MATERNAL CHILD
NURSING
ASSESSMENT
QNS & ANS
VERSION 1
2023/2024
, 1. Describe Epiglottis o Patho: Inflammation of the epiglottis (flap that covers the larynx). This is an
emergency because the epiglottis cannot open to allow in air. It occurs often from the age of 2 to 8
years old. It can be bacterial or viral (H. influenzae B is a common cause that has been reduced by
hib vaccine). o Assessment: It resembles a mild upper respiratory tract infection, but spreads to the
epiglottis in 1 to 2 days. The child then experiences a high fever, sore throat, inspiratory stridor,
hoarseness, tongue protrudes, and excessive saliva. ▪ Stimulating the gag reflex can cause a
complete obstruction, so never attempt to stimulate it, visualize it, or get a direct culture. o
Management: Oxygen is used for respiratory distress, IV fluids, antibiotics, and an endotracheal
airway may be required to manage
2. A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes
three contractions in 10 min with late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider Positive- Indicates an adverse
reaction by the fetus and should be reported to the provider
3. A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What
meds should the nurse plan to administer? . betamethasone
4. Newborn is receiving phototherapy for an elevated bilirubin. What actions should nurse take? 1)
Monitor lamp's energy throughout the therapy to ensure newborn is receiving the appropriate
amount to be effective 2) Provide breast milk or infant formula to maintain hydration and promote
excretion of bilirubin in stool. (Glucose water or plain water can increase circulation to the liver and
impede bilirubin excretion.) 3) Apply eye patches so light does not damage newborn's eyes 4)
Avoid applying any topical substance because it can absorb heat and cause burns. 5) Cover perianal
region
5. Which factor significantly contributed to the shift from home births to hospital births in the early
20th century? Technologic developments became available to physicians
NURSING
ASSESSMENT
QNS & ANS
VERSION 1
2023/2024
, 1. Describe Epiglottis o Patho: Inflammation of the epiglottis (flap that covers the larynx). This is an
emergency because the epiglottis cannot open to allow in air. It occurs often from the age of 2 to 8
years old. It can be bacterial or viral (H. influenzae B is a common cause that has been reduced by
hib vaccine). o Assessment: It resembles a mild upper respiratory tract infection, but spreads to the
epiglottis in 1 to 2 days. The child then experiences a high fever, sore throat, inspiratory stridor,
hoarseness, tongue protrudes, and excessive saliva. ▪ Stimulating the gag reflex can cause a
complete obstruction, so never attempt to stimulate it, visualize it, or get a direct culture. o
Management: Oxygen is used for respiratory distress, IV fluids, antibiotics, and an endotracheal
airway may be required to manage
2. A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes
three contractions in 10 min with late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider Positive- Indicates an adverse
reaction by the fetus and should be reported to the provider
3. A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What
meds should the nurse plan to administer? . betamethasone
4. Newborn is receiving phototherapy for an elevated bilirubin. What actions should nurse take? 1)
Monitor lamp's energy throughout the therapy to ensure newborn is receiving the appropriate
amount to be effective 2) Provide breast milk or infant formula to maintain hydration and promote
excretion of bilirubin in stool. (Glucose water or plain water can increase circulation to the liver and
impede bilirubin excretion.) 3) Apply eye patches so light does not damage newborn's eyes 4)
Avoid applying any topical substance because it can absorb heat and cause burns. 5) Cover perianal
region
5. Which factor significantly contributed to the shift from home births to hospital births in the early
20th century? Technologic developments became available to physicians
