Maternal Exam 4 Study Guide
The nurse is caring for a child who has leukemia with white blood cell (WBC) count 30,000 mm.
Which of the following should the nurse include in the teaching?
A. Allow the child to play with other children who do not have...
B. Administer prescribed influenza vaccination
C. Assign the child to room with other children
D. Use sterile techniques for any procedure
The nurse is caring for a child who just died due to chronic illness. Which of the following is an
appropriate response to the grieving family?
A. “l know how you feel completely lost.”
B. “You should feel happy since your child is in a better place.”
C. “Yourchild isn’t feeling pain anymore.”
D. “lam very sorry. We will miss your child very much.” Pg. 1020
The nurse is speaking with a parent of a toddler. The parent asks the nurse what reaction is
expected from their child regarding the impending death of a grandparent. The nurse should
state that children in that age group...
A. Criticize funerals as barbaric
B. Imagines the deceased person to still be alive. Pg. 1015
C. Believed their thoughts caused the death.
D. Are veryinterested in funerals and burials
The nurse is caring for a child with retinoblastoma who is returning from a enucleation
procedure. The parents are concerned about their child’s appearance after the procedure.
Which of the following statements is correct for the nurse to inform the parents?
The eyelid will remain closed for the remainder of the child’s life.
oo w>
Moderate drainage will come from the affected socket initially.
The eye pad dressing is left open to air in the evenings.
A sphere is surgically implanted to maintain the shape of the eyeball. Pg. 1324
The nurse has attended a continuing education conference on preschool age children’s reaction
to death. It indicates a correct understanding of the conference, if the nurse states that
preschool age children ...
A. Imagine the deceased person is sleeping pg. 1015
B. Are very interested in funerals and burials
C. Shows more grief to a significant family member’s death
D. Understands death is permanent
The nurse is caring for a child at the end of life. The parents ask the nurse if there are any signs
of approaching death. Which physical signs from the box below indicate the child is approaching
death?
1 Tachycardia
“ue”
2 [ecreased Blood Pressl
v
3 Body feels warm
v
4 Decreased appet]
e
5 Slurred speech
vt
6 Increased thirst
N
, Maternal Exam 4 Study Guide
A. 1,4,6
B. ???
C. ?2??
D. 2,4,5 pg.1018 Box 36.9
7. The nurse is teaching parents of adolescent. The nurse explains to the parents that this age
group has trouble dealing with death because they...?
A. Proceed to participate in ritualism during the dying process.
B. Are the most likely to accept their own death or cessation of life
C. Have trouble understanding what happens to their body after death
D. Consider funerals to be barbaric, money making events pg. 1016
8. The nurse is providing a teaching session to the health care staff regarding osteosarcoma. Which
of the following statements by an attendee indicates a need for additional teaching?
A.“The sternum is the most common site of this sarcoma.” Pg. 1319
B. “In the early stage, the symptoms of this disease are usually attributed to the normal
growing pains.”
C.“A common clinical manifestation is limping if a weight-bearing limb is affected.”
D.“Children typically experience.”
9. The nurse is caring for a 5-year-old child who is suspected of having a Wilms tumor. Which of
the following actions by the nurse indicates the needs to remain in bed.
A. Instructing the parents that the child needs to remain in bed.
B. Requesting a bland soft diet for the child
C. Palpating a child’s abdomen pg. 1321
D. Preventing the child from playing tag in the play room.
10. The nurse is caring for a 5-year-old child who has sickle cell disease. An assessment of the child
includes the following respirations 10 and unarousable. The child is currently on IV fluids and
continuous IV morphine sulfate. Based on the assessment information, which of the following
action should the nurse take first?
Administer naloxone to reverse the effects of the morphine pg. 1361
Obtain a complete metabolic laboratory blood sample
00w
Increase the IV fluids to decrease vaso-occlusion
Perform a sterna rub on the client
11. The nurse is admitting a child who has vaso-occlusion sickle cell crisis. Which of the following
interventions should the nurse anticipate being prescribed for the child?
A. Hydration, oxygenation, and pain management pg. 1278
B. Globulins and factor VIII replacement
C. Electrolyte replacement and administration of heparin
D. Correction of alkalosis and reduction of energy expenditure
12. The nurse is teaching staff members about caring for a child who has hemophilia. Which clinical
manifestation from the box below identified by a staff member indicate a correct understanding
of the teaching?
