MATERNAL CHILD 3 FINAL STL | COMPLETE SOLUTIONS (VERIFIED ANSWERS)

MATERNAL CHILD 3 FINAL STL | COMPLETE SOLUTIONS (VERIFIED ANSWERS) 1. The nurse is caring for a 10-year-old child with growth hormone deficiency. Which therapy would you anticipate to be prescribed for the child?a. Short-term aldosterone provocationb. Injections of growth hormonec. Oral administration of somatotropind. Long-term blocking of beta cells.2. Which statement by the nurse is most likely to gain the cooperation of a young child?a. Do you want to take your medicine now?b. It is time for you to drink your medicine now.c. If you take this medicine, I can get you a popsicle.d. If you do not drink this medicine, you will need to get a shot.3. A parent of school-aged child is distressed to learn of the child is diagnosed with type 2 diabetes mellitus. The parent asks the nurse how this could happen because no one in the family has diabetes. Which response is most accurate?a. Diabetes mellitus type 2 is caused by the pancreas not making enough insulin. b. This disorder usually occurs when inadequate calories are ingested regularly. c. Because this disorder is genetic, someone in the family will eventually develop the illness.d. This disorder is associated with metabolic disturbances that result in insulin resistance.e. This disorder is associated with overweight and eating a diet high in fats and carbohydrate.4. A terminally ill child is awake at 0200 and continues to put on the call light. What should the nurse do regarding this child’s behavior?a. Provide with a sleeping aid. b. Encourage the child to sleep.c. Sit with the child until sleep comes.d. Put on the television and dim the light.5) A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child will begin with which nursing intervention?a. Intravenous fluidb. Oral rehydration solution (ORS)c. Clear liquids, 1 to 2 ounces at a timed. Administration of antidiarrheal medication6) The parent of a child with acute glomerulonephritis ask the nurse to explain the cause of the disease. What organism should the nurse instruct the parents as being the cause for the disorder?a. Group B streptococcib. One of the rhinovirusesc. Staphylococcus viridans.d. Group A beta-hemolytic streptococci7) An infant is placed in Bryant traction. For Bryant traction to be effective, the infant must be positioned on the:(a) Stomach with both legs extended(b) Back with hips up off the bed(c) Back with the injured hip flexed and the uninjured one extended(d) Back with hips flat on the bed8) Which action by a preschooler would suggest that his thinking is inconsistent with normal preschooler growth and development?(a) Insistence that his imaginary friend watch television with him(b) Refusal to play with real children(c) Insistence that this imaginary friend have dinner with the family(d) Refusal to go to bed without his friend9) The nurse completes instructing a female patient on the process of in vitro fertilization. Which statement indicates that patient teaching has been effective?a. I will need to select a surrogate mother.b. It can be done with frozen donor sperm.c. Most procedures are effective the first time tried.d. This is dangerous if there is ovarian cancer in my family.10) An infant weighed 6 pounds at birth. What is the expected weight in pounds at 1 year of age? a. 12b. 18c. 24d. 27At 12months (1year) weight will triple which will imply 18 pounds(I just added this)11) A woman arrives at the clinic for pregnancy test. The first day of her last menstrual period (LMP) was May 13, 2017. Her expected date of birth (EDB) would be?(a) February 6, 2018(b) February 20, 2018(c) January 20, 2018(d) January 6, 201812) A 4-year-old has developed acute lymphocytic leukemia (ALL). Which of the following reasons does the nurse take axillary, rather than rectal temperatures?(a) The child is anemic and has an increased risk of bleeding(b) The child has a low white blood cell count and a rectal temperature would decrease the blood cell count.(c) The rectum is highly vascular and rectal temps would result in trauma to the tissue which may bleed easily or cause painful bruising(d) The child is prone to diarrhea and inserting a rectal thermometer would cause further diarrhea13) A 6-month-old girl is diagnosed as having atopic dermatitis. When interviewing her parents, they describe the following care measures. Which one would lead you to think more health teaching is needed?(a) The mother gives her a daily bath without using soap.(b) After a bath, the mother applies Eucerin cream.(c) To aid healing, the father applies hydrocortisone cream to the lesions.(d) To dry lesions, the father applies alcohol to lesions daily.14) A nurse is caring for a newborn that appears to obtain a slight bluish color upon feeding and sometimes when crying. Based on your recall, you understand this could be a sign of the following conditions?