at 37wk gestation is 110-160 37. Positive Indication of Pregnancy a Positive indication pregnancy is the fetal heart beat. 38. Quickening (Fetal Movement) the baby's movement can first be felt by the mother around 4-5 month 6 39. Goodell's Sign the softening of the cervix & vagina is described as the Goodell's sign 40. Rubella Vaccination Timing the pregnant woman who is not immune to rubella should be vaccinated when? after delivery & before d/c home 41. Supine Hypotension Syndrome at 37wks of gestation the pregnant woman c/o feeling dizzy while on her back, most likely caused by supine hypotension syndrome. 42. Appropriate Response to Missed Abortion what can the nurse say to the woman who just had missed abortion & had to undergo a dilation & evacuation? "I'm here if you need to talk" 43. Ectopic Pregnancy Location an ectopic pregnancy occur when the embryo is implanted in the fallopian tube. 44. Rh Immune Globulin Administration the woman who is Rh negative will be given Rh immune globulin at 28 wks & again w/in 72hrs after birth to prevent antibodies from forming. 45. Signs of Diabetes Mellitus in Pregnancy the pregnant woman presenting w/ a Hx of macrosomic infants, 2 stillbirths, & polyhydramnios, all of which indicate DM. 46. First Priority for Pregnant Patient with Hypertension restrict activity would be the first priority for the pregnant pt. presenting consistently w/ hypertension. 47. Magnesium Sulfate Purpose the woman Dx w/ preeclampsia will probably be given magnesium sulfate to prevent convulsion. 7 48. Antidote for Magnesium Sulfate when magnesium sulfate is administered to a maternity pt., the nurse should always have calcium gluconate available 49. Best Position for Placenta Previa the best position for the pt. presenting w/ placenta Previa in on her side to prevent supine hypotension 50. Importance of Relaxation Period Between Contractions the relaxation period between contractions is important bc the contractions can interfere w/ fetal oxygenation 51. Contraction Duration and Fetal Compromise contraction duration greater than 90 seconds & duration less than 60 seconds could result in fetal compromise. 52. Nursing Diagnosis for Fourth Stage of Labor the most appropriate nursing Dx for the woman in the 4th of labor would be risk for injury r/t hemorrhage. 53. Impetigo Teaching What should the nurse stress to the mother of a child with impetigo? Small cuts and bites should be treated promptly. 54. Infantile Eczema Risk What risk is increased with children who have been diagnosed with infantile eczema? • Asthma 55. Milwaukee Brace Instruction What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace? Wear the brace over a T-shirt 23 hours a day. 8 56. Scoliosis Assessment What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis? Ask the child to bend forward at the waist and observe the child's back for asymmetry. 57. Signs of Altered Circulation in Traction (Select all the apply) The nurse is performing a neurovascular check on a limb in traction. Which findings would be indicative of altered circulation? (Select all the apply.) • Limb is cool to the touch • Capillary refill is 5 seconds 58. Manifestation of Duchenne's Muscular Dystrophy What characteristic manifestation would the nurse assessing a child with Duchenne's Muscular Dystrophy document? Falls frequently and is clumsy 59. Relieving Morning Discomfort of Juvenile Rheumatoid Arthritis Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis? Applying moist heat packs upon awakening