Maternal and Child Health Nursing Exam with Rationales
The nurse is caring for a 6-month-old child with a rash. Which information from the
parent strongly suggests that roseola is the diagnosis?
A) The rash is a mixture of papules and pustules.
B) The infant is lethargic and not interested in playing.
C) The infant's temperature fell when the rash appeared.
D) The infant's temperature rose at the same time as the rash
appeared. ANSWER-: C
The rash of roseola is distinctive. There are discrete, rose-pink macules approximately 2
to 3 mm in size and flat with the skin surface. With roseola, infants become irritable and
anorexic although even with a high fever remain playful and alert. The condition is
diagnosed based on the physical signs and symptoms with the hallmark being a rash
that appears immediately after a sharp decline in fever.
During a health promotion seminar with community members, the nurse provides
information to support the 2020 National Health Goal to prevent and reduce the
incidence of infectious disease in children. What information did the nurse most likely
provide?
A) Participating in age-appropriate exercise
B) Getting adequate rest and sleep each day
C) Importance of maintaining appropriate immunizations
D) Ingesting the recommended amount of fresh fruit and
vegetables ANSWER-: C
Nurses can help the nation achieve the 2020 National Health Goals to prevent and
reduce the incidence of infectious disease in children by educating parents about the
importance of immunizations. Rest, sleep, exercise, and dietary intake are not identified
interventions to help achieve the 2020 National Health Goals for infectious disease in
children.
The nurse is caring for a school-age child with varicella. What should the nurse observe
about the rash that is associated with this infection?
A) Dark red color
B) Noticeable crusts but no pruritus
C) Dark red, macular, very pruritic lesions
D) Various stages of lesions present at the same
time ANSWER-: D
Most of chickenpox lesions are found on the trunk; although, the face, scalp, palate, and
neck also may be involved. They appear in approximately three separate series or crops,
with each new lesion moving through progressive stages. At some point, all four stages
of lesions—macule, papule, vesicle, and crust—can be present. The lesions are not dark
red in color. These lesions are very itchy.
, Maternal and Child Health Nursing Exam with Rationales
The home care nurse is observing a mother prepare mupirocin (Bactroban) to treat a
preschool-aged child's skin rash. At which point should the nurse stop the mother
during the preparation of the medication?
A) Mother washes the lesions before using the medication.
B) Mother washes own hands after touching the child's rash.
C) Mother is still using the medication on day 9 of the infection.
D) Mother measures out a teaspoon of the medication for the child to take
orally. ANSWER-: D
Mupirocin (Bactroban) is a topical antibiotic and should not be taken orally. The mother
should wash the lesions before applying the medication. The mother should wash the
hands before and after applying the medication or touching the rash. The mother should
use the medication for the full course even though the rash and lesions might appear
healed.
Which intervention would be the most important for the nurse to include in the plan of
care for a child with infectious mononucleosis?
A) Limiting fluid intake
B) Moving the child carefully
C) Administering a corticosteroid
D) Counseling the child to stop
kissing ANSWER-: B
Be careful in helping children with mononucleosis to turn in bed ensuring that no
pressure is placed over the splenic area. If palpating the spleen, do so gently to avoid
inadvertent rupture. The child needs an adequate fluid intake. Corticosteroids are not
indicated for this disease. Counseling on the tr ANSWER-mission of the illness can
occur laterwhen the child's health improves.
An infant is diagnosed with streptococcal-based impetigo. What should the nurse teach
the mother about the infant's care?
A) Help avoid thumb-sucking.
B) Change the dressings every day.
C) Provide penicillin as prescribed.
D) Administer the steroid as
prescribed. ANSWER-: C
Treatment of impetigo is oral administration of penicillin for 7 to 10 days.
Thumb-sucking is not a cause for this disease. The lesions of impetigo are not covered
with dressings. Steroids are not used to treat this disease.
The nurse is caring for a 6-month-old child with a rash. Which information from the
parent strongly suggests that roseola is the diagnosis?
A) The rash is a mixture of papules and pustules.
B) The infant is lethargic and not interested in playing.
C) The infant's temperature fell when the rash appeared.
D) The infant's temperature rose at the same time as the rash
appeared. ANSWER-: C
The rash of roseola is distinctive. There are discrete, rose-pink macules approximately 2
to 3 mm in size and flat with the skin surface. With roseola, infants become irritable and
anorexic although even with a high fever remain playful and alert. The condition is
diagnosed based on the physical signs and symptoms with the hallmark being a rash
that appears immediately after a sharp decline in fever.
During a health promotion seminar with community members, the nurse provides
information to support the 2020 National Health Goal to prevent and reduce the
incidence of infectious disease in children. What information did the nurse most likely
provide?
A) Participating in age-appropriate exercise
B) Getting adequate rest and sleep each day
C) Importance of maintaining appropriate immunizations
D) Ingesting the recommended amount of fresh fruit and
vegetables ANSWER-: C
Nurses can help the nation achieve the 2020 National Health Goals to prevent and
reduce the incidence of infectious disease in children by educating parents about the
importance of immunizations. Rest, sleep, exercise, and dietary intake are not identified
interventions to help achieve the 2020 National Health Goals for infectious disease in
children.
The nurse is caring for a school-age child with varicella. What should the nurse observe
about the rash that is associated with this infection?
A) Dark red color
B) Noticeable crusts but no pruritus
C) Dark red, macular, very pruritic lesions
D) Various stages of lesions present at the same
time ANSWER-: D
Most of chickenpox lesions are found on the trunk; although, the face, scalp, palate, and
neck also may be involved. They appear in approximately three separate series or crops,
with each new lesion moving through progressive stages. At some point, all four stages
of lesions—macule, papule, vesicle, and crust—can be present. The lesions are not dark
red in color. These lesions are very itchy.
, Maternal and Child Health Nursing Exam with Rationales
The home care nurse is observing a mother prepare mupirocin (Bactroban) to treat a
preschool-aged child's skin rash. At which point should the nurse stop the mother
during the preparation of the medication?
A) Mother washes the lesions before using the medication.
B) Mother washes own hands after touching the child's rash.
C) Mother is still using the medication on day 9 of the infection.
D) Mother measures out a teaspoon of the medication for the child to take
orally. ANSWER-: D
Mupirocin (Bactroban) is a topical antibiotic and should not be taken orally. The mother
should wash the lesions before applying the medication. The mother should wash the
hands before and after applying the medication or touching the rash. The mother should
use the medication for the full course even though the rash and lesions might appear
healed.
Which intervention would be the most important for the nurse to include in the plan of
care for a child with infectious mononucleosis?
A) Limiting fluid intake
B) Moving the child carefully
C) Administering a corticosteroid
D) Counseling the child to stop
kissing ANSWER-: B
Be careful in helping children with mononucleosis to turn in bed ensuring that no
pressure is placed over the splenic area. If palpating the spleen, do so gently to avoid
inadvertent rupture. The child needs an adequate fluid intake. Corticosteroids are not
indicated for this disease. Counseling on the tr ANSWER-mission of the illness can
occur laterwhen the child's health improves.
An infant is diagnosed with streptococcal-based impetigo. What should the nurse teach
the mother about the infant's care?
A) Help avoid thumb-sucking.
B) Change the dressings every day.
C) Provide penicillin as prescribed.
D) Administer the steroid as
prescribed. ANSWER-: C
Treatment of impetigo is oral administration of penicillin for 7 to 10 days.
Thumb-sucking is not a cause for this disease. The lesions of impetigo are not covered
with dressings. Steroids are not used to treat this disease.
