Elsevier Adaptive Quizzing: MCH Mod 4-6 Exam 2 Rev: Ch 43 - 50, 52, 54 (graded 94%) : McKinney: Maternal-Child Nursing, Sixth Edition.

Exit Performance MCH Mod 4-6 Exam 2 Rev: Ch 43 - 50, 52, 54 (graded for accuracy) Due Jul 17, 2025 by 11:59 pm Final Score 93% 71 out of 76 questions answered correctly Completed on Jul 16, 2025 6:41 pm Incorrect (5) Report content errorWhich pharmacologic therapy would the nurse expect to see in the management plan for a child with inflammatory bowel disease (IBD)? Select all that apply. One, some, or all responses may be correct. Rationale Antibiotics such as metronidazole or ciprofloxacin, corticosteroids such as prednisone, immune-modulating agents such as azathioprine, and tumor necrosis factor-α antibody (infliximab) are used to treat the multidimensional aspects of IBD. Antimicrobials are used to treat infectious gastroenteritis caused by shigella or giardia, but they are not used to manage IBD. p. 986 Report content error Which topical antimicrobial agent would the nurse apply to a child’s burned ear? Antibiotics Antimicrobials Corticosteroids Immune-modulating agents Tumor necrosis factor-α antibody MafenideRationale Mafenide is the topical agent of choice for burns to the ear or electrical burns because it penetrates deeply into the eschar. Silver sulfadiazine is commonly used but is not typically used on the face or ear. Collagenase ointment is a topical enzyme, not an antimicrobial, and it is used for debridement. Silver nitrate solution is applied to wet dressings and is not effective against active infections. p. 1206 Report content error Which consideration is important for collection and storage of a urine specimen for culture? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Silver sulfadiazine Collagenase ointment Silver nitrate solution Collect the first-void morning urine specimen. Attach a collection bag to the perineum if the child is not toilettrained. Wipe the female genitalia from back to front before collecting the specimen. Advise the patient to catch the urine in the specimen container midstream.Rationale Important considerations for collection and storage of a sterile urine specimen include collecting the first-void morning urine specimen, attaching a specimen collection bag to the child’s perineum if the child is not toilet-trained, and advising the patient to catch the urine in the specimen container midstream. The female genitalia would be wiped from front to back before collecting the specimen, not from back to front as this could contaminate the site with fecal material and cause infection. Urine specimens are stored in the refrigerator if they cannot be plated within 10 minutes of collection. p. 1014 Report content error Which clinical manifestation would the nurse expect in a child with fetal alcohol spectrum disorder (FASD)? Select all that apply. One, some, or all responses may be correct. Store the urine specimen in the freezer if it cannot be plated within 10 minutes. Cleft palate Thin upper lip Flat nasal bridge Smooth philtrum Missing digits on the handsRationale Clinical manifestations of FASD include a cleft palate, thin upper lip, and smooth philtrum. A flat nasal bridge is associated with Down syndrome. Digits are not missing on the hands of a child with FASD. p. 1357 Report content error Which pathophysiologic change would the nurse expect to occur in a pediatric patient experiencing status epilepticus? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Rationale Status epilepticus causes repetitive motor activity that will deplete glucose stores, increase the metabolic rate, and increase oxygen consumption. Status epilepticus is not identified to affect bowel motility or renal blood flow. p. 1310 Reduced bowel motility Depleted glucose stores Increased metabolic rate Increased renal blood flow Increased oxygen consumptionCorrect (71) Report content error Which laboratory finding peaks 5 to 10 days after jaundice appears in a child with hepatitis? Rationale Serum bilirubin levels peak 5 to 10 days after jaundice appears. There are no liver function tests specific for hepatitis, but sedimentation rate, alkaline phosphatase, alanine transaminase, and aspartate transaminase can indicate liver damage caused by hepatitis. p. 1001 Report content error Serum bilirubin Sedimentation rate Alkaline phosphatase Alanine transaminase Aspartate transaminaseWhich factor contributes to the development of acne in adolescents? Select all that apply. One, some, or all responses may be correct. Rationale Factors that play a role in the development of acne lesions include hormonal influences, emotional stress, and the overgrowth of normal bacteria. Acne is not transmitted by skin-to-skin contact, nor is it related to the ingestion of fatty foods. p. 1196 Report content error Which term describes the presence of cancer cells growing in sites other than the site of the primary cancer? Hormones Emotional stress Skin-to-skin contact Ingestion of fatty foods Overgrowth of normal bacteria Invasion Neoplasm Metastasis MalignancyRationale Metastasis occurs when cancer spreads, and the cells grow in sites other than the site of the primary cancer. Invasion occurs when cancer cells grow in an unrestricted, disorderly fashion at the site of origin. A neoplasm is any tumor that arises from new, abnormal cell growth. Malignancy is the state or presence of a cancer. p. 1148 Report content error What is a defining characteristic of scoliosis? Rationale Scoliosis is the most common spinal deformity. A rotary deformity of the lateral curvature of the spine is the correct description of scoliosis. A concave lumbar curvature that is exaggerated is a description of lordosis. There are no bacterial infections in the vertebrae with scoliosis. A curvature of the thoracic spine that has an increased convex angulation is a description of kyphosis. Test-Taking Tip: Practicing a few relaxation techniques may prove helpful on the day of an exam. Relaxation techniques such as deep breathing, The concave lumbar curvature present is immensely exaggerated. There is a long-term bacterial infection present in the vertebrae. There is a rotary deformity of the lateral curvature of the spine. The thoracic spine has an increased convex ry, head rolling, shoulder shrugging, rotating and stretching of the neck, leg lifts, and heel lifts with feet flat on the floor can effectively reduce tension while causing little or no distraction to those around you. It is recommended that you practice one or two of these techniques intermittently to avoid becoming tense. The more anxious and tense you become, the longer it will take you to relax. p. 1230 Report content error Which finding is the hallmark sign of Hodgkin disease? Rationale The presence of giant multinucleated cells (known as Reed-Sternberg cells) is the hallmark sign of Hodgkin disease. Uncontrolled tremors of the extremities is a sign of Parkinson disease. Hodgkin disease originates from a proliferation of either B or T lymphocytes. It would not be evidenced by an unsteady gait that worsens with fatigue. p. 1168 Uncontrolled tremors of extremities Decrease in numbers of B lymphocytes Presence of giant, multinucleated cells Unsteady gait that worsens with fatigueReport content error What are major goals of the therapeutic management of juvenile rheumatoid arthritis? Rationale Preventing physical deformity and preserving joint function are the goals of treatment. A third goal is to control pain. After the joint is damaged, it may not be possible to regain proper alignment. It may not be possible to achieve a cure. Skin breakdown is usually not an issue in juvenile rheumatoid arthritis. Test-Taking Tip: Study