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Maternal And Child Health Nursing (nurs320)

50 Questions  I  By [email protected]
Maternal and Child Health Nursing (NURS320)

  
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1.  An essential component of counseling women regarding safe sex practices includes discussion regarding avoiding the exchange of body fluids. The physical barrier promoted for the prevention of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is the condom. Nurses can help motivate clients to use condoms by initiating a discussion related to a number of aspects of condom use. The most important of these is:
A.
B.
C.
D.
2.  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.
3.  Which of the following is the definition that best describes children with special health care needs?
A.
B.
C.
D.
4.  A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. Based on her history, what contraceptive method should she and her partner avoid?
A.
B.
C.
D.
5.  Which of the following urine tests of renal function is used to estimate glomerular filtration?
A.
B.
C.
D.
6.  Which of the following statements best describes hypopituitarism?
A.
B.
C.
D.
7.  With regard to emergency contraception pills, nurses should be aware that:
A.
B.
C.
D.
8.  A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should inform her:
A.
B.
C.
D.
9.  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.
10.  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.
11.  An expectant father confides in the nurse that his pregnant wife, 10 weeks of gestation, is driving him crazy. "One minute she seems happy, and the next minute she is crying over nothing at all. Is there something wrong with her?" The nurse's best response is:
A.
B.
C.
D.
12.  A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates:
A.
B.
C.
D.
13.  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.
14.  A woman taking an oral contraceptive pill (OCP) as her birth control method of choice should notify her health care provider immediately if she notes:
A.
B.
C.
D.
15.  Although remarkable developments have occurred in reproductive medicine, assisted reproductive therapies are associated with a number of legal and ethical issues. Nurses can provide accurate information about the risks and benefits of treatment alternatives so couples can make informed decisions about their choice of treatment. Which issue would not need to be addressed by an infertile couple before treatment?
A.
B.
C.
D.
16.  A school-age child recently diagnosed with type 1 diabetes mellitus asks the nurse if he can still play soccer, play baseball, and swim. The nurse's response should be based on knowledge that:
A.
B.
C.
D.
17.  What is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
A.
B.
C.
D.
18.  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.
19.  With regard to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that:
A.
B.
C.
D.
20.  The nurse is caring postoperatively for an 8-year-old child with multiple fractures and other trauma resulting from a motor vehicle injury. The child is experiencing severe pain. Which of the following is an important consideration in managing the child's pain?
A.
B.
C.
D.
21.  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.
22.  An important nursing consideration when caring for a child with sickle cell anemia is which of the following?
A.
B.
C.
D.
23.  Which of the following pediatric oncologic emergencies is caused by the rapid release of intracellular metabolites during the initial treatment of some cancers?
A.
B.
C.
D.
24.  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.
25.  The nurse is caring for a child hospitalized with acute adrenocortical insufficiency. Because of the sudden, severe nature of the disease the family needs a great deal of emotional support. The most appropriate nursing action is which of the following?
A.
B.
C.
D.
26.  Which of the following types of croup is always considered a medical emergency?
A.
B.
C.
D.
27.  The nurse is caring for a child dying from cancer. Parents ask how they will know that the child is approaching death. The nurse's answer should include which of the following?
A.
B.
C.
D.
28.  A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be:
A.
B.
C.
D.
29.  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.
30.  The nurse comes into the room of a child who was just diagnosed with a chronic disability. The child's parents begin to yell at the nurse about a variety of concerns. Which of the following is the nurse's best response?
A.
B.
C.
D.
31.  An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
A.
B.
C.
D.
32.  Semen analysis is a common diagnostic procedure related to infertility. In instructing a male client regarding this test, the nurse would tell him to:
A.
B.
C.
D.
33.  The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death. Which of the following is an appropriate nursing intervention?
A.
B.
C.
D.
34.  When teaching self-care prevention of genital tract infections, the nurse should instruct the woman to:
A.
B.
C.
D.
35.  The nurse knows that the second stage of labor, the descent phase, has begun when:
A.
B.
C.
D.
36.  Women with severe and persistent mental illness are likely to be more vulnerable to being involved in controlling and/or violent relationships. However, many women develop mental health problems as a result of long-term abuse. The psychologic consequences of continued abuse do not include:
A.
B.
C.
D.
37.  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.
38.  The nurse is talking with the parents of a child who died 6 months ago. They sometimes still "hear" the child's voice and have trouble sleeping. They describe feeling empty and depressed. The nurse should recognize which of the following?
A.
B.
C.
D.
39.  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.
40.  Which of the following is the most consistent and commonly used indicator of pain in infants?
A.
B.
C.
D.
41.  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.
42.  During a health history interview, a woman tells the nurse that her husband physically abuses her. The nurse's first response should be to:
A.
B.
C.
D.
43.  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.
44.  Physiologic measurements in children's pain assessment are:
A.
B.
C.
D.
45.  Which of the following should the nurse include when discussing a child's precocious puberty with the parents?
A.
B.
C.
D.
46.  A significant, common side effect that occurs with opioid administration is:
A.
B.
C.
D.
47.  Nurses can advise their clients that all are signs that precede labor except:
A.
B.
C.
D.
48.  A school-age child with cancer is being prepared for a procedure. The child says, "I have had one of these. They hurt." The nurse's response should be based on knowledge that children:
A.
B.
C.
D.
49.  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.
50.  An adolescent girl dies in the emergency department after a car accident. Her family arrives at the hospital shortly after death. They request to see her body. Because she is disfigured from the accident, the most appropriate nursing action is which of the following?
A.
B.
C.
D.
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