Family Health Nursing
Mock Exam
Course Introduction
Family Health Nursing focuses on the holistic care of families across the lifespan, emphasizing the interrelationships between family members and their environment. This course explores family-centered nursing assessment, diagnosis, and intervention strategies aimed at promoting health, preventing illness, and managing common conditions within the context of the family unit. Core topics include family theories and dynamics, health promotion, risk reduction, cultural competence, and community resources. Students learn to support family resilience and empowerment, collaborate with interdisciplinary teams, and apply evidence-based practices to address the unique health needs of diverse family structures.
Recommended Textbook
Maternal Child Nursing Care 5th Edition by Perry
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49 Chapters
1995 Verified Questions
1995 Flashcards
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Page 2
Chapter 1: 21st Century Maternity Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Through the use of social media technology,nurses can link with other nurses who may share similar interests,insights about practice,and advocate for patients.The most concerning pitfall for nurses using this technology is:
A)Violation of patient privacy and confidentiality.
B)Institutions and colleagues may be cast in an unfavorable light.
C)Unintended negative consequences for using social media.
D)Lack of institutional policy governing online contact.
Answer: A
Q2) The role of the professional nurse caring for childbearing families has evolved to emphasize:
A)Providing care to patients directly at the bedside.
B)Primarily hospital care of maternity patients.
C)Practice using an evidence-based approach.
D)Planning patient care to cover longer hospital stays.
Answer: C
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3
Chapter 2: Community Care: the Family and Culture
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Sample Questions
Q1) Using the family stress theory as an intervention approach for working with families experiencing parenting,the nurse can help the family change internal context factors.These include:
A)Biologic and genetic makeup.
B)Maturation of family members.
C)The family's perception of the event.
D)The prevailing cultural beliefs of society.
Answer: C
Q2) A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is the:
A)Genogram.
B)Family values construct.
C)Life cycle model.
D)Human development wheel.
Answer: A
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Chapter 3: Assessment and Health Promotion
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Sample Questions
Q1) As a powerful central nervous system stimulant,which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?
A)Heroin
B)Alcohol
C)PCP
D)Cocaine
Answer: D
Q2) Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as:
A)Gonadotropin-releasing hormone (GnRH).
B)Prostaglandins (PGs).
C)Follicle-stimulating hormone (FSH).
D)Luteinizing hormone (LH).
Answer: B
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Chapter 4: Reproductive System Concerns
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Sample Questions
Q1) Fennel,dong quai
A)Uterine antispasmodic
B)Uterotonic
C)Antiinflammatory
D)Estrogen-like luteinizing hormone suppressant
E)Decreases prolactin levels
Q2) On vaginal examination of a 30-year-old woman,the nurse documents the following findings: profuse,thin,grayish white vaginal discharge with a "fishy" odor; complaint of pruritus.On the basis of these findings,the nurse suspects that this woman has:
A)Bacterial vaginosis (BV).
B)Candidiasis.
C)Trichomoniasis.
D)Gonorrhea.
Q3) The nurse must watch for what common complications in a patient who has undergone a transverse rectus abdominis myocutaneous (TRAM)flap?
A)Axillary edema and tissue necrosis
B)Delayed wound healing and muscle contractions
C)Delayed wound healing and axillary edema
D)Delayed wound healing and hematoma
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Page 6
Chapter 5: Infertility,contraception,and Abortion
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Sample Questions
Q1) 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)Obtain data about the frequency of coitus.
B)Determine the woman's level of knowledge about contraception and commitment to any particular method.
C)Assess the woman's willingness to touch her genitals and cervical mucus.
D)Evaluate the woman's contraceptive life plan.
Q2) A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods (FAMs).The nurse's most appropriate reply is:
A)"They're not very effective, and it's very likely you'll get pregnant."
B)"They can be effective for many couples, but they require motivation."
C)"These methods have a few advantages and several health risks."
D)"You would be much safer going on the pill and not having to worry."
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Chapter 6: Genetics, conception, and Fetal Development
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Sample Questions
Q1) As relates to the structure and function of the placenta,the maternity nurse should be aware that:
A)As the placenta widens, it gradually thins to allow easier passage of air and nutrients.
B)As one of its early functions, the placenta acts as an endocrine gland.
C)The placenta is able to keep out most potentially toxic substances such as cigarette smoke to which the mother is exposed.
D)Optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing.
Q2) With regard to chromosome abnormalities,nurses should be aware that:
A)They occur in approximately 10% of newborns.
B)Abnormalities of number are the leading cause of pregnancy loss.
C)Down syndrome is a result of an abnormal chromosome structure.
D)Unbalanced translocation results in a mild abnormality that the child will outgrow.
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8
Chapter 7: Anatomy and Physiology of Pregnancy
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Sample Questions
Q1) A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:
A)Amenorrhea.
B)Positive pregnancy test.
C)Chadwick's sign.
D)Hegar's sign.
Q2) The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that apply)?
A)Identification of fetal heartbeat
B)Palpation of fetal outline
C)Visualization of the fetus
D)Verification of fetal movement
E)Positive hCG test
Q3) Cardiovascular system changes occur during pregnancy.Which finding would be considered normal for a woman in her second trimester?
