T3P Chapter: 46. 2024-2025 Edition. Real Test
Questions & Verified Correct Answers. Graded
A+
. A 3-year-old child is hospitalized after a near-drowning accident. The childs mother
complains to the
nurse, This seems unnecessary when he is perfectly fine. The nurses best reply is:
a. He still needs a little extra oxygen.
b. Im sure he is fine, but the doctor wants to make sure.
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 780
c. The reason for this is that complications could still occur.
d. It is important to observe for possible central nervous system problems - ANSANS: C
All children who have a near-drowning experience should be admitted to the hospital for
observation. Although many children do not appear to have suffered adverse effects
from the event, complications such as
respiratory compromise and cerebral edema may occur up to 24 hours after the
incident. Stating that, He still
needs a little extra oxygen does not respond directly to the mothers concern. Why is her
child still receiving
oxygen? The nurse should clarify that different complications can occur up to 24 hours
later and that
observations are necessary.
. Which clinical manifestations would suggest hydrocephalus in a neonate?
a. Bulging fontanel and dilated scalp veins
b. Closed fontanel and high-pitched cry
c. Constant low-pitched cry and restlessness
d. Depressed fontanel and decreased blood pressure - ANSANS: A
Bulging fontanel, dilated scalp veins, and separated sutures are clinical manifestations
of hydrocephalus in
neonates. Closed fontanel and high-pitched cry, constant low-pitched cry and
restlessness, and depressed
fontanel and decreased blood pressure are not clinical manifestations of hydrocephalus,
but all should be
referred for evaluation.
. Which statement best describes a neuroblastoma?
a. Diagnosis is usually made after metastasis occurs.
b. Early diagnosis is usually possible because of the obvious clinical manifestations.
c. It is the most common brain tumor in young children.
d. It is the most common benign tumor in young children. - ANSANS: A
,Neuroblastoma is a silent tumor with few symptoms. In more than 70% of cases,
diagnosis is made after
metastasis occurs, with the first signs caused by involvement in the nonprimary site. In
only 30% of cases is
diagnosis made before metastasis. Neuroblastomas are the most common malignant
extracranial solid tumors
in children. The majority of tumors develop in the adrenal glands or the retroperitoneal
sympathetic chain. They are not benign; they metastasize.
. Which type of seizure may be difficult to detect?
a. Absence c. Simple partial
b. Generalized d. Complex partial - ANSANS: A
Absence seizures may go unrecognized because little change occurs in the childs
behavior during the seizure. Generalized, simple partial, and complex partial seizures all
have clinical manifestations that are observable.
A 10-year-old boy has been hit by a car while riding his bicycle in front of the school.
The school nurse
immediately assesses airway, breathing, and circulation. The next nursing action should
be to:
a. Place on side. c. Stabilize neck and spine.
b. Take blood pressure. d. Check scalp and back for bleeding. - ANSANS: C
After determining that the child is breathing and has adequate circulation, the next
action is to stabilize the
neck and spine to prevent any additional trauma. The childs position should not be
changed until the neck and
spine are stabilized. Blood pressure is a later assessment. Less urgent, but an
important assessment, is
inspection of the scalp for bleeding.
A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for
discharge, the nurse
is discussing home care with her mother. Which statement made by the mother
indicates a correct
understanding of the teaching?
a. I should expect my child to have a few episodes of vomiting.
b. If I notice sleep disturbances, I should contact the physician immediately.
c. I should expect my child to have some behavioral changes after the accident.
d. If I notice diplopia, I will have my child rest for 1 hour - ANSANS: C
The parents are advised of probably post-traumatic symptoms that may be expected,
including behavioral
changes. If the child has episodes of vomiting, sleep disturbances, or diplopia, they
should be immediately
reported for evaluation
, A 6-year-old child is having a generalized seizure in the classroom at school. Place in
order the interventions
the school nurse should implement, starting with the highest-priority intervention and
sequencing to the
lowest-priority intervention.
a. Take vital signs.
b. Ease child to the floor.
c. Allow child to rest.
d. Turn child to the side.
e. Integrate child back into the school environment. - ANSB, D, A, C, E
A child has been seizure-free for 2 years. A father asks the nurse how much longer the
child will need to
take the antiseizure medications. The nurse includes which intervention in the
response?
a. Medications can be discontinued at this time.
b. The child will need to take the drugs for 5 years after the last seizure.
c. A stepwise approach will be used to reduce the dosage gradually.
d. Seizure disorders are a lifelong problem. Medications cannot be discontinued. -
ANSANS: C
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 789
A predesigned protocol is used to wean a child gradually off antiseizure medications,
usually when the child is
seizure-free for 2 years and has a normal electroencephalogram. Medications must be
gradually reduced to
minimize the recurrence of seizures. Seizure medications can be safely discontinued.
The risk of recurrence is
greatest within the first year.
A child is brought to the emergency department after experiencing a seizure at school.
There is no previous
history of seizures. The father tells the nurse that he cannot believe the child has
epilepsy. The nurses best
response is:
a. Epilepsy is easily treated.
b. Very few children have actual epilepsy.
c. The seizure may or may not mean that your child has epilepsy.
d. Your child has had only one convulsion; it probably wont happen again - ANSANS: C
Seizures are the indispensable characteristic of epilepsy; however, not every seizure is
epileptic. Epilepsy is a
chronic seizure disorder with recurrent and unprovoked seizures. The treatment of
epilepsy involves a
thorough assessment to determine the type of seizure the child is having and the cause
of events, followed by
individualized therapy to allow the child to have as normal a life as possible. The nurse
should not make
Questions & Verified Correct Answers. Graded
A+
. A 3-year-old child is hospitalized after a near-drowning accident. The childs mother
complains to the
nurse, This seems unnecessary when he is perfectly fine. The nurses best reply is:
a. He still needs a little extra oxygen.
b. Im sure he is fine, but the doctor wants to make sure.
