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. 
    Which of the following is the most consistent and commonly used indicator of pain in infants?
    • A. 

      Increased respirations

    • B. 

      Increased heart rate

    • C. 

      Thrashing of arms and legs

    • D. 

      Facial expression of discomfort


  • 2. 
    Physiologic measurements in children's pain assessment are:
    • A. 

      Not useful as the sole indicator for pain.

    • B. 

      The best indicator of pain in children of all ages.

    • C. 

      Of most value when children also report having pain.

    • D. 

      Essential to determine whether a child is telling the truth about pain.


  • 3. 
    Which of the following self-report pain rating scales can be used in children as young as 3 years of age?
    • A. 

      Poker Chip Tool

    • B. 

      Visual Analog Scale

    • C. 

      FACES Pain Rating Scale

    • D. 

      Word-Graphic Rating Scale


  • 4. 
    A 5-year-old has patient-controlled analgesia (PCA) for pain management following abdominal surgery. Your explanation to the parents should include:
    • A. 

      The child will be pain free.

    • B. 

      Only the child is allowed to push the button for a bolus.

    • C. 

      The pump allows for a continuous basal rate and delivers a constant amount of medication to control pain.

    • D. 

      There is a high risk of overdose so monitoring is done every 15 minutes.


  • 5. 
    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. 

      Same as the intravenous dose

    • B. 

      Greater than the intravenous dose

    • C. 

      One half of the intravenous dose

    • D. 

      One fourth of the intravenous dose


  • 6. 
    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. 

      Give only an opioid analgesic at this time.

    • B. 

      Increase the dosage of analgesic until the child is adequately sedated.

    • C. 

      Plan a preventive schedule of pain medication around the clock.

    • D. 

      Give the child a clock and explain when she or he can have pain medications.


  • 7. 
    A significant, common side effect that occurs with opioid administration is:
    • A. 

      Euphoria.

    • B. 

      Diuresis.

    • C. 

      Constipation.

    • D. 

      Allergic reactions.


  • 8. 
    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. 

      Often lie about experiencing pain.

    • B. 

      Tolerate pain better than adults.

    • C. 

      Become accustomed to painful procedures.

    • D. 

      Commonly experience treatment-related moderate to severe pain when they have cancer.


  • 9. 
    Which of the following is the definition that best describes children with special health care needs?
    • A. 

      Having a loss or abnormality of structure or function

    • B. 

      Having a condition or barrier imposed by society, the environment, or one’s self

    • C. 

      Having a condition that interferes with daily function for more than 3 months a year, causes hospitalization of more than 1 month a year, or is likely to do either of these

    • D. 

      Being at increased risk for a chronic physical, behavioral, developmental, or emotional condition and also requiring health and related services of a type or amount beyond those required by children in general


  • 10. 
    Which of the following interventions will foster a sense of independence in a toddler with disabilities?
    • A. 

      Help parents learn special care needs of their child.

    • B. 

      Help parents provide safe opportunities to explore the environment at home and in the hospital.

    • C. 

      Expose child to pleasurable experiences as much as possible.

    • D. 

      Avoid separation from family during hospitalization.


  • 11. 
    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. 

      The father is experiencing denial.

    • B. 

      The father is expressing his own views.

    • C. 

      Child is using an adaptive coping style.

    • D. 

      Child is using a maladaptive coping style.


  • 12. 
    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. 

      Verbal cue to stop crying

    • B. 

      Part of assessing parent’s coping skills

    • C. 

      Inappropriate, because parent is so upset

    • D. 

      Diverting the present crisis to similar situations with which parent has dealt


  • 13. 
    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. 

      Recommend the parents attend school at first to prevent teasing.

    • B. 

      Request to visit the school.

    • C. 

      Refer the child to a school where the children have similar chronic disabilities.

    • D. 

      Discuss with the child and parents how unlikely it is that the classmates will accept the child as they did before.


  • 14. 
    Nursing interventions to promote coping among the siblings of a child with special needs include which of the following?
    • A. 

      Explain to the siblings that embarrassment is unhealthy.

    • B. 

      Encourage the parents not to expect siblings to help them care for the child with special needs.

    • C. 

      Provide information to the siblings about the child’s condition only as requested.

    • D. 

      Suggest to the parents ways of showing gratitude to the siblings when they help care for the child with special needs.


  • 15. 
    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. 

      “What is really wrong?”

    • B. 

      “Being angry is only natural.”

    • C. 

      “Yelling at me will not change things.”

    • D. 

      “I will come back when you settle down.”


  • 16. 
    Which of the following best describes the 4-year-old child's concept of death?
    • A. 

      Death is temporary.

    • B. 

      Death is permanent.

    • C. 

      Death is inevitable at some age.

    • D. 

      Death is personified in various forms.


  • 17. 
    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. 

      The child is denying the seriousness of the illness.

    • B. 

      This is a common reaction and a way to express anger.

    • C. 