wisely, not hard. Use study strategies to save time and be able to get a good night's sleep the night before your exam. Cramming is not smart, and it is hard work that increases stress while reducing learning. When you cram, your mind is more likely to go blank during a test. When you cram, the information is in your short-term memory so you will need to relearn it before a comprehensive exam. Relearning takes more time. The stress caused by cramming may interfere with your sleep. Your brain needs sleep to function at its best. p. 1245 To prevent joint discomfort and regain proper alignment To prevent loss of joint function and achieve cure To prevent physical deformity and preserve joint function To prevent skin breakdown and relieve symptomsReport content error For which clinical manifestation would the nurse monitor while caring for a child with suspected cellulitis caused by Haemophilus influenzae? Select all that apply. One, some, or all responses may be correct. Rationale Manifestations of cellulitis include fever, malaise, headache, and red, hot, indurated skin. In addition, when H. influenza is the causative organism, the affected area has a purplish tinge. p. 1187 Report content error Which previously rare childhood cancer has been steadily increasing in the adolescent population? Fever Malaise Headache Red, hot, indurated skin Purplish tinge to affected area MelanomaRationale Melanoma, previously rare in children, is steadily increasing in the adolescent population. The increase might be caused by an increase in sun exposure or a decrease in ozone protection. Teaching teenagers and their parents about safe sun practices is an important component of melanoma prevention. Lung cancer, hepatoblastoma, and testicular cancer remain relatively rare in children. p. 1175 Report content error Which route is used to administer chemotherapy to children? Select all that apply. One, some, or all responses may be correct. Lung cancer Hepatoblastoma Testicular cancer Orally Intrathecally Intravenously Intramuscularly SubcutaneouslyRationale Chemotherapy is given to children orally, intrathecally, intravenously, intramuscularly, and subcutaneously. p. 1151 Report content errorWhere in the respiratory system does gas exchange occur? Rationale The alveoli are distal to the terminal bronchioles. They are surrounded by capillaries and are the site where most gas exchange occurs in the lungs. The trachea conducts air between the larynx and the lungs. Goblet cells line the bronchi and secrete mucus that protects the lungs from dust and bacteria. Gas exchange does not take place in the terminal bronchioles. Test-Taking Tip: Choose the best answer for questions asking for a single answer. More than one answer may be correct, but one answer may contain more information or more important information than another answer. p. 1035 Report content error Which cancer is common in childhood? Select all that apply. One, some, or all responses may be correct. Alveoli Trachea Goblet cells Terminal bronchioles Leukemias LymphomasRationale The most common childhood cancers are leukemias, lymphomas, and brain tumors. p. 1151 Report content error What is the priority nursing intervention when administering loop diuretics to a child with heart failure? Rationale Loop diuretics are designed to eliminate excess extracellular fluid; therefore the nurse would record the child's fluid intake and output because of the risk for dehydration caused by fluid loss. Salt would be restricted by the health care provider because it promotes water retention; however, potassium would not be restricted. A side effect of loop diuretics is hypokalemia, or potassium loss, so the patient would need to include Brain tumors Bone cancers Lung cancers Ensuring that the child gets adequate rest Recording fluid intake and output Changing the child's position every 2 hours Restricting salt and potassium in the diethigh-potassium foods in the diet and may even need potassium supplements. Ensuring adequate rest would not help prevent dehydration. The nurse would change the patient's position every 2 hours to prevent skin breakdown, not dehydration. p. 1091 Report content error Which is the cardinal sign of Hirschsprung disease within the first 24 hours of life? Rationale Delayed passage of meconium stool or absence of meconium stool in the first 24 hours is a cardinal sign of Hirschsprung disease. Projectile vomiting after feeding can be a sign of hypertrophic pyloric stenosis. Bilious vomiting is a sign of volvulus. Apgar score reflects the general health of an infant at birth but is not specific to Hirschsprung disease. p. 992 Bilious vomiting Apgar score of 6 Projectile vomiting after initial feeding Delayed passage or absence of meconium stoolReport content error The nurse is admitting a child with Kawasaki disease to the pediatric care unit. Which drug would the nurse administer to decrease the incidence of coronary artery damage? Rationale Therapeutic management of Kawasaki disease is aimed at preventing or reducing coronary artery damage. As this is an immune system disorder, administration of intravenous immune globulin (IVIG) would be initiated to prevent coronary artery damage. IV steroids would be contraindicated with this disorder. IV vancomycin is an antibiotic commonly used to treat some antibiotic-resistant infections. IV pain medication is often required to control symptoms of sickle cell disease, not Kawasaki disease. p. 1118 Report content error Steroids Vancomycin Immune globulin Pain medicationsA 12-month-old infant has been prescribed lumbar puncture to confirm the diagnosis of meningitis. The nurse is teaching the parents of the child about the rationale behind the procedure. The nurse incorporates in the teaching that a lumbar puncture is used to do what? Rationale Organisms that cause meningitis are often harbored in the cerebrospinal fluid. The lumbar puncture helps determine if meningitis is present and if the causative agent is bacterial or viral. Although some blood may be found in the spinal fluid, its presence is not a finding that confirms the diagnosis of meningitis. More conservative measures, such as medications or positioning, are used to reduce intracranial pressure. Although testing for cerebrospinal fluid glucose levels may be done if infection or bleeding is suspected, it does not determine the causative agent. p. 1287 Report content error Determine the causative agent. Identify the presence of blood. Reduce the intracranial pressure. Measure the glucose level.A child from which population due to genetic link is at highest risk for beta-thalassemia? Rationale Thalassemias are found primarily in people of Mediterranean descent, although they have been reported in Asian and African populations. European heritage is not associated with thalassemias. p. 1136 Report content error Which clinical manifestation would the nurse anticipate in a child diagnosed with impetigo? Asian African European Mediterranean Red, hot, tender skin Nonpruritic, oily, yellow scales Papulovesicular rash with scaly, red plaques Honey-colored crusts around nose and mouthRationale Impetigo usually manifests as honey-colored crusts around the nose and mouth. Red, hot, tender skin is seen with cellulitis. Nonpruritic, oily, yellow scales are indicative of seborrheic dermatitis. A papulovesicular rash with scaly, red plaques is a manifestation of atopic dermatitis. Test-Taking Tip: Read carefully and answer the question asked; pay attention to specific details in the question. p. 1187 Report content error A young child is having a seizure that has lasted 35 minutes. There is a loss of consciousness. The nurse should recognize that this is