(a) Coarctation of the aorta(b) Acrocyanosis(c) Patent ductus arteriosus(d) Tetralogy of Fallot15) A nurse in the newborn nursery is monitoring a newborn infant for respiratory distress syndrome. Which assessment signs, if noted in the newborn would alert the nurse to the possibility of this syndrome?a.Tachypnea and retractionb.Acrocyanosis and gruntingc.Hypertension and bradycardia.d.Presence of barrel chest with clubbing.16) During an assessment, the nurse determines that a 3-month-old baby has a Moro reflex. What does this finding indicate to the nurse?(a) It usually lasts until 9 months(b) It will persist until the age of 1 year(c) Most 3-month-old still have a Moro reflex(d) If present at 3monts of age, a neurologic exam is needed17) A health teaching that the nurse would provide for parents of an immunosuppressed child focuses on which important measure?(a) Nutrition(b) Pain control(c) Hand washing(d) Restricted visiting hours19) A school-age child is diagnosed as having Cushing syndrome from a long-term therapy with oral prednisone. What assessment finding is consistent with this child’s diagnosis and treatment?(a) Child appears pale and fatigued(b) There are purple striae on the abdomen(c) The child is excessively tall for chronologic age(d) The child is demonstrating signs of hypoglycemia19) The nurse is caring for an 8-month-old baby diagnosed with spastic cerebral palsy. Which assessment finding supports this medical diagnosis?(a) The child has a strong Moro reflex when startled.(b) The child bears weight on both feet when held upright.(c) The child cries when held in a ventral suspension position.(d) The child holds the back very straight when in a sitting position20) The nurse obtains a stool specimen for ova and parasites. Which of the following is theresponsibility of the nurse / It would be important for the nurse to?(a) Keep this refrigerated(b) Add alcohol to prevent odor(c) See that it arrives at the laboratory promptly(d) Discard it if it is not yellow to green21) The nurse is caring for a newborn diagnosed with patent ductus arteriosus. Which finding will the nurse assess that is consistent with this diagnosis?(a) Slow heart rate(b) Expiratory grunt(c) Absent femoral pulses(d) Wide pulse pressure / Strokes / Machine-like murmur heard at the left subclavicular margin22) What should the nurse instruct a parent to help a child complete Erikson’s developmental task during the infant period?(a) Respond to the child’s needs consistently(b) Keep the child stimulated with many toys(c) Talk to the child at a special time each day(d) Expose the child to many caregivers to help learn variability23) A child in kidney failure has had a kidney transplant. How would the nurse prepare the parents and child to expect post-operatively?a.Full body irradiation that will leave his nauseated.b.A transient rash from T-cell suppression.c.Reduce socialization for infection control precautions.d.Burning on urination from high uric acid content24) A hospitalized 2-year-old child with croup is receiving corticosteroid therapy and the mother asks why the provider did not prescribed antibiotics? What is the nurse’s best response to the mother?(a) The child still has the maternal antibodies from birth and does not need antibiotics(b) The child may be allergic to antibiotics(c) Antibiotics are not indicated unless a bacterial infection is the cause of the illness.(d) The child is too young for antibiotics25) A student nurse notes that the population of a sexually transmitted infection (STI) health clinic consists largely of teenagers. The nurse explains that adolescents are at greater risk for contracting STIs because of which factor?(a) The immune system of an adolescent is immature(b) Untreated urinary tract infections will develop into an STI(c) Adolescents are risk-takers and believe they are invincible(d) Adolescents often lack parental supervision26) A nurse is caring for an adolescent who has a newly applied fiberglass cast for a fractured tibia. Immediately following application of the cast, the nurse should recognize that the priority nursing action is to do which of the following?(a) Explain the discharge instructions to the client and parents(b) Apply an ice pack to the casted leg(c) Provide range of motion exercise to the unaffected extremity(d) Perform a neurovascular assessment27) The clinic is providing a federally approved car seat to an infant’s family. The nurse should explain that the safest place to install the car seat in the vehicle is:(a) Front-facing in back seat(b) Rear-facing in back seat(c) Front-facing in front seat with airbag on passenger side(d) Rear-facing in front seat if an airbag is on the passenger side28) A patient in labor with chronic back pain tells the nurse about taking a dose of hydrocodone/acetaminophen (Vicodin) for labor pain prior to coming to the hospital. Whatshould the nurse prepare to do once the fetus is delivered?