A)Less audible heart sounds (S1, S2)
B)Increased pulse rate
C)Increased blood pressure
D)Decreased red blood cell (RBC) production
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Chapter 8: Nursing Care of the Family During Pregnancy
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Sample Questions
Q1) In response to requests by the U.S.Public Health Service for new models of prenatal care,an innovative new approach to prenatal care known as centering pregnancy was developed.Which statement would accurately apply to the centering model of care?
A)Group sessions begin with the first prenatal visit.
B)At each visit, blood pressure, weight, and urine dipsticks are obtained by the nurse.
C)Eight to 12 women are placed in gestational-age cohort groups.
D)Outcomes are similar to those of traditional prenatal care.
Q2) Gestational diabetes
A)Severe vomiting in early pregnancy
B)Epigastric pain in late pregnancy
C)Severe backache and flank pain
D)Decreased fetal movement
E)Glycosuria
Q3) The multiple marker test is used to assess the fetus for which condition?
A)Down syndrome
B)Diaphragmatic hernia
C)Congenital cardiac abnormality
D)Anencephaly
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Chapter 9: Maternal and Fetal Nutrition
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Sample Questions
Q1) A pregnant patient would like to know a good food source of calcium other than dairy products.Your best answer is:
A)Legumes
B)Yellow vegetables
C)Lean meat
D)Whole grains
Q2) Which meal would provide the most absorbable iron?
A)Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
B)Oatmeal, whole wheat toast, jelly, and low-fat milk
C)Black bean soup, wheat crackers, orange sections, and prunes
D)Red beans and rice, cornbread, mixed greens, and decaffeinated tea
Q3) With regard to nutritional needs during lactation,a maternity nurse should be aware that:
A)The mother's intake of vitamin C, zinc, and protein now can be lower than during pregnancy.
B)Caffeine consumed by the mother accumulates in the infant, who may be unusually active and wakeful.
C)Critical iron and folic acid levels must be maintained.
D)Lactating women can go back to their prepregnant calorie intake.
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Page 11
Chapter 10: Assessment of High Risk Pregnancy
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Sample Questions
Q1) At 35 weeks of pregnancy a woman experiences preterm labor.Tocolytics are administered and she is placed on bed rest,but she continues to experience regular uterine contractions,and her cervix is beginning to dilate and efface.What would be an important test for fetal well-being at this time?
A)Percutaneous umbilical blood sampling (PUBS)
B)Ultrasound for fetal size
C)Amniocentesis for fetal lung maturity
D)Nonstress test (NST)
Q2) A woman has been diagnosed with a high risk pregnancy.She and her husband come into the office in a very anxious state.She seems to be coping by withdrawing from the discussion,showing declining interest.The nurse can best help the couple by:
A)Telling her that the physician will isolate the problem with more tests.
B)Encouraging her and urging her to continue with childbirth classes.
C)Becoming assertive and laying out the decisions the couple needs to make.
D)Downplaying her risks by citing success rate studies.
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Page 12
Chapter 11: Pregnancy at Risk: Preexisting Conditions
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Sample Questions
Q1) Nurses caring for antepartum women with cardiac conditions should be aware that:
A)Stress on the heart is greatest in the first trimester and the last 2 weeks before labor.
B)Women with class II cardiac disease should avoid heavy exertion and any activity that causes even minor symptoms.
C)Women with class III cardiac disease should have 8 to 10 hours of sleep every day and limit housework, shopping, and exercise.
D)Women with class I cardiac disease need bed rest through most of the pregnancy and face the possibility of hospitalization near term.
Q2) Step 1
A)Without adding air, withdraw the correct dose of NPH insulin.
B)Gently rotate the insulin to mix it, and wipe the stopper.
C)Inject air equal to the dose of NPH insulin into the vial, and remove the syringe.
D)Inject air equal to the dose of regular insulin into the vial, and withdraw the medication.
E)Check the insulin bottles for the expiration date.
F)Wash hands.
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Chapter 12: Pregnancy at Risk: Gestational Conditions
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50 Flashcards
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Sample Questions
Q1) Preeclampsia is a unique disease process related only to human pregnancy.The exact cause of this condition continues to elude researchers.The American College of Obstetricians and Gynecologists has developed a comprehensive list of risk factors associated with the development of preeclampsia.Which client exhibits the greatest number of these risk factors?
A)A 30-year-old obese Caucasian with her third pregnancy
B)A 41-year-old Caucasian primigravida
C)An African-American client who is 19 years old and pregnant with twins
D)A 25-year-old Asian-American whose pregnancy is the result of donor insemination
Q2) A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy.Nursing care is based on the knowledge that:
A)Bed rest and analgesics are the recommended treatment.
B)She will be unable to conceive in the future.
C)A D&C will be performed to remove the products of conception.
D)Hemorrhage is the major concern.
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Page 14
Chapter 13: Labor and Birth Processes
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Sample Questions
Q1) The maternity nurse understands that as the uterus contracts during labor,maternal-fetal exchange of oxygen and waste products:
A)Continues except when placental functions are reduced.
B)Increases as blood pressure decreases.