what? Rationale Status epilepticus is a generalized seizure that lasts more than 30 minutes. Absence seizures are brief losses of consciousness. Generalized seizures are the most common of seizures. They have a tonic phase of approximately 10 to 20 seconds. They involve both hemispheres of the brain. Simple partial seizures are characterized by varying sensations. An absence seizure A generalized seizure Status epilepticus A simple partial seizureTest-Taking Tip: Watch for grammatical inconsistencies. If one or more of the options is not grammatically consistent with the stem, the alert test taker can identify it as a probable incorrect option. When the stem is in the form of an incomplete sentence, each option should complete the sentence in a grammatically correct way. p. 1309 Report content error Which test is used to prenatally diagnose sickle cell disease? Rationale Prenatal diagnosis of sickle cell disease is accomplished by chorionic villus sampling at 8 to 10 weeks of gestation or by amniocentesis at 15 weeks of gestation. The reticulocyte count and complete blood count are diagnostic tests used after birth. Transvaginal ultrasonography would not provide information regarding sickle cell disease. p. 1131 Reticulocyte count Complete blood count Transvaginal ultrasonography Chorionic villus samplingReport content errorWhich response would the nurse provide when a parent refuses to permit an infant to be vaccinated because of the risk for developing autism? Rationale Multiple epidemiologic studies have shown no correlation between the occurrence of autism and childhood vaccination. No specific vaccinations have been shown to cause autism. There is no evidence to support that vaccinations given during infancy are safe, whereas the ones given when the child is older are not. There is no concrete evidence that vaccinations cause autism. Test-Taking Tip: Multiple-choice questions can be challenging because students think that they will recognize the right answer when they see it or that the right answer will somehow stand out from the other choices. This is a dangerous misconception. The more carefully the question is constructed, the more each choice will seem like the correct response. p. 1359 "Only certain vaccinations have been shown to cause autism." "Studies have shown that there is no relationship between vaccinations and autism." "The vaccinations during infancy are safe, but the ones when the child is older are not." "It is your choice because there is no concrete evidence that vaccinations do not cause autism."Report content error A 3-year-old patient is being discharged post-tonsillectomy, and the parents ask what the child should be allowed to eat and drink. Teaching by the nurse has been effective if the parents choose which foods and fluids for the first few days at home? Rationale Fluids that should be avoided include carbonated drinks, drinks that are red or brown, milk and milk products (e.g., cheese, ice cream), citrus drinks, and hot fluids (e.g., tea, soup). Foods that should be avoided include foods with rough edges (e.g., toast, crackers, cookies, chips), anything that has hard edges when cooked (e.g., bacon), and spicy foods or condiments (e.g., ketchup, mustard, peppers). The patient can have soft, mushy foods such as scrambled eggs, mashed potatoes, French toast, or pancakes with syrup as long as the edges are trimmed. STUDY TIP: Answer every question. A question without an answer is the same as a wrong answer. Go ahead and guess. You have studied for the test, and you know the material well. You are not making a random guess Bacon strips, cola, fruit punch, toast with butter and jelly, and vanilla pudding Orange juice, grape popsicles, French toast with syrup, vanilla ice cream, and orange soda Scrambled eggs, banana popsicles, mashed potatoes, and apple juice Lemonade, orange popsicles, French fries with ketchup, grape soda, and pancakes with syrupbased on no information. You are guessing based on what you have learned and your best assessment of the question. p. 1048 Report content error A child with acute kidney injury is provided nourishment by an intravenous (IV) route. Which would be the nurse’s priority action for this patient? Rationale The nurse would closely monitor when the patient is provided nourishment by the IV route as there is a risk for fluid overload. A decrease or increase in temperature would not result from nourishment by an IV route. The patient is at risk for dehydration if fluids are restricted and there is weight loss. Urinary output is monitored when the patient is at risk for any urinary disease. Test-Taking Tip: On a test day, eat a normal meal before going to school. If the test is late in the morning, take a high-powered snack with you to eat 20 minutes before the examination. The brain works best when it has the glucose necessary for cellular function. Monitoring for dehydration Monitoring for fluid overload Monitoring for urinary output Monitoring for a decrease in temperaturep. 1025 Report content error Which clinical finding would prompt the nurse to suspect an endocrine disorder in a preschool-age child with Down syndrome? Rationale Findings associated with an endocrine disorder include thin hair. Skin bruising is associated with a hematologic disorder. Poor muscle tone is associated with a musculoskeletal abnormality. Projectile vomiting is a symptom of pyloric stenosis, which manifests during the neonatal period. p. 1353 Report content error Thin hair Skin bruising Poor muscle tone Projectile vomitingWhich dietary change would the nurse recommend for a child with constipation? Select all that apply. One, some, or all responses may be correct. Rationale If a child is constipated, the nurse would recommend limiting milk intake, as dairy slows down bowel motility, increasing constipation. The nurse would recommend increasing fiber, water, and fruits and vegetables in the child's diet to soften the stool and making them easier to pass. Too much protein can lead to limited intake of other nutrients, but there is no need to limit protein in the diet unless it is excessive. Test-Taking Tip: Be alert for details about what you are being asked to do. In this question type, you are asked to select all options that apply to a given situation or patient. All options likely relate to the situation, but only some of the options may relate directly to the situation. p. 986 Report content error Limit milk Limit protein Increase fiber Increase water Increase fruit and vegetable consumptionWhich response would the nurse give to the parents of a child with cystic fibrosis who ask, "How did our child get this disease?" Rationale Cystic fibrosis is transmitted as an autosomal recessive trait, which means that both parents must carry the gene for the child to be affected. The gene mutation does not occur in utero, it is not a dominant trait, and it is not carried on the sex chromosomes of the mother or father. p. 1074 Report content error Which sign or symptom noted during assessment of a child with juvenile idiopathic arthritis would indicate possible systemic involvement? Select all that apply. One, some, or all responses may be correct. "Cystic fibrosis occurs because of a gene mutation in utero." "It is a dominant trait that is carried on the X chromosome of the mother." "The gene for the disease is dominant and is carried on the Y chromosome of the father." "It is an autosomal recessive trait, which means that both of you carry the gene." AnorexiaRationale Signs and symptoms of systemic involvement in a child with juvenile idiopathic arthritis include anorexia, weight loss, failure to grow, rash with accompanying fever, and a history of temperature