(a) Evaluate the infant for withdrawal symptoms after delivery(b) Suggest that no additional narcotic pain medication be provided during labor(c) Coach the patient in breathing techniques because other pain medication is contraindicated(d) Request that the physician prescribe the same medication to be used for pain during labor(e) Inform the physician so that liver effects can be monitored.29) The nurse assesses that a fetus is in a breech presentation. Where would you auscultate for fetal heart sounds?(a) High in the abdomen(b) Left lateral abdomen(c) Low in the abdomen(d) Right lateral abdomen30) The nurse is teaching a child with type 1 diabetes mellitus to administer her own insulin. The child is receiving a combination of short-acting (clear) and long-acting insulin (cloudy). How will the nurse know that the child has appropriately learned the technique?(a) Administer the insulin into a doll at a 30-degree angle(b) Administers the insulin intramuscularly into rotating sites(c) Wipe off the needle with an alcohol swab(d) Draws up the short-acting insulin into the syringe first31) A chief danger of scarlet fever is that children may develop:(a) Local areas of skin necrosis(b) Liver destruction(c) Acute glomerulonephritis(d) Respiratory obstruction32) The nurse manager of an urban health care clinic is designing a series of presentations for staff to address the 2020 National Health Goals to reduce child maltreatment and intimatepartner violence. Which topics should the manager include in these presentations? (Select all that apply)(a) Counseling for someone addicted to drugs(b) Manifestations of child maltreatment(c) Indications of child neglect(d) Recognizing victims of violence(e) Environments where drugs are sold33) A child is taking valproic acid for epilepsy. What important information should the nurse explain to the parents?(a) To brush his or her teeth four times a day(b) Do not discontinue the drug abruptly(c) Never to go swimming(d) To avoid foods containing caffeine34) The pediatric nurse is familiar with Kubler-Ross’s stages of grief. Parents who are feeling confused and are refused to discuss the disease with any healthcare provider are in which stage of grief?(a) Denial(b) Grief(c) Bargaining(d) Acceptance35) An infant is prescribed digoxin. The nurse would teach her parents that the action of this drug is to:(a) Slow and strengthen her heartbeat(b) Increase the infant’s heart rate(c) Thicken the walls of the myocardium(d) Prevent subacute bacterial endocarditis36) Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks’ gestation.(a) 3,2,1,2,1(b) 4,2,2,1,1(c) 3,2,1,1,1(d) 4,1,1,1,137) At 1 minute after birth, the nurse assesses the infant and notes: Heart rate of 120beats/min. strong flexion of extremities, a strong cry, active grimacing, and a pink body but blue extremities. The nurse would calculate an APGAR score of which number for this infant?(a) 4(b) 6(c) 8(d) 938) A nurse in an emergency setting is caring for a child with burns. Which of the following is the immediate priority?A. decrease anxiety about procedures.B. maintaining adequate circulatory functions.C. reassuring the child that all will be fine.D. relieving pain and discomfort.39) The nurse is concerned that a pregnant woman is using cocaine. What should the nurse suggest to the health care provider to confirm this suspicion?A.ElectrocardiogramB.UrinalysisC.Complete blood countD.Stool test for occult blood40) Upon auscultation, the nurse detects a stridor in her school-aged client who has been diagnosed with croup. Which action aids to improve oxygenation for this child?(a) Administering an oral analgesic(b) Urging the child to take oral fluids(c) Teaching the child to take long slow breaths(d) Assisting with epinephrine nebulizer therapy41) A toddler insists on brushing his own teeth and dressing himself. What advice would you give his parent regarding this?(a) Helping him with his own care allows him to experience autonomy(b) It is unusual for 2-year-old to have such strong opinions(c) His mother should continue to give full care in all aspects(d) Leaving him alone in the bathtub is a good way to encourage autonomy42) A toddler insists on brushing his own teeth and being left alone in the bathtub. What advice would you give his parents regarding this? a. Leaving him alone in the bathtub is a good way to encourage autonomy.b. It is unusual for 2-year-old to have such strong opinion.c. His mother should continue to give full care in all aspects.d. Helping with his own tooth brushing allows him to experience autonomy.44) The mother of a child having myringotomy tubes placed asks, “Will my child lose his hearing while the tubes are in place?” What is the nurse’s best answer?(a) The tubes are inserted into a section of eardrum in which the hearing is not affected.(b) There is some risk of permanent deafness, but the benefit of decreasing the infection worth it. (c) Your son’s hearing will decrease while the tubes are in place.(d) Have you asked your son’s physician about that?45) A 4-year-old child with a urinary tract infection is scheduled to have a voiding cystourethrogram. What would the nurse do to prepare for the child for this procedure?