Maternal Child Nursing Exam Test
Bank
While presenting a panel discussion to a group of parents about urinary tract infections in children,
one of the parents asks the nurse, "Why would my daughter be more at risk than my son?" Which
response by the nurse would be most accurate?
A) "Girls have a smaller bladder size than boys do."
B) "A girl's urethra is closer to the rectal opening."
C) "A girl's urethra is longer than a boy's urethra."
D) "Her kidneys are less well protected." - ANSWER-B) "A girl's urethra is closer to the rectal
opening."
(chapter 25)
The nurse is examining a 10-month-old boy who was born 10 weeks early. Which of the following
findings is cause for concern?
A) The child has doubled his birthweight.
B) The child exhibits plantar grasp reflex.
C) The child's head circumference is 19.5 inches.
D) No primary teeth have erupted yet. - ANSWER-C) The child's head circumference is 19.5 inches.
(chapter 26)
The nurse is performing a physical assessment of a 3-year-old girl. Which of the following would be a
concern for the nurse?
A) The toddler gained 4 pounds in weight since last year.
B) The toddler gained 3 inches in height since last year.
C) The toddler's anterior fontanel is not fully closed.
D) The circumference of the child's head increased 1 inch since last year. - ANSWER-C) The toddler's
anterior fontanel is not fully closed.
(chapter 27)
The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 inches tall at her
last examination at age 4. Which of the following height measurements would be within the normal
range of growth expected for a preschooler?
A) 41 inches
,Maternal Child Nursing Exam Test
Bank
B) 43 inches
C) 45 inches
D) 47 inches - ANSWER-B) 43 inches
(chapter 28)
2 The nurse is performing an annual check-up for an 8-year-old child. Compared to the previous
assessment of this child, which of the following characteristics would most likely be observed?A)
Breathing is diaphragmatic.
B) Pulse rate is increased.C) Secondary sex characteristics are present. D) Blood pressure has reached
adult level. - ANSWER-A) Breathing is diaphragmatic.
(chapter 29)
6 When describing the various changes that occur in organ systems during adolescence, which of the
following would the nurse include?
A) Significant increase in brain size
B) Ossification completed later in girls
C) Decrease in heart rate
D) Decrease in activity of sebaceous glands - ANSWER-C) Decrease in heart rate
(Chapter 31)
The nurse is caring for children in a physician's office where health supervision is practiced. Which of
the following is a key focus of health supervision? Select all answers that apply.
A) Making referrals for all health care needs
B) Monitoring disease incidence
C) Optimizing level of functioning
D) Monitoring quality of care provided
E) Teaching parents to prevent injury
F) Providing care developed from national guidelines - ANSWER-C) Optimizing level of functioning
E) Teaching parents to prevent injury
F) Providing care developed from national guidelines
(chapter 32)
,Maternal Child Nursing Exam Test
Bank
he nurse is conducting a health history for a 9-year-old child with stomach pains. Which of the
following is a recommended guideline when approaching the child for information?
A) Wear a white examination coat when conducting the interview.
B) Allow the child to control the pace and order of the health history.
C) Use quick deliberate gestures to get your point across.
D) Do not make physical contact with the child during the interview. - ANSWER-B) Allow the child to
control the pace and order of the health history.
(chapter 33)
The nurse working in the emergency room monitors the admission of children. Statistically, for which
one of the following disorders would children younger than 5 years most commonly be admitted?
A) Mental health problems
B) Injuries
C) Respiratory disorders
D) Gastrointestinal disorders - ANSWER-C) Respiratory disorders
(Chapter 34)
The nurse is caring for medically fragile children in a hospital setting. What nursing role has the
greatest impact on the child and family when caring for this population?
A) Teacher
B) Advocate
C) Coordinator
D) Caregiver - ANSWER-A) Teacher
(chapter 35)
The nurse is administering Tylenol PRN to a 9-year-old child on the pediatric ward of the hospital.
Which of the following reflect nursing actions that follow the rules of the "eight rights" of pediatric
medication administration? Select all answers that apply.
