Maternal And Child Health Nursing (Nurs320)

50 Questions | Total Attempts: 158

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Maternal And Child Health Quizzes & Trivia

Questions and Answers
  • 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.

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