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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.  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.
2.  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.
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.  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.
5.  The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. The nurse should explain which of the following concerning narcotic analgesics?
A.
B.
C.
D.
6.  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.
7.  Which of the following is the definition that best describes children with special health care needs?
A.
B.
C.
D.
8.  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.
9.  Nursing interventions to promote coping among the siblings of a child with special needs include which of the following?
A.
B.
C.
D.
10.  What is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
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.  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.
13.  A maternity nurse should be aware of which fact about the amniotic fluid?
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.  Which of the following is the primary clinical manifestation of diabetes insipidus?
A.
B.
C.
D.
16.  With regard to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that:
A.
B.
C.
D.
17.  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.
18.  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.
19.  The clinical manifestations of nephrotic syndrome include which of the following?
A.
B.
C.
D.
20.  Which of the following best describes the cause of most cases of acute glomerulonephritis?
A.
B.
C.
D.
21.  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.
22.  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.
23.  With regard to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
A.
B.
C.
D.
24.  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.
25.  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.
26.  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.
27.  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.
28.  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.
29.  Therapeutic management of nephrotic syndrome includes which of the following?
A.
B.
C.
D.
30.  A significant, common side effect that occurs with opioid administration is:
A.
B.
C.
D.
31.  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.
32.  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.
33.  Nursing considerations related to the administration of chemotherapeutic drugs include which of the following?
A.
B.
C.
D.
34.  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.
35.  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.
36.  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.
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.  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.
39.  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.
40.  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.
41.  Which of the following is the most consistent and commonly used indicator of pain in infants?
A.
B.
C.
D.
42.  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.
43.  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.
44.  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.
45.  With regard to primary and secondary powers, the maternity nurse should understand that:
A.
B.
C.
D.
46.  With regard to breathing techniques during labor, maternity nurses should be aware that:
A.
B.
C.
D.
47.  An important nursing consideration when caring for a child with sickle cell anemia is which of the following?
A.
B.
C.
D.
48.  In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that:
A.
B.
C.
D.
49.  The most common signs and symptoms of leukemia related to bone marrow involvement are which of the following?
A.
B.
C.
D.
50.  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.
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