C)Diminishes as the spiral arteries are compressed.
D)Is not significantly affected.
Q2) Five
A)Flexion
B)Internal rotation
C)External rotation
D)Expulsion
E)Engagement
F)Descent
G)Extension
Q3) Which occurrence is associated with cervical dilation and effacement?
A)Bloody show
B)False labor
C)Lightening
D)Bladder distention
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Page 15
Chapter 14: Pain Management
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Sample Questions
Q1) A laboring woman received an opioid agonist (meperidine)intravenously 90 minutes before she gave birth.Which medication should be available to reduce the postnatal effects of Demerol on the neonate?
A)Fentanyl (Sublimaze)
B)Promethazine (Phenergan)
C)Naloxone (Narcan)
D)Nalbuphine (Nubain)
Q2) The nerve block used in labor that provides anesthesia to the lower vagina and perineum is called:
A)An epidural.
B)A pudendal.
C)A local.
D)A spinal block.
Q3) Less pain and anxiety during the first stage of labor
A)Yoga
B)Massage
C)Acupuncture
D)Water immersion
E)Aromatherapy
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Page 16
Chapter 15: Fetal Assessment During Labor
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Sample Questions
Q1) A tiered system of categorizing FHR has been recommended by regulatory agencies.Nurses,midwives,and physicians who care for women in labor must have a working knowledge of fetal monitoring standards and understand the significance of each category.These categories include (Select all that apply):
A)Reassuring.
B)Category I.
C)Category II.
D)Nonreassuring.
E)Category III.
Q2) Increasing the infusion rate of nonadditive intravenous fluids can increase fetal oxygenation primarily by:
A)Maintaining normal maternal temperature.
B)Preventing normal maternal hypoglycemia.
C)Increasing the oxygen-carrying capacity of the maternal blood.
D)Expanding maternal blood volume.
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Chapter 16: Nursing Care of the Family During Labor and Birth
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Sample Questions
Q1) With regard to a woman's intake and output during labor,nurses should be aware that:
A)The tradition of restricting the laboring woman to clear liquids and ice chips is being challenged because regional anesthesia is used more often than general anesthesia.
B)Intravenous (IV) fluids usually are necessary to ensure that the laboring woman stays hydrated.
C)Routine use of an enema empties the rectum and is very helpful for producing a clean, clear delivery.
D)When a nulliparous woman experiences the urge to defecate, it often means birth will follow quickly.
Q2) Leopold maneuvers would be an inappropriate method of assessment to determine:
A)Gender of the fetus.
B)Number of fetuses.
C)Fetal lie and attitude.
D)Degree of the presenting part's descent into the pelvis.
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18
Chapter 17: Labor and Birth Complications
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Sample Questions
Q1) A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and says that they are very painful.Her cervix is dilated 2 cm and has not changed in 3 hours.The woman is crying and wants an epidural.What is the likely status of this woman's labor?
A)She is exhibiting hypotonic uterine dysfunction.
B)She is experiencing a normal latent stage.
C)She is exhibiting hypertonic uterine dysfunction.
D)She is experiencing pelvic dystocia.
Q2) Induction of labor is considered an acceptable obstetric procedure if it is in the best interest to deliver the fetus.The charge nurse on the labor and delivery unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction.These include (Select all that apply):
A)Rupture of membranes at or near term.
B)Convenience of the woman or her physician.
C)Chorioamnionitis (inflammation of the amniotic sac).
D)Post-term pregnancy.
E)Fetal death.
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Page 19
Chapter 18: Maternal Physiologic Changes
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Sample Questions
Q1) Hypovolemia resulting from hemorrhage
A)Elevated temperature within the first 24 hours
B)Rapid pulse
C)Elevated temperature at 36 hours postpartum
D)Hypertension
E)Hypoventilation
Q2) Changes in blood volume after childbirth depend on several factors such as blood loss during childbirth and the amount of extravascular water (physiologic edema)mobilized and excreted.A postpartum nurse anticipates blood loss of (Select all that apply):
A)100 mL
B)250 mL or less
C)300 to 500 mL
D)500 to 1000 mL
E)1500 mL or greater
Q3) Which maternal event is abnormal in the early postpartum period?
A)Diuresis and diaphoresis
B)Flatulence and constipation
C)Extreme hunger and thirst
D)Lochial color changes from rubra to alba
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Chapter 19: Nursing Care of the Family During the
Postpartum Period
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Sample Questions
Q1) Mexican
A)Prefer not to give babies colostrum
B)Eat only warm foods and hot drinks
C)Take the placenta home to bury
D)Will not eat pork or pork products
E)Have an IUD inserted after the first child
Q2) Korean or other South East Asian countries.
A)Prefer not to give babies colostrum
B)Eat only warm foods and hot drinks
C)Take the placenta home to bury
D)Will not eat pork or pork products
E)Have an IUD inserted after the first child
Q3) Muslim countries
A)Prefer not to give babies colostrum
B)Eat only warm foods and hot drinks
C)Take the placenta home to bury
D)Will not eat pork or pork products
E)Have an IUD inserted after the first child
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Chapter 20: Transition to Parenthood
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Sample Questions
Q1) A parent who has a hearing impairment is presented with a number of challenges in parenting.Which nursing approaches are appropriate for working with hearing-impaired new parents (Select all that apply)?