elevations, especially in the late afternoon or early evening. p. 1245 Report content error Which characteristic would the nurse expect to observe in an 8-year-old patient with a moderate intellectual disability? Rationale A child with a moderate intellectual disability can communicate, though the child typically has less than adequate social skills. A child with Weight loss Failure to grow Rash with accompanying fever Fever late in the afternoon or evening May be able to walk Has limited self-help skills Can generally provide self-care Has less than adequate social skillsprofound intellectual disability may be able to walk. A child with severe intellectual disability would have limited self-help skills. A child with mild intellectual disability can generally provide self-care. p. 1349 Report content error Which function of the skin would the nurse include in a teaching session about the integumentary system? Select all that apply. One, some, or all responses may be correct. Rationale The skin has five major functions. The skin regulates temperature, aids in water excretion, aids in vitamin D production, protects deeper tissues from injury, and initiates the sensations of touch, pain, and cold. Test-Taking Tip: Be alert for details about what you are being asked to do. In this question type, you are asked to select all options that apply to a given situation or patient. All options likely relate to the situation, but only some of the options may relate directly to the situation. p. 1178 Regulates temperature Aids in water excretion Aids in vitamin D production Protects deeper tissues from injury Initiates the sensations of touch, pain, and coldReport content error Which assessment finding for a child with cirrhosis would necessitate referral for immediate emergency medical care? Rationale Bloody emesis can indicate varices, a complication of cirrhosis that requires emergency medical care. Steatorrhea, splenomegaly, and tight shiny skin are all manifestations of cirrhosis, but they would not require emergency medical treatment. p. 1005 Report content error Which medication is used to treat iron deficiency anemia in infants and children? Steatorrhea Bloody emesis Splenomegaly Tight shiny skin Subcutaneous epoetin alfaRationale The medication used to treat iron deficiency anemia in infants and children is ferrous sulfate, an iron supplement. Epoetin alfa is a medication used to stimulate red blood cell production for anemia in chronic renal failure, not iron deficiency anemia. Vitamin K is a medication administered intramuscularly to promote clotting for bleeding disorders. Intravenous crystalloids are used for circulating volume replacement. p. 1127 Report content error Which area of the heart is associated with initiation of the P wave on an electrocardiogram? Rationale Electrical conduction is normally initiated by the sinoatrial (SA) node located in the right atrium. The atrioventricular (AV) node is located Vitamin K Ferrous sulfate Intravenous crystalloids Left atrium Right atrium Left ventricle Right ventriclebetween the right and left atrium and is the point at which the cardiac conduction cycle is slowed. The left bundle branch runs alongside the left ventricle, and the right bundle branch runs alongside the right ventricle to the Purkinje fibers, which spread the electrical impulse across both ventricles. Test-Taking Tip: If you are unable to answer a multiple-choice question immediately, eliminate the alternatives that you know are incorrect and proceed from that point. The same goes for a multiple-response question that requires you to choose two or more of the given alternatives. If a fillin-the-blank question poses a problem, read the situation and essential information carefully and then formulate your response. p. 1085 Report content error After experiencing the initial stages of bronchopulmonary dysplasia, which condition is the greatest risk to survival for infants? Rationale After experiencing the initial stages of bronchopulmonary dysplasia, the greatest risk to survival for infants is the risk for infection. These infants Asthma Infection Myocardial infarction Acute respiratory distress syndromemay go on to develop asthma, but this condition is not a big risk for their survival. Myocardial infarction and acute respiratory distress syndrome do not normally follow bronchopulmonary dysplasia. p. 1073 Report content error Which treatment modality would the nurse anticipate being prescribed for a child with fragile X syndrome who has a learning disability? Rationale Sensorimotor therapy is considered to be the intervention of choice for a child with fragile X syndrome with a learning disability. There are no medications to treat the syndrome; however, medications may be used to manage associated symptoms. Physical therapy and occupational therapy are not specifically identified as used in the therapeutic management of the child with fragile X syndrome. p. 1356 Medications Physical therapy Occupational therapy Sensorimotor therapyReport content error When assessing a 7-year-old patient for diurnal enuresis, which sign or symptom would the child exhibit? Rationale Children with urgency, frequency, and inappropriate wetting during the day may be seen rushing to the bathroom or tightly crossing their legs. Often, these children cannot sit still and exhibit a constant odor of urine. Undescended testis, or cryptorchidism, presents as testis that are not palpable or easily guided into the scrotum. Flank pain and fever usually accompany infectious processes. Sedimentation in the urine may accompany kidney stones, bladder stones, tumors, or urinary tract infections. p. Report content error Undescended testis Flank pain and fever Tightly crossing the legs Sedimentation in the urineWhich complementary and alternative therapy would the nurse suggest to parents of a child with irritable bowel syndrome (IBS)? Select all that apply. One, some, or all responses may be correct. Rationale Complementary and alternative therapies such as biofeedback, hypnotherapy, peppermint oil, guided imagery, and cognitive-behavioral therapy can help manage the symptoms of IBS. p. 979 Report content error Which substance would the nurse recommend avoiding for a child with contact dermatitis? Select all that apply. One, some, or all responses may be correct. Biofeedback Hypnotherapy Peppermint oil Guided imagery Cognitive-behavioral therapy Cosmetics Skin lotions Scented soapRationale Contact dermatitis can be caused by a large number of substances including cosmetics, skin lotions, scented soaps, wool clothing, and alkaline soaps. Test-Taking Tip: Read every word of each question and option before responding to the item. Glossing over the questions just to get through the exam quickly can cause you to misread or misinterpret the real intent of the question. p. 1182 Report content error Which observation reflects equal rights and accessibility for all disabled individuals in a grade school? Wool clothing Alkaline soaps The desks in the classroom are arranged in a semi-circle. The teacher places all of the children with special needs at the back of the classroom. There are written education plans listing instructions and services needed for identified children. The gymnasium has a designated area where children with special needs are directed to sit during the class.Rationale As a result of legislation to address equal rights and accessibilities for all children with disabilities, such as the Individuals with Disabilities Education Act (IDEA), every disabled child must have a written individualized education plan (IEP) that outlines specialized instruction and services the public school system will provide. The