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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.  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.
2.  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.
3.  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.
4.  With regard to primary and secondary powers, the maternity nurse should understand that:
A.
B.
C.
D.
5.  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.
6.  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.
7.  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.
8.  Which of the following types of croup is always considered a medical emergency?
A.
B.
C.
D.
9.  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.
10.  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.
11.  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.
12.  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.
13.  Therapeutic management of nephrotic syndrome includes which of the following?
A.
B.
C.
D.
14.  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.
15.  The nurse knows that the second stage of labor, the descent phase, has begun when:
A.
B.
C.
D.
16.  Which of the following interventions will foster a sense of independence in a toddler with disabilities?
A.
B.
C.
D.
17.  When teaching self-care prevention of genital tract infections, the nurse should instruct the woman to:
A.
B.
C.
D.
18.  Which of the following best describes the 4-year-old child's concept of death?
A.
B.
C.
D.
19.  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.
20.  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.
21.  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.
22.  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.
23.  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.
24.  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.
25.  An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
A.
B.
C.
D.
26.  Nurses should be aware that infertility:
A.
B.
C.
D.
27.  With regard to emergency contraception pills, nurses should be aware that:
A.
B.
C.
D.
28.  With regard to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
A.
B.
C.
D.
29.  A maternity nurse should be aware of which fact about the amniotic fluid?
A.
B.
C.
D.
30.  The clinical manifestations of nephrotic syndrome include which of the following?
A.
B.
C.
D.
31.  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.
32.  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.
33.  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.
34.  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.
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.  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.
37.  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.
38.  A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be:
A.
B.
C.
D.
39.  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.
40.  Nursing interventions to promote coping among the siblings of a child with special needs include which of the following?
A.
B.
C.
D.
41.  The breasts of a bottle-feeding woman are engorged. The nurse should instruct her to:
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.  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.
44.  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.
45.  Which of the following best describes the cause of most cases of acute glomerulonephritis?
A.
B.
C.
D.
46.  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.
47.  A significant, common side effect that occurs with opioid administration is:
A.
B.
C.
D.
48.  Which of the following is the definition that best describes children with special health care needs?
A.
B.
C.
D.
49.  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.
50.  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.
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