Maternal And Child Health Nursing NCLEX Quiz 23

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  • 1/10 Questions

    While assessing a newborn with cleft lip. the nurse would be alert that which of the following will most likely be compromised?

    • Sucking ability
    • Respiratory status
    • Locomotion
    • GI function
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Maternal And Child Health Nursing NCLEX Quiz 23 - Quiz

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  • 2. 

    Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea?

    • Notify the physician immediately

    • Administer antidiarrheal medications

    • Monitor child ever 30 minutes

    • Nothing. this is characteristic of Hirschsprung disease

    Correct Answer
    A. Notify the physician immediately
    Explanation
    For the child with Hirschsprung disease. fever and explosive diarrhea indicate enterocolitis. a life-threatening situation. Therefore. the physician should be notified immediately.Option B: Generally. because of the intestinal obstruction and inadequate propulsive intestinal movement. antidiarrheals are not used to treat Hirschsprung disease.Option C: The child is acutely ill and requires intervention. with monitoring more frequently than every 30 minutes.Option D: Hirschsprung disease typically presents with chronic constipation.

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  • 3. 

    While assessing a child with pyloric stenosis. the nurse is likely to note which of the following?

    • Regurgitation

    • Steatorrhea

    • Projectile vomiting

    • “Currant jelly” stools

    Correct Answer
    A. Projectile vomiting
    Explanation
    Projectile vomiting is a key symptom of pyloric stenosis.Option A: Regurgitation is seen more commonly with GERD.Option B: Steatorrhea occurs in malabsorption disorders such as celiac disease.Option D: “Currant jelly” stools are characteristic of intussusception.

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  • 4. 

    Discharge teaching for a child with celiac disease would include instructions about avoiding which of the following?

    • Rice

    • Milk

    • Wheat

    • Chicken

    Correct Answer
    A. Wheat
    Explanation
    Children with celiac disease cannot tolerate or digest gluten. Therefore. because of its gluten content. wheat and wheat-containing products must be avoided.Options A. B. and D: Rice. milk. and chicken do not contain gluten and need not be avoided.

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  • 5. 

    A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following?

    • Hirschsprung disease

    • Celiac disease

    • Intussusception

    • Abdominal wall defect

    Correct Answer
    A. Hirschsprung disease
    Explanation
    Failure to pass meconium within the first 24 hours after birth may be an indication of Hirschsprung disease. a congenital anomaly resulting in mechanical obstruction due to inadequate motility in an intestinal segment.Options B. C. and D: Failure to pass meconium is not associated with celiac disease. intussusception. or abdominal wall defect.

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  • 6. 

    Which of the following parameters would the nurse monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal reflux disease (GERD)?

    • Vomiting

    • Stools

    • Uterine

    • Weight

    Correct Answer
    A. Vomiting
    Explanation
    Thickened feedings are used with GER to stop the vomiting. Therefore. the nurse would monitor the child’s vomiting to evaluate the effectiveness of using the thickened feedings.Options B and C: No relationship exists between feedings and characteristics of stools and uterine.Option D: If feedings are ineffective. this should be noted before there is any change in the child’s weight.

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  • 7. 

    When assessing a child for possible intussusception. which of the following would be least likely to provide valuable information?

    • Stool inspection

    • Pain pattern

    • Family history

    • Abdominal palpation

    Correct Answer
    A. Family history
    Explanation
    Because intussusception is not believed to have a familial tendency. obtaining a family history would provide the least amount of information.Options A. B. and D: Stool inspection. pain pattern. and abdominal palpation would reveal possible indicators of intussusception. Current. jelly-like stools containing blood and mucus are an indication of intussusception. Acute. episodic abdominal pain is characteristics of intussusception. A sausage-shaped mass may be palpated in the right upper quadrant.

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  • 8. 

    Which of the following nursing diagnoses would be inappropriate for the infant with gastroesophageal reflux (GER)?

    • Fluid volume deficit

    • Risk for aspiration

    • Altered nutrition: less than body requirements

    • Altered oral mucous membranes

    Correct Answer
    A. Altered oral mucous membranes
    Explanation
    GERD is the backflow of gastric contents into the esophagus resulting from relaxation or incompetence of the lower esophageal (cardiac) sphincter. No alteration in the oral mucous membranes occurs with this disorder.Options A. B. and C: Fluid volume deficit. risk for aspiration. and altered nutrition are appropriate nursing diagnoses.

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  • 9. 

    Which of the following would the nurse expect to assess in a child with celiac disease having a celiac crisis secondary to an upper respiratory infection?

    • Respiratory distress

    • Lethargy

    • Watery diarrhea

    • Weight gain

    Correct Answer
    A. Watery diarrhea
    Explanation
    Episodes of celiac crises are precipitated by infections. ingestion of gluten. prolonged fasting. or exposure to anticholinergic drugs. Celiac crisis is typically characterized by severe watery diarrhea.Option A: Respiratory distress is unlikely in a routine upper respiratory infection.Option B: Irritability. rather than lethargy. is more likely.Option D: Because of the fluid loss associated with the severe watery diarrhea. the child’s weight is more likely to be decreased.

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  • 10. 

    When providing postoperative care for the child with a cleft palate. the nurse should position the child in which of the following positions?

    • Supine

    • Prone

    • In an infant seat

    • On the side

    Correct Answer
    A. Prone
    Explanation
    Postoperatively children with cleft palate should be placed on their abdomens to facilitate drainage.Option A: If the child is placed in the supine position. he or she may aspirate.Option C: Using an infant seat does not facilitate drainage.Option D: Side-lying does not facilitate drainage as well as the prone position.

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  • Current Version
  • Aug 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 05, 2017
    Quiz Created by
    Santepro
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