Test Bank: Introduction to Maternity and Pediatric
Nursing, 9th Edition by Gloria Leifer
What is the correct nursing response to a mother who asks, "How can I get rid of the
baby's cradle cap?" - ANSWER "Rub baby oil on the infant's head and brush the
hair out carefully."
What would the nurse teach parents to do in order to avoid diaper rash? (Select all
that apply.) - ANSWER -Use disposable diapers.
Avoid plastic bloomer or pants.
Change diapers frequently.
What should the nurse stress to the mother of a child with impetigo? - ANSWER
Small cuts and bites should be treated promptly.
What risk is increased with children who have been diagnosed with infantile
eczema? - ANSWER -Asthma
What instruction would the nurse provide to an adolescent who has been fitted with a
Milwaukee brace? - ANSWER Wear the brace over a T-shirt 23 hours a day.
What intervention is appropriate for a nurse assessing a preadolescent child for
scoliosis? - ANSWER Ask the child to bend forward at the waist and observe the
child's back for asymmetry.
The nurse is performing a neurovascular check on a limb in traction. Which findings
would be indicative of altered circulation? (Select all the apply.) - ANSWER -Limb
is cool to the touch
Capillary refill is 5 seconds
What characteristic manifestation would the nurse assessing a child with Duchenne's
Muscular Dystrophy document? - ANSWER Falls frequently and is clumsy
Which intervention would be helpful in relieving morning discomfort associated with
juvenile rheumatoid arthritis? - ANSWER Applying moist heat packs upon
awakening
What would the nurse include in planning teaching to parents of a child with Legg-
Calve-Perthes disease about the long-term effects of this disease? - ANSWER
Degenerative arthritis may develop later in life.
What might the nurse explain as a common treatment for amblyopia? - ANSWER
Patching the good eye to force the brain to use the affected eye
What would the nurse instruct the parents of a child who takes dilantin? - ANSWER
Give meticulous oral hygiene.
, What is an appropriate nursing action when a child is experiencing a generalized
tonic-clonic seizure? - ANSWER Move objects out of the child's immediate area.
The nurse is planning to teach parents about prevention of Reye's syndrome. What
information would the nurse include in this teaching? - ANSWER Aviod giving
salicylate-containing medications to a child who has viral symptoms.
What is the best way for the nurse to communicate with a 10-year-old child who has
a hearing impairment? - ANSWER Face the child and speak clearly in short
sentences.
The nurse urges the mother of a 6-month-old child to get her child inoculated with
Haemophillus influenzae type B. What does this immunization protect against? -
ANSWER Bacterial meningitis
The nurse is caring for a preschooler with a head injury. Which assessment would
lead the nurse to report the probability of increasing intracranial pressure (ICP)? -
ANSWER Increase in blood pressure with a decrease in pulse
What will the nurse teach parents when giving instructions for acute conjunctivitis? -
ANSWER Clear the drainage from the inner to the outer aspect of the eye.
Which assessments would cause the pediatric nurse to suspect the probability of an
ear infection in a 15-month-old child. (Select all that apply.) - ANSWER Pulling at
ears
Irritability
Rolls head from side to side
Temperature of 39.4 C (103 F)
Which assessment finding in a child with meningitis should be reported immediately?
- ANSWER Irregular respirations
What assessment made by the school nurse would lead to the suspicion of
strabismus? - ANSWER Child covers one eye to read the chalkboard
What does the nurse explain to parents of a child who experienced a febrile seizure?
- ANSWER They occur when the temperature rises quickly.
A child is brought to the emergency department after he fell and hit his head on the
ground. Which nursing assessment suggests the child has a concussion? -
ANSWER Cannot remember what happened to him
A parent reports that her child has begun to do poorly at school and experiences
episodes where he appears to be staring into space. Of which type of seizure is this
behavior a characteristic? - ANSWER Absence
Which situation would cause the nurse to suspect a hearing impairment? -
ANSWER 24-month-old toddler who communicates by pointing
Nursing, 9th Edition by Gloria Leifer
What is the correct nursing response to a mother who asks, "How can I get rid of the
baby's cradle cap?" - ANSWER "Rub baby oil on the infant's head and brush the
hair out carefully."
