NUR2633 Exam 3 Maternal Child Health Updated (2023/2024) ACTUAL EXAM 50 Q&A

Question 1 1 out of 1 points The pediatric nurse carefully monitors a patient’s status by assessing the child’s level of consciousness. The nurse understands that the Glasgow Coma Scale provides clues to: Selected Answer: B. neurological status. Question 2 1 out of 1 points When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is known as? Selected Answer: Permissive Question 3 1 out of 1 points The nurse is caring for a school-age girl 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 most appropriate initial nursing action? Selected Answer: D. Apply direct pressure above the catheterization site. Question 4 1 out of 1 points The pediatric nurse caring for hearing-impaired children teaches parents the following recommended guidelines for communicating with their children: (Select all answers that apply.) B. obtain the child’s attention before speaking. E. talk slowly Question 5 1 out of 1 points A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. What is the therapeutic management of this child? Selected Answer: Intravenous fluids Question 6 1 out of 1 points What is the priority nursing intervention when a child is unconscious after a fall? Selected Answer: Establish adequate airway Question 7 1 out of 1 points Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a child’s self- esteem. Which discipline is appropriate? (select all that apply) B. Time out C. Consequences of actions D. Removal of privileges Question 8 1 out of 1 points When caring for a child with an intravenous infusion, what nursing intervention is the most appropriate? Selected Answer: Ensure patency by observing the infusion site frequently for signs of infiltration Question 9 1 out of 1 points What is probably the single most important influence on growth at all stages of childhood development? Selected Answer: Nutrition Question 10 1 out of 1 points On physical assessment of the skin of a patient, the nurse documents cyanosis. This finding may indicate what compication? Selected Answer: Compromised cardiorespiratory state Question 11 1 out of 1 points A contraindication to vaccine administration indicates that the child has an increased risk of serious side effects from the vaccine and therefore should not receive that vaccine. What is the one universal contraindication to all vaccines? Selected Answer: A. previous severe allergic reaction to the vaccine Question 12 1 out of 1 points A 6-year-old child is being discharged from the emergency department after being diagnosed with varicella or chickenpox. What over the counter medication should he nurse instruct the parents to avoid administering? Selected Answer: Motrin Question 13 1 out of 1 points After the acute stage and during the healing process the primary complication from burn injury is which of the following? Selected Answer: D. Infection Question 14 1 out of 1 points A prescription for Morphine sulfate IV bolus has been ordered for a child who is in pain. The nurse preparing to administer the medication realizes that the client appears small for her age. Which of the following actions should the nurse take? Selected Answer: Weigh the child and calculate the dosage range Question 15 1 out of 1 points A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation? Selected Answer: Ignore the behavior provided the child is not causing injury Question 16 1 out of 1 points Nursing care of a child during a seizure includes which of the following interventions? Select all that apply Selected Answers: Loosen restrictive clothing Maintain the child's airway Provide a safe environment Question 17 1 out of 1 points A baby is born today with a weight of 9 pounds, 8 ounces at 38 weeks gestation. What serum level should be assessed immediately after birth? Selected Answer: Glucose level Question 18 1 out of 1 points Health teaching that the nurse would provide for parents of an immunosuppressed child focuses on which important measure? Selected Answer: C. hand washing Question 19 1 out of 1 points The nurse is caring for a child who has a burn. The child has a large burned area on the left leg. The burned area appears pink, has blisters, and is very painful. How will the nurse categorize this injury? Selected Answer: B. Partial - thickness superficial Question 20 1 out of 1 points A infant who weighs 9 pounds at birth would be expected to weigh how many pounds at 1 year of age? Selected Answer: 27 Question 21 1 out of 1 points 4-year-old girl is brought to the emergency department. She has a “frog-like” croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. What does the nurse recognize as the first action? Selected Answer: A. maintain airway. Question 22 1 out of 1 points The nurse is caring for a hospitalized 4-year-old child, Ryan. His parents tell the nurse that they will be back to visit at 6 p.m. When Ryan asks the nurse when his parents are coming, what is the nurse's best response? Selected Answer: They will come after dinner Question 23 1 out of 1 points A toddler is diagnosed with iron defiecency anemia which is found to be dietary in nature. What recommendation would the nurse make to the parents to enhance dietary iron intake to promote growth and development? Selected Answer: Limit milk to no more than 32 ounces a day Question 24 0 out of 1 points The pediatric nurse is aware that the following is true of pain management in pediatrics. Selected Answer: The use of pain scales helps children express their pain Question 25 1 out of 1 points A new mother expresses concern to a nurse regarding sudden infant death syndrome. (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed in what position? Selected Answer: back rather than on the stomach Question 26 1 out of 1 points A mother brings her infant to the pediatrician for a check-up. She tells the pediatric nurse that almost every afternoon her infant fusses generally occurring at the same time each day, usually during the late afternoon or evening. The infant pulls both legs and arms into a flexed position. Based on this description, the nurse suspects that the infant has: Selected Answer: A. infantile colic. Question 27 1 out of 1 points Sara , age 6 months, was born at 35 weeks gestation. She seems to be developing normally, but her parents are concerned because she is a more difficult baby than their other child, who was born at term. How does the nurse explain this? Selected Answer: An infant's temperament is part of their unique characteristic Question 28 1 out of 1 points Which strategy would be the least appropriate for a child to use to cope ? Selected Answer: C. Having parents solve problems Question 29 0 out of 1 points A child undergoes an appendectomy. Which of the following nursing interventions would not be considered acceptable? Selected Answer: Give oral laxatives pre operative Answers: Pain management Give oral laxatives pre operative Monitor intake and output Wound care?