NUR 254 Maternal Exam 1 | NUR 254
Maternal Exam 2 | Reviewed in
2026/2027 | All 305 Questions with
Explained Solutions | Guaranteed
Pass | Already Graded Grade A+
1. The nurse working in the emergency department (ED) is caring for a child
who has hemophilia and developed a swollen knee after falling off a bicycle.
The nurse is teaching the child's parents about care when similar incidents
occur at home in the future. Which of the following actions should the nurse
teach the parents? - ANSWER✔️✔️-Apply an ice pack and compression
dressings to the knee.
2. The newly hired nurse is talking with the nurse preceptor about the
prevention of iron deficiency anemia in infants. Which of the following
statements by the newly hired nurse is correct regarding prevention of this
condition? - ANSWER✔️✔️-"Iron-fortified commercial formula should be
given for the first 6 months of life
3. The nurse is assessing a child who has severe iron deficiency anemia. Which
of the following assessment finds should the nurse expect to observe? -
ANSWER✔️✔️-Pallor
4. The nurse is caring for 4-year-old child who is 36 hours postoperative
following a removal of a Wilm’s tumor. Which of the following requires
immediate follow up by the nurse? - ANSWER✔️✔️-Incision site is pink at
the edges.
5. The nurse is providing discharge instructions to the parents of a child who
had surgical resection of a neuroblastoma 4 days ago. Which of the
following statements by the parents indicates teaching has been effective? -
ANSWER✔️✔️-We will provide pain relief using pain medication and
rest."
,6. The nurse is caring for a child who has increased intracranial pressure (ICP)
and is in stable condition. Which of the following interventions should the
nurse implement to decrease ICP in the child? - ANSWER✔️✔️-Limit
number of visitors inside the child's room.
7. The nurse is caring for a child who has Reye's syndrome. Which of the
following should the nurse include in the child's plan of care -
ANSWER✔️✔️-Provide the child a quiet atmosphere with dimmed lighting
8. The nurse is caring for a child who is suspected of having bacterial
meningitis. The results of the lumbar puncture are still pending. Which of
the following actions by the nurse is the priority? - ANSWER✔️✔️-
Assessing neurological status every 2-4 hours.
9. The nurse is screening infants for early warning signs of cerebral palsy.
Which of the following should the nurse recognize as 1 of the early warning
signs of cerebral palsy? - ANSWER✔️✔️-Poor head control
10.The nurse is assessing a 6-year-old for manifestations of autism spectrum
disorder. Which of the following manifestations should the nurse expect to
observe in this child? - ANSWER✔️✔️-Monotone speech
11.. The nurse is developing a plan of care for a child diagnosed with attention-
deficit hyperactivity disorder (ADHD). Which of the following information
should the nurse include in the plan of care? - ANSWER✔️✔️-
Psychostimulant medications and behavior modification.
12.The nurse preceptor is observing a newly hired nurse care for a child who
has Down syndrome. Which of the following manifestations, if documented
by the newly hired nurse, requires follow up by the nurse preceptor? -
ANSWER✔️✔️-Protruding tongue
13.The nurse is caring for a child who had a ventricular shunt placement 24
hours ago. The child is sitting up in bed crying and has vomited a small
amount on the bed linens. Which of the following actions should the nurse
take first? - ANSWER✔️✔️-Complete a neurological assessment.
,14.The nurse is caring for a child who has leukemia with a white blood cell
(WBC) count of < 1000 mm. Which of the following should the nurse
include in the child's plan of care? - ANSWER✔️✔️-Administer prescribed
influenza vaccination
15.The nurse is providing a teaching session to the health care staff regarding
osteosarcoma. Which of the following statements by an attendee indicates a
need for additional teaching? - ANSWER✔️✔️-"In the early stage, the
symptoms of this disease are usually attributed to normal growing pains.
16.The nurse is caring for a child who is suspected of having a Wilm's tumor.
Which of the following actions by the nurse indicates the need for additional
training? - ANSWER✔️✔️-Palpating the child's abdomen
17.The nurse is caring for a 5-year-old child who has sickle cell disease (SCD).
An assessment of the child includes the following: respirations 10 and
unarousable. The child is currently on intravenous (IV) fluids and
continuous IV morphine sulfate Based on the assessment information, which
of the following actions should the nurse take first? - ANSWER✔️✔️-
Administer naloxone to reverse the effect of the morphine.
18.The nurse is admitting a child who has a vaso-occlusive sickle cell crisis.
