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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 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.
2.  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.
3.  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.
4.  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.
5.  Nurses can advise their clients that all are signs that precede labor except:
A.
B.
C.
D.
6.  A maternity nurse should be aware of which fact about the amniotic fluid?
A.
B.
C.
D.
7.  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.
8.  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.
9.  With regard to breathing techniques during labor, maternity nurses should be aware that:
A.
B.
C.
D.
10.  The most common signs and symptoms of leukemia related to bone marrow involvement are which of the following?
A.
B.
C.
D.
11.  Which of the following is an important nursing consideration in the care of a child with celiac disease?
A.
B.
C.
D.
12.  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.
13.  The clinical manifestations of nephrotic syndrome include which of the following?
A.
B.
C.
D.
14.  Nursing considerations related to the administration of chemotherapeutic drugs include which of the following?
A.
B.
C.
D.
15.  Nurses should be aware that infertility:
A.
B.
C.
D.
16.  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.
17.  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.
18.  A significant, common side effect that occurs with opioid administration is:
A.
B.
C.
D.
19.  Which of the following best describes the 4-year-old child's concept of death?
A.
B.
C.
D.
20.  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.
21.  Which of the following urine tests of renal function is used to estimate glomerular filtration?
A.
B.
C.
D.
22.  Which of the following statements best describes Cushing syndrome?
A.
B.
C.
D.
23.  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.
24.  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.
25.  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.
26.  With regard to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that:
A.
B.
C.
D.
27.  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.
28.  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.
29.  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.
30.  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.
31.  Nursing interventions for the child after a cardiac catheterization would include which of the following?
A.
B.
C.
D.
32.  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.
33.  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.
34.  A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be:
A.
B.
C.
D.
35.  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.
36.  Nursing care of the infant and child with heart failure would include which of the following?
A.
B.
C.
D.
37.  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.
38.  The nurse knows that the second stage of labor, the descent phase, has begun when:
A.
B.
C.
D.
39.  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.
40.  Which of the following best describes the cause of most cases of acute glomerulonephritis?
A.
B.
C.
D.
41.  The nurse is talking with the parents of a child who died 6 months ago. They sometimes still "hear" the child's voice and have trouble sleeping. They describe feeling empty and depressed. The nurse should recognize which of the following?
A.
B.
C.
D.
42.  With regard to emergency contraception pills, nurses should be aware that:
A.
B.
C.
D.
43.  In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that:
A.
B.
C.
D.
44.  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.
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.  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.
47.  Which of the following is the primary clinical manifestation of acute renal failure?
A.
B.
C.
D.
48.  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.
49.  With regard to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
A.
B.
C.
D.
50.  An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
A.
B.
C.
D.
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