A)Use devices that transform sound into light.
B)Assume that the patient knows sign language.
C)Speak quickly and loudly.
D)Ascertain whether the patient can read lips before teaching.
E)Written messages aid in communication.
Q2) The mother-baby nurse is able to recognize reciprocal attachment behavior.This refers to:
A)The positive feedback an infant exhibits toward parents during the attachment process.
B)Behavior during the sensitive period when the infant is in the quiet alert stage.
C)Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact.
D)Behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the parents.
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Chapter 21: Postpartum Complications
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Sample Questions
Q1) A woman experienced a miscarriage at 10 weeks of gestation and had a dilation and curettage (D&C).She states that she is just fine and wants to go home as soon as possible.While you are assessing her responses to her loss,she tells you that she had purchased some baby things and had picked out a name.On the basis of your assessment of her responses,what nursing intervention would you use first?
A)Ready her for discharge.
B)Notify pastoral care to offer her a blessing.
C)Ask her whether she would like to see what was obtained from her D&C.
D)Ask her what name she had picked out for her baby.
Q2) A woman is diagnosed with having a stillborn.At first,she appears stunned by the news,cries a little,and then asks you to call her mother.The phase of bereavement the woman is experiencing is called:
A)Anticipatory grief.
B)Acute distress.
C)Intense grief.
D)Reorganization.
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23
Chapter 22: Physiologic and Behavioral Adaptations of the Newborn
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Q1) A collection of blood between the skull bone and its periosteum is known as a cephalhematoma.To reassure the new parents whose infant develops such a soft bulge,it is important that the nurse be aware that this condition:
A)May occur with spontaneous vaginal birth.
B)Happens only as the result of a forceps or vacuum delivery.
C)Is present immediately after birth.
D)Will gradually absorb over the first few months of life.
Q2) The nurse assessing a newborn knows that the most critical physiologic change required of the newborn is:
A)Closure of fetal shunts in the circulatory system.
B)Full function of the immune defense system at birth.
C)Maintenance of a stable temperature.
D)Initiation and maintenance of respirations.
Q3) What marks on a baby's skin may indicate an underlying problem that requires notification of a physician?
A)Mongolian spots on the back
B)Telangiectatic nevi on the nose or nape of the neck
C)Petechiae scattered over the infant's body
D)Erythema toxicum anywhere on the body
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Chapter 23: Nursing Care of the Newborn and Family
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Q1) The nurse administers vitamin K to the newborn for which reason?
A)Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient.
B)Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection.
C)Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.
D)The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.
Q2) As part of Standard Precautions,nurses wear gloves when handling the newborn.The chief reason is:
A)To protect the baby from infection.
B)That it is part of the Apgar protocol.
C)To protect the nurse from contamination by the newborn.
D)the nurse has primary responsibility for the baby during the first 2 hours.
Q3) At 1 minute after birth,the nurse assesses the infant and notes a heart rate of 80 beats/minute,some flexion of the extremities,a weak cry,grimacing,and a pink body with blue extremities.The nurse would calculate an Apgar score of: ________
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Chapter 24: Newborn Nutrition and Feeding
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Q1) While discussing the societal impacts of breastfeeding,the nurse should be cognizant of the benefits and educate the patient accordingly.Which statement as part of this discussion would be incorrect?
A)Breastfeeding requires fewer supplies and less cumbersome equipment.
B)Breastfeeding saves families money.
C)Breastfeeding costs employers in terms of time lost from work.
D)Breastfeeding benefits the environment.
Q2) A breastfeeding woman develops engorged breasts at 3 days' postpartum.What action would help this woman achieve her goal of reducing the engorgement? The woman:
A)Skips feedings to let her sore breasts rest.
B)Avoids using a breast pump.
C)Breastfeeds her infant every 2 hours.
D)Reduces her fluid intake for 24 hours.
Q3) The hormone necessary for milk production is:
A)Estrogen.
B)Prolactin.
C)Progesterone.
D)Lactogen.
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Page 26
Chapter 25: The High Risk Newborn
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Sample Questions
Q1) A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates.A nonstress test (NST)in the obstetrician's office revealed a nonreactive tracing.On artificial rupture of membranes,thick,meconium-stained fluid was noted.The nurse caring for the infant after birth should anticipate:
A)Meconium aspiration, hypoglycemia, and dry, cracked skin.
B)Excessive vernix caseosa covering the skin, lethargy, and respiratory distress syndrome.
C)Golden yellow- to green stained-skin and nails, absence of scalp hair, and an increased amount of subcutaneous fat.
D)Hyperglycemia, hyperthermia, and an alert, wide-eyed appearance.
Q2) In caring for the preterm infant,what complication is thought to be a result of high arterial blood oxygen level?
A)Necrotizing enterocolitis (NEC)
B)Retinopathy of prematurity (ROP)
C)Bronchopulmonary dysplasia (BPD)
D)Intraventricular hemorrhage (IVH)
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27
Chapter 26: 21st Century Pediatric Nursing
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Sample Questions
Q1) Which is now referred to as the "new morbidity"?