(a) Inject a local anesthetic prior to the procedure(b) Drink three glasses of water during the procedure(c) Insert foley catheter for instillation of contrast(d) Anticipate a headache afterward46) While caring for a child recovering from viral pneumonia, the nurse examines his lungs for evidence of exudate and fluid. Which finding would suggest there was a cause for concern?(a) A Respiratory rate of 20 heard on auscultation.(b) Diminished breath sounds at bilateral bases on auscultation.(c) Longer inspiratory than expiratory rate noticed by inspection(d) Fine rhonchi heard in the upper lobes on auscultation.(e) Dullness of his lower lobes heard on percussion.47) A nurse instructs a client who is at 28 weeks’ gestation on the correct use of the fetal heart monitor at home. Which observations indicates that teaching has been effective?A. The client has a log with the date, time, and number of fetal heartbeats counted.B. The client has two rhythm strips to share with the nurse during the home visit.C. The client cannot locate the device during a routine home visit.D. The device is sitting on the kitchen table.48) The nurse is planning teaching for the parents of a child with Legg-Calve-Perthes disease. On what should the nurse emphasize when conducting this teaching?(a) Surgery is needed with supporting rods(b) The child will have a non-weight bearing period(c) The child will need passive range-of-motion exercises three times a day(d) The child will need to exercise to increase muscle strength of the knee joint49) The nurse is caring for a chronically ill adolescent client, what can the nurse do to maintain stimulation and support the client’s sense of identity while hospitalized?A.Teach the name and indications for use of all medications.B. Plan activities around scheduled rest periodsC. Encourage communicating with friends through social media.D. Explain food choices appropriate to the prescribed diet.50) The nurse is assessing the heart rate of a child with a congenital heart defect. What should the nurse document when a pulse of one strong beat and one week beat is assessed? (a) Water hammer pulse (b) Dicrotic pulse (c) Thready pulse (d) Pulsus alternans51) Upon palpation, the nurse notes an olive shaped mass in the left midepigastric area. What is Likely a differential diagnosis? a. Heartburnb. Cholecystitis c. Gallbladder disease d. Liver diseasee. Pyloric stenosisf. Appendicitis 52) Management of primary dysmenorrhea often requires a multifaceted approach. Which optimal pharmacological therapy for pain relief is the best choice for a client with this condition? a. non-steroidal anti-inflammatory drugs (NSAIDS)b. Oral contraceptives c. Aspirin d. Acetaminophen 53) A child is experiencing anaphylactic shock. Which provider order would the nurse complete first? a. Give epinephrine IM. b. Begins IV with normal Saline and a corticosteroid. c. Provide a beta-antagonist (albuterol) via inhaler. d. Place the patient on cardiac monitor. 54) A newborn is diagnosed with coarctation of the aorta. Which assessment should the nurse make when caring for this infant?a. Observing for excessive crying. b. Auscultating for a cardiac murmur.c. Assessing femoral or radial pulses simultaneously. / Assessing for the presence of femoral pulses. (Brachial pulses also should be present)d. Recording an upper extremity blood pressure. 55) The nurse is caring for a preschool child who is aware of impending death. What behavior should the nurse expect the child to demonstrate at the time?a. Outbreak of anger b. Verbalization of feelings c. Bargaining for another chance d. Fear of being separated from parents. 56) Which is an appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler?a. Provide privacy. b. Encourage parents in the room / Encourage parents to room in.c. Explain procedure and outlines.d. Encourage contact with children of the same age. 57) A woman is 39 weeks gestation with severe abdominal pain that remains constant. She is being admitted to the labor and delivery unit. She suddenly experienced increased contraction frequently of every 1 to 2 minutes, has dark red vaginal bleeding and a tense rigid abdomen. What should the nurse suspect at this time?a. placenta abruption b. placenta previa c. preterm labord. eclamptic seizure 58) The nurse is evaluating outcomes about a family's ability to care for an adult patient child who is recovering from a spinal cord injury. Which indicates that this family is transitioning in a healthy manner? (Select all that apply).A.The patient states fewer episodes of nausea with changing positions.B. The patient states the injuries “messed up” the rest of his life.C.The mother states the ability to provide care for the child is becoming easier.D. The mother states the need to have a break at least once per week. E.The father states the child accident has brought the family closer together.