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Maternal And Child Health Nursing (nurs320)

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Maternal And Child Health Nursing (NURS320)

  
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1.  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.
2.  Nurses should be aware that infertility:
A.
B.
C.
D.
3.  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.
4.  Which of the following interventions will foster a sense of independence in a toddler with disabilities?
A.
B.
C.
D.
5.  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.
6.  Nursing considerations related to the administration of chemotherapeutic drugs include which of the following?
A.
B.
C.
D.
7.  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.
8.  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.
9.  Nursing care of the infant and child with heart failure would include which of the following?
A.
B.
C.
D.
10.  Which of the following is the definition that best describes children with special health care needs?
A.
B.
C.
D.
11.  Physiologic measurements in children's pain assessment are:
A.
B.
C.
D.
12.  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.
13.  With regard to breathing techniques during labor, maternity nurses should be aware that:
A.
B.
C.
D.
14.  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.
15.  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.
16.  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.
17.  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.
18.  A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. Based on her history, what contraceptive method should she and her partner avoid?
A.
B.
C.
D.
19.  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.
20.  An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
A.
B.
C.
D.
21.  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.
22.  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.
23.  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.
24.  Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?
A.
B.
C.
D.
25.  The most common signs and symptoms of leukemia related to bone marrow involvement are which of the following?
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.  Therapeutic management of nephrotic syndrome includes which of the following?
A.
B.
C.
D.
28.  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.
29.  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.
30.  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.
31.  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.
32.  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.
33.  Which of the following is an important nursing consideration in the care of a child with celiac disease?
A.
B.
C.
D.
34.  Which of the following statements best describes hypopituitarism?
A.
B.
C.
D.
35.  Which of the following is an early sign of heart failure that the nurse should recognize?
A.
B.
C.
D.
36.  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.
37.  A maternity nurse should be aware of which fact about the amniotic fluid?
A.
B.
C.
D.
38.  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.
39.  A significant, common side effect that occurs with opioid administration is:
A.
B.
C.
D.
40.  Nurses can advise their clients that all are signs that precede labor except:
A.
B.
C.
D.
41.  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.
42.  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.
43.  Which of the following types of croup is always considered a medical emergency?
A.
B.
C.
D.
44.  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.
45.  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.
46.  When teaching self-care prevention of genital tract infections, the nurse should instruct the woman to:
A.
B.
C.
D.
47.  A school-age child with cancer is being prepared for a procedure. The child says, "I have had one of these. They hurt." The nurse's response should be based on knowledge that children:
A.
B.
C.
D.
48.  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.
49.  With regard to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
A.
B.
C.
D.
50.  The breasts of a bottle-feeding woman are engorged. The nurse should instruct her to:
A.
B.
C.
D.
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