Which of the following interventions should the nurse anticipate to be
prescribed for the child? - ANSWER✔️✔️-Hydration and pain
management
19.The nurse working in the emergency department (ED) is caring for a 2-
month-old child who presents with intraocular bleeding, bradycardia, and
bulging fontanels, but no trauma to the head, face, or neck. Health history
and physical examination is incongruent, and abuse is suspected. Which of
the following actions should the nurse perform? - ANSWER✔️✔️-Notify
child protective services (CPS)
20.The nurse is caring for a child who is hospitalized for 24-hour observation
following a head injury. Which of the following actions by the nurse is the
priority? - ANSWER✔️✔️-Checking pupil reaction every 4 hours
21.The nurse is assessing a child in a coma and notes that the child has
decorticate posturing. Which of the following findings should the nurse
, expect the child to demonstrate? - ANSWER✔️✔️-Rigid flexion with
elbows, wrists and fingers flexed, and legs extended and rotated inward
22.The nurse is admitting a toddler who is being hospitalized following a near-
drowning accident/submersion injury. The child's mother states to the nurse,
"This is unnecessary. My child seems perfectly fine." What is an appropriate
response for the nurse to provide to the mother? - ANSWER✔️✔️-
"Complications can still occur with your child."
23.The nurse is caring for an infant who is having an active seizure. Which of
the following actions should the nurse perform when caring for the infant
during a seizure? - ANSWER✔️✔️-Remove any items out of the crib that
can harm the infant
24.The nurse is caring for an infant with a myelomeningocele sac. Which of the
following interventions demonstrates appropriate care for the infant? -
ANSWER✔️✔️-Use latex-free medical products
25.The school nurse is instructing a school-age child who has diabetes mellitus
(type 1). The child participates in soccer practice 3 afternoons a week.
Which of the following statements by the child indicates a correct
understanding of how to prevent hypoglycemia during practice? -
ANSWER✔️✔️-"I will eat a small box of raisins or a cup of juice before
soccer practice."
26.The nurse is preparing discharge instructions for a child who has precocious
puberty. Which of the following should the nurse include in the teaching? -
ANSWER✔️✔️-Explain the importance for the child to have peers of the
same age
27.The nurse is teaching a 10-year-old child and the parents about scoliosis and
treatment options. Which of the following should the nurse include when
teaching about scoliosis? - ANSWER✔️✔️-Use of a brace will slow the
progression of scoliosis for most clients.
28.The nurse is caring of a 12-year-old child who has acute osteomyelitis in the
right foot. The child's parents ask the nurse if the child can go to the activity
room. Which of the following responses should the nurse reply to the
Maternal Exam 2 | Reviewed in
2026/2027 | All 305 Questions with
Explained Solutions | Guaranteed
Pass | Already Graded Grade A+
1. The nurse working in the emergency department (ED) is caring for a child
who has hemophilia and developed a swollen knee after falling off a bicycle.
The nurse is teaching the child's parents about care when similar incidents
occur at home in the future. Which of the following actions should the nurse
teach the parents? - ANSWER✔️✔️-Apply an ice pack and compression
dressings to the knee.
2. The newly hired nurse is talking with the nurse preceptor about the
prevention of iron deficiency anemia in infants. Which of the following
statements by the newly hired nurse is correct regarding prevention of this
condition? - ANSWER✔️✔️-"Iron-fortified commercial formula should be
given for the first 6 months of life
3. The nurse is assessing a child who has severe iron deficiency anemia. Which
of the following assessment finds should the nurse expect to observe? -
ANSWER✔️✔️-Pallor
4. The nurse is caring for 4-year-old child who is 36 hours postoperative
following a removal of a Wilm’s tumor. Which of the following requires
immediate follow up by the nurse? - ANSWER✔️✔️-Incision site is pink at
the edges.
5. The nurse is providing discharge instructions to the parents of a child who
had surgical resection of a neuroblastoma 4 days ago. Which of the
following statements by the parents indicates teaching has been effective? -
ANSWER✔️✔️-We will provide pain relief using pain medication and
rest."
,6. The nurse is caring for a child who has increased intracranial pressure (ICP)
and is in stable condition. Which of the following interventions should the
nurse implement to decrease ICP in the child? - ANSWER✔️✔️-Limit
number of visitors inside the child's room.
7. The nurse is caring for a child who has Reye's syndrome. Which of the
following should the nurse include in the child's plan of care -
ANSWER✔️✔️-Provide the child a quiet atmosphere with dimmed lighting
8. The nurse is caring for a child who is suspected of having bacterial
meningitis. The results of the lumbar puncture are still pending. Which of
the following actions by the nurse is the priority? - ANSWER✔️✔️-
Assessing neurological status every 2-4 hours.
