Maternal And Child Health Nursing (nurs320)

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1.  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.
2.  Therapeutic management of most children with Hirschsprung disease is primarily which of the following?
A.
B.
C.
D.
3.  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.
4.  Nursing interventions to promote coping among the siblings of a child with special needs include which of the following?
A.
B.
C.
D.
5.  The breasts of a bottle-feeding woman are engorged. The nurse should instruct her to:
A.
B.
C.
D.
6.  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.
7.  The nurse knows that the second stage of labor, the descent phase, has begun when:
A.
B.
C.
D.
8.  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.
9.  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.
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.  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.
12.  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.
13.  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.
14.  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.
15.  Pyloric stenosis can best be described as which of the following?
A.
B.
C.
D.
16.  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.
17.  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.
18.  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.
19.  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.
20.  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.
21.  Which of the following types of croup is always considered a medical emergency?
A.
B.
C.
D.
22.  Which of the following is the most consistent and commonly used indicator of pain in infants?
A.
B.
C.
D.
23.  With regard to breathing techniques during labor, maternity nurses should be aware that:
A.
B.
C.
D.
24.  In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that:
A.
B.
C.
D.
25.  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.
26.  Which of the following urine tests of renal function is used to estimate glomerular filtration?
A.
B.
C.
D.
27.  Which of the following interventions will foster a sense of independence in a toddler with disabilities?
A.
B.
C.
D.
28.  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.
29.  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.
30.  Which of the following best describes the cause of most cases of acute glomerulonephritis?
A.
B.
C.
D.
31.  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.
32.  Which of the following is an early sign of heart failure that the nurse should recognize?
A.
B.
C.
D.
33.  A maternity nurse should be aware of which fact about the amniotic fluid?
A.
B.
C.
D.
34.  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.
35.  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.
36.  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.
37.  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.
38.  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.
39.  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.
40.  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.
41.  What is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
A.
B.
C.
D.
42.  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.
43.  When teaching self-care prevention of genital tract infections, the nurse should instruct the woman to:
A.
B.
C.
D.
44.  Which of the following is the definition that best describes children with special health care needs?
A.
B.
C.
D.
45.  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.
46.  Nursing care of the infant and child with heart failure would include which of the following?
A.
B.
C.
D.
47.  Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?
A.
B.
C.
D.
48.  An important nursing consideration when caring for a child with sickle cell anemia is which of the following?
A.
B.
C.
D.
49.  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.
50.  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.
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