MATERNITY AND PEDIATRIC NURSING BY RICCI
KYLE CARMAN 2026 FINAL ASSESSMENT
STUDY GUIDE QUESTION BANK VERIFIED
ANSWERS A+
◉ 2. The nurse is caring for an 8-year-old boy with myasthenia
gravis and is teaching his parents about the signs of cholinergic
crisis. Which of the following responses by the parents indicates a
need for further teaching?
A) "Low blood pressure is a sign of crisis."
B) "He might have difficulty swallowing."
C) "He may start to sweat a lot."
D) "More saliva in the mouth is a common sign." Answer: Ans: B
Feedback:
Dysphagia is a sign of myasthenic crisis. Increased salivation,
hypotension, and increased sweating are signs and symptoms of
cholinergic crisis.
◉ 3. The nurse is providing postoperative care for a 14-month-old
girl who has undergone a myelomeningocele repair. The girl's
mother is extremely anxious and tells the nurse she is afraid she will
never learn how to care for her daughter at home. Which response
by the nurse would be most appropriate?
,A) "I will help you become comfortable in caring for your daughter."
B) "You must learn how to care for your daughter at home."
C) "You will need to learn to collaborate with all the caregivers."
D) "There is a lot to learn, and you need a positive attitude." Answer:
Ans: A
Feedback:
The nurse needs to empower families to become the experts on
their child's needs and conditions via education and participation in
care. The most positive approach is to let the mother know the nurse
will support her and help her become an expert on her daughter's
care. Telling the mother that she must learn how to care for her
daughter or that she must have a positive attitude is not helpful.
Telling her that she needs to collaborate with the caregivers is true,
but does not address her fears.
◉ 4. The nurse is caring for a 10-year-old with Duchenne muscular
dystrophy. As part of the plan of care, the nurse focuses on
maintaining his cardiopulmonary function. Which intervention
would the nurse implement to best promote maximum chest
expansion?
A) Deep-breathing exercises
B) Upright positioning
C) Coughing
D) Chest percussion
. Answer: Ans: B
,Feedback:
The nurse should emphasize that the child's position should be
arranged to promote maximum chest expansion. This is usually in
the upright position. Deep-breathing exercises are for
strengthening/maintaining respiratory muscles. Coughing helps
clear the airways. Chest percussion helps loosen secretions in lungs
◉ 5. A 6-year-old boy with cerebral palsy has been admitted to the
hospital for some tests. His condition is stable. The boy's mother
remains with her son, but she is obviously exhausted and stressed.
Which response by the nurse would be most appropriate?
A) "Would you like me to bring you a blanket and pillow?"
B) "You are doing such a wonderful job with your son."
C) "He's in good hands; consider going home to get some sleep."
D) "Are you planning to spend the night or to go home?" Answer:
Ans: C
Feedback:
Providing daily, intense care can be quite demanding and tiring.
When a child with cerebral palsy is admitted to the hospital, this
may serve as a time of respite for family and primary caregivers. The
nurse should remind the mother that her son is in good hands and
urge her to go home. Asking her whether she is planning to stay
might make the mother feel obligated to stay. Asking if she wants a
blanket or pillow does not encourage the mother to leave the
hospital. Telling the mother she is doing a good job is nice, but does
not encourage her to take a break.
, ◉ 6. A nurse is caring for a 14-year-old girl following myelography.
Which of the following would be the priority nursing action?
A) Monitoring for a decrease in spasticity
B) Observing for signs of meningeal irritation
C) Assessing motor function
D) Observing for mental confusion or hallucinations Answer: Ans: B
Feedback:
Following myelography, the nurse should carefully observe for signs
of meningeal irritation because of what is involved in this procedure.
Monitoring for a decrease in muscle spasticity, assessing motor
function, and observing for mental confusion or hallucinations is
appropriate following an intrathecal test dose of baclofen.
◉ 7. The nurse has developed a plan of care for a 6-year-old with
muscular dystrophy. He was recently injured when he fell out of bed
at home. Which intervention would the nurse suggest to prevent
further injury?
A) Recommend the bed's side rails be raised throughout the day and
night.
B) Suggest a caregiver be present continuously to prevent falls from
bed.
C) Encourage a loose restraint to be used when he is in bed.
