INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

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...