Maternal And Child Health Nursing (nurs320)

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1.  One of the goals for children with asthma is to prevent respiratory tract infection. This is because respiratory tract infection does which of the following?
A.
B.
C.
D.
2.  Physiologic measurements in children's pain assessment are:
A.
B.
C.
D.
3.  The father of a 9-year-old child with several physical disabilities tells the nurse that his son concentrates on what he can, rather than cannot, do and is as independent as possible. The nurse's best interpretation of this is which of the following?
A.
B.
C.
D.
4.  The nurse caring for a pregnant woman knows that her health teaching regarding fetal circulation has been effective when the woman reports that she has been sleeping:
A.
B.
C.
D.
5.  Which of the following is the primary clinical manifestation of acute renal failure?
A.
B.
C.
D.
6.  A 13-year-old girl is brought to the clinic with the complaint of insomnia and hyperactivity. Other symptoms include gradual weight loss despite a good appetite; warm, flushed, and moist skin; and unusually fine hair. These manifestations are most suggestive of which of the following?
A.
B.
C.
D.
7.  A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. The nurse tells her:
A.
B.
C.
D.
8.  Which of the following best describes the cause of most cases of acute glomerulonephritis?
A.
B.
C.
D.
9.  Which of the following statements best describes Cushing syndrome?
A.
B.
C.
D.
10.  You are evaluating the fetal monitor tracing of your client, who is in active labor. Suddenly you see the fetal heart rate (FHR) drop from its baseline of 125 down to 80. You reposition the mother, provide oxygen, increase IV fluid, and perform a vaginal exam. The cervix has not changed. Five minutes have passed, and the FHR remains in the 80s. What additional nursing measures should you take?
A.
B.
C.
D.
11.  A significant, common side effect that occurs with opioid administration is:
A.
B.
C.
D.
12.  A woman in active labor receives an opioid agonist analgesic. Which medication relieves severe, persistent, or recurrent pain, creates a sense of well-being, overcomes inhibitory factors, and may even relax the cervix but should be used cautiously in women with cardiac disease?
A.
B.
C.
D.
13.  Which of the following statements best describes hypopituitarism?
A.
B.
C.
D.
14.  In providing nourishment for a child with cystic fibrosis (CF), which of the following factors should the nurse keep in mind?
A.
B.
C.
D.
15.  An important nursing consideration when caring for a child with sickle cell anemia is which of the following?
A.
B.
C.
D.
16.  A woman gave birth to a 7-lb, 3-oz boy 2 hours ago. The nurse determines that the woman's bladder is distended because her fundus is now 3 cm above the umbilicus and to the right of the midline. In the immediate postpartum period, the most serious consequence likely to occur from bladder distention is:
A.
B.
C.
D.
17.  Therapeutic management of nephrotic syndrome includes which of the following?
A.
B.
C.
D.
18.  A woman is experiencing back labor and complains of intense pain in her lower back. An effective relief measure is to use:
A.
B.
C.
D.
19.  Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?
A.
B.
C.
D.
20.  After change of shift report the nurse assumes care of a multiparous client in labor. The woman is complaining of pain that radiates to her abdominal wall, lower back, buttocks, and down her thighs. Before implementing a plan of care, the nurse should understand that this type of pain is:
A.
B.
C.
D.
21.  A 5-year-old has patient-controlled analgesia (PCA) for pain management following abdominal surgery. Your explanation to the parents should include:
A.
B.
C.
D.
22.  When planning care for a 4-month-old child admitted with respiratory distress caused by respiratory syncytial virus (RSV) and bronchiolitis, it is essential to include which of the following?
A.
B.
C.
D.
23.  The nurse is caring for a boy with probable intussusception. He had diarrhea before admission, but while waiting for a barium enema, he passes a normal brown stool. The most appropriate nursing action is which of the following?
A.
B.
C.
D.
