NCM 109 - Care of Mother and Child At Risk or With
Problems questions with complete solutions
A baby was born with a saclike herniation at his back, with leakage of fluid which seems to be CSF-like. This neural tube defect is most likely a characteristic of:
a. Meningocele
b. Myelomeningocele
c. Spina Bifida Occulta
d. Spina Bifida CORRECT ANSWER a. Meningocele
A mother who is 2 months pregnant is having her pre-natal check-up have read about neural tube defects. Out of curiosity, she asked her OB-
GYNE on how she can determine if her baby will have this problem or not. To confirm this diagnosis, the mother will need to undergo which of
the following procedure(s)?
a. Amniocentesis
b. Sonogram/UTZ
c. AFP Test
d. Spinal Tap
e. X-ray CORRECT ANSWER a. Amniocentesis
b. Sonogram/UTZ
c. AFP Test For a child diagnosed with cerebral palsy, the primary focus of the nurse
is to:
a. Prevent infection
b. Maintain safety
c. Improve communication skills
d. Promote self-care CORRECT ANSWER b. Maintain safety
Neurological problems can occur if pediatric patients are on treatment with anti-tuberculosis drugs. Concerning this, it is important for the nurse to inform the parents that the child needs to take:
a. Thiamine
b. Riboflavin
c. Pyridoxine
d. Cobalamin CORRECT ANSWER c. Pyridoxine
CNS involvement is being assessed in patients suffering from lipid/hydrocarbon pneumonia. This is done for the reason that:
a. Lipids and hydrocarbons can travel in the brain and destroy brain tissues due to its harmful chemical properties
b. Lipids and hydrocarbons can lead to inflammation, swelling and bleeding of the lungs; which may affect oxygenation of body organs; particularly in the brain c. Lipids and hydrocarbons can cause rupture of blood vessels in the brain
d. Lipids and hydrocarbons can cause brain and spinal cord infection CORRECT ANSWER b. Lipids and hydrocarbons can lead to inflammation, swelling and bleeding of the lungs; which may affect oxygenation of body organs; particularly in the brain
If Asthma is not treated properly in a child and the child fails to respond to anti-asthma medications, it can lead to a condition known as Status Asthmaticus. This condition is characterized by which of the following sign(s) and symptom(s)?
a. Wheezing sounds upon auscultation
b. HR-76 bpm
c. RR 35 breaths per minute
d. ABG result with high PCO2 levels
e. Alkalosis CORRECT ANSWER In worst-case scenario, if the patient with Status Asthmaticus won't respond to nursing and pharmacologic interventions, it would be appropriate for the nurse to anticipate that the patient will:
a. Still continue nebulization until bronchodilation is achieved
b. Be maintained in 02 levels regulated at 2-3 liter per minute
c. Be monitored for intake and output levels for possible fluid volume deficit
Problems questions with complete solutions
A baby was born with a saclike herniation at his back, with leakage of fluid which seems to be CSF-like. This neural tube defect is most likely a characteristic of:
a. Meningocele
b. Myelomeningocele
c. Spina Bifida Occulta
d. Spina Bifida CORRECT ANSWER a. Meningocele
A mother who is 2 months pregnant is having her pre-natal check-up have read about neural tube defects. Out of curiosity, she asked her OB-
GYNE on how she can determine if her baby will have this problem or not. To confirm this diagnosis, the mother will need to undergo which of
the following procedure(s)?
a. Amniocentesis
b. Sonogram/UTZ
c. AFP Test
d. Spinal Tap
e. X-ray CORRECT ANSWER a. Amniocentesis
b. Sonogram/UTZ
c. AFP Test For a child diagnosed with cerebral palsy, the primary focus of the nurse
is to:
a. Prevent infection
b. Maintain safety
c. Improve communication skills
d. Promote self-care CORRECT ANSWER b. Maintain safety
Neurological problems can occur if pediatric patients are on treatment with anti-tuberculosis drugs. Concerning this, it is important for the nurse to inform the parents that the child needs to take:
a. Thiamine
b. Riboflavin
c. Pyridoxine
d. Cobalamin CORRECT ANSWER c. Pyridoxine
CNS involvement is being assessed in patients suffering from lipid/hydrocarbon pneumonia. This is done for the reason that:
a. Lipids and hydrocarbons can travel in the brain and destroy brain tissues due to its harmful chemical properties
b. Lipids and hydrocarbons can lead to inflammation, swelling and bleeding of the lungs; which may affect oxygenation of body organs; particularly in the brain c. Lipids and hydrocarbons can cause rupture of blood vessels in the brain
d. Lipids and hydrocarbons can cause brain and spinal cord infection CORRECT ANSWER b. Lipids and hydrocarbons can lead to inflammation, swelling and bleeding of the lungs; which may affect oxygenation of body organs; particularly in the brain
If Asthma is not treated properly in a child and the child fails to respond to anti-asthma medications, it can lead to a condition known as Status Asthmaticus. This condition is characterized by which of the following sign(s) and symptom(s)?
a. Wheezing sounds upon auscultation
b. HR-76 bpm
c. RR 35 breaths per minute
d. ABG result with high PCO2 levels
e. Alkalosis CORRECT ANSWER In worst-case scenario, if the patient with Status Asthmaticus won't respond to nursing and pharmacologic interventions, it would be appropriate for the nurse to anticipate that the patient will:
a. Still continue nebulization until bronchodilation is achieved
b. Be maintained in 02 levels regulated at 2-3 liter per minute
c. Be monitored for intake and output levels for possible fluid volume deficit