      More discipline is needed to deal with the uncooperativeness.

    • D. 

      Permissiveness is needed as child copes with a life-threatening illness.


  • 18. 
    The nurse is providing support to a family who is experiencing anticipatory grief related to their child's imminent death. Which of the following is an appropriate nursing intervention?
    • A. 

      Be available to family.

    • B. 

      Attempt to “lighten the mood.”

    • C. 

      Suggest activities to cheer up the family.

    • D. 

      Discourage crying until actual time of death.


  • 19. 
    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. 

      Rapid pulse

    • B. 

      Change in respiratory pattern

    • C. 

      Sensation of cold although body feels hot

    • D. 

      Loss of hearing followed by loss of other senses


  • 20. 
    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. 

      Grant their request.

    • B. 

      Assess why they think this is necessary.

    • C. 

      Discourage this because it will only prolong their grief.

    • D. 

      Kindly explain that they need to say good-bye to their child now and leave.


  • 21. 
    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. 

      Contact a clergyperson to discuss this problem with them.

    • B. 

      Explain that their daughter is disfigured and it would be best not to see her.

    • C. 

      Encourage them to wait for viewing until the funeral home has prepared her body.

    • D. 

      Inform them of what to expect and then let them see their daughter.


  • 22. 
    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. 

      Encourage child to attend funeral but not see the body.

    • B. 

      Refer the child to someone who can assess her readiness for these experiences.

    • C. 

      Suggest that instead of these experiences the child visit the grave site after the services are over.

    • D. 

      Explain that her parents or another significant person should provide support during these experiences.


  • 23. 
    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. 

      These are normal grief responses.

    • B. 

      The pain of the loss is usually less by this time.

    • C. 

      These grief responses are more typical of the early stages of grief.

    • D. 

      This grieving is essential until the pain is gone and the child is gradually forgotten.


  • 24. 
    Therapeutic management of most children with Hirschsprung disease is primarily which of the following?
    • A. 

      Daily enemas

    • B. 

      Low-fiber diet

    • C. 

      Permanent colostomy

    • D. 

      Removal of affected piece of bowel


  • 25. 
    A proton pump inhibitor (PPI) is ordered for an infant with gastroesophageal reflux. The nurse should include in the drug teaching that:
    • A. 

      The drug should be given 30 minutes before bedtime.

    • B. 

      Three times a day dosing has maximum effect.

    • C. 

      The drug can be stopped once symptoms have resolved.

    • D. 

      Several days may pass before full effect is reached.


  • 26. 
    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. 

      Crohn disease

    • B. 

      Ulcerative colitis

    • C. 

      Meckel diverticulum

    • D. 

      Irritable bowel syndrome


  • 27. 
    Pyloric stenosis can best be described as which of the following?
    • A. 

      Dilation of pylorus

    • B. 

      Hypertrophy of pyloric muscle

    • C. 

      Hypotonicity of pyloric muscle

    • D. 

      Reduction of tone in the pyloric muscle


  • 28. 
    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. 

      Notify physician.

    • B. 

      Measure abdominal girth.

    • C. 

      Auscultate for bowel sounds.

    • D. 

      Take vital signs, including blood pressure.


  • 29. 
    Which of the following is an important nursing consideration in the care of a child with celiac disease?
    • A. 

      Refer to a nutritionist for detailed dietary instructions and education.

    • B. 

      Help child and family understand that diet restrictions are usually only temporary.

    • C. 

      Teach proper hand washing and Standard Precautions to prevent disease transmission.

    • D. 

      Suggest ways to cope more effectively with stress to minimize symptoms.


  • 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. 

      Prepare family for impending death.

    • B. 

      Teach family how to calculate caloric needs.

    • C. 

      Ensure that family can identify signs of central venous catheter infections.

    • D. 

      Secure TPN and gastrostomy tubing under diaper to lessen risk of dislodgment.


  • 31. 
    Nursing interventions for the child after a cardiac catheterization would include which of the following?
    • A. 

      Allow ambulation as tolerated.

    • B. 

      Monitor vital signs every 2 hours.

    • C. 

      Assess the affected extremity for temperature and color.

    • D. 

      Check pulses above the catheterization site for equality and symmetry.


  • 32. 
    Which of the following is an early sign of heart failure that the nurse should recognize?
    • A. 

      Tachypnea

    • B. 

      Bradycardia

    • C. 

      Inability to sweat

    • D. 

      Increased urinary output


  • 33. 
    Nursing care of the infant and child with heart failure would include which of the following?
    • A. 

      Force fluids appropriate to age.

    • B. 

      Monitor respirations during active periods.

    • C. 

      Organize activities to allow for uninterrupted sleep.

    • D. 

      Give larger feedings less often to conserve energy.


  • 34. 
    Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?
    • A. 

      Coarctation of the aorta

    • B. 

      Atrial septal defect

    • C. 

      Patent ductus arteriosus

    • D. 

      Tetralogy of Fallot


  • 35. 
    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. 