24.  With regard to emergency contraception pills, nurses should be aware that:
A.
B.
C.
D.
25.  Which of the following is an important nursing consideration in the care of a child with celiac disease?
A.
B.
C.
D.
26.  An 8-year-old child will soon be able to return to school after an injury that resulted in several severe, chronic disabilities. Which of the following is the most appropriate action by the school nurse?
A.
B.
C.
D.
27.  The parent of a 10-year-old child with diabetes asks the nurse why home blood glucose monitoring is being recommended. The nurse should base the explanation on which of the following?
A.
B.
C.
D.
28.  The most common signs and symptoms of leukemia related to bone marrow involvement are which of the following?
A.
B.
C.
D.
29.  The nurse is talking with the parent of a child newly diagnosed with a chronic illness. The parent is upset and tearful. The nurse asks, "When something is worrying you, what do you do?" This should be interpreted as which of the following?
A.
B.
C.
D.
30.  Pyloric stenosis can best be described as which of the following?
A.
B.
C.
D.
31.  Nurses, certified nurse-midwives, and other advanced practice nurses have the knowledge and expertise to assist women in making informed choices regarding contraception. A multidisciplinary approach should ensure that the woman's social, cultural, and interpersonal needs are met. Which action should the nurse take first when meeting with a new client to discuss contraception?
A.
B.
C.
D.
32.  Parents tell the nurse that their 7-year-old daughter wants to see her brother's body and attend the funeral. Which of the following should the nurse do?
A.
B.
C.
D.
33.  The nurse is caring for a child who has just died. The parents ask to be left alone so that they can rock their child one more time. The nurse should do which of the following?
A.
B.
C.
D.
34.  Asthma is now classified into four categories: mild intermittent, mild persistent, moderate persistent, and severe persistent. Clinical features used to determine these categories include all of the following except:
A.
B.
C.
D.
35.  Nursing interventions to promote coping among the siblings of a child with special needs include which of the following?
A.
B.
C.
D.
36.  With regard to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that:
A.
B.
C.
D.
37.  A child who has been receiving morphine intravenously will now start receiving it orally. The nurse should anticipate that to achieve equianalgesia (equal analgesic effect), the oral dose will be which of the following?
A.
B.
C.
D.
38.  A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. Which response by the nurse is most appropriate?
A.
B.
C.
D.
39.  A maternity nurse should be aware of which fact about the amniotic fluid?
A.
B.
C.
D.
40.  An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
A.
B.
C.
D.
41.  A woman inquires about herbal alternative methods for improving fertility. Which statement by the nurse is the most appropriate when instructing the woman in which herbal preparations to avoid while trying to conceive?
A.
B.
C.
D.
42.  When teaching self-care prevention of genital tract infections, the nurse should instruct the woman to:
A.
B.
C.
D.
43.  A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be:
A.
B.
C.
D.
44.  Nurses can help their clients by keeping them informed about the distinctive stages of labor. What description of the phases of the first stage of labor is accurate?
A.
B.
C.
D.
45.  An infant with short-bowel syndrome will be discharged home on total parenteral nutrition (TPN) and gastrostomy feedings. Nursing care should include which of the following?
A.
B.
C.
D.
46.  Which of the following self-report pain rating scales can be used in children as young as 3 years of age?
A.
B.
C.
D.
47.  The nurse helps a breastfeeding mother change the diaper of her 16-hour-old newborn after the first bowel movement. The mother expresses concern because the large amount of thick, sticky stool is very dark green, almost black. She asks the nurse if something is wrong. The nurse should respond to this mother's concern by:
A.
B.
C.
D.
48.  A married couple is discussing male and female sterilization with the nurse. Which statement is most appropriate for the nurse to make?
A.
B.
C.
D.
49.  Which of the following urine tests of renal function is used to estimate glomerular filtration?
A.
B.
C.
D.
50.  A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling. The nurse should:
A.
B.
C.
D.
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