9. The nurse is screening infants for early warning signs of cerebral palsy.
Which of the following should the nurse recognize as 1 of the early warning
signs of cerebral palsy? - ANSWER✔️✔️-Poor head control
10.The nurse is assessing a 6-year-old for manifestations of autism spectrum
disorder. Which of the following manifestations should the nurse expect to
observe in this child? - ANSWER✔️✔️-Monotone speech
11.. The nurse is developing a plan of care for a child diagnosed with attention-
deficit hyperactivity disorder (ADHD). Which of the following information
should the nurse include in the plan of care? - ANSWER✔️✔️-
Psychostimulant medications and behavior modification.
12.The nurse preceptor is observing a newly hired nurse care for a child who
has Down syndrome. Which of the following manifestations, if documented
by the newly hired nurse, requires follow up by the nurse preceptor? -
ANSWER✔️✔️-Protruding tongue
13.The nurse is caring for a child who had a ventricular shunt placement 24
hours ago. The child is sitting up in bed crying and has vomited a small
amount on the bed linens. Which of the following actions should the nurse
take first? - ANSWER✔️✔️-Complete a neurological assessment.
,14.The nurse is caring for a child who has leukemia with a white blood cell
(WBC) count of < 1000 mm. Which of the following should the nurse
include in the child's plan of care? - ANSWER✔️✔️-Administer prescribed
influenza vaccination
15.The nurse is providing a teaching session to the health care staff regarding
osteosarcoma. Which of the following statements by an attendee indicates a
need for additional teaching? - ANSWER✔️✔️-"In the early stage, the
symptoms of this disease are usually attributed to normal growing pains.
16.The nurse is caring for a child who is suspected of having a Wilm's tumor.
Which of the following actions by the nurse indicates the need for additional
training? - ANSWER✔️✔️-Palpating the child's abdomen
17.The nurse is caring for a 5-year-old child who has sickle cell disease (SCD).
An assessment of the child includes the following: respirations 10 and
unarousable. The child is currently on intravenous (IV) fluids and
continuous IV morphine sulfate Based on the assessment information, which
of the following actions should the nurse take first? - ANSWER✔️✔️-
Administer naloxone to reverse the effect of the morphine.
18.The nurse is admitting a child who has a vaso-occlusive sickle cell crisis.
Which of the following interventions should the nurse anticipate to be
prescribed for the child? - ANSWER✔️✔️-Hydration and pain
management
19.The nurse working in the emergency department (ED) is caring for a 2-
month-old child who presents with intraocular bleeding, bradycardia, and
bulging fontanels, but no trauma to the head, face, or neck. Health history
and physical examination is incongruent, and abuse is suspected. Which of
the following actions should the nurse perform? - ANSWER✔️✔️-Notify
child protective services (CPS)
20.The nurse is caring for a child who is hospitalized for 24-hour observation
following a head injury. Which of the following actions by the nurse is the
priority? - ANSWER✔️✔️-Checking pupil reaction every 4 hours
21.The nurse is assessing a child in a coma and notes that the child has
decorticate posturing. Which of the following findings should the nurse
, expect the child to demonstrate? - ANSWER✔️✔️-Rigid flexion with
elbows, wrists and fingers flexed, and legs extended and rotated inward
22.The nurse is admitting a toddler who is being hospitalized following a near-
drowning accident/submersion injury. The child's mother states to the nurse,
"This is unnecessary. My child seems perfectly fine." What is an appropriate
response for the nurse to provide to the mother? - ANSWER✔️✔️-
"Complications can still occur with your child."
23.The nurse is caring for an infant who is having an active seizure. Which of
the following actions should the nurse perform when caring for the infant
during a seizure? - ANSWER✔️✔️-Remove any items out of the crib that
can harm the infant
24.The nurse is caring for an infant with a myelomeningocele sac. Which of the
following interventions demonstrates appropriate care for the infant? -
ANSWER✔️✔️-Use latex-free medical products
25.The school nurse is instructing a school-age child who has diabetes mellitus
(type 1). The child participates in soccer practice 3 afternoons a week.
Which of the following statements by the child indicates a correct
understanding of how to prevent hypoglycemia during practice? -
ANSWER✔️✔️-"I will eat a small box of raisins or a cup of juice before
soccer practice."
26.The nurse is preparing discharge instructions for a child who has precocious
puberty. Which of the following should the nurse include in the teaching? -
ANSWER✔️✔️-Explain the importance for the child to have peers of the
same age
27.The nurse is teaching a 10-year-old child and the parents about scoliosis and
treatment options. Which of the following should the nurse include when
teaching about scoliosis? - ANSWER✔️✔️-Use of a brace will slow the
progression of scoliosis for most clients.
28.The nurse is caring of a 12-year-old child who has acute osteomyelitis in the
right foot. The child's parents ask the nurse if the child can go to the activity
room. Which of the following responses should the nurse reply to the