      Notify physician.

    • B. 

      Take vital signs and blood pressure and compare them with baseline.

    • C. 

      Dilute infusing blood with equal amounts of normal saline.

    • D. 

      Stop transfusion and maintain a patent intravenous line with normal saline and new tubing.


  • 36. 
    An important nursing consideration when caring for a child with sickle cell anemia is which of the following?
    • A. 

      Refer parents and child for genetic counseling.

    • B. 

      Teach parents and child how to recognize signs and symptoms of crises.

    • C. 

      Help the child and family adjust to a short-term disease.

    • D. 

      Observe for complications of multiple blood transfusions.


  • 37. 
    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. 

      They are often ordered but not usually needed.

    • B. 

      When they are medically indicated, children rarely become addicted.

    • C. 

      They are given as a last resort because of the threat of addiction.

    • D. 

      They are used only if other measures, such as ice packs, are ineffective.


  • 38. 
    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. 

      Apply warm, moist compresses.

    • B. 

      Apply tourniquet for at least 5 minutes.

    • C. 

      Elevate arm above the level of the heart.

    • D. 

      Begin passive range of motion unless pain is severe.


  • 39. 
    Nursing considerations related to the administration of chemotherapeutic drugs include which of the following?
    • A. 

      Anaphylaxis cannot occur, since the drugs are considered toxic to normal cells.

    • B. 

      Infiltration will not occur unless superficial veins are used for the intravenous infusion.

    • C. 

      Many chemotherapeutic agents are vesicants that can cause severe cellular damage if drug infiltrates.

    • D. 

      Good hand washing is essential when handling chemotherapeutic drugs, but gloves are not necessary.


  • 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. 

      Hyperleukocytosis

    • B. 

      Overwhelming infection

    • C. 

      Acute tumor lysis syndrome

    • D. 

      Superior vena cava syndrome


  • 41. 
    The most common signs and symptoms of leukemia related to bone marrow involvement are which of the following?
    • A. 

      Petechiae, fever, fatigue

    • B. 

      Headache, papilledema, irritability

    • C. 

      Muscle wasting, weight loss, fatigue

    • D. 

      Decreased intracranial pressure, psychosis, confusion


  • 42. 
    Which of the following statements best describes hypopituitarism?
    • A. 

      Skeletal proportions are normal for age.

    • B. 

      Weight is usually more retarded than height.

    • C. 

      Growth is normal during the first 3 years of life.

    • D. 

      Most of these children have subnormal intelligence.


  • 43. 
    Which of the following should the nurse include when discussing a child's precocious puberty with the parents?
    • A. 

      The child is not yet fertile.

    • B. 

      Heterosexual interest is usually advanced.

    • C. 

      Dress and activities should be appropriate to chronologic age.

    • D. 

      Appearance of secondary sexual characteristics does not proceed in the usual order.


  • 44. 
    Which of the following is the primary clinical manifestation of diabetes insipidus?
    • A. 

      Oliguria

    • B. 

      Glycosuria

    • C. 

      Nausea, vomiting

    • D. 

      Polyuria, polydipsia


  • 45. 
    A 13-year-old girl is brought to the clinic with the complaint of insomnia and hyperactivity. Other symptoms include gradual weight loss despite a good appetite; warm, flushed, and moist skin; and unusually fine hair. These manifestations are most suggestive of which of the following?
    • A. 

      Hypothyroidism

    • B. 

      Hyperthyroidism

    • C. 

      Hypoparathyroidism

    • D. 

      Hyperparathyroidism


  • 46. 
    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. 

      Prepare family for impending death.

    • B. 

      Prepare the family for each procedure.

    • C. 

      Prepare family for long-term consequences of paralysis.

    • D. 

      Reassure family that flaccid paralysis is not problematic.


  • 47. 
    Which of the following statements best describes Cushing syndrome?
    • A. 

      It is caused by excessive production of cortisol.

    • B. 

      Treatment involves replacement of cortisol.

    • C. 

      The major clinical features are exophthalmia and pigmentary changes.

    • D. 

      Diagnosis is suspected with findings of hypotension, hyperkalemia, and polyuria.


  • 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. 

      It is an easier method of testing.

    • B. 

      Parents are better able to manage the diabetes.

    • C. 

      Children have a greater sense of control over the diabetes.

    • D. 

      Fewer visits to the primary care provider will be necessary.


  • 49. 
    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. 

      Exercise is contraindicated.

    • B. 

      The level of activity depends on the type of insulin required.

    • C. 

      Exercise is not restricted unless indicated by other health conditions.

    • D. 

      Soccer and baseball are too strenuous, but swimming is acceptable.


  • 50. 
    The nurse should recognize that when a child develops diabetic ketoacidosis, this is which of the following?
    • A. 

      Expected outcome

    • B. 

      Best treated at home

    • C. 

      Life-threatening situation

    • D. 

      Best treated at practitioner’s office or clinic


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