MATERNAL CHILD HEALTH NURSING (NUR 2633) FINAL EXAM WITH
VERIFIED ACCURATE SOLUTIONS
,1. Your client attempted suicide with a medication overdose. Which intervention would
be most effective in preventing an adolescent from attempting suicide again?
Assessing his financial level
Help him learn better problem -solving skills at school
Coordinate involvement of a mental health provider to allow child to express feelings
Encourage him to make more friends at his after school job
2. The nurse evaluates teaching provided to a school age child and parents about the
medication pancrealipase for cystic fibrosis. Which observation indicates that
teaching has been effective?
The child chews an enteric form of the medication
The child takes a dose before having an afternoon snack
The father tells the child that diarrhea is expected with his medication
The mother opens the capsule and some medication spills on the fingers
3. The clinic is providing a federally approved car seat to an infants family. The
nurse should explain that the safest place to install the car seat in the vehicle is:
Front facing in back seat
Rear facing in back seat
Front facing in front seat with airbag on passenger side
Rear facing in front seat if an airbag is on the passenger side
4. During an assessment the nurse determines that a 3-month old baby has a Moro
reflex. What does this finding indicates to the nurse?
It usually lasts until 9 months
It will persist until the age of 1 year
Most 3 month-old’s still have a Moro reflex
If present at 3 months of age a neurologic exam is needed
5. A nurse performs an admission assessment on a child and suspects physical abuse.
Based on the suspicion the primary legal nursing responsibility is to do which of the
following? Refer the family to the appropriate support groups
Assist the family in identifying resources and support systems
Report the case in which the abuse is suspected to the local authorities and your
supervisor or charge nurse
Coordinate information with the primary physician so he may report the findings
6. A toddler insists on brushing his own teeth and dressing himself. What advice would
you give his parents regarding this?
Helping with his own cares allows him to experience autonomy
It is unusual for 2 year old’s to have such strong opinions
His mother should continue to give full care in all aspects
Leaving him alone in the bathtub is a good way to encourage autonomy
, 7. A 6 month old girl is diagnosed as having atopic dermatitis. When interviewing her
parents they describe the following care measures. Which one would lead you to
think more health teaching is needed?
The mother gives her a daily bath without using soap
After a bath the mother applies Eucerin cream
To aid healing the father applies hydrocortisone cream to the lesions
To dry lesions the father applies alcohol to lesions daily
8. Upon assessment of a 3-year old who has been diagnosed with croup, the nurse notes
stridor while the child is asleep. Which of the following interventions would the
nurse expect to perform to this client?
Administering an oral analgesic
Urging the child to take oral fluids
Teaching the child to take long slow breaths
Assisting with racemic epinephrine nebulizer therapy (cool air combined with
corticosteroids such as dexamethasone to reduce inflammation)
9. A toddler is prescribed to receive 50mg of an antibiotic. The medication available is
250mg is 5ml. How many milliliters of the medication should the nurse provide to
the patient?
1ml
5ml
10ml
0.1ml
10. The nurse is caring for an adolescent female after a sexual assault. She notes which of
the following to be consistent with post-traumatic stress disorder (PTSD) (select all that
apply)
Sleep Disturbances
Resuming normal daily activities
Hypervigilance
Flashbacks
Withdrawal from family
11. A nurse is caring for a school age child who has had a cardiac catheterization. The
child tells the nurse that her bandage is too wet. The nurse finds the bandage and bed
soaked with blood. What is the appropriate initial nursing action?
Apply direct pressure above the catheterization site
Place the child in Trendelenburg
Notify the provider
Remove the dressing to monitor bleeding
VERIFIED ACCURATE SOLUTIONS
,1. Your client attempted suicide with a medication overdose. Which intervention would
be most effective in preventing an adolescent from attempting suicide again?
Assessing his financial level
Help him learn better problem -solving skills at school
Coordinate involvement of a mental health provider to allow child to express feelings
Encourage him to make more friends at his after school job
2. The nurse evaluates teaching provided to a school age child and parents about the
medication pancrealipase for cystic fibrosis. Which observation indicates that
teaching has been effective?
The child chews an enteric form of the medication
The child takes a dose before having an afternoon snack
The father tells the child that diarrhea is expected with his medication
The mother opens the capsule and some medication spills on the fingers
3. The clinic is providing a federally approved car seat to an infants family. The
nurse should explain that the safest place to install the car seat in the vehicle is:
Front facing in back seat
Rear facing in back seat
Front facing in front seat with airbag on passenger side
Rear facing in front seat if an airbag is on the passenger side
4. During an assessment the nurse determines that a 3-month old baby has a Moro
reflex. What does this finding indicates to the nurse?
It usually lasts until 9 months
It will persist until the age of 1 year
Most 3 month-old’s still have a Moro reflex
If present at 3 months of age a neurologic exam is needed
5. A nurse performs an admission assessment on a child and suspects physical abuse.
Based on the suspicion the primary legal nursing responsibility is to do which of the
following? Refer the family to the appropriate support groups
Assist the family in identifying resources and support systems
Report the case in which the abuse is suspected to the local authorities and your
supervisor or charge nurse
Coordinate information with the primary physician so he may report the findings
6. A toddler insists on brushing his own teeth and dressing himself. What advice would
you give his parents regarding this?
Helping with his own cares allows him to experience autonomy
It is unusual for 2 year old’s to have such strong opinions
His mother should continue to give full care in all aspects
Leaving him alone in the bathtub is a good way to encourage autonomy
, 7. A 6 month old girl is diagnosed as having atopic dermatitis. When interviewing her
parents they describe the following care measures. Which one would lead you to
think more health teaching is needed?
The mother gives her a daily bath without using soap
After a bath the mother applies Eucerin cream
To aid healing the father applies hydrocortisone cream to the lesions
To dry lesions the father applies alcohol to lesions daily
8. Upon assessment of a 3-year old who has been diagnosed with croup, the nurse notes
stridor while the child is asleep. Which of the following interventions would the
nurse expect to perform to this client?
Administering an oral analgesic
Urging the child to take oral fluids
Teaching the child to take long slow breaths
Assisting with racemic epinephrine nebulizer therapy (cool air combined with
corticosteroids such as dexamethasone to reduce inflammation)
9. A toddler is prescribed to receive 50mg of an antibiotic. The medication available is
250mg is 5ml. How many milliliters of the medication should the nurse provide to
the patient?
1ml
5ml
10ml
0.1ml
10. The nurse is caring for an adolescent female after a sexual assault. She notes which of
the following to be consistent with post-traumatic stress disorder (PTSD) (select all that
apply)
Sleep Disturbances
Resuming normal daily activities
Hypervigilance
Flashbacks
Withdrawal from family
11. A nurse is caring for a school age child who has had a cardiac catheterization. The
child tells the nurse that her bandage is too wet. The nurse finds the bandage and bed
soaked with blood. What is the appropriate initial nursing action?
Apply direct pressure above the catheterization site
Place the child in Trendelenburg
Notify the provider
Remove the dressing to monitor bleeding
