INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. An infant is hospitalized for RSV bronchiolitis. Which type of precautions would the nurse use when caring for the infant? a. Large-droplet infection precautions b. Airborne-infection precautions c. Contact precautions d. Protective precautions ANS: C Contact precautions are used when the condition transmits organisms via skin-to-skin contact or indirect touch of a contaminated fomite. DIF: Cognitive Level: Application REF: Page 742 OBJ: 4 TOP: Medical Aseps...

MULTIPLE CHOICE 1. Which laboratory result indicates good metabolic control for a child with type 1 diabetes mellitus? a. Glycosylated hemoglobin value of 8% b. Fasting blood glucose level less than 140 mg/dL c. Glucose tolerance test result of 190 mg/dL d. No glucose or ketones present in the urine ANS: A Glycosylated hemoglobin reflects glycemic levels over a period of months. Levels of 6% to 9% represent good metabolic control. DIF: Cognitive Level: Comprehension REF: Page 7...

MULTIPLE CHOICE 1. The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, Why do my childs fingertips look like that? On what understanding does the nurse base a response? a. Clubbing occurs as a result of untreated congestive heart failure. b. Clubbing occurs as a result of a left-to-right shunting of blood. c. Clubbing occurs as a result of decreased cardiac output. d. Clubbing occurs as a result of chronic hypoxia. ANS: D Clubbing of the fingers develops in res...

MULTIPLE CHOICE 1. What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients? a. Pancreatic enzymes b. Water-soluble minerals c. Fat-soluble vitamins d. Salt supplements ANS: A An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the childs body cannot produce. DIF: Cognitive Level: Knowledge REF: Page 615 TOP: Cystic Fibrosis KEY: Nursing Proce...

MULTIPLE CHOICE 1. The nurse is planning a parent education program about lead poisoning prevention. What will be included regarding primary sources of lead in the community? a. Increased lead content of air b. Use of aluminum cookware c. Deteriorating paint in older buildings d. Inhaling smog ANS: C The primary source of lead is paint from old, deteriorating buildings. DIF: Cognitive Level: Knowledge REF: Page 682 TOP: Lead Poisoning KEY: Nursing Process Step: Planning MSC:...

MULTIPLE CHOICE 1. A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of an overproduction of immature white blood cells in the bone marrow? a. Decreased T-cell production b. Decreased hemoglobin c. Increased blood clotting d. Increased susceptibility to infection ANS: D An overproduction of immature white blood cells increases the childs susceptibility to infection. DIF: Cognitive Level: Comprehension REF: Page 648 TOP: Leukemia KEY: Nursing...

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MULTIPLE CHOICE 1. What emergency action should be implemented for airway obstruction in the infant? a. Six to 10 midsternal thrusts b. Five back blows followed by five chest thrusts c. Five chest thrusts followed by five back blows d. Abdominal thrusts until the object is expelled ANS: B Five back blows followed by five chest thrusts is the appropriate intervention for airway obstruction in the infant. DIF: Cognitive Level: Knowledge REF: Page 530 TOP: Management of Airway Ob...

MULTIPLE CHOICE 1. The mother of a hospitalized toddler states, He cries when I visit. Maybe I should just stay away. What is the nurses best response? a. Perhaps you are right. He only gets upset when you have to leave. b. It is important that you are here. This is a common reaction in children when they are separated from their parents. c. It might be easier for your child if you would stay with him, but this decision is up to you. d. We take good care of him and he seems fine when you ...

MULTIPLE CHOICE 1. What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis? a. Ask the child to bend forward at the waist and observe the childs back for asymmetry. b. Observe the gait while the child is walking forward heel to toe. c. Have the child flex the knees and look for uneven knee height. d. Look at the childs shoulders and hips while fully clothed. ANS: A The nurse looks at the back as the child bends forward for general body alignment an...