A)Limitations in the major activities of daily living
B)Unintentional injuries that cause chronic health problems
C)Discoveries of new therapies to treat health problems
D)Behavioral, social, and educational problems that alter health
Q2) The nursing process is a method of problem identification and problem solving that describes what the nurse actually does.The five steps include (Select all that apply):
A)Assessment.
B)Diagnosis.
C)Planning.
D)Documentation
E)Implementation.
F)Evaluation
Q3) The major cause of death for children older than 1 year is:
A)Cancer.
B)Infection.
C)Unintentional injuries.
D)Congenital abnormalities.
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28
Chapter 27: Family, social, cultural, and Religious Influences on Child Health Promotion
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Sample Questions
Q1) Which term best describes the emotional attitude that one's own ethnic group is superior to others?
A)Culture
B)Ethnicity
C)Superiority
D)Ethnocentrism
Q2) Health beliefs vary among the cultural groups living in the United States.The belief that health is "a state of harmony with nature and the universe" is common in which culture?
A)Japanese
B)African-American
C)Native American
D)Hispanic American
Q3) Which term best describes a group of people who share a set of values,beliefs,practices,social relationships,law,politics,economics,and norms of behavior?
A)Race
B)Culture
C)Ethnicity
D)Social group
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Chapter 28: Developmental and Genetic Influences on
Child Health Promotion
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/25314
Sample Questions
Q1) Which term refers to those times in an individual's life when he or she is more susceptible to positive or negative influences?
A)Sensitive period
B)Sequential period
C)Terminal points
D)Differentiation points
Q2) The karyotype of a person is 47,XY,+21.This person is a:
A)Normal male.
B)Male with Down syndrome.
C)Normal female.
D)Female with Turner syndrome.
Q3) Step 3
A)Crawl
B)Sit unsupported
C)Lift head when prone
D)Gain complete head control
E)Walk
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Page 30
Chapter 29: Communication, history, and Physical Assessment
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/25315
Sample Questions
Q1) A nurse is planning to use an interpreter during a health history interview of a non-English speaking patient and family.Which nursing care guidelines should the nurse include when using an interpreter (Select all that apply)?
A)Elicit one answer at a time.
B)Interrupt the interpreter if the response from the family is lengthy.
C)Comments to the interpreter about the family should be made in English.
D)Arrange for the family to speak with the same interpreter, if possible.
E)Introduce the interpreter to the family.
Q2) When the nurse interviews an adolescent,it is especially important to:
A)Focus the discussion on the peer group.
B)Allow an opportunity to express feelings.
C)Emphasize that confidentiality will always be maintained.
D)Use the same type of language as the adolescent.
Q3) The nurse is testing an infant's visual acuity.By what age should the infant be able to fix on and follow a target?
A)1 month
B)1 to 2 months
C)3 to 4 months
D)6 months
Page 31
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Chapter 30: Pain Assessment and Management in Children
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/25316
Sample Questions
Q1) Physiologic measurements in children's pain assessment are:
A)The best indicator of pain in children of all ages.
B)Essential to determine whether a child is telling the truth about pain.
C)Of most value when children also report having pain.
D)Of limited value as sole indicator of pain.
Q2) Which medications are the most effective choices for treating pain associated with inflammation in children (Select all that apply)?
A)Morphine
B)Acetaminophen (Tylenol)
C)Ibuprofen (Advil)
D)Ketorolac (Toradol)
E)Aspirin
Q3) What medication is the most effective choice for treating pain associated with sickle cell crisis in a newly admitted 5-year-old child?
A)Morphine
B)Acetaminophen
C)Ibuprofen
D)Midazolam
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Chapter 31: The Infant and Family
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/25317
Sample Questions
Q1) Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:
A)Avoidance of eye contact.
B)An associated malabsorption defect.
C)Weight that falls below the 15th percentile.
D)Normal achievement of developmental landmarks.
Q2) Which behavior indicates that an infant has developed object permanence?
A)Recognizes familiar face such as the mother
B)Recognizes familiar object such as a bottle
C)Actively searches for a hidden object
D)Secures objects by pulling on a string
Q3) First
A)Voluntary palmar grasp
B)Reflex palmar grasp
C)Puts objects into a container
D)Neat pincer grasp
E)Builds a tower of two blocks
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Chapter 32: The Toddler and Family
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/25318
Sample Questions
Q1) Which should the nurse teach to parents of toddlers about accidental poison prevention (select all that apply)?
A)Keep toxic substances in the garage.
B)Discard empty poison containers.
C)Know the number of the nearest poison control center.
D)Remove colorful labels from containers of toxic substances.
E)Caution child against eating nonedible items, such as plants.
Q2) Which comments indicate that the mother of a toddler needs further teaching about dental care?
A)"We use well water so I give my toddler fluoride supplements."
B)"My toddler brushes his teeth with my help."
C)"My child will not need a dental checkup until his permanent teeth come in."
D)"I use a small nylon bristle brush for my toddler's teeth."
Q3) A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.The most appropriate recommendation is to:
A)Punish the child.
