INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients? a. Pancreatic enzymes b. Water-soluble minerals c. Fat-soluble vitamins d. Salt supplements ANS: A An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the childs body cannot produce. DIF: Cognitive Level: Knowledge REF: Page 615 TOP: Cystic Fibrosis KEY: Nursing Proce...

MULTIPLE CHOICE 1. The nurse is planning a parent education program about lead poisoning prevention. What will be included regarding primary sources of lead in the community? a. Increased lead content of air b. Use of aluminum cookware c. Deteriorating paint in older buildings d. Inhaling smog ANS: C The primary source of lead is paint from old, deteriorating buildings. DIF: Cognitive Level: Knowledge REF: Page 682 TOP: Lead Poisoning KEY: Nursing Process Step: Planning MSC:...

MULTIPLE CHOICE 1. A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of an overproduction of immature white blood cells in the bone marrow? a. Decreased T-cell production b. Decreased hemoglobin c. Increased blood clotting d. Increased susceptibility to infection ANS: D An overproduction of immature white blood cells increases the childs susceptibility to infection. DIF: Cognitive Level: Comprehension REF: Page 648 TOP: Leukemia KEY: Nursing...

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MULTIPLE CHOICE 1. What emergency action should be implemented for airway obstruction in the infant? a. Six to 10 midsternal thrusts b. Five back blows followed by five chest thrusts c. Five chest thrusts followed by five back blows d. Abdominal thrusts until the object is expelled ANS: B Five back blows followed by five chest thrusts is the appropriate intervention for airway obstruction in the infant. DIF: Cognitive Level: Knowledge REF: Page 530 TOP: Management of Airway Ob...

MULTIPLE CHOICE 1. The mother of a hospitalized toddler states, He cries when I visit. Maybe I should just stay away. What is the nurses best response? a. Perhaps you are right. He only gets upset when you have to leave. b. It is important that you are here. This is a common reaction in children when they are separated from their parents. c. It might be easier for your child if you would stay with him, but this decision is up to you. d. We take good care of him and he seems fine when you ...

MULTIPLE CHOICE 1. What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis? a. Ask the child to bend forward at the waist and observe the childs back for asymmetry. b. Observe the gait while the child is walking forward heel to toe. c. Have the child flex the knees and look for uneven knee height. d. Look at the childs shoulders and hips while fully clothed. ANS: A The nurse looks at the back as the child bends forward for general body alignment an...

MULTIPLE CHOICE 1. What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure? a. Guide the child to the floor if the child is standing, and then go for help. b. Move objects out of the childs immediate area. c. Stick a padded tongue blade between the childs teeth. d. Manually restrain the child. ANS: B During a generalized tonic-clonic seizure, the immediate area is cleared to protect the child from injury. DIF: Cognitive Level: Applica...

MULTIPLE CHOICE 1. What should the nurse suggest as the most appropriate toy choice for a 3-year-old? a. A board game b. A small pet, such as a goldfish c. A large construction set d. Push-pull toys ANS: C Large construction sets are suitable toys for the preschool-age child. DIF: Cognitive Level: Application REF: Page 438 TOP: Play KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 2. The parent of a 3 -year-ol...

MULTIPLE CHOICE 1. What does the nurse consider as an appropriate snack for a 2-year-old child? a. Hot dog sections b. Grapes c. Popcorn d. Applesauce ANS: D Applesauce is a healthy and safe snack food for the toddler. The toddler is at risk for choking on foods such as grapes, hot dogs, and popcorn. DIF: Cognitive Level: Analysis REF: Page 415, Health Promotion box OBJ: 10 TOP: Injury Prevention KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Mainte...

MULTIPLE CHOICE 1. What foods would be a healthy choice for an adolescent who just finished playing in a strenuous sports game? a. A cheeseburger and soda b. A hot fudge sundae c. Two sausage and egg breakfast sandwiches and orange juice d. A bagel and skim milk ANS: D A bagel provides a rapid supply of carbohydrates to the muscles, and skim milk provides a slow release of carbohydrates to the muscles. DIF: Cognitive Level: Comprehension REF: Page 472 TOP: Nutrition KEY: Nursi...