arrangement of the desks would not reflect equal rights and accessibility. Placing the students with special needs in the back of the classroom is exclusionary and would not facilitate accessibility or equal rights to instruction. Having the students with special needs sit in a designated area during gym class is also exclusionary and would not facilitate accessibility or equal rights during the class. p. 1346 Report content error Which substance would the nurse recommend avoiding for a child with contact dermatitis? Select all that apply. One, some, or all responses may be correct. Rationale Cosmetics Skin lotions Scented soap Wool clothing Alkaline soapsContact dermatitis can be caused by a large number of substances including cosmetics, skin lotions, scented soaps, wool clothing, and alkaline soaps. Test-Taking Tip: Read every word of each question and option before responding to the item. Glossing over the questions just to get through the exam quickly can cause you to misread or misinterpret the real intent of the question. p. 1182 Report content errorWhich clinical manifestation would the nurse expect in a patient with hepatitis B (HBV) during the anicteric phase? Rationale Anorexia is common in the anicteric phase of HBV infection. Jaundice, urticaria, dark urine, and light-colored stools occur in the icteric phase of HBV infection. p. 999 Report content error Which manifestation is related to leukemia in children? Select all that apply. One, some, or all responses may be correct. Anorexia Jaundice Urticaria Dark urine Light-colored stools Anemia Excessive bruising Thrombocytopenia Hepatosplenomegaly Abnormal white blood cell countsRationale Clinical manifestations of leukemia include anemia, excessive bruising, thrombocytopenia, hepatosplenomegaly, and abnormal white blood cell counts. p. 1157 Report content error The nurse is reviewing laboratory results for a child with chronic renal failure. Which laboratory value would the nurse refer to when evaluating the effectiveness of phosphatebinding medications? Rationale The purpose of administering phosphate-binding agents is to increase serum calcium levels, decrease phosphorus blood levels, control parathyroid gland activity, and treat renal osteodystrophy; as such, the nurse would monitor calcium levels to evaluate the effectiveness of the phosphate-binding agents. Phosphate-binding agents have no effect on red blood cell count or glomerular filtration rate. Parathyroid hormone, not thyroid-stimulating hormone, is monitored to evaluate the effectiveness of phosphate-binding agents. Calcium level Red blood cell (RBC) count Glomerular filtration rate (GFR) Thyroid-stimulating hormone (TSH) levelp. 1030 Report content error Which clinical manifestation would the nurse recognize as indicative of hemophilia in a school-age child? Select all that apply. One, some, or all responses may be correct. Rationale Hemophilia is a bleeding disorder associated with defective or absent clotting factors. Knee swelling, pain, and stiffness commonly occur with hemophilia as a result of bleeding and accumulation of blood in the joints. Epistaxis is common among children with hemophilia. Shortness of breath is more likely to occur with sickle cell disease. In the event of a bleeding episode, tachycardia, not bradycardia, would occur. Test-Taking Tip: Identify option components as correct or incorrect. This may help you identify a wrong answer. Example: If you are being asked to identify a diet that is specific to a certain condition, your knowledge about that condition would help you choose the correct response (e.g., cholecystectomy = low-fat, high-protein, low-calorie diet). Knee swelling Pain and stiffness in the joints Shortness of breath Bradycardia Epistaxisp. 1138 Report content error Which outcome is expected after intravenous steroid therapy for immune thrombocytopenic purpura? Rationale The expected outcome of steroid therapy to manage immune thrombocytopenic purpura is to restore circulating platelet counts. Decreased thrombocyte levels is a characteristic of immune thrombocytopenic purpura, and steroid therapy is intended to increase the platelet count. Improved iron-binding capacity is associated with chelation therapy for iron overload. Decreased petechial hemorrhaging occurs in response to an elevated platelet count. Test-Taking Tip: Once you have decided on an answer, look at the stem again. Does your choice answer the question that was asked? If the question stem asks "why," be sure the response you have chosen is a reason. If the question stem is singular, be sure the option is singular, and the same goes for plural stems and plural responses. Many times, checking to make sure that the choice makes sense in relation to the stem will reveal the correct answer. Decreased thrombocyte levels Improved iron-binding capacity Restored circulating platelet counts Decreased petechial hemorrhagingp. 1143 Report content error Which process describes the outcome of clamping the umbilical cord at birth? Rationale Clamping of the umbilical cord at birth increases the systemic arterial pressure. Pulmonary vascular resistance decreases, and pulmonary blood flow markedly increases at birth. Workload of the left ventricle increases once the cord is clamped. Gas exchange is transferred from the placenta to the lungs once the infant takes the first breath. p. 1085 Report content error Pulmonary vascular resistance increases Workload of the left ventricle decreases Systemic arterial pressure increases Gas exchange is transferred from the placenta to the lungsFor which reason would the nurse use the functional age of a child with development and intellectual disabilities when planning care? Select all that apply. One, some, or all responses may be correct. Rationale Functional age refers to the level of adaptive function, or the level of coping that a child has developed that supports communication skills. Maximizing the child’s adaptive function by supporting identified strengths and supplementing weak areas allows the child to develop realistically to full potential. Using functional age supports the child’s ability to socialize with others and identifies the child’s ability to complete activities of daily living. Mental age provides information about level of intellectual understanding to guide the approach to communication when talking with the child. Test-Taking Tip: Be alert for details about what you are being asked to do. In this question type, you are asked to select all options that apply to a given situation or patient. All options likely relate to the situation, but only some of the options may relate directly to the situation. p. 1347 Reflects communication skills Supports the child in developing to full potential Supports the child’s ability to socialize with others Reflects the child’s ability to complete activities of daily living Determines the intellectual level to use when talking to the childReport content error Which diagnostic test would the nurse anticipate being prescribed for a school-age child with Down syndrome who plans to play Little League baseball? Rationale Neck radiography would be performed before a child with Down syndrome participates in any sports because these children are at risk for atlantoaxial instability. There is no indication for an endoscopy, intravenous pyelogram, or fasting blood glucose level to be completed before the child participates in sports. p. 1354 Report content error Endoscopy Cervical spine x-ray examination Intravenous pyelogram Fasting blood glucose levelWhich information would the nurse include in a teaching session about head lice infestation for parents of school-age children? Rationale