NURSING 265/NURS 2633 MATERNAL CHILD
EXAM 2 (LATEST UPDATE 2024-2025)A+
GRADE
What is the priority nursing intervention when a child is unconscious after a fall?
Establish adequate airway.
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)
Time out. Consequences of actions. Removal of privileges.
When caring for a child with an intravenous infusion, what nursing intervention is the
most appropriate?
Ensure patency by observing the infusion site frequently for signs of infiltration
On physical assessment of the skin of a patient, the nurse documents cyanosis. This
finding may indicate what complication?
Compromised cardiorespiratory rate.
What is probably the single most important influence on growth at all stages of childhood
development?
Nutrition.
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?
Previous severe allergic reaction to vaccine.
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?
, Motrin.
After the acute stage and during the healing process the primary complication from burn
injury is which of the following?
Infection.
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?
Weigh the child and calculate the dosage range.
A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What
is the most appropriate recommendation?
Ignore the behavior provided the child is not causing injury.
Nursing care of a child during a seizure includes which of the following interventions?
Select all that apply.
Loosen restrictive clothing. Maintain the child's airway. Provide a safe environment.
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?
Glucose level.
Health teaching that the nurse would provide for parents of an immunosuppressed child
focuses on which important measure?
Hand washing.
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?
Partial-thickness superficial.
A infant who weighs 9 pounds at birth would be expected to weigh how many pounds at 1
year of age?
EXAM 2 (LATEST UPDATE 2024-2025)A+
GRADE
What is the priority nursing intervention when a child is unconscious after a fall?
Establish adequate airway.
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)
Time out. Consequences of actions. Removal of privileges.
When caring for a child with an intravenous infusion, what nursing intervention is the
most appropriate?
Ensure patency by observing the infusion site frequently for signs of infiltration
On physical assessment of the skin of a patient, the nurse documents cyanosis. This
finding may indicate what complication?
Compromised cardiorespiratory rate.
What is probably the single most important influence on growth at all stages of childhood
development?
Nutrition.
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?
Previous severe allergic reaction to vaccine.
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?
, Motrin.
After the acute stage and during the healing process the primary complication from burn
injury is which of the following?
Infection.
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?
Weigh the child and calculate the dosage range.
A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What
is the most appropriate recommendation?
Ignore the behavior provided the child is not causing injury.
Nursing care of a child during a seizure includes which of the following interventions?
Select all that apply.
Loosen restrictive clothing. Maintain the child's airway. Provide a safe environment.
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?
Glucose level.
Health teaching that the nurse would provide for parents of an immunosuppressed child
focuses on which important measure?
Hand washing.
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?
Partial-thickness superficial.
A infant who weighs 9 pounds at birth would be expected to weigh how many pounds at 1
year of age?
