Maternal And Child Health Nursing (nurs320)

50 Questions  I  By Nursejbv21
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Maternal And Child Health Quizzes & Trivia

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1.  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.
2.  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.
3.  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.
4.  Nurses can advise their clients that all are signs that precede labor except:
A.
B.
C.
D.
5.  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.
6.  Which of the following is the most consistent and commonly used indicator of pain in infants?
A.
B.
C.
D.
7.  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.
8.  Which of the following is the primary clinical manifestation of acute renal failure?
A.
B.
C.
D.
9.  Which of the following is the primary clinical manifestation of diabetes insipidus?
A.
B.
C.
D.
10.  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.
11.  With regard to breathing techniques during labor, maternity nurses should be aware that:
A.
B.
C.
D.
12.  Which of the following is an important nursing consideration in the care of a child with celiac disease?
A.
B.
C.
D.
13.  The breasts of a bottle-feeding woman are engorged. The nurse should instruct her to:
A.
B.
C.
D.
14.  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.
15.  With regard to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that:
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 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.
18.  The Centers for Disease Control and Prevention (CDC)-recommended medication for the treatment of chlamydia is:
A.
B.
C.
D.
19.  The nurse should recognize that when a child develops diabetic ketoacidosis, this is which of the following?
A.
B.
C.
D.
20.  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.
21.  A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be:
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.  Which of the following should the nurse include when discussing a child's precocious puberty with the parents?
A.
B.
C.
D.
24.  With regard to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
A.
B.
C.
D.
25.  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.
26.  Physiologic measurements in children's pain assessment are:
A.
B.
C.
D.
27.  What is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
A.
B.
C.
D.
28.  Which of the following best describes the 4-year-old child's concept of death?
A.
B.
C.
D.
29.  Which of the following statements best describes hypopituitarism?
A.
B.
C.
D.
30.  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.
31.  With regard to primary and secondary powers, the maternity nurse should understand that:
A.
B.
C.
D.
32.  Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?
A.
B.
C.
D.
33.  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.
34.  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.
35.  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.
36.  The clinical manifestations of nephrotic syndrome include which of the following?
A.
B.
C.
D.
37.  The most common signs and symptoms of leukemia related to bone marrow involvement are which of the following?
A.
B.
C.
D.
38.  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.
39.  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.
40.  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.
41.  Therapeutic management of most children with Hirschsprung disease is primarily which of the following?
A.
B.
C.
D.
42.  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.
43.  A maternity nurse should be aware of which fact about the amniotic fluid?
A.
B.
C.
D.
44.  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.
45.  Which of the following urine tests of renal function is used to estimate glomerular filtration?
A.
B.
C.
D.
46.  The nurse knows that the second stage of labor, the descent phase, has begun when:
A.
B.
C.
D.
47.  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.
48.  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.
49.  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.
50.  Nursing considerations related to the administration of chemotherapeutic drugs include which of the following?
A.
B.
C.
D.
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