lOMoARcPSD|26582732
Final Maternity and pediatrics latest 2025
1. The nurse in the newborn unit of a pediatric hospital is providing care for a neonate born at 34 weeks’
gestation. The nurse is aware that the immediate risk to the neonate is which condition?
1. A lack of a phospholipid in the alveoli
2. Inability to maintain body temperature
3. Delay in closure of cardiac foramen
4. A decrease in renal function
2. The nurse is counseling parents about management of their children who are 2, 4, and 6 years of age. One of the
parents states, “We believe in Kohlberg’s theory of social-moral development.” The nurse is aware that the
preconventional stage of this theory involves which characteristic?
1. Behavior is adjusted according to good/bad and right/wrong thinking.
2. A personal and functional value system is constructed by the child.
3. The focus of the child is on following rules and maintaining social order.
4. Value systems are independent of authority figures and peers.
3. The nurse in a neonatal nursery is mentoring a newly hired nurse. The new nurse expresses uncertainty about
the facts of physiological and pathological jaundice. Which information does the nurse provide? Select all that
apply.
1. In newborns, a low level of jaundice is normal.
2. Immaturity of the liver prevents effective metabolization of Normal jaundice usually
bilirubin. Greatest concern is when jaundice develops before the appears within a week of birth.
3. first 24 hours. 4.
5. High levels of bilirubin cause
hyperactivity and insatiable hunger.
ANS: 1 , 3, 4
4. The nurse in a pediatric office is aware that certain factors may be indicators of heart disease in children.
Which children does the nurse recognize with manifestations related to heart disease? Select all that apply.
1. The newborn with dysmorphic facial features
2. The school-age patient with slow capillary refill
3. Identification of scoliosis in a new adolescent patient
4. An infant who is unable to meet developmental milestones
5. A toddler with clubbing and erythema of the fingers and toes
ANS:1 , 3, 4, 5
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5. The nurse is providing care for a neonate who is identified as being at risk for neonatal abstinence syndrome.
Which assessment finding causes the nurse to expect pharmacological interventions for this neonate?
1. Central and autonomic nervous system irritability and dysfunction are present.
2. The Finnegan neonatal abstinence score is 7 at 3 hours after birth.
3. Symptoms are not alleviated with swaddling, comforting, and feeding.
4. The Finnegan neonatal abstinence score is 10 at 3 hours after birth. The nurse is
Assessing an 6. 6. The nurse is assessing an infant at 1 month of age. At birth the infant weighed 7 pounds
10 ounces. Which is the minimum weight the nurse will expect during this assessment?
1. 8 pounds 2 ounces
2. 8 pounds 10 ounces
3. 8 pounds 14 ounces 4. 9 pounds 6 ounces
7. A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications.
Which should the nurse suggest to minimize reflux?
B. Thicken formula with rice cereal.
8.The nurse works in a pediatric hospice unit in an acute care facility. The nurse is currently providing care to
an infant. Which assessment tool does the nurse use to identify the infant’s level of pain?
1. Faces scale
2. FLACC
3. Visual analogy scale
4. NIPS
9. A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. While
an airway is being established, the nurse should prepare which of the following medications for
immediate administration?
1. Diphenhydramine (Benadryl)
2. Dopamine
3. Epinephrine
4. Calcium chloride
10.The nurse is providing care for a female adolescent at an in-patient facility for persons with eating disorders. The
adolescent’s current weight is less than 85% of ideal body weight. The adolescent appears to be
unexpectedly agreeable with the interventions being implemented for weight gain. Which is an important
intervention for the nurse to perform?
1. Eat with the client in order to demonstrate adequate intake.
2. Closely monitor the adolescent’s bathroom behavior.
3. Allow the adolescent to select the flavor of nasogastric (NG) tube feedings.
4. Provide information about the effects of malnutrition on the body.
11. The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to
monitor for which manifestation of hypoglycemia?
a. Lethargy
b. Thirst
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Final Maternity and pediatrics latest 2025
1. The nurse in the newborn unit of a pediatric hospital is providing care for a neonate born at 34 weeks’
gestation. The nurse is aware that the immediate risk to the neonate is which condition?
