MATERNITY 101

. The home health nurse is educating parents on home phototherapy. What will the nurse include when providing information to these parents?. What occurrence results from obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid?The nurse is caring for an infant with hydrocephalus. What nursing action is most important for this nurse to implement?The nurse observes that the infants anterior fontanelle is bulging after placement of a ventriculoperitoneal shun...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Child with a Cardiovascular Disorder MULTIPLE CHOICE 1. What does the nurse explain that a ventricular septal defect will allow? a. Blood to shunt left to right, causing increased pulmonary flow and no cyanosis b. Blood to shunt right to left, causing decreased pulmonary flow and cyanosis c. No shunting because of high pressure in the left ventricle d. Increased pressure in the left atrium, impeding circulatio...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System MULTIPLE CHOICE 1. The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron? a. An egg white b. Cream of Wheat c. A banana d. A carrot ANS: B Good nutritional sources of iron include boiled egg yolk, liver, green leafy vegeta...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Preschool Child MULTIPLE CHOICE 1. Which statement best describes the 3-year-old child? a. Boisterous, tattles on others b. Aggressive, shows off c. Helpful, wants to assist with chores d. Talkative, inquisitive about the environment ANS: C Three-year-old children are helpful and can assist in simple household chores. DIF: Cognitive Level: Comprehension REF: Page 431 TOP: Development KEY: Nursing Proce...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Childs Experience of Hospitalization MULTIPLE CHOICE 1. Which child would have the most difficulty in coping with separation from parents because of hospitalization? a. 3-month-old child b. 16-month-old child c. 4-year-old child d. 7-year-old child ANS: B Separation anxiety occurs after age 6 months and is most pronounced in the toddler. DIF: Cognitive Level: Comprehension REF: Page 481 OBJ: 3 TOP: Sepa...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Child with a Respiratory Disorder MULTIPLE CHOICE 1. What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be? a. Acetaminophen and plenty of fluids b. Oral penicillin for 10 days c. Penicillin until his sore throat is gone d. Streptococcus immunization ANS: B When a throat culture is positive for group A beta-hem...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Child with a Musculoskeletal Condition MULTIPLE CHOICE 1. What would the nurse include in planning teaching to parents of a child with Legg-Calv-Perthes disease about the long-term effects of this disease? a. There are no long-term effects. b. The disease is self-limited and requires no long-term treatment. c. Degenerative arthritis may develop later in life. d. There is risk of osteogenic sarcoma in adulthood...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Child with a Sensory or Neurological Condition MULTIPLE CHOICE 1. A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media? a. Infants are in a supine or prone position most of the time. b. Sucking on a nipple creates middle ear pressure. c. They have increased susceptibility to upper respiratory tract infections. d. The eustachia...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Health Care Adaptations for the Child and Family MULTIPLE CHOICE 1. What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant? a. Brachial b. Apical c. Radial d. Femoral ANS: B Apical pulses are advised for children under age 5 years. DIF: Cognitive Level: Knowledge REF: Page 502 TOP: Physical Assessment KEY: Nursing Process Step: Data Collection MSC: NCLEX...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)The Adolescent MULTIPLE CHOICE 1. The nurse is assessing a 13-year-old boy. With what do physical changes in the pubertal male begin? a. Development of axillary and facial hair b. Enlargement of penis c. Enlargement of testicles d. Pigmentation of the scrotum ANS: C In boys, pubertal changes begin with enlargement of the testicles and internal structures. DIF: Cognitive Level: Knowledge REF: Page 462 OBJ: 4 ...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Infant MULTIPLE CHOICE 1. A mother calls the pediatricians office because her infant is colicky. What is the most helpful measure the nurse can suggest to the mother? a. Sing songs to the infant in a soft voice. b. Place the infant in a well-lit room. c. Walk around and massage the infants back. d. Rock the fussy infant slowly and gently. ANS: D One technique the nurse can offer parents of a fussy infant i...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)The School-Age Child MULTIPLE CHOICE 1. The nurse is assessing a school-age child. What will the nurse expect in regard to physical development of this child? a. Growth of 3 to 6 inches per year b. Gain of 5 to 7 pounds per year c. Increase of head circumference by 1 inch per year d. A visual acuity of 20/20 by 9 years of age ANS: B During the school-age period, the average weight gain per year is generally 5.5...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)The Toddler MULTIPLE CHOICE 1. Which behavior reported by a parent of an 18-month-old toddler would the nurse report to the pediatrician as a cause for concern? a. Has temper tantrums b. Feeds self sloppily c. Walks by holding onto furniture d. Speaks in short sentences ANS: C By 18 months, a toddler should have been walking alone for several months. The toddler who walks holding onto furniture should be evalua...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Newborn with a Perinatal Injury or Congenital Malformation MULTIPLE CHOICE 1. What occurrence results from obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid? a. Meningitis b. Meningocele c. Spina bifida occulta d. Hydrocephalus ANS: D Hydrocephalus is characterized by an increase in cerebrospinal fluid in the ventricles of the brain. DIF: Cognitive Level: K...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) Preterm and Postterm Newborns MULTIPLE CHOICE 1. The nurse is assessing a preterm infant. To what does the infants level of maturation refer? a. Actual time the fetus remained in the uterus b. Age on the Dubowitz scoring system c. Infants weight as compared to the gestational age d. Ability of the organs to function outside of the uterus ANS: D Level of maturation refers to how well developed the infant is at ...

Test Bank Introduction to Maternity and Pediatric Nursing 8e (by Leifer)The Term Newborn MULTIPLE CHOICE 1. While inspecting a newborns head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting? a. Molding b. Caput succedaneum c. Cephalohematoma d. Enlarged fontanelle ANS: C A cephalohematoma is caused by a collection of blood beneath the periosteum of the cranial bone. It does not cross the sutu...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Nurses Role in Womens Health Care MULTIPLE CHOICE 1. The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program? a. Breast examination by a health professional b. Breast self-examination c. Breast biopsy d. Mammography ANS: D Mammography is a screening test used to detect breast ca...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Family After Birth MULTIPLE CHOICE 1. The nurse is assessing a newborn. What sign of hypoglycemia does the nurse record? a. Increased nasal mucus b. Increased temperature c. Active muscle movements d. High-pitched cry ANS: D There are many signs of hypoglycemia in the newborn. One is a high-pitched cry. DIF: Cognitive Level: Comprehension REF: Page 228 TOP: Signs of Hypoglycemia KEY: Nursing Process St...

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer)Nursing Care of Women with Complications After Birth MULTIPLE CHOICE 1. What is the first sign of hypovolemic shock from postpartum hemorrhage? a. Cold, clammy skin b. Tachycardia c. Hypotension d. Decreased urinary output ANS: B Tachycardia is usually the first sign of inadequate blood volume. DIF: Cognitive Level: Knowledge REF: Page 248 OBJ: 2 TOP: Hypovolemic Shock KEY: Nursing Process Step: Data Collec...

Test Bank Introduction to Maternity &Pediatric Nursing 8e (by Leifer)Nursing Care of Women with Complications During Labor &Birth MULTIPLE CHOICE 1. What nursing assessment should be reported immediately after an amniotomy? a. Fetal heart rate is regular at 154 beats/min. b. Amniotic fluid is clear with flecks of vernix. c. Amniotic fluid is watery and pale green. d. Maternal temperature is 37.8 C. ANS: C Amniotic fluid should be clear. Green fluid indicates the fetus has passed mec...