D) Recommend raising the bed's side rails when a caregiver is not
present. Answer: Ans: D
KYLE CARMAN 2026 FINAL ASSESSMENT
STUDY GUIDE QUESTION BANK VERIFIED
ANSWERS A+
◉ 2. The nurse is caring for an 8-year-old boy with myasthenia
gravis and is teaching his parents about the signs of cholinergic
crisis. Which of the following responses by the parents indicates a
need for further teaching?
A) "Low blood pressure is a sign of crisis."
B) "He might have difficulty swallowing."
C) "He may start to sweat a lot."
D) "More saliva in the mouth is a common sign." Answer: Ans: B
Feedback:
Dysphagia is a sign of myasthenic crisis. Increased salivation,
hypotension, and increased sweating are signs and symptoms of
cholinergic crisis.
◉ 3. The nurse is providing postoperative care for a 14-month-old
girl who has undergone a myelomeningocele repair. The girl's
mother is extremely anxious and tells the nurse she is afraid she will
never learn how to care for her daughter at home. Which response
by the nurse would be most appropriate?
,A) "I will help you become comfortable in caring for your daughter."
B) "You must learn how to care for your daughter at home."
C) "You will need to learn to collaborate with all the caregivers."
D) "There is a lot to learn, and you need a positive attitude." Answer:
Ans: A
Feedback:
The nurse needs to empower families to become the experts on
their child's needs and conditions via education and participation in
care. The most positive approach is to let the mother know the nurse
will support her and help her become an expert on her daughter's
care. Telling the mother that she must learn how to care for her
daughter or that she must have a positive attitude is not helpful.
Telling her that she needs to collaborate with the caregivers is true,
but does not address her fears.
◉ 4. The nurse is caring for a 10-year-old with Duchenne muscular
dystrophy. As part of the plan of care, the nurse focuses on
maintaining his cardiopulmonary function. Which intervention
would the nurse implement to best promote maximum chest
expansion?
A) Deep-breathing exercises
B) Upright positioning
C) Coughing
D) Chest percussion
. Answer: Ans: B
,Feedback:
The nurse should emphasize that the child's position should be
arranged to promote maximum chest expansion. This is usually in
the upright position. Deep-breathing exercises are for
strengthening/maintaining respiratory muscles. Coughing helps
clear the airways. Chest percussion helps loosen secretions in lungs
◉ 5. A 6-year-old boy with cerebral palsy has been admitted to the
hospital for some tests. His condition is stable. The boy's mother
remains with her son, but she is obviously exhausted and stressed.
Which response by the nurse would be most appropriate?
A) "Would you like me to bring you a blanket and pillow?"
B) "You are doing such a wonderful job with your son."
C) "He's in good hands; consider going home to get some sleep."
D) "Are you planning to spend the night or to go home?" Answer:
Ans: C
Feedback:
Providing daily, intense care can be quite demanding and tiring.
When a child with cerebral palsy is admitted to the hospital, this
may serve as a time of respite for family and primary caregivers. The
nurse should remind the mother that her son is in good hands and
urge her to go home. Asking her whether she is planning to stay
might make the mother feel obligated to stay. Asking if she wants a
blanket or pillow does not encourage the mother to leave the
hospital. Telling the mother she is doing a good job is nice, but does
not encourage her to take a break.
, ◉ 6. A nurse is caring for a 14-year-old girl following myelography.
Which of the following would be the priority nursing action?
A) Monitoring for a decrease in spasticity
B) Observing for signs of meningeal irritation
C) Assessing motor function
D) Observing for mental confusion or hallucinations Answer: Ans: B
Feedback:
Following myelography, the nurse should carefully observe for signs
of meningeal irritation because of what is involved in this procedure.
Monitoring for a decrease in muscle spasticity, assessing motor
function, and observing for mental confusion or hallucinations is
appropriate following an intrathecal test dose of baclofen.
◉ 7. The nurse has developed a plan of care for a 6-year-old with
muscular dystrophy. He was recently injured when he fell out of bed
at home. Which intervention would the nurse suggest to prevent
further injury?
A) Recommend the bed's side rails be raised throughout the day and
night.
B) Suggest a caregiver be present continuously to prevent falls from
bed.
C) Encourage a loose restraint to be used when he is in bed.
D) Recommend raising the bed's side rails when a caregiver is not
present. Answer: Ans: D
