Maternity & Pediatric Nursing - Ricci -
Ch's 32-38 40-44 Exam Study Guide
Chapter 32, 1
Format: Multiple Choice
Chapter: 32
Client Needs: D-3
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Teaching/Learning
Objective: 8
Page: 1001
224. The nurse caring for an immunosuppressed 3-year-old is teaching the
mother about proper oral hygiene. Which of the following responses from
the mother indicates a need for further teaching?
A) "I need to carefully check for skin breakdown."
B) "I must really scrub her teeth and gums well."
C) "I must use a soft - ANSWER B
Response:
The nurse should caution the mother that overly vigorous brushing should
be avoided as it can injure or irritate the gums. The other statements are
correct.
Chapter 32, 2
Format: Multiple Choice
Chapter: 32
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Caring
,Objective: 1
Page: 983
225. The nurse is caring for a hospitalized 13-year-old girl who is
questioning everything the medical staff is doing and is resistant to
treatment. How should the nurse respond?
A) "Let's work together to plan your day along with your treatments."
B) "The sooner you cooperate, the sooner you will get to leave."
C) "If you are mor - ANSWER A
Response:
Collaborating with the adolescent will provide her with increased control.
The nurse should work with the teen to provide a mutual agreeable
schedule that allows for the teen's preferences while incorporating the
required nursing care. Threatening to call the parents will most likely
promote further resistance. The nurse should try to immediately engage the
girl rather than making the nurse's cooperation conditional upon the girl's
cooperation. Telling the girl that the sooner she cooperates, the sooner she
will leave is inappropriate: the nurse is incorrectly implying that the girl's
behavior, rather then her medical needs, are going to determine when she
will be discharged from the hospital.
Chapter 32, 3
Format: Multiple Choice
Chapter: 32
Client Needs: C
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Caring
Objective: 6
Page: 1003
226. The nurse is caring for a 10-year-old in traction who has a nursing
diagnosis of deficient diversional activity related to confinement in bed,
evidenced by verbalization of boredom and lack of participation in play,
reading, and schoolwork. Which of the following would be the best
intervention?
A) Offer the child reading ma - ANSWER B
Response:
The nurse should enlist the aid of a child life specialist to provide
suggestions for appropriate activities. Offering the child reading materials
or encouraging him to complete his homework would most likely be met
with resistance, as he has already verbalized his boredom and disinterest
,in play, reading, and schoolwork. The parents could offer the child life
specialist ideas about the boy's likes and dislikes; however, the child life
specialist has expertise in assisting hospitalized children.
Chapter 32, 4
Format: Multiple Choice
Chapter: 32
Client Needs: C
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Caring
Objective: 4
Page: 995
227. The nurse is caring for a 13-year-old girl hospitalized for complications
from type 1 diabetes. The girl has a nursing diagnosis of powerlessness
related to lack of control of multiple demands associated with
hospitalization, procedures, treatments, and changes in unusual routine.
How can the nurse help promote control?
A) A - ANSWER C
Response:
The nurse needs to offer the girl as many choices as possible, such as
options for food and drink (as her diet allows), hygiene, activities, or
clothing, to promote feelings of individuality and control. Two of the other
options involve the parents in the process. A 13-year-old girl is capable of
making her own choices regarding activities, schedules, and routine, but
she may not be able to identify her areas of concern.
Chapter 32, 5
Format: Multiple Choice
Chapter: 32
Client Needs: A
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 7
Page: 1001
228. The nurse is transporting a 6-month-old with a suspected blood
disorder to the nursery. What is the most appropriate method of
transporting the child by the nurse?
A) A wagon with rails
, B) The cradle hold
C) A football hold
D) Over the shoulder - ANSWER D
Response:
A 4-month-old should be carried using the "over the shoulder" method. A
wagon with rails is for an older child. The cradle method is for infants up to
3 months of age. A football method is for infants up to 2 months of age.
Chapter 32, 6
Format: Multiple Choice
Chapter: 32
Client Needs: A-2
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Communication and Documentation
Objective: 6
Page: 97
229. The nurse is enlisting the parents' assistance for therapeutic hugging
prior to an otoscopic examination. What should the nurse emphasize to the
parents?
A) "You will need to keep his hands down and his head still."
B) "If this does not work, we will have to apply restraints."
C) "If you aren't capa - ANSWER A
Response:
The nurse needs to provide a specific explanation of the parents' role and
what body parts to hold still in a safe manner. Implying that the parents
may not be capable or may have to leave the room is inappropriate. Telling
the parents that restraints may be required is not helpful, does not teach,
and may be perceived as a threat.