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 780
c. The reason for this is that complications could still occur.
d. It is important to observe for possible central nervous system problems - ANSANS: C
All children who have a near-drowning experience should be admitted to the hospital for
observation. Although many children do not appear to have suffered adverse effects
from the event, complications such as
respiratory compromise and cerebral edema may occur up to 24 hours after the
incident. Stating that, He still
needs a little extra oxygen does not respond directly to the mothers concern. Why is her
child still receiving
oxygen? The nurse should clarify that different complications can occur up to 24 hours
later and that
observations are necessary.
. Which clinical manifestations would suggest hydrocephalus in a neonate?
a. Bulging fontanel and dilated scalp veins
b. Closed fontanel and high-pitched cry
c. Constant low-pitched cry and restlessness
d. Depressed fontanel and decreased blood pressure - ANSANS: A
Bulging fontanel, dilated scalp veins, and separated sutures are clinical manifestations
of hydrocephalus in
neonates. Closed fontanel and high-pitched cry, constant low-pitched cry and
restlessness, and depressed
fontanel and decreased blood pressure are not clinical manifestations of hydrocephalus,
but all should be
referred for evaluation.
. Which statement best describes a neuroblastoma?
a. Diagnosis is usually made after metastasis occurs.
b. Early diagnosis is usually possible because of the obvious clinical manifestations.
c. It is the most common brain tumor in young children.
d. It is the most common benign tumor in young children. - ANSANS: A
,Neuroblastoma is a silent tumor with few symptoms. In more than 70% of cases,
diagnosis is made after
metastasis occurs, with the first signs caused by involvement in the nonprimary site. In
only 30% of cases is
diagnosis made before metastasis. Neuroblastomas are the most common malignant
extracranial solid tumors
in children. The majority of tumors develop in the adrenal glands or the retroperitoneal
sympathetic chain. They are not benign; they metastasize.
. Which type of seizure may be difficult to detect?
a. Absence c. Simple partial
b. Generalized d. Complex partial - ANSANS: A
Absence seizures may go unrecognized because little change occurs in the childs
behavior during the seizure. Generalized, simple partial, and complex partial seizures all
have clinical manifestations that are observable.
A 10-year-old boy has been hit by a car while riding his bicycle in front of the school.
The school nurse
immediately assesses airway, breathing, and circulation. The next nursing action should
be to:
a. Place on side. c. Stabilize neck and spine.
b. Take blood pressure. d. Check scalp and back for bleeding. - ANSANS: C
After determining that the child is breathing and has adequate circulation, the next
action is to stabilize the
neck and spine to prevent any additional trauma. The childs position should not be
changed until the neck and
spine are stabilized. Blood pressure is a later assessment. Less urgent, but an
important assessment, is
inspection of the scalp for bleeding.
A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for
discharge, the nurse
is discussing home care with her mother. Which statement made by the mother
indicates a correct
understanding of the teaching?
a. I should expect my child to have a few episodes of vomiting.
b. If I notice sleep disturbances, I should contact the physician immediately.
c. I should expect my child to have some behavioral changes after the accident.
d. If I notice diplopia, I will have my child rest for 1 hour - ANSANS: C
The parents are advised of probably post-traumatic symptoms that may be expected,
including behavioral
changes. If the child has episodes of vomiting, sleep disturbances, or diplopia, they
should be immediately
reported for evaluation
, A 6-year-old child is having a generalized seizure in the classroom at school. Place in
order the interventions
the school nurse should implement, starting with the highest-priority intervention and
sequencing to the
lowest-priority intervention.
a. Take vital signs.
b. Ease child to the floor.
c. Allow child to rest.
d. Turn child to the side.
e. Integrate child back into the school environment. - ANSB, D, A, C, E
A child has been seizure-free for 2 years. A father asks the nurse how much longer the
child will need to
take the antiseizure medications. The nurse includes which intervention in the
response?
a. Medications can be discontinued at this time.
b. The child will need to take the drugs for 5 years after the last seizure.
c. A stepwise approach will be used to reduce the dosage gradually.
d. Seizure disorders are a lifelong problem. Medications cannot be discontinued. -
ANSANS: C
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 789
A predesigned protocol is used to wean a child gradually off antiseizure medications,
usually when the child is
seizure-free for 2 years and has a normal electroencephalogram. Medications must be
gradually reduced to
minimize the recurrence of seizures. Seizure medications can be safely discontinued.
The risk of recurrence is
greatest within the first year.
A child is brought to the emergency department after experiencing a seizure at school.
There is no previous
history of seizures. The father tells the nurse that he cannot believe the child has
epilepsy. The nurses best
response is:
a. Epilepsy is easily treated.
b. Very few children have actual epilepsy.
c. The seizure may or may not mean that your child has epilepsy.
d. Your child has had only one convulsion; it probably wont happen again - ANSANS: C
Seizures are the indispensable characteristic of epilepsy; however, not every seizure is
epileptic. Epilepsy is a
chronic seizure disorder with recurrent and unprovoked seizures. The treatment of
epilepsy involves a
thorough assessment to determine the type of seizure the child is having and the cause
of events, followed by
individualized therapy to allow the child to have as normal a life as possible. The nurse
should not make