B)Leave the child alone until the tantrum is over.
C)Ignore the behavior, provided that it is not injurious.
D)Explain to child that this is wrong.
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Page 34
Chapter 33: The Preschooler and Family
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/25319
Sample Questions
Q1) A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides,and I don't want anyone taking them out." Which is the nurse's best interpretation of this?
A)Child is being overly dramatic.
B)Child has a disturbed body image.
C)Preschoolers have poorly defined body boundaries.
D)Preschoolers normally have a good understanding of their bodies.
Q2) In providing anticipatory guidance to parents whose child will soon be entering kindergarten,which is a critical factor in preparing a child for kindergarten entry?
A)The child's ability to sit still
B)The child's sense of learned helplessness
C)The parent's interactions and responsiveness to the child
D)Attending a preschool program
Q3) Which is the causative agent of scarlet fever?
A)Enteroviruses
B)Corynebacterium organisms
C)Scarlet fever virus
D)Group A b-hemolytic streptococci (GABHS)
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35
Chapter 34: The School-Age Child and Family
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/25320
Sample Questions
Q1) Parents of a 12-year-old child ask the clinic nurse,"How many hours of sleep should our child get?' The nurse should respond that 12-year-old children need how many hours of sleep at night?
A)8
B)9
C)10
D)11
Q2) What describes the cognitive abilities of school-age children?
A)Have developed the ability to reason abstractly
B)Become capable of scientific reasoning and formal logic
C)Progress from making judgments based on what they reason to making judgments based on what they see
D)Have the ability to classify, group and sort, and hold a concept in their minds while making decisions based on that concept
Q3) Generally the earliest age at which puberty begins is:
A)13 years in girls, 13 years in boys.
B)11 years in girls, 11 years in boys.
C)10 years in girls, 12 years in boys.
D)12 years in girls, 10 years in boys.
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Page 36
Chapter 35: The Adolescent and Family
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51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/25321
Sample Questions
Q1) Steve,14 years old,mentions that he now has to use deodorant but never had to before.The nurse's response should be based on knowledge that:
A)Eccrine sweat glands in the axillae become fully functional during puberty.
B)Sebaceous glands become extremely active during puberty.
C)New deposits of fatty tissue insulate the body and cause increased sweat production.
D)Apocrine sweat glands reach secretory capacity during puberty.
Q2) According to Erikson,the psychosocial task of adolescence is developing:
A)Intimacy.
B)Identity.
C)Initiative.
D)Independence.
Q3) Injuries claim many lives during adolescence.Which factors contribute to early adolescents engaging in risk-taking behaviors (select all that apply)?
A)Peer pressure
B)A desire to master their environment
C)Engagement in the process of separation from their parents
D)A belief that they are invulnerable
E)Impulsivity
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Chapter 36: Chronic Illness, disability, and End-Of-Life Care
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/25322
Sample Questions
Q1) What should the nurse identify as major fears in the preschool child who is hospitalized with a chronic illness (select all that apply)?
A)Altered body image
B)Separation from peer group
C)Bodily injury
D)Mutilation
E)Being left alone
Q2) A common parental reaction to a child with special needs is parental overprotection.Parental behavior suggestive of this includes:
A)Giving inconsistent discipline.
B)Providing consistent, strict discipline.
C)Forcing child to help self, even when not capable.
D)Encouraging social and educational activities not appropriate to child's level of capability.
Q3) What is most descriptive of a school-age child's reaction to death?
A)Is very interested in funerals and burials
B)Has little understanding of words such as forever
C)Imagines the deceased person to be still alive
D)Has an idealistic view of the world and criticizes funerals as barbaric
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Page 38
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/25323
Sample Questions
Q1) The school nurse is caring for a child with a penetrating eye injury.Emergency treatment includes:
A)Applying a regular eye patch.
B)Applying a Fox shield to the affected eye and any type of patch to the other eye.
C)Applying ice until the physician is seen.
D)Irrigating the eye copiously with a sterile saline solution.
Q2) A child with autism is hospitalized with asthma.The nurse should plan care so that the:
A)Parents' expectations are met.
B)Child's routine habits and preferences are maintained.
C)Child is supported through the autistic crisis.
D)Parents need not be at the hospital.
Q3) Which term refers to opacity of the crystalline lens that prevents light rays from entering the eye and refracting on the retina?
A)Myopia
B)Amblyopia
C)Cataract
D)Glaucoma
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Chapter 38: Family-Centered Care of the Child During
Illness and Hospitalization
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/25324
Sample Questions
Q1) A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized.The nurse should reassure the parents that this is normal because:
A)Regression is seen during hospitalization.
B)Developmental delays occur because of the hospitalization.
C)The child is experiencing urinary urgency because of hospitalization.
D)The child was too young to be "potty-trained."
Q2) Because of their striving for independence and productivity,which age-group of children is particularly vulnerable to events that may lessen their feeling of control and power?
A)Infants
B)Toddlers
C)Preschoolers
D)School-age children
Q3) A 14-year-old boy is being admitted to the hospital for an appendectomy.Which roommate should the nurse assign with this patient?