Chapter 32, 7
Format: Multiple Choice
Chapter: 32
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Caring
Objective: 6
Page: 1004
Ch's 32-38 40-44 Exam Study Guide
Chapter 32, 1
Format: Multiple Choice
Chapter: 32
Client Needs: D-3
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Teaching/Learning
Objective: 8
Page: 1001
224. The nurse caring for an immunosuppressed 3-year-old is teaching the
mother about proper oral hygiene. Which of the following responses from
the mother indicates a need for further teaching?
A) "I need to carefully check for skin breakdown."
B) "I must really scrub her teeth and gums well."
C) "I must use a soft - ANSWER B
Response:
The nurse should caution the mother that overly vigorous brushing should
be avoided as it can injure or irritate the gums. The other statements are
correct.
Chapter 32, 2
Format: Multiple Choice
Chapter: 32
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Caring
,Objective: 1
Page: 983
225. The nurse is caring for a hospitalized 13-year-old girl who is
questioning everything the medical staff is doing and is resistant to
treatment. How should the nurse respond?
A) "Let's work together to plan your day along with your treatments."
B) "The sooner you cooperate, the sooner you will get to leave."
C) "If you are mor - ANSWER A
Response:
Collaborating with the adolescent will provide her with increased control.
The nurse should work with the teen to provide a mutual agreeable
schedule that allows for the teen's preferences while incorporating the
required nursing care. Threatening to call the parents will most likely
promote further resistance. The nurse should try to immediately engage the
girl rather than making the nurse's cooperation conditional upon the girl's
cooperation. Telling the girl that the sooner she cooperates, the sooner she
will leave is inappropriate: the nurse is incorrectly implying that the girl's
behavior, rather then her medical needs, are going to determine when she
will be discharged from the hospital.
Chapter 32, 3
Format: Multiple Choice
Chapter: 32
Client Needs: C
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Caring
Objective: 6
Page: 1003
226. The nurse is caring for a 10-year-old in traction who has a nursing
diagnosis of deficient diversional activity related to confinement in bed,
evidenced by verbalization of boredom and lack of participation in play,
reading, and schoolwork. Which of the following would be the best
intervention?
A) Offer the child reading ma - ANSWER B
Response:
The nurse should enlist the aid of a child life specialist to provide
suggestions for appropriate activities. Offering the child reading materials
or encouraging him to complete his homework would most likely be met
with resistance, as he has already verbalized his boredom and disinterest
,in play, reading, and schoolwork. The parents could offer the child life
specialist ideas about the boy's likes and dislikes; however, the child life
specialist has expertise in assisting hospitalized children.
Chapter 32, 4
Format: Multiple Choice
Chapter: 32
Client Needs: C
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Caring
Objective: 4
Page: 995
227. The nurse is caring for a 13-year-old girl hospitalized for complications
from type 1 diabetes. The girl has a nursing diagnosis of powerlessness
related to lack of control of multiple demands associated with
hospitalization, procedures, treatments, and changes in unusual routine.
How can the nurse help promote control?
A) A - ANSWER C
Response:
The nurse needs to offer the girl as many choices as possible, such as
options for food and drink (as her diet allows), hygiene, activities, or
clothing, to promote feelings of individuality and control. Two of the other
options involve the parents in the process. A 13-year-old girl is capable of
making her own choices regarding activities, schedules, and routine, but
she may not be able to identify her areas of concern.
Chapter 32, 5
Format: Multiple Choice
Chapter: 32
Client Needs: A
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Nursing Process
Objective: 7
Page: 1001
228. The nurse is transporting a 6-month-old with a suspected blood
disorder to the nursery. What is the most appropriate method of
transporting the child by the nurse?
A) A wagon with rails
, B) The cradle hold
C) A football hold
D) Over the shoulder - ANSWER D
Response:
A 4-month-old should be carried using the "over the shoulder" method. A
wagon with rails is for an older child. The cradle method is for infants up to
3 months of age. A football method is for infants up to 2 months of age.
Chapter 32, 6
Format: Multiple Choice
Chapter: 32
Client Needs: A-2
Cognitive Level: Application
Difficulty: Difficult
Integrated Processes: Communication and Documentation
Objective: 6
Page: 97
229. The nurse is enlisting the parents' assistance for therapeutic hugging
prior to an otoscopic examination. What should the nurse emphasize to the
parents?
A) "You will need to keep his hands down and his head still."
B) "If this does not work, we will have to apply restraints."
C) "If you aren't capa - ANSWER A
Response:
The nurse needs to provide a specific explanation of the parents' role and
what body parts to hold still in a safe manner. Implying that the parents
may not be capable or may have to leave the room is inappropriate. Telling
the parents that restraints may be required is not helpful, does not teach,
and may be perceived as a threat.
Chapter 32, 7
Format: Multiple Choice
Chapter: 32
Client Needs: C
Cognitive Level: Application
Difficulty: Moderate
Integrated Processes: Caring
Objective: 6
Page: 1004