1. A lack of a phospholipid in the alveoli
2. Inability to maintain body temperature
3. Delay in closure of cardiac foramen
4. A decrease in renal function
2. The nurse is counseling parents about management of their children who are 2, 4, and 6 years of age. One of the
parents states, “We believe in Kohlberg’s theory of social-moral development.” The nurse is aware that the
preconventional stage of this theory involves which characteristic?
1. Behavior is adjusted according to good/bad and right/wrong thinking.
2. A personal and functional value system is constructed by the child.
3. The focus of the child is on following rules and maintaining social order.
4. Value systems are independent of authority figures and peers.
3. The nurse in a neonatal nursery is mentoring a newly hired nurse. The new nurse expresses uncertainty about
the facts of physiological and pathological jaundice. Which information does the nurse provide? Select all that
apply.
1. In newborns, a low level of jaundice is normal.
2. Immaturity of the liver prevents effective metabolization of Normal jaundice usually
bilirubin. Greatest concern is when jaundice develops before the appears within a week of birth.
3. first 24 hours. 4.
5. High levels of bilirubin cause
hyperactivity and insatiable hunger.
ANS: 1 , 3, 4
4. The nurse in a pediatric office is aware that certain factors may be indicators of heart disease in children.
Which children does the nurse recognize with manifestations related to heart disease? Select all that apply.
1. The newborn with dysmorphic facial features
2. The school-age patient with slow capillary refill
3. Identification of scoliosis in a new adolescent patient
4. An infant who is unable to meet developmental milestones
5. A toddler with clubbing and erythema of the fingers and toes
ANS:1 , 3, 4, 5
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
5. The nurse is providing care for a neonate who is identified as being at risk for neonatal abstinence syndrome.
Which assessment finding causes the nurse to expect pharmacological interventions for this neonate?
1. Central and autonomic nervous system irritability and dysfunction are present.
2. The Finnegan neonatal abstinence score is 7 at 3 hours after birth.
3. Symptoms are not alleviated with swaddling, comforting, and feeding.
4. The Finnegan neonatal abstinence score is 10 at 3 hours after birth. The nurse is
Assessing an 6. 6. The nurse is assessing an infant at 1 month of age. At birth the infant weighed 7 pounds
10 ounces. Which is the minimum weight the nurse will expect during this assessment?
1. 8 pounds 2 ounces
2. 8 pounds 10 ounces
3. 8 pounds 14 ounces 4. 9 pounds 6 ounces
7. A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications.
Which should the nurse suggest to minimize reflux?
B. Thicken formula with rice cereal.
8.The nurse works in a pediatric hospice unit in an acute care facility. The nurse is currently providing care to
an infant. Which assessment tool does the nurse use to identify the infant’s level of pain?
1. Faces scale
2. FLACC
3. Visual analogy scale
4. NIPS
9. A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. While
an airway is being established, the nurse should prepare which of the following medications for
immediate administration?
1. Diphenhydramine (Benadryl)
2. Dopamine
3. Epinephrine
4. Calcium chloride
10.The nurse is providing care for a female adolescent at an in-patient facility for persons with eating disorders. The
adolescent’s current weight is less than 85% of ideal body weight. The adolescent appears to be
unexpectedly agreeable with the interventions being implemented for weight gain. Which is an important
intervention for the nurse to perform?
1. Eat with the client in order to demonstrate adequate intake.
2. Closely monitor the adolescent’s bathroom behavior.
3. Allow the adolescent to select the flavor of nasogastric (NG) tube feedings.
4. Provide information about the effects of malnutrition on the body.
11. The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to
monitor for which manifestation of hypoglycemia?
a. Lethargy
b. Thirst
Downloaded by NELSON KIIRU ()
