INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 209
Chapter 23: The Child with a Sensory or Neurological Condition
MULTIPLE CHOICE
1. A parent comments that her infant has had several ear infections in the past few months. Why are infants
more susceptible to otitis media?
a. Infants are in a supine or prone position most of the time.
b. Sucking on a nipple creates middle ear pressure.
c. They have increased susceptibility to upper respiratory tract infections.
d. The eustachian tube is short, straight, and wide.
ANS: D
An infants eustachian tubes are short, wide, and straight, allowing microorganisms easy access to the middle
ear.
DIF: Cognitive Level: Knowledge REF: Page 538
TOP: Otitis Media KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. What statement by a patients mother leads the nurse to determine she understands instructions about
administering an oral antibiotic for otitis media?
a. I will continue using the medication until symptoms are relieved.
b. I will share the medicine with siblings if their symptoms are the same.
c. I will give the medication with a glass of milk.
d. I will administer prescribed doses until all the medication is used.
ANS: D
Antibiotic therapy for otitis media is continued until the prescribed amount has been completed, even if
symptoms are alleviated.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 540
OBJ: 2 TOP: Otitis Media KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. Which situation would cause the nurse to suspect a hearing impairment?
a. 3-month-old infant with a positive Moro reflex
b. 15-month-old toddler who is babbling
c. 18-month-old toddler who is speaking one-syllable words
d. 24-month-old toddler who communicates by pointing
ANS: D
The child who is not making verbal attempts by 18 months should undergo a complete physical examination.
DIF: Cognitive Level: Analysis REF: Page 540
OBJ: 3 TOP: Hearing Impairment
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
4. What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?
a. Use gestures and signs as much as possible.
b. Let the childs parents communicate for her.
c. Face the child and speak clearly in short sentences.
d. Recognize that the childs ability to communicate will be on a 6-year-old childs level.
ANS: C
The nurse who faces the child and speaks clearly will help the hearing-impaired child in the hospital to develop
a healthy personality.
DIF: Cognitive Level: Application REF: Page 541
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 210
OBJ: 3 TOP: Hearing Impairment
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
5. What would the nurse include when planning postoperative teaching for a child who has had a
tympanostomy with insertion of tubes?
a. Keeping the infant flat after feeding
b. Giving over-the-counter decongestants
c. Avoiding getting water in the ears
d. Cleaning the ear canal with cotton-tipped applicators
ANS: C
After a tympanostomy, care should be taken to avoid getting water in the ears.
DIF: Cognitive Level: Comprehension REF: Page 540
TOP: Postoperative Care of Tympanostomy
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
6. What assessment made by the school nurse would lead to the suspicion of strabismus?
a. Reddened sclera in one eye
b. Child covers one eye to read the chalkboard
c. Child complains of a headache
d. Copious tears while watching TV
ANS: B
Indicators of strabismus include covering one eye to see, tilting the head to see, and missing objects in attempts
to pick them up. Although headaches may be associated with amblyopia, this symptom is too vague to point
suspicion to any disorder.
NURSINGTB.COM
DIF: Cognitive Level: Analysis REF: Page 543
OBJ: 4 TOP: Strabismus KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. What might the nurse explain as a common treatment for amblyopia?
a. Patching the good eye to force the brain to use the affected eye
b. Patching the affected eye to allow the refractory muscles to rest
c. Using glasses that will slightly blur the image for the good eye
d. Using corticosteroids to treat inflammation of the optic nerve
ANS: A
Early detection and treatment are essential for the child with amblyopia. Treatment includes patching the good
eye and using glasses to correct refractive errors.
DIF: Cognitive Level: Knowledge REF: Page 543
TOP: Amblyopia KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
8. What assessment does the school nurse recognize as the cardinal sign of a hyphema?
a. Opacity of the lens
b. A yellow-white reflex on the pupil
c. A dark-red spot in front of the iris
d. Inflamed mucous membranes of the eyelids
ANS: C
A dark red spot in front of the iris is blood that has drained into the anterior chamber as the result of an injury.