A) The nurse identifies the child by checking the name on the child's chart.
B) The nurse makes sure the medication is given within the hour of the ordered time. C) The nurse
checks the documented time of the last dosage administered.
D) The nurse calculates the dosage according to the child's weight.
, Maternal Child Nursing Exam Test
Bank
E) The nurse explains the therapeutic effects of the medication to the child and
parents.
F) The nurse administers the medication even though the child is adamant about not taking it. -
ANSWER-C) The nurse checks the documented time of the last dosage administered.
D) The nurse calculates the dosage according to the child's weight.
E) The nurse explains the therapeutic effects of the medication to the child and parents.
(chapter 36)
The nurse is teaching the student nurse the physiology involved in pain transmission. Which of the
following statements accurately describes a physiologic event in the nervous system related to pain
transmission? Select all answers that apply.
A) Thermal stimulation may involve the release of mediators, such as histamine,
prostaglandins, leukotrienes, or bradykinin.
B) When nociceptors are activated by noxious stimuli, the stimuli are converted to electrical impulses
that are relayed to the spinal cord and brain.
C) Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates;
unmyelinated small C fibers transmit the impulse slowly.
D) Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite
side and rise upward to the thalamus.
E) The point at which the person first feels the highest intensity of the painful stimulus is termed the
pai - ANSWER-B) When nociceptors are activated by noxious stimuli, the stimuli are converted to
electrical impulses that are relayed to the spinal cord and brain.
C) Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates;
unmyelinated small C fibers transmit the impulse slowly.
D) Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite
side and rise upward to the thalamus.
F) Peripheral sensitization allows the nerve fibers to react to a stimulus that is of lower intensity than
would be needed to cause pain
(chapter 37)
A 3-year-old boy has been on chemotherapy for cancer. He complains about a sore throat, is
experiencing malaise, and has a temperature of 99.8°F orally. His mother calls the child's physician.
What is the appropriate information for the nurse to tell his mother at this time?
A) "Continue to watch the child, giving him aspirin and cool fluids for the fever."
Bank
While presenting a panel discussion to a group of parents about urinary tract infections in children,
one of the parents asks the nurse, "Why would my daughter be more at risk than my son?" Which
response by the nurse would be most accurate?
A) "Girls have a smaller bladder size than boys do."
B) "A girl's urethra is closer to the rectal opening."
C) "A girl's urethra is longer than a boy's urethra."
D) "Her kidneys are less well protected." - ANSWER-B) "A girl's urethra is closer to the rectal
opening."
(chapter 25)
The nurse is examining a 10-month-old boy who was born 10 weeks early. Which of the following
findings is cause for concern?
A) The child has doubled his birthweight.
B) The child exhibits plantar grasp reflex.
C) The child's head circumference is 19.5 inches.
D) No primary teeth have erupted yet. - ANSWER-C) The child's head circumference is 19.5 inches.
(chapter 26)
The nurse is performing a physical assessment of a 3-year-old girl. Which of the following would be a
concern for the nurse?
A) The toddler gained 4 pounds in weight since last year.
B) The toddler gained 3 inches in height since last year.
C) The toddler's anterior fontanel is not fully closed.
D) The circumference of the child's head increased 1 inch since last year. - ANSWER-C) The toddler's
anterior fontanel is not fully closed.
(chapter 27)
The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 inches tall at her
last examination at age 4. Which of the following height measurements would be within the normal
range of growth expected for a preschooler?
A) 41 inches
,Maternal Child Nursing Exam Test
Bank
B) 43 inches
C) 45 inches
D) 47 inches - ANSWER-B) 43 inches
(chapter 28)
2 The nurse is performing an annual check-up for an 8-year-old child. Compared to the previous
assessment of this child, which of the following characteristics would most likely be observed?A)
Breathing is diaphragmatic.
B) Pulse rate is increased.C) Secondary sex characteristics are present. D) Blood pressure has reached
adult level. - ANSWER-A) Breathing is diaphragmatic.