What would the nurse teach parents to do in order to avoid diaper rash? (Select all
that apply.) - ANSWER -Use disposable diapers.
Avoid plastic bloomer or pants.
Change diapers frequently.
What should the nurse stress to the mother of a child with impetigo? - ANSWER
Small cuts and bites should be treated promptly.
What risk is increased with children who have been diagnosed with infantile
eczema? - ANSWER -Asthma
What instruction would the nurse provide to an adolescent who has been fitted with a
Milwaukee brace? - ANSWER Wear the brace over a T-shirt 23 hours a day.
What intervention is appropriate for a nurse assessing a preadolescent child for
scoliosis? - ANSWER Ask the child to bend forward at the waist and observe the
child's back for asymmetry.
The nurse is performing a neurovascular check on a limb in traction. Which findings
would be indicative of altered circulation? (Select all the apply.) - ANSWER -Limb
is cool to the touch
Capillary refill is 5 seconds
What characteristic manifestation would the nurse assessing a child with Duchenne's
Muscular Dystrophy document? - ANSWER Falls frequently and is clumsy
Which intervention would be helpful in relieving morning discomfort associated with
juvenile rheumatoid arthritis? - ANSWER Applying moist heat packs upon
awakening
What would the nurse include in planning teaching to parents of a child with Legg-
Calve-Perthes disease about the long-term effects of this disease? - ANSWER
Degenerative arthritis may develop later in life.
What might the nurse explain as a common treatment for amblyopia? - ANSWER
Patching the good eye to force the brain to use the affected eye
What would the nurse instruct the parents of a child who takes dilantin? - ANSWER
Give meticulous oral hygiene.
, What is an appropriate nursing action when a child is experiencing a generalized
tonic-clonic seizure? - ANSWER Move objects out of the child's immediate area.
The nurse is planning to teach parents about prevention of Reye's syndrome. What
information would the nurse include in this teaching? - ANSWER Aviod giving
salicylate-containing medications to a child who has viral symptoms.
What is the best way for the nurse to communicate with a 10-year-old child who has
a hearing impairment? - ANSWER Face the child and speak clearly in short
sentences.
The nurse urges the mother of a 6-month-old child to get her child inoculated with
Haemophillus influenzae type B. What does this immunization protect against? -
ANSWER Bacterial meningitis
The nurse is caring for a preschooler with a head injury. Which assessment would
lead the nurse to report the probability of increasing intracranial pressure (ICP)? -
ANSWER Increase in blood pressure with a decrease in pulse
What will the nurse teach parents when giving instructions for acute conjunctivitis? -
ANSWER Clear the drainage from the inner to the outer aspect of the eye.
Which assessments would cause the pediatric nurse to suspect the probability of an
ear infection in a 15-month-old child. (Select all that apply.) - ANSWER Pulling at
ears
Irritability
Rolls head from side to side
Temperature of 39.4 C (103 F)
Which assessment finding in a child with meningitis should be reported immediately?
- ANSWER Irregular respirations
What assessment made by the school nurse would lead to the suspicion of
strabismus? - ANSWER Child covers one eye to read the chalkboard
What does the nurse explain to parents of a child who experienced a febrile seizure?
- ANSWER They occur when the temperature rises quickly.
A child is brought to the emergency department after he fell and hit his head on the
ground. Which nursing assessment suggests the child has a concussion? -
ANSWER Cannot remember what happened to him
A parent reports that her child has begun to do poorly at school and experiences
episodes where he appears to be staring into space. Of which type of seizure is this
behavior a characteristic? - ANSWER Absence
Which situation would cause the nurse to suspect a hearing impairment? -
ANSWER 24-month-old toddler who communicates by pointing
