NCM 109 (MATERNAL & CHILD)
MIDTERMS EXAM WITH COMPLETE
SOLUTIONS
Which of the following observations would the nurse expect when assessing the
gestational age of a neonate delivered at term?
a. Pendulous testes
b. Coarse and silky hair
c. Thick cartilage is present
d. Deep and extensive rugae in the scrotum
b. Coarse and silky hair
When performing an assessment on a neonate, which assessment finding is most
suggestive of hypothermia?
a. Bradycardia
b. Hyperglycemia
c. Metabolic alkalosis
d. Shivering
a. Bradycardia
We have an expert-written solution to this problem!
A child is admitted to the hospital with pneumonia. What is the priority need that
must be included in the nursing plan of care for this child?
a. Rest
b. Exercise
c. Nutrition
d. Elimination
a. Rest
We have an expert-written solution to this problem!
A 5-month-old infant develops severe diarrhea and is given IV fluids. What is the
rationale for the nurse to closely monitor the IV flow rate?
a. Limiting output
b. replacing loss fluids
,c. Avoid IV infiltration
d. Preventing cardiac overload
d. Preventing cardiac overload
A nurse is caring for an infant with bacterial meningitis. The parents ask how
their baby could have contracted the illness. What does the nurse consider as the
most likely route of transmission to the central nervous system (CNS)?
a. Genitourinary tract
b. Gastrointestinal tract
c. Skin or mucous membrane
d. Cranial apertures or sinuses
d. Cranial apertures or sinuses
The following are chromosomal aberration EXCEPT:
a. trisomy 21
b. tranlocation15/21
c. trisomy 15
d. mosaicism
c. trisomy 15
When teaching the parent of a school-age child about signs and symptoms of
fever that require immediate notification of the physician, which of the following
descriptions should the nurse include?
a. Burning or pain with urination
b. Complaints of a stiff neck
c. Fever disappearing for longer than 24 hours, then returning
d. History of febrile seizures
b. Complaints of a stiff neck
You were assigned to nurse a preterm infant under phototherapy. During the said
treatment which of the following will alarm your attention.
a. Watching the infant's eyes blinking
b. Lanugo covering the entire body
c. Below normal weight
d. The infant is crying loud.
a. Watching the infant's eyes blinking
You are tasked to take care of a vaginally delivered newborn baby at the Neonatal
intensive Care Unit. which of the following assessment requires immediate
attention?
a. Eyes are slightly yellowish in color
b. Nasal flaring
c. No urine output within the 1st 3hrs after delivery
d. Sign of injury on the head area
b. Nasal flaring
, For acute otitis media, the treatment is prompt antibiotic therapy. Delayed
treatment may result to complications of;
a. tonsilitis
b. brain damage
c. eardrum perforation
d. Infections
b. brain damage
A toddler is brought to the emergency department with sudden onset of
abdominal pain, vomiting, and stools that look like red currant jelly. To confirm
intussusception, the suspected cause of these findings, the nurse expects the
physician to order:
a. a barium enema.
b. suprapubic aspiration.
c. nasogastric (NG) tube insertion.
d. indwelling urinary catheter insertion.
a. a barium enema.
During a visit to the well-baby clinic, a mother who's breast-feeding her 2-month-
old infant expresses concern over the infant's bowel movements. Which
statement by the mother would lead the nurse to believe that the infant's bowel
movements are normal?
a. "The baby's stools are yellow and semi formed."
b. The baby's stools are dark green and sticky."
c. "The baby's stools are green and watery."
d. The baby's stools are bright yellow and soft
d. The baby's stools are bright yellow and soft
A nurse who is caring for an infant with a cleft lip is concerned about preventing
an infection. Why does the cleft lip predispose the infant to infection?
a. Waste products accumulate along the defect.
b. There is inadequate circulation in the defective area.
c. Nutrition is inadequate because of ineffective feeding
d. Mouth breathing dries the oropharyngeal mucous membrane
d. Mouth breathing dries the oropharyngeal mucous membrane
When formulating a nursing care plan to an 8-year-old patient with down
syndrome, the nurse should.
a. Plan interventions according to the developmental levels of a 5-year-old
because the child will have developmental delays
b. Direct all teaching to the parents because the child can't understand
c. Plan interventions according to the developmental level of a 7-year-old child
because that's the child's age
d. Assess the child's current developmental level and plan care accordingly
d. Assess the child's current developmental level and plan care accordingly
MIDTERMS EXAM WITH COMPLETE
SOLUTIONS
Which of the following observations would the nurse expect when assessing the
gestational age of a neonate delivered at term?
a. Pendulous testes
b. Coarse and silky hair
c. Thick cartilage is present
d. Deep and extensive rugae in the scrotum
b. Coarse and silky hair
When performing an assessment on a neonate, which assessment finding is most
suggestive of hypothermia?
a. Bradycardia
b. Hyperglycemia
c. Metabolic alkalosis
d. Shivering
a. Bradycardia
We have an expert-written solution to this problem!