(chapter 29)
6 When describing the various changes that occur in organ systems during adolescence, which of the
following would the nurse include?
A) Significant increase in brain size
B) Ossification completed later in girls
C) Decrease in heart rate
D) Decrease in activity of sebaceous glands - ANSWER-C) Decrease in heart rate
(Chapter 31)
The nurse is caring for children in a physician's office where health supervision is practiced. Which of
the following is a key focus of health supervision? Select all answers that apply.
A) Making referrals for all health care needs
B) Monitoring disease incidence
C) Optimizing level of functioning
D) Monitoring quality of care provided
E) Teaching parents to prevent injury
F) Providing care developed from national guidelines - ANSWER-C) Optimizing level of functioning
E) Teaching parents to prevent injury
F) Providing care developed from national guidelines
(chapter 32)
,Maternal Child Nursing Exam Test
Bank
he nurse is conducting a health history for a 9-year-old child with stomach pains. Which of the
following is a recommended guideline when approaching the child for information?
A) Wear a white examination coat when conducting the interview.
B) Allow the child to control the pace and order of the health history.
C) Use quick deliberate gestures to get your point across.
D) Do not make physical contact with the child during the interview. - ANSWER-B) Allow the child to
control the pace and order of the health history.
(chapter 33)
The nurse working in the emergency room monitors the admission of children. Statistically, for which
one of the following disorders would children younger than 5 years most commonly be admitted?
A) Mental health problems
B) Injuries
C) Respiratory disorders
D) Gastrointestinal disorders - ANSWER-C) Respiratory disorders
(Chapter 34)
The nurse is caring for medically fragile children in a hospital setting. What nursing role has the
greatest impact on the child and family when caring for this population?
A) Teacher
B) Advocate
C) Coordinator
D) Caregiver - ANSWER-A) Teacher
(chapter 35)
The nurse is administering Tylenol PRN to a 9-year-old child on the pediatric ward of the hospital.
Which of the following reflect nursing actions that follow the rules of the "eight rights" of pediatric
medication administration? Select all answers that apply.
A) The nurse identifies the child by checking the name on the child's chart.
B) The nurse makes sure the medication is given within the hour of the ordered time. C) The nurse
checks the documented time of the last dosage administered.
D) The nurse calculates the dosage according to the child's weight.
, Maternal Child Nursing Exam Test
Bank
E) The nurse explains the therapeutic effects of the medication to the child and
parents.
F) The nurse administers the medication even though the child is adamant about not taking it. -
ANSWER-C) The nurse checks the documented time of the last dosage administered.
D) The nurse calculates the dosage according to the child's weight.
E) The nurse explains the therapeutic effects of the medication to the child and parents.
(chapter 36)
The nurse is teaching the student nurse the physiology involved in pain transmission. Which of the
following statements accurately describes a physiologic event in the nervous system related to pain
transmission? Select all answers that apply.
A) Thermal stimulation may involve the release of mediators, such as histamine,
prostaglandins, leukotrienes, or bradykinin.
B) When nociceptors are activated by noxious stimuli, the stimuli are converted to electrical impulses
that are relayed to the spinal cord and brain.
C) Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates;
unmyelinated small C fibers transmit the impulse slowly.
D) Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite
side and rise upward to the thalamus.
E) The point at which the person first feels the highest intensity of the painful stimulus is termed the
pai - ANSWER-B) When nociceptors are activated by noxious stimuli, the stimuli are converted to
electrical impulses that are relayed to the spinal cord and brain.
C) Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates;
unmyelinated small C fibers transmit the impulse slowly.
D) Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite
side and rise upward to the thalamus.
F) Peripheral sensitization allows the nerve fibers to react to a stimulus that is of lower intensity than
would be needed to cause pain
(chapter 37)
A 3-year-old boy has been on chemotherapy for cancer. He complains about a sore throat, is
experiencing malaise, and has a temperature of 99.8°F orally. His mother calls the child's physician.
What is the appropriate information for the nurse to tell his mother at this time?
A) "Continue to watch the child, giving him aspirin and cool fluids for the fever."