Lice live only on humans, so they cannot be contracted through contact with pets. Head lice are not responsible for the spread of any disease, but body lice are known to be vectors of several pathogens. Lice are spread through direct contact or with contact with infected person or infested objects (e.g., combs, brushes); they are not able to jump from one person to another. Head lice infestation is not a reportable condition. p. 1193 Report content error Which description reflects the cause and incidence of LeggCalvé-Perthes disease? Select all that apply. One, some, or all responses may be correct. Head lice are known to be carriers of many diseases. Keeping the hair clean will discourage head lice infestation. Head lice are spread by jumping from one person to another. Head lice infestations must be reported to the health department. Head lice only live on humans, so they cannot be contracted by contact with pets. History of low birth weightRationale Although the cause of Legg-Calvé-Perthes disease is unknown, the incidence is higher among children who had a low birth weight and have a shorter than average stature. The incidence in boys is four to five times that of girls, and it is most commonly noted between 4 and 8 years of age. A tendency to develop or fail to lyse thrombi may also contribute to the disease. p. 1240 Report content error Which assessment would be considered priority when caring for a child 7 to 14 days after chemotherapy administration? Rationale Shorter than average stature Incidence is higher in boys than girls Most commonly seen between 4 and 8 years of age History of abnormalities in certain clotting mechanisms Nausea Malaise Infection IrritabilityChemotherapy suppresses bone marrow and can result in neutropenia. Blood counts are lowest 7 to 14 days after administration of chemotherapy. When counts are low, the patient is at the highest risk for opportunistic infections. Nausea, malaise, and irritability can occur after chemotherapy but typically appear sooner than 7 to 14 days after administration. Test-Taking Tip: Answer the question that is asked. Read the situation and the question carefully, looking for key words or phrases. Do not read anything into the question or apply what you did in a similar situation during one of your clinical experiences. Think of each question as being an ideal, yet realistic, situation. p. 1152 Report content error The nurse is providing care to an infant with heart failure. The nurse observes that the child is stressed and fatigued as evidenced by continued fussiness and crying. Which intervention would the nurse implement to feed the child? Rationale Using a gastrostomy tube Providing a gavage feeding Using a soft preemie nipple Holding the patient in the semi-upright positionWhen infants are stressed and fatigued, gavage feedings are administered instead of oral feedings to ensure adequate nutrition. A soft preemie nipple would be used to decrease the energy for sucking when the infant is able to feed orally. The nurse would ask the parent to hold the infant in the semi-upright position to breastfeed. A gastrostomy tube would be used in cases of severe heart failure, neurologic deficit, or significant gastroesophageal reflux. p. 1092 Report content error The nurse is providing care to an infant with heart failure. The nurse observes that the child is stressed and fatigued as evidenced by continued fussiness and crying. Which intervention would the nurse implement to feed the child? Rationale When infants are stressed and fatigued, gavage feedings are administered instead of oral feedings to ensure adequate nutrition. A soft preemie nipple would be used to decrease the energy for sucking when the infant is able to feed orally. The nurse would ask the parent to hold the infant in the semi-upright position to breastfeed. A gastrostomy tube would be used in Using a gastrostomy tube Providing a gavage feeding Using a soft preemie nipple Holding the patient in the semi-upright positioncases of severe heart failure, neurologic deficit, or significant gastroesophageal reflux. p. 1092 Report content error The nurse is performing a 12-lead electrocardiogram (ECG) on a child with hypertrophic cardiomyopathy. The ECG demonstrates left ventricular hypertrophy, deep Q waves, and ST-T wave abnormalities. Which conclusion would the nurse make regarding the ECG findings? Rationale Changes on a 12-lead ECG are consistent with the child’s diagnosis of hypertrophic cardiomyopathy with left ventricular hypertrophy. The child would not require an emergent cardiac catheterization unless hemodynamic stability or coronary artery perfusion is suspected. The deep Q waves are not a product of myocardial infarction, but rather a rhythm alteration related to the underlying disease process. Wolff-ParkinsonWhite syndrome is a dysrhythmia that is not associated with hypertrophic cardiomyopathy. The child requires an emergent cardiac catheterization. The ECG changes are consistent with a diagnosis of hypertrophic cardiomyopathy. The child is experiencing an anterior wall myocardial infarction. The child’s condition is compromised by Wolff-Parkinson-White syndrome.Test-Taking Tip: Because few things in life are absolute without exceptions, avoid selecting answers that include words such as always, never, all, every, and none. Answers containing these key words are rarely correct. p. 1122 Report content error Which response would the nurse provide to an adolescent who asks, "What causes acne"? Rationale Hormonal changes during adolescence increase sebum production, which contributes to acne vulgaris. Acne is not caused by not washing the face or by using face cream to wash the face. Adolescence does not cause the skin to become more light-sensitive. Test-Taking Tip: Answer the question that is asked. Read the situation and the question carefully, looking for key words or phrases. Do not read anything into the question or apply what you did in a similar situation "Acne develops from not washing your face often enough." "Adolescence causes the skin to become sensitive to light." "Acne may result from using face cream and not soap to wash your face." "Hormonal changes during adolescence increase sebum production."during one of your clinical experiences. Think of each question as being an ideal, yet realistic, situation. p. 1196 Report content error Which laboratory result on the child’s chart would cause the nurse to delay the radiologic procedure and consult the healthcare provider? Rationale The intravenous pyelogram uses contrast dye in the filming process. Contrast dye is contraindicated in renal insufficiency; as such, the nurse would report the creatinine of 2.5 mg/dL (normal 0.3 to 0.7 mg/dL) to the healthcare provider before conducting the procedure. The urine pH of 7.2 is within normal limits (normal 4.5 to 8.0). The BUN of 15 mg/dL is within normal limits (normal 5 to 18 mg/dL). The osmolality of 280 mOsm/kg is within normal limits (275 to 295 mOsm/kg). p. 1010 and 1027 Urine pH 7.2 Blood urea nitrogen (BUN) 15 mg/dL Creatinine 2.5 mg/dL Osmolality 280 mOsm/kgReport content error Which initial therapy would be prescribed for a child with Hodgkin disease with mediastinal involvement that is compromising the airway? Rationale Mediastinal involvement in Hodgkin disease that compromises the airway is treated with radiation therapy given locally to provide immediate relief. Induction chemotherapy is the first stage of treatment given for leukemia. In Hodgkin disease, chemotherapy can be given after radiation has been used to shrink the mediastinal tumor. Chemotherapy combined with radiation therapy can be given after the mediastinal tumor has been reduced. Test-Taking