NUR 2513 Exam 3 Review Maternal Child
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1. 12-year-
old with pyelonephritis signs and symptoms. (3 check all that apply) Enuresi
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s, malodor, dysuria with frequency, urgency and discomfort, fever/chills ( esp
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ecially when related to pyelonephritis) abdominal pain, flank pain, malaise, vo
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miting and diarrhea. p p
2. Nursing interventions of seizure precautions for child (3 check all that apply)
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. Airway patency, ensure nothing is placed in the child's mouth during seizure,
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watch for loose teeth that may be aspirated or knocked out, suction if neede
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d after the seizure, monitor oxygenation saturation should be at 95% or great
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er. For safety raise and pad side rails when the child is in bed or crib. During ad
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ministration of medications give Iv medications slowly during a seizure to red
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uce risks of side effects.
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3. 9-year-
old with fractured distal radius plan of care (3 check all that apply). Provide
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emotional support and review management plan, principles of bone healing,
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how to perform a neurovascular assessment, cast care, teach family about ad
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aptations to home environment. Teach the family about nutrition and safe tr
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ansfer.
4. Education presentation to prevent skin cancer topic to include (4 check all t
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hat apply). Apply sunscreen, reduce length of time in the sun, avoid tanning b
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eds and 2 or more severe sunburns in a row increase skin cancer risk
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5. Toddler with Kawaski Disease, findings with physical assessment (3 check all
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that apply). Rash, conjunctivitis with exudate, cervical lymphadenopathy great
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er than 1.5mm in diameter, irritation and inflammation of the mouth
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, with erythema “strawberry tongue” and cracking lips, erythema and edema of
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hands and feet with eventual peeling of the skin.
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6. Signs of sexual abuse in preadolescent client that parent should be educate
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d about (4 check all that apply). Quieter, more distant, cries for no reason, st
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art to have accidents and wets bed at night, can be aggressive and angry for n
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o obvious reason, says there tummy or head hurts, starts having nightmares, i
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s clingy, isn’t plating with others, having trouble sleeping, showing problemati
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c sexual behavior, doing worse in school, swelling and redness in genital area,
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pain with urination, bruising on butt and thighs, UTIs, STD symptoms
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7. School-
aged child diagnosed with obesity. Patient education to achieve proper BM
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I (3 check all that apply). Make a detailed log about food they eat the time an
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d circumstances, always eating in one place (Kitchen table) slowing the proce
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ss of eating by counting mouthfuls and putting the fork down between bites,
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encourage exercise as well. p p p
8. 38 weeks pregnant having an NST what would RN observe for (3 check all t
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hat apply). Baby's movement, heartbeat and contractions. You will note ch
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anges in heart rhythm if the baby goes from resting to moving or during con
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tractions if you are in labor. p p p p p
9. School-
aged child with open reduction for fractured femur, assessment findings of d
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eveloping infection (3 check all that apply). Assess the wound, monitor, inter
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vene to prevent infection, manage pain through positioning and medications a
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s ordered.
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,10. Adolescentpfemalepafterpsexualpassault.p PTSDpsignspandpsymptomsp(4pcheckpal
l that apply). Re-
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experiencing the traumatic event, avoiding reminders of the trauma, startling
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easily, having negative thoughts and beliefs. Body aches, fatigue, flashbacks, in
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somnia, headaches, nightmares. p p
11. School-
aged child developing pneumonia signs and symptoms (3 check all that ap
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ply). Cough that produces mucus, rapid breathing, cough pain, vomiting or
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diarrhea, loss of appetite, fatigue, fever. p p p p p
12. Instructingpadolescentpaboutpsexualpactivitypincludesp(3pcheckpallpthatpapply).
13. School-
aged child with leg cast. Nurse to include for patient education (4 check all t
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hat apply). When the cast is applied it will feel warm, tell them to report pain
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that is severe or not relieved 1 hour after the administration of pain medicati
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on, perform neurovascular checks, give instructions for proper use of crutche
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s, don’t place anything inside of cast, notify provider if there are any hot or so
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ft spots on cast, report any foul smells
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14. Preschoolpagephealthpscreeningpandpquestionspaboutpsecondaryphealthpp
romotion activities (3 check all that apply). vision , hearing screens and v
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accines.
15. Meter-
dosed inhaler for asthma and patient education (3 check all that apply).
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Remove cap from inhaler, shake 5-
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6 times, attach spacer, hold inhaler with the mouthpiece at the bottom, hold the in
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haler with the thumb near the mouthpiece and the index and middle fingers at the
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, top, Open mouth method (hold 3-4 cm
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p p p p p p
1. 12-year-
old with pyelonephritis signs and symptoms. (3 check all that apply) Enuresi
p p p p p p p p p p p
s, malodor, dysuria with frequency, urgency and discomfort, fever/chills ( esp
p p p p p p p p p p
ecially when related to pyelonephritis) abdominal pain, flank pain, malaise, vo
p p p p p p p p p p
miting and diarrhea. p p
2. Nursing interventions of seizure precautions for child (3 check all that apply)
p p p p p p p p p p p
. Airway patency, ensure nothing is placed in the child's mouth during seizure,
p p p p p p p p p p p p
watch for loose teeth that may be aspirated or knocked out, suction if neede
p p p p p p p p p p p p p p
d after the seizure, monitor oxygenation saturation should be at 95% or great
p p p p p p p p p p p p
er. For safety raise and pad side rails when the child is in bed or crib. During ad
p p p p p p p p p p p p p p p p p
ministration of medications give Iv medications slowly during a seizure to red
p p p p p p p p p p p
uce risks of side effects.
p p p p
3. 9-year-
old with fractured distal radius plan of care (3 check all that apply). Provide
p p p p p p p p p p p p p p
emotional support and review management plan, principles of bone healing,
p p p p p p p p p p
how to perform a neurovascular assessment, cast care, teach family about ad
p p p p p p p p p p p
aptations to home environment. Teach the family about nutrition and safe tr
p p p p p p p p p p p
ansfer.