MULTIPLE CHOICE 1. When asked about her activities, a 10-year-old girl responded, I like school. I play the flute in the school band, and I take tennis lessons. What does the nurse know these activities will help this child develop? a. Initiative b. Industry c. Identity d. Intimacy ANS: B The school-age period is referred to by Erikson as the stage of industry. Successful participation in activities facilitates the childs sense of industry. DIF: Cognitive Level: Application REF...

MULTIPLE CHOICE 1. The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry. The nurse is aware that these symptoms indicate what? a. Respiratory distress syndrome b. Hypoglycemia c. Necrotizing enterocolitis d. Renal failure ANS: B The preterm infant, before 38 weeks, should be assessed for hypoglycemia because the infants glycogen stores are not adequate. DIF: Cognitive Level: Analysis REF: Page 317 TOP: Postterm Infant KEY: Nursing Proces...

MULTIPLE CHOICE 1. What statement made by a parent indicates correct understanding of infant feeding? a. Ive been mixing rice cereal and formula inthe babys bottle. b. I switched the baby to low-fat milk at 9 months. c. The baby really likes little pieces of chocolate. d. I give the baby any new foods before he takes his bottle. ANS: D New solid foods should be introduced before formula or breast milk to encourage the infant to try new foods. DIF: Cognitive Level: Comprehension ...

MULTIPLE CHOICE 1. What does the nurse recognize as an example of Piagets concrete operational thinking? a. 2-year-old says, Its nighttime when his room is darkened. b. 4-year-old refers to the hospital as my house. c. 5-year-old coloring a picture of a puppy says, This is my puppy. d. 7-year-old says, I am sick because I have germs in my chest. ANS: D The 7-year-olds remark reflecting the cause and effect of germs and illness is an example of operational thinking. All other options...

MULTIPLE CHOICE 1. After delivery, a mother asks the nurse about newborn screening tests. The nurse explains that what is the optimal time for testing for phenylketonuria? a. In the first 24 hours of life b. After 2 to 3 days c. At 4 to 6 weeks of age d. At 2 months of age ANS: B Blood tests for phenylketonuria should be obtained 48 to 72 hours after birth. The newborn will have had enough time to ingest protein through feedings, and the chance of false-negative results will be red...

MULTIPLE CHOICE 1. The nurse is caring for a woman who had a cesarean birth yesterday. Varicose veins are visible on both legs. What nursing action is the most appropriate to prevent thrombus formation? a. Have the woman sit in a chair for meals. b. Monitor vital signs every 4 hours and report any changes. c. Tell the woman to remain in bed with her legs elevated. d. Assist the woman with ambulation for short periods of time. ANS: D Early ambulation and range-of-motion exercises are...

MULTIPLE CHOICE 1. The parents of a newborn girl express concern about the infants vaginal discharge, which appears to be bloody mucus. What does the nurse explain as the cause? a. Premature stimulation of the ovarian hormones by the pituitary system b. Cessation of female sex hormones transferred in utero from mother to infant c. The increased amount of circulating blood from the mother throughout pregnancy d. Trauma to the genitalia during the birth process ANS: B Blood-tinged muc...

MULTIPLE CHOICE 1. The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level? a. It prevent osteoporosis. b. It decreases vaginal lubrication. c. It raises the level of low-density lipoproteins. d. It raises the level of high-density lipoproteins. ANS: C Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body cells to the liver for excretion. With lowered levels of estrogen, low-densi...

MULTIPLE CHOICE 1. The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery. What nursing action will be included in this plan to prevent the associated side effect of this type of anaesthesia? a. Restrict oral fluids. b. Keep legs flexed. c. Walk with assistance as soon as possible. d. Lie flat for several hours. ANS: D The woman would be advised to remain flat for several hours after the block to decrease the chance of post spinal headache...