Maternal And Child Health Nursing (nurs320)

50 Questions  I  By Nursejbv21
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1.  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.
2.  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.
3.  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.
4.  The clinical manifestations of nephrotic syndrome include which of the following?
A.
B.
C.
D.
5.  Which of the following statements best describes Cushing syndrome?
A.
B.
C.
D.
6.  Which of the following best describes the 4-year-old child's concept of death?
A.
B.
C.
D.
7.  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.
8.  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.
9.  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.
10.  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.
11.  What is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
A.
B.
C.
D.
12.  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.
13.  Physiologic measurements in children's pain assessment are:
A.
B.
C.
D.
14.  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.
15.  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.
16.  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.
17.  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.
18.  An important nursing consideration when caring for a child with sickle cell anemia is which of the following?
A.
B.
C.
D.
19.  An 8-year-old child will soon be able to return to school after an injury that resulted in several severe, chronic disabilities. Which of the following is the most appropriate action by the school nurse?
A.
B.
C.
D.
20.  Semen analysis is a common diagnostic procedure related to infertility. In instructing a male client regarding this test, the nurse would tell him to:
A.
B.
C.
D.
21.  Nursing considerations related to the administration of chemotherapeutic drugs include which of the following?
A.
B.
C.
D.
22.  Which of the following is the definition that best describes children with special health care needs?
A.
B.
C.
D.
23.  The breasts of a bottle-feeding woman are engorged. The nurse should instruct her to:
A.
B.
C.
D.
24.  Nurses can advise their clients that all are signs that precede labor except:
A.
B.
C.
D.
25.  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.
26.  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.
27.  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.
28.  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.
29.  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.
30.  Which of the following should the nurse include when discussing a child's precocious puberty with the parents?
A.
B.
C.
D.
31.  An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
A.
B.
C.
D.
32.  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.
33.  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.
34.  The nurse should recognize that when a child develops diabetic ketoacidosis, this is which of the following?
A.
B.
C.
D.
35.  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.
36.  The nurse knows that the second stage of labor, the descent phase, has begun when:
A.
B.
C.
D.
37.  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.
38.  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.
39.  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.
40.  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.
41.  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.
42.  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.
43.  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.
44.  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.
45.  Nursing care of the infant and child with heart failure would include which of the following?
A.
B.
C.
D.
46.  The Centers for Disease Control and Prevention (CDC)-recommended medication for the treatment of chlamydia is:
A.
B.
C.
D.
47.  The most common signs and symptoms of leukemia related to bone marrow involvement are which of the following?
A.
B.
C.
D.
48.  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.
49.  Nurses should be aware that infertility:
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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