A)A 4-year-old boy who is first day post-appendectomy surgery
B)A 6-year-old boy with pneumonia
C)A 15-year-old boy admitted with a vaso-occlusive sickle cell crisis
D)A 12-year-old boy with cellulitis
Page 40
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Chapter 39: Pediatric Variations of Nursing Interventions
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54 Verified Questions
54 Flashcards
Source URL: https://quizplus.com/quiz/25325
Sample Questions
Q1) What is critical information for the nurse to incorporate into her care when using restraints on a child?
A)Use the least restrictive type of restraint.
B)Tie knots securely so they cannot be untied easily.
C)Secure the ties to the mattress or side rails.
D)Remove restraints every 4 hours to assess skin.
Q2) When caring for a child with an intravenous infusion,the nurse should:
A)Use a macrodropper to facilitate reaching the prescribed flow rate.
B)Avoid restraining the child to prevent undue emotional stress.
C)Change the insertion site every 24 hours.
D)Observe the insertion site frequently for signs of infiltration.
Q3) The emergency department nurse is cleaning multiple facial abrasions on 9-year-old Mike.His mother is present.He is crying and screaming loudly.The nurse should:
A)Ask him to be quieter.
B)Have his mother tell him to relax.
C)Tell him it is okay to cry and scream.
D)Suggest that he talk to his mother instead of crying.
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Chapter 40: Respiratory Dysfunction
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/25326
Sample Questions
Q1) Which statement is characteristic of acute otitis media (AOM)?
A)The etiology is unknown.
B)Permanent hearing loss often results.
C)It can be treated by intramuscular antibiotics.
D)It is treated with a broad range of antibiotics.
Q2) Asthma in infants is usually triggered by:
A)Medications.
B)A viral infection.
C)Exposure to cold air.
D)Allergy to dust or dust mites.
Q3) Chronic otitis media with effusion (OME)is differentiated from acute otitis media (AOM)because it is usually characterized by:
A)Fever as high as 40° C (104° F).
B)Severe pain in the ear.
C)Nausea and vomiting.
D)A feeling of fullness in the ear.
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Chapter 41: Gastrointestinal Dysfunction
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56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/25327
Sample Questions
Q1) When caring for a child with probable appendicitis,the nurse should be alert to recognize that a sign of perforation is:
A)Bradycardia.
B)Anorexia.
C)Sudden relief from pain.
D)Decreased abdominal distention.
Q2) A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea.She has been giving him the antidiarrheal drug loperamide (Imodium A-D).The nurse's response should be based on knowledge that this drug is:
A)Not indicated.
B)Indicated because it slows intestinal motility.
C)Indicated because it decreases diarrhea.
D)Indicated because it decreases fluid and electrolyte losses.
Q3) During the first few days after surgery for cleft lip,which intervention should the nurse do?
A)Leave infant in crib at all times to prevent suture strain.
B)Keep infant heavily sedated to prevent suture strain.
C)Remove restraints periodically to cuddle infant.
D)Alternate position from prone to side-lying to supine.
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Page 43
Chapter 42: Cardiovascular Dysfunction
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62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/25328
Sample Questions
Q1) An important nursing consideration when chest tubes will be removed from a child is to:
A)Explain that it is not painful.
B)Explain that only a Band-Aid will be needed.
C)Administer analgesics before the procedure.
D)Expect bright red drainage for several hours after removal.
Q2) The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur.This finding is associated with which congenital heart defect?
A)Pulmonary stenosis
B)Patent ductus arteriosus
C)Ventricular septal defect
D)Coarctation of the aorta
Q3) The nurse is assessing a child post-cardiac catheterization.Which complication might the nurse anticipate?
A)Cardiac arrhythmia
B)Hypostatic pneumonia
C)Congestive heart failure
D)Rapidly increasing blood pressure
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Chapter 43: Hematologic and Immunologic Dysfunction
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/25329
Sample Questions
Q1) Chelation therapy is begun on a child with b-thalassemia major.The purpose of this therapy is to:
A)Treat the disease.
B)Eliminate excess iron.
C)Decrease the risk of hypoxia.
D)Manage nausea and vomiting.
Q2) Second priority
A)Take the vital signs.
B)Stop the transfusion.
C)Notify the practitioner.
D)Maintain a patent intravenous (IV) line with normal saline.
Q3) First priority
A)Take the vital signs.
B)Stop the transfusion.
C)Notify the practitioner.
D)Maintain a patent intravenous (IV) line with normal saline.
Q4) A toddler with leukemia is on intravenous chemotherapy treatments.The toddler's lab results are white blood cell count (WBC): 1000; neutrophils: 7%; nonsegmented neutrophils (bands): 7%.What is this child's absolute neutrophil count (ANC)? _____
Record your answer as a whole number.
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Chapter 44: Genitourinary Dysfunction
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/25330
Sample Questions
Q1) The nurse is caring for an infant with a suspected urinary tract infection.Which clinical manifestations would be observed (Select all that apply)?
A)Vomiting
B)Jaundice
C)Failure to gain weight
D)Swelling of the face
E)Back pain
F)Persistent diaper rash
Q2) The nurse is teaching parents of a child with chronic renal failure (CRF)about the use of recombinant human erythropoietin (rHuEPO)subcutaneous injections.Which statement indicates the parents have understood the teaching?