DIF: Cognitive Level: Knowledge REF: Page 545
TOP: Hyphema KEY: Nursing Process Step: Data Collection
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 209
Chapter 23: The Child with a Sensory or Neurological Condition
MULTIPLE CHOICE
1. A parent comments that her infant has had several ear infections in the past few months. Why are infants
more susceptible to otitis media?
a. Infants are in a supine or prone position most of the time.
b. Sucking on a nipple creates middle ear pressure.
c. They have increased susceptibility to upper respiratory tract infections.
d. The eustachian tube is short, straight, and wide.
ANS: D
An infants eustachian tubes are short, wide, and straight, allowing microorganisms easy access to the middle
ear.
DIF: Cognitive Level: Knowledge REF: Page 538
TOP: Otitis Media KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. What statement by a patients mother leads the nurse to determine she understands instructions about
administering an oral antibiotic for otitis media?
a. I will continue using the medication until symptoms are relieved.
b. I will share the medicine with siblings if their symptoms are the same.
c. I will give the medication with a glass of milk.
d. I will administer prescribed doses until all the medication is used.
ANS: D
Antibiotic therapy for otitis media is continued until the prescribed amount has been completed, even if
symptoms are alleviated.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 540
OBJ: 2 TOP: Otitis Media KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
3. Which situation would cause the nurse to suspect a hearing impairment?
a. 3-month-old infant with a positive Moro reflex
b. 15-month-old toddler who is babbling
c. 18-month-old toddler who is speaking one-syllable words
d. 24-month-old toddler who communicates by pointing
ANS: D
The child who is not making verbal attempts by 18 months should undergo a complete physical examination.
DIF: Cognitive Level: Analysis REF: Page 540
OBJ: 3 TOP: Hearing Impairment
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
4. What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?
a. Use gestures and signs as much as possible.
b. Let the childs parents communicate for her.
c. Face the child and speak clearly in short sentences.
d. Recognize that the childs ability to communicate will be on a 6-year-old childs level.
ANS: C
The nurse who faces the child and speaks clearly will help the hearing-impaired child in the hospital to develop
a healthy personality.
DIF: Cognitive Level: Application REF: Page 541
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 210
OBJ: 3 TOP: Hearing Impairment
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
5. What would the nurse include when planning postoperative teaching for a child who has had a
tympanostomy with insertion of tubes?
a. Keeping the infant flat after feeding
b. Giving over-the-counter decongestants
c. Avoiding getting water in the ears
d. Cleaning the ear canal with cotton-tipped applicators
ANS: C
After a tympanostomy, care should be taken to avoid getting water in the ears.
DIF: Cognitive Level: Comprehension REF: Page 540
TOP: Postoperative Care of Tympanostomy
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
6. What assessment made by the school nurse would lead to the suspicion of strabismus?
a. Reddened sclera in one eye
b. Child covers one eye to read the chalkboard
c. Child complains of a headache
d. Copious tears while watching TV
ANS: B
Indicators of strabismus include covering one eye to see, tilting the head to see, and missing objects in attempts
to pick them up. Although headaches may be associated with amblyopia, this symptom is too vague to point
suspicion to any disorder.
NURSINGTB.COM
DIF: Cognitive Level: Analysis REF: Page 543
OBJ: 4 TOP: Strabismus KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. What might the nurse explain as a common treatment for amblyopia?
a. Patching the good eye to force the brain to use the affected eye
b. Patching the affected eye to allow the refractory muscles to rest
c. Using glasses that will slightly blur the image for the good eye
d. Using corticosteroids to treat inflammation of the optic nerve
ANS: A
Early detection and treatment are essential for the child with amblyopia. Treatment includes patching the good
eye and using glasses to correct refractive errors.
DIF: Cognitive Level: Knowledge REF: Page 543
TOP: Amblyopia KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
8. What assessment does the school nurse recognize as the cardinal sign of a hyphema?
a. Opacity of the lens
b. A yellow-white reflex on the pupil
c. A dark-red spot in front of the iris
d. Inflamed mucous membranes of the eyelids
ANS: C
A dark red spot in front of the iris is blood that has drained into the anterior chamber as the result of an injury.
DIF: Cognitive Level: Knowledge REF: Page 545
TOP: Hyphema KEY: Nursing Process Step: Data Collection
NURSINGTB.COM