Tip: Become familiar with reading questions on a computer screen. Familiarity reduces anxiety and decreases errors. p. 1169 Report content error Induction chemotherapy High-dose chemotherapy Localized radiation therapy Chemotherapy combined with radiation therapyWhich intervention would the nurse implement to prevent neurologic complications in a child who just had surgery for brain tumor resection? Rationale After resection of a brain tumor, the nurse would monitor the child for signs of increased intracranial pressure. Assessing vital signs, cardiac monitoring, and arterial blood gas measurements are included in routine postoperative care in the intensive care unit, but monitoring for signs of increased intracranial pressure would be specific to preventing the development of neurologic complications. p. 1166 Report content error Which intervention would the nurse implement to prevent neurologic complications in a child who just had surgery for brain tumor resection? Assessing vital signs Cardiac monitoring Obtaining arterial blood gas measurements Assessing for signs of increased intracranial pressure Assessing vital signs Cardiac monitoringRationale After resection of a brain tumor, the nurse would monitor the child for signs of increased intracranial pressure. Assessing vital signs, cardiac monitoring, and arterial blood gas measurements are included in routine postoperative care in the intensive care unit, but monitoring for signs of increased intracranial pressure would be specific to preventing the development of neurologic complications. p. 1166 Report content error Which statement describes the absorption of nutrients and vitamins in the gastrointestinal system? Rationale Obtaining arterial blood gas measurements Assessing for signs of increased intracranial pressure All vitamins and nutrients are absorbed in the jejunum and ileum. The stomach breaks down and absorbs the most vitamins and nutrients. Nutrients and vitamins are reabsorbed in the large intestine along with water. Vitamin and nutrient absorption starts in the mouth and continues to the large intestine.All vitamins and nutrients are absorbed in the jejunum and ileum. The stomach’s major function is to digest food, not absorb nutrients. Water is reabsorbed in the large intestine. Fermentation of remaining carbohydrates also occurs in the large intestine. Vitamin and nutrient absorption takes place after food leaves the mouth. Test-Taking Tip: If you are unable to answer a multiple-choice question immediately, eliminate the alternatives that you know are incorrect and proceed from that point. The same goes for a multiple-response question that requires you to choose two or more of the given alternatives. If a fillin-the-blank question poses a problem, read the situation and essential information carefully and then formulate your response. p. 961 Report content error Which sport would the nurse identify as having a low to moderate risk for injury? Rationale Inline skating is classified as having a low to moderate risk for sportspecific injuries. Ballet is considered a moderate risk. Skiing is considered Ballet Skiing Soccer Inline skating Horseback ridinga moderate to high risk. Soccer is considered a moderate-risk sport. Horseback riding is considered a moderate to high-risk sport. p. 1228 Report content errorThe primary healthcare provider prescribes methotrexate to a child with juvenile idiopathic arthritis. Which function would the nurse monitor in the child to ensure safe drug administration? Rationale Methotrexate is a second-line medication that helps in the treatment of juvenile idiopathic arthritis, particularly in children who are less responsive to nonsteroidal antiinflammatory drugs alone. Adverse effects include liver toxicity and changes in complete blood cell count; therefore, the nurse would monitor liver function to ensure safe administration of this drug. Methotrexate does not interfere with renal, cardiac, or pulmonary function, so the nurse would not need to monitor these systems to ensure safe administration of the drug. p. 1246 Report content error Liver function Renal function Cardiac function Pulmonary functionThe nurse is caring for a pediatric patient and observes ecchymosis and petechiae on the patient’s legs and ankles. Which diagnostic test would be prescribed based on this finding? Rationale A careful skin assessment would reveal signs and symptoms of a low platelet count. Ecchymosis and petechiae are most commonly found on the child’s extremities and under constricting parts of clothing like waistbands and indicate abnormal clotting. Magnetic resonance imaging, biopsy, and urinary pH are not indicated based on these findings. p. 1157 Report content error The nurse is caring for a pediatric patient and observes ecchymosis and petechiae on the patient’s legs and ankles. Which diagnostic test would be prescribed based on this finding? Magnetic resonance imaging Biopsy Urinary pH Platelet count Magnetic resonance imagingRationale A careful skin assessment would reveal signs and symptoms of a low platelet count. Ecchymosis and petechiae are most commonly found on the child’s extremities and under constricting parts of clothing like waistbands and indicate abnormal clotting. Magnetic resonance imaging, biopsy, and urinary pH are not indicated based on these findings. p. 1157 Report content error Which statement explains the correlation between chronic renal failure and anemia? Biopsy Urinary pH Platelet count "Your child has kidney failure, which causes toxins to build up in the body. These toxins destroy blood cells and make your child anemic." "Your child was likely anemic at birth. The lack of sufficient numbers of circulating blood cells impaired function of your child's kidneys." "There is no connection between anemia and kidney failure. Your child has two completely different problems from two different body systems." "The kidneys produce the hormone erythropoietin, which stimulates blood cell production. When kidneys fail, erythropoietin is decreased and anemia results."Rationale The correlation between renal failure and anemia is that kidneys produce the hormone erythropoietin, which stimulates the production of red blood cells by the bone marrow. Decreased kidney function results in decreased production of erythropoietin. This causes decreased stimulation for the bone marrow to produce red blood cells, which results in anemia. Stating that kidney failure causes toxins to build up is accurate; however, toxins do not destroy blood cells. If a child is anemic at birth, it is unlikely to result in renal failure. Anemia is common at birth and treated with iron-fortified formulas. There is a connection between anemia and kidney failure in that the kidney produces erythropoietin to stimulate red blood cell production. p. 1030 Report content error Which statement explains the correlation between chronic renal failure and anemia? "Your child has kidney failure, which causes toxins to build up in the body. These toxins destroy blood cells and make your child anemic." "Your child was likely anemic at birth. The lack of sufficient numbers of circulating blood cells impaired function of your child's kidneys." "There is no connection between anemia and kidney failure. Your child has two completely different problems from two different body systems." "The kidneys produce the hormone erythropoietin, which stimulates blood cell production. When kidneys fail, erythropoietin is decreased and anemia results."Rationale The correlation between renal failure and anemia is that kidneys produce the hormone erythropoietin, which stimulates the production of red blood cells by the bone marrow. Decreased