Maternal Child Health NUR 2633 Final
Exam
Your client attempted suicide with a medication overdose. Which intervention would be
most effective in preventing an adolescent from attempting suicide again?
a. Assessing his financial level
b. Help him learn better problem -solving skills at school
c. Coordinate involvement of a mental health provider to allow child to express feelings
d. Encourage him to make more friends at his after-school job - correct answers--C
The nurse evaluates teaching provided to a school age child and parents about the
medication pancrealipase for cystic fibrosis. Which observation indicates that teaching
has been effective?
a. The child chews an enteric form of the medication
b. The child takes a dose before having an afternoon snack
c. The father tells the child that diarrhea is expected with his medication
d. The mother opens the capsule and some medication spills on the fingers - correct
answers--b.
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 side - correct answers--b.
During an assessment the nurse determines that a 3-month-old baby has a Moro reflex.
What does this find indicates to the nurse?
a. It usually lasts until 9 months
b. It will persist until the age of 1 year
c. Most 3month -old's still have a Moro reflex
d. If present at 3 months of age a neurologic exam is needed - correct answers--c.
A nurse performs an admission assessment on a child and suspects physical abuse.
Based on the suspicion the primary legal nursing responsibility is to do which of the
following?
a. Refer the family to the appropriate support groups
b. Assist the family in identifying resources and support systems
c. Report the case in which the abuse is suspected to the local authorities and your
supervisor or charge nurse
d. Coordinate information with the primary physician so he may report the findings -
correct answers--c.
A toddler insists on brushing his own teeth and dressing himself. What advice would
you give his parents regarding this?
a. Helping with his own cares 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 autonomy - correct
answers--a.
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 - correct answers--d.
Upon assessment of a 3-year-old who has been diagnosed with croup, the nurse notes
stridor while the child is asleep. Which of the following interventions would the nurse
expect to perform to this client?
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 racemic epinephrine nebulizer therapy (cool air combined with
corticosteroids such as dexamethasone to reduce inflammation) - correct answers--d.
, A toddler is prescribed to receive 50mg of an antibiotic. The medication available is
250mg is 5ml. How many milliliters of the medication should the nurse provide to the
patient?
a. 1ml
b. 5ml
c. 10ml
d. 1ml - correct answers--a.
The nurse is caring for an adolescent female after a sexual assault. She notes which of
the following to be consistent with post-traumatic stress disorder (PTSD)? (Select all
that apply)
a. Sleep Disturbances
b. Resuming normal daily activities
c. Hypervigilance
d. Flashbacks
e. Withdrawal from family - correct answers--a. , c. , d. , e.
11. A nurse is caring for a school age child who has had a cardiac catheterization. The
child tells the nurse that her bandage is too wet. The nurse finds the bandage and bed
soaked with blood. What is the appropriate initial nursing action?
a. Apply direct pressure above the catheterization site
b. Place the child in Trendelenburg
c. Notify the provider
d. Remove the dressing to monitor bleeding - correct answers--a.
The student nurse is preparing education for the parents of a 6-year-old that will begin
iron supplementation following a diagnosis of iron deficiency anemia. What should be
included in the education? (Select all that apply)
a. Iron should be given with a glass of orange juice
b. Iron should be given with food
c. Iron may cause black tarry stools
d. Iron may cause constipation
e. Iron may cause an increase in appetite. - correct answers--a. , c., d.
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 fluids
b. Oral rehydration solution (ORS)
c. Clear liquids 1 to 2 ounces at a time
d. Administration of antidiarrheal medication - correct answers--a.
A 5-year-old child is placed in skeletal traction to immobilize a fracture. What is it
important for the nurse to encourage the parents to do with the child during
immobilization?
a. Help the child to exercise the immobilized fracture every hour
Exam
Your client attempted suicide with a medication overdose. Which intervention would be
most effective in preventing an adolescent from attempting suicide again?
a. Assessing his financial level
b. Help him learn better problem -solving skills at school
c. Coordinate involvement of a mental health provider to allow child to express feelings
d. Encourage him to make more friends at his after-school job - correct answers--C
The nurse evaluates teaching provided to a school age child and parents about the
medication pancrealipase for cystic fibrosis. Which observation indicates that teaching
has been effective?
a. The child chews an enteric form of the medication
b. The child takes a dose before having an afternoon snack
c. The father tells the child that diarrhea is expected with his medication
d. The mother opens the capsule and some medication spills on the fingers - correct
answers--b.
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 side - correct answers--b.
During an assessment the nurse determines that a 3-month-old baby has a Moro reflex.
What does this find indicates to the nurse?
a. It usually lasts until 9 months
b. It will persist until the age of 1 year
c. Most 3month -old's still have a Moro reflex
d. If present at 3 months of age a neurologic exam is needed - correct answers--c.
A nurse performs an admission assessment on a child and suspects physical abuse.
Based on the suspicion the primary legal nursing responsibility is to do which of the
following?
a. Refer the family to the appropriate support groups
b. Assist the family in identifying resources and support systems
c. Report the case in which the abuse is suspected to the local authorities and your
supervisor or charge nurse
d. Coordinate information with the primary physician so he may report the findings -
correct answers--c.
A toddler insists on brushing his own teeth and dressing himself. What advice would
you give his parents regarding this?
a. Helping with his own cares 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 autonomy - correct
answers--a.
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 - correct answers--d.
Upon assessment of a 3-year-old who has been diagnosed with croup, the nurse notes
stridor while the child is asleep. Which of the following interventions would the nurse
expect to perform to this client?
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 racemic epinephrine nebulizer therapy (cool air combined with
corticosteroids such as dexamethasone to reduce inflammation) - correct answers--d.
, A toddler is prescribed to receive 50mg of an antibiotic. The medication available is
250mg is 5ml. How many milliliters of the medication should the nurse provide to the
patient?
a. 1ml
b. 5ml
c. 10ml
d. 1ml - correct answers--a.
The nurse is caring for an adolescent female after a sexual assault. She notes which of
the following to be consistent with post-traumatic stress disorder (PTSD)? (Select all
that apply)
a. Sleep Disturbances
b. Resuming normal daily activities
c. Hypervigilance
d. Flashbacks
e. Withdrawal from family - correct answers--a. , c. , d. , e.
11. A nurse is caring for a school age child who has had a cardiac catheterization. The
child tells the nurse that her bandage is too wet. The nurse finds the bandage and bed
soaked with blood. What is the appropriate initial nursing action?
a. Apply direct pressure above the catheterization site
b. Place the child in Trendelenburg
c. Notify the provider
d. Remove the dressing to monitor bleeding - correct answers--a.
The student nurse is preparing education for the parents of a 6-year-old that will begin
iron supplementation following a diagnosis of iron deficiency anemia. What should be
included in the education? (Select all that apply)
a. Iron should be given with a glass of orange juice
b. Iron should be given with food
c. Iron may cause black tarry stools
d. Iron may cause constipation
e. Iron may cause an increase in appetite. - correct answers--a. , c., d.
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 fluids
b. Oral rehydration solution (ORS)
c. Clear liquids 1 to 2 ounces at a time
d. Administration of antidiarrheal medication - correct answers--a.
A 5-year-old child is placed in skeletal traction to immobilize a fracture. What is it
important for the nurse to encourage the parents to do with the child during
immobilization?
a. Help the child to exercise the immobilized fracture every hour