A)"These injections will help with the hypertension."
B)"We're glad the injections only need to be given once a month."
C)"The red blood cell count should begin to improve with these injections."
D)"Urine output should begin to improve with these injections."
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Chapter 45: Cerebral Dysfunction
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/25331
Sample Questions
Q1) A 3-year-old child is hospitalized after a near-drowning accident.The child's mother complains to the nurse,"This seems unnecessary when he is perfectly fine." The nurse's best reply is:
A)"He still needs a little extra oxygen."
B)"I'm sure he is fine, but the doctor wants to make sure."
C)"The reason for this is that complications could still occur."
D)"It is important to observe for possible central nervous system problems."
Q2) Fourth priority
A)Take vital signs.
B)Ease child to the floor.
C)Allow child to rest.
D)Turn child to the side.
E)Integrate child back into the school environment.
Q3) An important nursing intervention when caring for a child who is experiencing a seizure is to:
A)Describe and record the seizure activity observed.
B)Restrain the child when seizure occurs to prevent bodily harm.
C)Place a tongue blade between the teeth if they become clenched.
D)Suction the child during a seizure to prevent aspiration.
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Page 47
Chapter 46: Endocrine Dysfunction
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42 Verified Questions
42 Flashcards
Source URL: https://quizplus.com/quiz/25332
Sample Questions
Q1) The nurse is teaching the parents of a child who is receiving propylthiouracil for the treatment of hyperthyroidism (Graves' disease).Which statement made by the parent indicates a correct understanding of the teaching?
A)"I would expect my child to gain weight while taking this medication."
B)"I would expect my child to experience episodes of ear pain while taking this medication."
C)"If my child develops a sore throat and fever, I should contact the physician immediately."
D)"If my child develops the stomach flu, my child will need to be hospitalized."
Q2) The clinic nurse is reviewing hemoglobin Ac levels on several children with type 1 diabetes.Hemoglobin Ac levels of less than _____ % are a goal for children with type 1 diabetes.Record your answer as a whole number.
Q3) Which symptom is considered a cardinal sign of diabetes mellitus?
A)Nausea
B)Seizures
C)Impaired vision
D)Frequent urination
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Chapter 47: Integumentary Dysfunction
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53 Verified Questions
53 Flashcards
Source URL: https://quizplus.com/quiz/25333
Sample Questions
Q1) A toddler sustains a minor burn on the hand from hot coffee.The first action in treating this burn is to:
A)Apply ice to burned area.
B)Hold the burned area under cool running water.
C)Break any blisters with a sterile needle.
D)Clean the wound with soap and warm water.
Q2) The most immediate threat to life in children with thermal injuries is:
A)Shock.
B)Anemia.
C)Local infection.
D)Systemic sepsis.
Q3) The nurse is teaching parents of toddlers about animal safety.Which information should be included in the teaching session?
A)Petting dogs in the neighborhood should be encouraged to prevent fear of dogs.
B)The toddler is safe to approach an animal if the animal is chained.
C)It is permissible for your toddler to feed treats to a dog.
D)Teach your toddler not to disturb an animal that is eating.
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Chapter 48: Musculoskeletal or Articular Dysfunction
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/25334
Sample Questions
Q1) When assessing the child with osteogenesis imperfecta,the nurse should expect to observe:
A)Discolored teeth.
B)Below-normal intelligence.
C)Increased muscle tone.
D)Above-average stature.
Q2) What effect does immobilization have on the cardiovascular system?
A)Venous stasis
B)Increased vasopressor mechanism
C)Normal distribution of blood volume
D)Increased efficiency of orthostatic neurovascular reflexes
Q3) Kristin,age 10 years,sustained a fracture in the epiphyseal plate of her right fibula when she fell off of a tree.When discussing this injury with her parents,the nurse should consider which statement?
A)Healing is usually delayed in this type of fracture.
B)Growth can be affected by this type of fracture.
C)This is an unusual fracture site in young children.
D)This type of fracture is inconsistent with a fall.
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Chapter 49: Neuromuscular or Muscular Dysfunction
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/25335
Sample Questions
Q1) The nurse is caring for a neonate born with a myelomeningocele.Surgery to repair the defect is scheduled the next day.The most appropriate way to position and feed this neonate is to place him:
A)Prone and tube feed.
B)Prone, turn head to side, and nipple feed.
C)Supine in infant carrier and nipple feed.
D)Supine, with defect supported with rolled blankets, and nipple feed.
Q2) A current recommendation to prevent neural tube defects is the supplementation of: A)Vitamin A throughout pregnancy.
B)Multivitamin preparations as soon as pregnancy is suspected.
C)Folic acid for all women of childbearing age.
D)Folic acid during the first and second trimesters of pregnancy.
Q3) The nurse is admitting a school-age child with suspected Guillain-Barré syndrome (GBS).Which nursing intervention is a priority in the care for this child?
A)Monitoring intake and output
B)Assessing respiratory efforts
C)Placing on a telemetry monitor
D)Obtaining laboratory studies
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