4. Education presentation to prevent skin cancer topic to include (4 check all t
p p p p p p p p p p p p
hat apply). Apply sunscreen, reduce length of time in the sun, avoid tanning b
p p p p p p p p p p p p p
eds and 2 or more severe sunburns in a row increase skin cancer risk
p p p p p p p p p p p p p
5. Toddler with Kawaski Disease, findings with physical assessment (3 check all
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that apply). Rash, conjunctivitis with exudate, cervical lymphadenopathy great
p p p p p p p p
er than 1.5mm in diameter, irritation and inflammation of the mouth
p p p p p p p p p p
, with erythema “strawberry tongue” and cracking lips, erythema and edema of
p p p p p p p p p p
hands and feet with eventual peeling of the skin.
p p p p p p p p p
6. Signs of sexual abuse in preadolescent client that parent should be educate
p p p p p p p p p p p
d about (4 check all that apply). Quieter, more distant, cries for no reason, st
p p p p p p p p p p p p p p
art to have accidents and wets bed at night, can be aggressive and angry for n
p p p p p p p p p p p p p p p
o obvious reason, says there tummy or head hurts, starts having nightmares, i
p p p p p p p p p p p p
s clingy, isn’t plating with others, having trouble sleeping, showing problemati
p p p p p p p p p p
c sexual behavior, doing worse in school, swelling and redness in genital area,
p p p p p p p p p p p p p
pain with urination, bruising on butt and thighs, UTIs, STD symptoms
p p p p p p p p p p
7. School-
aged child diagnosed with obesity. Patient education to achieve proper BM
p p p p p p p p p p
I (3 check all that apply). Make a detailed log about food they eat the time an
p p p p p p p p p p p p p p p p
d circumstances, always eating in one place (Kitchen table) slowing the proce
p p p p p p p p p p p
ss of eating by counting mouthfuls and putting the fork down between bites,
p p p p p p p p p p p p p
encourage exercise as well. p p p
8. 38 weeks pregnant having an NST what would RN observe for (3 check all t
p p p p p p p p p p p p p p
hat apply). Baby's movement, heartbeat and contractions. You will note ch
p p p p p p p p p p
anges in heart rhythm if the baby goes from resting to moving or during con
p p p p p p p p p p p p p p
tractions if you are in labor. p p p p p
9. School-
aged child with open reduction for fractured femur, assessment findings of d
p p p p p p p p p p p
eveloping infection (3 check all that apply). Assess the wound, monitor, inter
p p p p p p p p p p p
vene to prevent infection, manage pain through positioning and medications a
p p p p p p p p p p
s ordered.
p
,10. Adolescentpfemalepafterpsexualpassault.p PTSDpsignspandpsymptomsp(4pcheckpal
l that apply). Re-
p p p
experiencing the traumatic event, avoiding reminders of the trauma, startling
p p p p p p p p p p
easily, having negative thoughts and beliefs. Body aches, fatigue, flashbacks, in
p p p p p p p p p p
somnia, headaches, nightmares. p p
11. School-
aged child developing pneumonia signs and symptoms (3 check all that ap
p p p p p p p p p p p
ply). Cough that produces mucus, rapid breathing, cough pain, vomiting or
p p p p p p p p p p p
diarrhea, loss of appetite, fatigue, fever. p p p p p
12. Instructingpadolescentpaboutpsexualpactivitypincludesp(3pcheckpallpthatpapply).
13. School-
aged child with leg cast. Nurse to include for patient education (4 check all t
p p p p p p p p p p p p p p
hat apply). When the cast is applied it will feel warm, tell them to report pain
p p p p p p p p p p p p p p p
that is severe or not relieved 1 hour after the administration of pain medicati
p p p p p p p p p p p p p p
on, perform neurovascular checks, give instructions for proper use of crutche
p p p p p p p p p p
s, don’t place anything inside of cast, notify provider if there are any hot or so
p p p p p p p p p p p p p p p
ft spots on cast, report any foul smells
p p p p p p p
14. Preschoolpagephealthpscreeningpandpquestionspaboutpsecondaryphealthpp
romotion activities (3 check all that apply). vision , hearing screens and v
p p p p p p p p p p p p
accines.
15. Meter-
dosed inhaler for asthma and patient education (3 check all that apply).
p p p p p p p p p p p
Remove cap from inhaler, shake 5-
p p p p p
6 times, attach spacer, hold inhaler with the mouthpiece at the bottom, hold the in
p p p p p p p p p p p p p p
haler with the thumb near the mouthpiece and the index and middle fingers at the
p p p p p p p p p p p p p p p
, top, Open mouth method (hold 3-4 cm
p p p p p p