kidney function results in decreased production of erythropoietin. This causes decreased stimulation for the bone marrow to produce red blood cells, which results in anemia. Stating that kidney failure causes toxins to build up is accurate; however, toxins do not destroy blood cells. If a child is anemic at birth, it is unlikely to result in renal failure. Anemia is common at birth and treated with iron-fortified formulas. There is a connection between anemia and kidney failure in that the kidney produces erythropoietin to stimulate red blood cell production. p. 1030 Report content error For which reason would the nurse suggest that a program about autism spectrum disorder (ASD) be provided during a community health fair? Rationale The current prevalence of ASD has increased over the previous several years. A community program about ASD might provide the symptoms; Parents should understand the symptoms of the disorder. There is insufficient medical care available to treat the disorder. The number of children diagnosed with the disorder is increasing. Families should learn how to prevent development of the er, this is not the reason a program about ASD would be provided during a community health fair. There is adequate medical care available to treat ASD. There are no specific actions identified to prevent development of ASD. p. 1359 Report content error The nurse is caring for a child with poststreptococcal glomerulonephritis. The child is not improving despite medical efforts. Which additional test would typically be prescribed for this child? Rationale A renal biopsy may be indicated for children with poststreptococcal glomerulonephritis whose signs and symptoms are not improving as expected. Renal ultrasonography can detect congenital abnormalities or the presence of renal stones and is not usually associated with poststreptococcal glomerulonephritis. A CT scan of the abdomen is used to identify renal tumors, which are not usually associated with poststreptococcal glomerulonephritis. A voiding cystourethrogram is used to determine bladder-emptying problems and is not usually associated with poststreptococcal glomerulonephritis. Renal biopsy Renal ultrasound examination CT scan of the abdomen Voiding cystourethrogramp. 1011 Report content error A 9-year-old child complains of a runny nose and significant respiratory discomfort. Which is an appropriate nursing action to bring symptomatic relief to the patient? Rationale Warm or cool mist is a common therapeutic measure for symptomatic relief of respiratory discomfort. The nurse administers antibiotics if there is altered chest excursion. Antiinflammatory medications are prescribed if the respiratory rate is beyond the normal parameter for a child's age. An aseptic environment is maintained if the nurse suspects a risk for injury related to the presence of infective organisms. p. 1041 Report content error Administering prescribed antibiotics Maintaining an aseptic environment Using a cool-mist or warm-mist humidifier for comfort Administering antiinflammatory medicationsWhich action would the nurse take to prevent pathologic fracture when caring for a child newly diagnosed with osteosarcoma of the femur? Rationale As soon as a bone mass is identified, the child must be non–weight bearing on the affected limb through the use of crutches. This helps avoid a pathologic fracture of the weakened bone; therefore, the nurse would teach the child crutch-walking. Applying a splint to the leg would not be appropriate. Bed rest would not be necessary. Active range-of-motion exercises may cause a pathologic fracture. p. 1171 Report content error Which observation would indicate to the nurse that interventions for autism spectrum disorder (ASD) need to be added to a child’s plan of care? Select all that apply. One, some, or all responses may be correct. Applying a splint to the leg Placing the patient on bed rest Teaching the patient crutch-walking Encouraging the patient to engage is active range-of-motion exercises BabblingRationale Babbling may indicate lack of verbalization in children with ASD, which would prompt intervention. A flat affect and staring at toys may indicate limited social abilities, which would prompt intervention. Poor eye contact and ignoring verbal cues indicate a need for intervention for communication and socialization. p. 1359 Report content error Which action would the nurse take to prevent pathologic fracture when caring for a child newly diagnosed with osteosarcoma of the femur? Flat affect Staring at toys Poor eye contact Ignoring verbal cues Applying a splint to the leg Placing the patient on bed rest Teaching the patient crutch-walking Encouraging the patient to engage is active range-of-motion exercisesRationale As soon as a bone mass is identified, the child must be non–weight bearing on the affected limb through the use of crutches. This helps avoid a pathologic fracture of the weakened bone; therefore, the nurse would teach the child crutch-walking. Applying a splint to the leg would not be appropriate. Bed rest would not be necessary. Active range-of-motion exercises may cause a pathologic fracture. p. 1171 Report content error Which action would the nurse take to ensure the safety of a child with fragile X syndrome? Rationale A child with fragile X syndrome is at risk for seizures as a comorbid disorder. Because of this, the nurse would implement seizure precautions. There is no indication that orthoses are needed. There is no evidence that a fragile X syndrome affects the gag reflex. There is no reason to use nonstatic linens on the bed. Test-Taking Tip: Make certain that the answer you select is reasonable and Applying ankle-foot orthoses Assessing the gag reflex before meals Implementing seizure precautions Using nonstatic linens on the bed10 topics covered Chapter 43, The Child With a Gastrointesti… McKinney: Maternal-Child Nursing, Sixth Edition Novice You Chapter 52, The Child With a Neurologic Al… McKinney: Maternal-Child Nursing, Sixth Edition Novice You Chapter 47, The Child With a Hematologic … McKinney: Maternal-Child Nursing, Sixth Edition Novice obtainable under ordinary circumstances and that the action can be carried out in the given situation. p. 1356 Quiz me on this topic Quiz me on this topic Novice Intermediate Proficient Questions answered 22 Novice Intermediate Proficient Questions answered 21You Chapter 49, The Child With an Alteration in… McKinney: Maternal-Child Nursing, Sixth Edition Novice You Chapter 50, The Child With a Musculoskele… McKinney: Maternal-Child Nursing, Sixth Edition Novice You Chapter 45, The Child With a Respiratory Al… McKinney: Maternal-Child Nursing, Sixth Edition Novice You Quiz me on this topic Quiz me on this topic Quiz me on this topic Novice Intermediate Proficient Questions answered 22 Novice Intermediate Proficient Questions answered 23 Novice Intermediate Proficient Questions answered 26 Novice Intermediate Proficient Questions answered 22Chapter 46, The Child With a Cardiovascula… McKinney: Maternal-Child Nursing, Sixth Edition Novice You Chapter 48, The Child With Cancer McKinney: Maternal-Child Nursing, Sixth Edition Novice You Chapter 44, The Child With a Genitourinary… McKinney: Maternal-Child Nursing, Sixth Edition Intermediate You Quiz me on this topic Quiz me on this topic Quiz me on this topic Quiz me on this topic Novice Intermediate Proficient Questions answered 25 Novice Intermediate Proficient Questions answered 32 Novice Intermediate Proficient Questions answered 35Chapter 54, The Child with a Developmenta… McKinney: Maternal-Child Nursing, Sixth Edition Intermediate You Quiz me on this topic Novice Intermediate Proficient Questions answered 42