A child is admitted to the hospital with pneumonia. What is the priority need that
must be included in the nursing plan of care for this child?
a. Rest
b. Exercise
c. Nutrition
d. Elimination
a. Rest
We have an expert-written solution to this problem!
A 5-month-old infant develops severe diarrhea and is given IV fluids. What is the
rationale for the nurse to closely monitor the IV flow rate?
a. Limiting output
b. replacing loss fluids
,c. Avoid IV infiltration
d. Preventing cardiac overload
d. Preventing cardiac overload
A nurse is caring for an infant with bacterial meningitis. The parents ask how
their baby could have contracted the illness. What does the nurse consider as the
most likely route of transmission to the central nervous system (CNS)?
a. Genitourinary tract
b. Gastrointestinal tract
c. Skin or mucous membrane
d. Cranial apertures or sinuses
d. Cranial apertures or sinuses
The following are chromosomal aberration EXCEPT:
a. trisomy 21
b. tranlocation15/21
c. trisomy 15
d. mosaicism
c. trisomy 15
When teaching the parent of a school-age child about signs and symptoms of
fever that require immediate notification of the physician, which of the following
descriptions should the nurse include?
a. Burning or pain with urination
b. Complaints of a stiff neck
c. Fever disappearing for longer than 24 hours, then returning
d. History of febrile seizures
b. Complaints of a stiff neck
You were assigned to nurse a preterm infant under phototherapy. During the said
treatment which of the following will alarm your attention.
a. Watching the infant's eyes blinking
b. Lanugo covering the entire body
c. Below normal weight
d. The infant is crying loud.
a. Watching the infant's eyes blinking
You are tasked to take care of a vaginally delivered newborn baby at the Neonatal
intensive Care Unit. which of the following assessment requires immediate
attention?
a. Eyes are slightly yellowish in color
b. Nasal flaring
c. No urine output within the 1st 3hrs after delivery
d. Sign of injury on the head area
b. Nasal flaring
, For acute otitis media, the treatment is prompt antibiotic therapy. Delayed
treatment may result to complications of;
a. tonsilitis
b. brain damage
c. eardrum perforation
d. Infections
b. brain damage
A toddler is brought to the emergency department with sudden onset of
abdominal pain, vomiting, and stools that look like red currant jelly. To confirm
intussusception, the suspected cause of these findings, the nurse expects the
physician to order:
a. a barium enema.
b. suprapubic aspiration.
c. nasogastric (NG) tube insertion.
d. indwelling urinary catheter insertion.
a. a barium enema.
During a visit to the well-baby clinic, a mother who's breast-feeding her 2-month-
old infant expresses concern over the infant's bowel movements. Which
statement by the mother would lead the nurse to believe that the infant's bowel
movements are normal?
a. "The baby's stools are yellow and semi formed."
b. The baby's stools are dark green and sticky."
c. "The baby's stools are green and watery."
d. The baby's stools are bright yellow and soft
d. The baby's stools are bright yellow and soft
A nurse who is caring for an infant with a cleft lip is concerned about preventing
an infection. Why does the cleft lip predispose the infant to infection?
a. Waste products accumulate along the defect.
b. There is inadequate circulation in the defective area.
c. Nutrition is inadequate because of ineffective feeding
d. Mouth breathing dries the oropharyngeal mucous membrane
d. Mouth breathing dries the oropharyngeal mucous membrane
When formulating a nursing care plan to an 8-year-old patient with down
syndrome, the nurse should.
a. Plan interventions according to the developmental levels of a 5-year-old
because the child will have developmental delays
b. Direct all teaching to the parents because the child can't understand
c. Plan interventions according to the developmental level of a 7-year-old child
because that's the child's age
d. Assess the child's current developmental level and plan care accordingly
d. Assess the child's current developmental level and plan care accordingly