1) [xcessive bleedi'
2) Growth retardation
The nurse is caring for a child who has leukemia with white blood cell (WBC) count 30,000 mm.
Which of the following should the nurse include in the teaching?
A. Allow the child to play with other children who do not have...
B. Administer prescribed influenza vaccination
C. Assign the child to room with other children
D. Use sterile techniques for any procedure
The nurse is caring for a child who just died due to chronic illness. Which of the following is an
appropriate response to the grieving family?
A. “l know how you feel completely lost.”
B. “You should feel happy since your child is in a better place.”
C. “Yourchild isn’t feeling pain anymore.”
D. “lam very sorry. We will miss your child very much.” Pg. 1020
The nurse is speaking with a parent of a toddler. The parent asks the nurse what reaction is
expected from their child regarding the impending death of a grandparent. The nurse should
state that children in that age group...
A. Criticize funerals as barbaric
B. Imagines the deceased person to still be alive. Pg. 1015
C. Believed their thoughts caused the death.
D. Are veryinterested in funerals and burials
The nurse is caring for a child with retinoblastoma who is returning from a enucleation
procedure. The parents are concerned about their child’s appearance after the procedure.
Which of the following statements is correct for the nurse to inform the parents?
The eyelid will remain closed for the remainder of the child’s life.
oo w>
Moderate drainage will come from the affected socket initially.
The eye pad dressing is left open to air in the evenings.
A sphere is surgically implanted to maintain the shape of the eyeball. Pg. 1324
The nurse has attended a continuing education conference on preschool age children’s reaction
to death. It indicates a correct understanding of the conference, if the nurse states that
preschool age children ...
A. Imagine the deceased person is sleeping pg. 1015
B. Are very interested in funerals and burials
C. Shows more grief to a significant family member’s death
D. Understands death is permanent
The nurse is caring for a child at the end of life. The parents ask the nurse if there are any signs
of approaching death. Which physical signs from the box below indicate the child is approaching
death?
1 Tachycardia
“ue”
2 [ecreased Blood Pressl
v
3 Body feels warm
v
4 Decreased appet]
e
5 Slurred speech
vt
6 Increased thirst
N
, Maternal Exam 4 Study Guide
A. 1,4,6
B. ???
C. ?2??
D. 2,4,5 pg.1018 Box 36.9
7. The nurse is teaching parents of adolescent. The nurse explains to the parents that this age
group has trouble dealing with death because they...?
A. Proceed to participate in ritualism during the dying process.
B. Are the most likely to accept their own death or cessation of life
C. Have trouble understanding what happens to their body after death
D. Consider funerals to be barbaric, money making events pg. 1016
8. The nurse is providing a teaching session to the health care staff regarding osteosarcoma. Which
of the following statements by an attendee indicates a need for additional teaching?
A.“The sternum is the most common site of this sarcoma.” Pg. 1319
B. “In the early stage, the symptoms of this disease are usually attributed to the normal
growing pains.”
C.“A common clinical manifestation is limping if a weight-bearing limb is affected.”
D.“Children typically experience.”
9. The nurse is caring for a 5-year-old child who is suspected of having a Wilms tumor. Which of
the following actions by the nurse indicates the needs to remain in bed.
A. Instructing the parents that the child needs to remain in bed.
B. Requesting a bland soft diet for the child
C. Palpating a child’s abdomen pg. 1321
D. Preventing the child from playing tag in the play room.
10. The nurse is caring for a 5-year-old child who has sickle cell disease. An assessment of the child
includes the following respirations 10 and unarousable. The child is currently on IV fluids and
continuous IV morphine sulfate. Based on the assessment information, which of the following
action should the nurse take first?
Administer naloxone to reverse the effects of the morphine pg. 1361
Obtain a complete metabolic laboratory blood sample
00w
Increase the IV fluids to decrease vaso-occlusion
Perform a sterna rub on the client
11. The nurse is admitting a child who has vaso-occlusion sickle cell crisis. Which of the following
interventions should the nurse anticipate being prescribed for the child?
A. Hydration, oxygenation, and pain management pg. 1278
B. Globulins and factor VIII replacement
C. Electrolyte replacement and administration of heparin
D. Correction of alkalosis and reduction of energy expenditure
12. The nurse is teaching staff members about caring for a child who has hemophilia. Which clinical
manifestation from the box below identified by a staff member indicate a correct understanding
of the teaching?
1) [xcessive bleedi'
2) Growth retardation
