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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.  Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?
A.
B.
C.
D.
2.  An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
A.
B.
C.
D.
3.  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.
4.  What is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
A.
B.
C.
D.
5.  The school nurse is caring for a child with hemophilia who fell on his arm during recess. Which of the following supportive measures should the nurse do until factor replacement therapy can be instituted?
A.
B.
C.
D.
6.  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.
7.  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.
8.  With regard to primary and secondary powers, the maternity nurse should understand that:
A.
B.
C.
D.
9.  The nurse suspects a child is having an adverse reaction to a blood transfusion. The first action by the nurse should be which of the following?
A.
B.
C.
D.
10.  Which of the following is characterized by a chronic inflammatory process that may involve any part of the gastrointestinal (GI) tract, from mouth to anus?
A.
B.
C.
D.
11.  Which of the following is an early sign of heart failure that the nurse should recognize?
A.
B.
C.
D.
12.  Which of the following statements best describes Cushing syndrome?
A.
B.
C.
D.
13.  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.
14.  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.
15.  In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that:
A.
B.
C.
D.
16.  Which of the following is an important nursing consideration in the care of a child with celiac disease?
A.
B.
C.
D.
17.  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.
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.  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.
20.  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.
21.  Therapeutic management of most children with Hirschsprung disease is primarily which of the following?
A.
B.
C.
D.
22.  Nurses can advise their clients that all are signs that precede labor except:
A.
B.
C.
D.
23.  The Centers for Disease Control and Prevention (CDC)-recommended medication for the treatment of chlamydia is:
A.
B.
C.
D.
24.  The nurse should recognize that when a child develops diabetic ketoacidosis, this is which of the following?
A.
B.
C.
D.
25.  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.
26.  Which of the following statements best describes hypopituitarism?
A.
B.
C.
D.
27.  The most common signs and symptoms of leukemia related to bone marrow involvement are which of the following?
A.
B.
C.
D.
28.  Nursing interventions for the child after a cardiac catheterization would include which of the following?
A.
B.
C.
D.
29.  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.
30.  Which of the following is the most consistent and commonly used indicator of pain in infants?
A.
B.
C.
D.
31.  Which of the following is the definition that best describes children with special health care needs?
A.
B.
C.
D.
32.  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.
33.  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.
34.  The clinical manifestations of nephrotic syndrome include which of the following?
A.
B.
C.
D.
35.  A proton pump inhibitor (PPI) is ordered for an infant with gastroesophageal reflux. The nurse should include in the drug teaching that:
A.
B.
C.
D.
36.  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.
37.  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.
38.  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.
39.  Nursing considerations related to the administration of chemotherapeutic drugs include which of the following?
A.
B.
C.
D.
40.  With regard to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
A.
B.
C.
D.
41.  An important nursing consideration when caring for a child with sickle cell anemia is which of the following?
A.
B.
C.
D.
42.  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.
43.  Pyloric stenosis can best be described as which of the following?
A.
B.
C.
D.
44.  Which of the following is the primary clinical manifestation of acute renal failure?
A.
B.
C.
D.
45.  Nurses should be aware that infertility:
A.
B.
C.
D.
46.  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.
47.  Which of the following types of croup is always considered a medical emergency?
A.
B.
C.
D.
48.  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.
49.  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.
50.  A school-age child with cancer is beginning to feel better now that the necessary medical procedures and treatments are not so traumatic. The child has also become very uncooperative with the parents. The nurse should explain that:
A.
B.
C.
D.
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