Maternal And Child Health Nursing (nurs320)

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1.  A maternity nurse should be aware of which fact about the amniotic fluid?
A.
B.
C.
D.
2.  Which of the following is an early sign of heart failure that the nurse should recognize?
A.
B.
C.
D.
3.  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.
4.  The clinical manifestations of nephrotic syndrome include which of the following?
A.
B.
C.
D.
5.  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.
6.  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.
7.  When teaching self-care prevention of genital tract infections, the nurse should instruct the woman to:
A.
B.
C.
D.
8.  Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?
A.
B.
C.
D.
9.  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.
10.  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.
11.  Physiologic measurements in children's pain assessment are:
A.
B.
C.
D.
12.  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.
13.  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.
14.  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.
15.  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.
16.  A woman inquires about herbal alternative methods for improving fertility. Which statement by the nurse is the most appropriate when instructing the woman in which herbal preparations to avoid while trying to conceive?
A.
B.
C.
D.
17.  Therapeutic management of nephrotic syndrome includes which of the following?
A.
B.
C.
D.
18.  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.
19.  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.
20.  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.
21.  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.
22.  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.
23.  An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
A.
B.
C.
D.
24.  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.
25.  The breasts of a bottle-feeding woman are engorged. The nurse should instruct her to:
A.
B.
C.
D.
26.  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.
27.  The nurse should recognize that when a child develops diabetic ketoacidosis, this is which of the following?
A.
B.
C.
D.
28.  With regard to emergency contraception pills, nurses should be aware that:
A.
B.
C.
D.
29.  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.
30.  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.
31.  An important nursing consideration when caring for a child with sickle cell anemia is which of the following?
A.
B.
C.
D.
32.  Nursing interventions to promote coping among the siblings of a child with special needs include which of the following?
A.
B.
C.
D.
33.  Nursing interventions for the child after a cardiac catheterization would include which of the following?
A.
B.
C.
D.
34.  Which of the following statements best describes hypopituitarism?
A.
B.
C.
D.
35.  Which of the following interventions will foster a sense of independence in a toddler with disabilities?
A.
B.
C.
D.
36.  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.
37.  Which of the following is an important nursing consideration in the care of a child with celiac disease?
A.
B.
C.
D.
38.  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.
39.  With regard to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
A.
B.
C.
D.
40.  With regard to breathing techniques during labor, maternity nurses should be aware that:
A.
B.
C.
D.
41.  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.
42.  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.
43.  Nurses can advise their clients that all are signs that precede labor except:
A.
B.
C.
D.
44.  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.
45.  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.
46.  With regard to primary and secondary powers, the maternity nurse should understand that:
A.
B.
C.
D.
47.  Which of the following best describes the 4-year-old child's concept of death?
A.
B.
C.
D.
48.  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.
49.  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.
50.  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.
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