INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 246
Chapter 27: The Child with a Condition of the Blood, Blood-Forming
Organs, or Lymphatic System
MULTIPLE CHOICE
1. The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food
would the nurse emphasize as being a rich source of iron?
a. An egg white
b. Cream of Wheat
c. A banana
d. A carrot
ANS: B
Good nutritional sources of iron include boiled egg yolk, liver, green leafy vegetables, Cream of Wheat, dried
fruits, beans, nuts, and whole-grain breads.
DIF: Cognitive Level: Comprehension REF: Page 640
TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which statement by a mother may indicate a cause for her 9-month-olds iron deficiency anemia?
a. Formula is so expensive. We switched to regular milk right away.
b. She almost never drinks water.
c. She doesnt really like peaches or pears, so we stick to bananas for fruit.
d. I give her a piece of bread now and then. She likes to chew on it.
ANS: A
Because cows milk contains very little iron, infants should drink iron-fortified formula for the first year of life.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 640
TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric
unit?
a. With milk
b. With orange juice
c. With water
d. On a full stomach
ANS: B
Vitamin C aids in the absorption of iron, whereas food and milk interfere with the absorption of iron.
DIF: Cognitive Level: Application REF: Page 640
TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. What is the result of a deficiency of factor IX?
a. Thalassemia
b. Idiopathic thrombocytopenic purpura
c. Hemophilia A
d. Christmas disease
ANS: D
Christmas disease, or hemophilia B, is caused by the deficiency of factor IX.
DIF: Cognitive Level: Knowledge REF: Page 646
TOP: Christmas Disease KEY: Nursing Process Step: Implementation
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 247
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. A 2-year-old child has been diagnosed with hemophilia A. What information should the nurse include in a
teaching plan about home care?
a. If bleeding occurs, apply pressure, ice, elevate, and rest the extremity.
b. Childrens aspirin in lowered doses may be given for joint discomfort.
c. A firm, dry toothbrush should be used to clean teeth at least twice a day.
d. Do not permit interactive play with other children.
ANS: A
When bleeding occurs, the traditional approach is to follow RICErest, ice, compression, and elevation.
DIF: Cognitive Level: Application REF: Page 646
TOP: Hemophilia KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. What will the nurse teach the parents of a child with a low platelet count to avoid?
a. Ibuprofen
b. Aspirin
c. Caffeine
d. Prednisone
ANS: B
Aspirin interferes with platelet function and should be avoided to prevent the risk of prolonged bleeding.
DIF: Cognitive Level: Application REF: Page 647
TOP: Leukemia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
7. What should the nurse closely assess in a child receiving a transfusion?
NURSINGTB.COM
a. Fever
b. Lethargy
c. Jaundice
d. Bradycardia
ANS: A
The child receiving a blood transfusion is observed for signs of a transfusion reaction including chills, itching,
fever, rash, headache, and back pain.
DIF: Cognitive Level: Comprehension REF: Page 650
OBJ: 16 TOP: Blood Transfusion
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
8. On admission, a child with leukemia has widespread purpura and a platelet count of 19,000/mm3. What is
the priority nursing intervention?
a. Assessing neurological status
b. Inserting an intravenous line
c. Monitoring vital signs during platelet transfusions
d. Providing family education about how to prevent bleeding
ANS: A
When platelets are low, the greatest danger is spontaneous intracranial bleeding. Neurological assessments are
therefore a priority of care.
DIF: Cognitive Level: Application REF: Page 647
TOP: Leukemia KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 246
Chapter 27: The Child with a Condition of the Blood, Blood-Forming
Organs, or Lymphatic System
MULTIPLE CHOICE
1. The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food
would the nurse emphasize as being a rich source of iron?
a. An egg white
b. Cream of Wheat
c. A banana
d. A carrot
ANS: B
Good nutritional sources of iron include boiled egg yolk, liver, green leafy vegetables, Cream of Wheat, dried
fruits, beans, nuts, and whole-grain breads.
DIF: Cognitive Level: Comprehension REF: Page 640
TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which statement by a mother may indicate a cause for her 9-month-olds iron deficiency anemia?
a. Formula is so expensive. We switched to regular milk right away.
b. She almost never drinks water.
c. She doesnt really like peaches or pears, so we stick to bananas for fruit.
d. I give her a piece of bread now and then. She likes to chew on it.
ANS: A
Because cows milk contains very little iron, infants should drink iron-fortified formula for the first year of life.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 640
TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric
unit?
a. With milk
b. With orange juice
c. With water
d. On a full stomach
ANS: B
Vitamin C aids in the absorption of iron, whereas food and milk interfere with the absorption of iron.
DIF: Cognitive Level: Application REF: Page 640
TOP: Iron Deficiency Anemia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. What is the result of a deficiency of factor IX?
a. Thalassemia
b. Idiopathic thrombocytopenic purpura
c. Hemophilia A
d. Christmas disease
ANS: D
Christmas disease, or hemophilia B, is caused by the deficiency of factor IX.
DIF: Cognitive Level: Knowledge REF: Page 646
TOP: Christmas Disease KEY: Nursing Process Step: Implementation
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 247
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. A 2-year-old child has been diagnosed with hemophilia A. What information should the nurse include in a
teaching plan about home care?
a. If bleeding occurs, apply pressure, ice, elevate, and rest the extremity.
b. Childrens aspirin in lowered doses may be given for joint discomfort.
c. A firm, dry toothbrush should be used to clean teeth at least twice a day.
d. Do not permit interactive play with other children.
ANS: A
When bleeding occurs, the traditional approach is to follow RICErest, ice, compression, and elevation.
DIF: Cognitive Level: Application REF: Page 646
TOP: Hemophilia KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. What will the nurse teach the parents of a child with a low platelet count to avoid?
a. Ibuprofen
b. Aspirin
c. Caffeine
d. Prednisone
ANS: B
Aspirin interferes with platelet function and should be avoided to prevent the risk of prolonged bleeding.
DIF: Cognitive Level: Application REF: Page 647
TOP: Leukemia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
7. What should the nurse closely assess in a child receiving a transfusion?
NURSINGTB.COM
a. Fever
b. Lethargy
c. Jaundice
d. Bradycardia
ANS: A
The child receiving a blood transfusion is observed for signs of a transfusion reaction including chills, itching,
fever, rash, headache, and back pain.
DIF: Cognitive Level: Comprehension REF: Page 650
OBJ: 16 TOP: Blood Transfusion
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
8. On admission, a child with leukemia has widespread purpura and a platelet count of 19,000/mm3. What is
the priority nursing intervention?
a. Assessing neurological status
b. Inserting an intravenous line
c. Monitoring vital signs during platelet transfusions
d. Providing family education about how to prevent bleeding
ANS: A
When platelets are low, the greatest danger is spontaneous intracranial bleeding. Neurological assessments are
therefore a priority of care.
DIF: Cognitive Level: Application REF: Page 647
TOP: Leukemia KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
NURSINGTB.COM
