NUR2513/ NUR 2513 (Latest 2023/ 2024)
Maternal-Child Nursing Exam |Final Exam
ACTUAL Questions and Verified Answers
test bank| Already Graded A – Rasmussen
Which set of symptoms are characteristic of spastic cerebral palsy?
a. Hypertonicity and poor control of posture balance and coordinated motion
b. Athetosis and dystonic movements
c. Wide-based gait and poor performance of rapid repetitive movements
d. Tremors and lack of active movement -
ANSWER ANS: A
Hypertonicity poor control of posture balance and coordinated motion are part of
the classification of spastic cerebral palsy. Athetosis and dystonic movements are
part of the classification of dyskinetic/athetoid cerebral palsy. Wide-based gait and
poor performance of rapid repetitive movements are part of the classification of
ataxic cerebral palsy. Tremors and lack of active movement may indicate other
neurological disorders.
The parents of a child with cerebral palsy ask the nurse if any drugs can decrease
their child's spasticity. What knowledge is the basis of the nurses' response?
a. Anticonvulsant medications are sometimes useful for controlling spasticity.
b. Medications that would be useful in reducing spasticity are too toxic for use in
children.
c. Many different medications can be highly effective in controlling spasticity.
d. A pump can be implanted that delivers medication into the intrathecal space to
decrease spasticity. - ANSWER ANS: D
Baclofen given intrathecally is best suited for children with severe spasticity that
interferes with activities of daily living and ambulation. Anticonvulsant
,medications are used when seizures occur in children with cerebral palsy. The
intrathecal route decreases the adverse effects of the drugs that reduce spasticity.
Few medications are presently available for the control of spasticity.
What term is used for a hernial protrusion of a saclike cyst of meninges spinal fluid
and a portion of the spinal cord with its nerves through a defect in the vertebral
column?
a. Rachischisis
b. Encephalocele
c. Meningocele
d. Myelomeningocele - ANSWER ANS: D
A myelomeningocele is a visible defect with an external saclike protrusion
containing meninges spinal fluid and nerves. Rachischisis is a fissure in the spinal
column that leaves the meninges and spinal cord exposed. Encephalocele is a
herniation of the brain and meninges through a defect in the skull producing a
fluid-filled sac. Meningocele is a hernial protrusion of a saclike cyst of meninges
with spinal fluid but no neural elements.
Which problem is most often associated with a myelomeningocele?
a. Hydrocephalus
b. Craniosynostosis
c. Biliary atresia
d. Esophageal atresia - ANSWER ANS: A
Hydrocephalus is a frequently associated anomaly in 80 to 90% of children with
myelomeningocele. Craniosynostosis is the premature closing of the cranial sutures
and is not associated with myelomeningocele. Biliary and esophageal atresias are
not associated with myelomeningocele.
,What is the most common problem for children born with a myelomeningocele?
a. Neurogenic bladder
b. Cognitive impairment
c. Respiratory compromise
d. Cranioschisis - ANSWER ANS: A
Myelomeningocele is one of the most common causes of neuropathic (neurogenic)
bladder dysfunction among children. Risk of cognitive impairment is minimized
through early intervention and management of hydrocephalus. Respiratory
compromise is not a common problem in myelomeningocele. Cranioschisis is a
skull defect through which various tissues protrude and is not associated with
myelomeningocele.
Which supplement is recommended to prevent neural tube defects?
a. Vitamin A throughout pregnancy
b. Multivitamin preparations as soon as pregnancy is suspected
c. Folic acid for all women of child-bearing age
d. Folic acid during the first and second trimesters of pregnancy - ANSWER
ANS: C
The widespread use of folic acid among women of childbearing age is expected to
decrease the incidence of spina bifida significantly. Vitamin A does not have a
relation to the prevention of spina bifida. Folic acid supplementation is
recommended for the preconception period and during the pregnancy but only 42%
of women actually follow these guidelines.
, How much folic acid is recommended as a daily dose for women of child-bearing
age?
a. 0.1 mg
b. 0.4 mg
c. 1.5 mg
d. 2 mg - ANSWER ANS: B
It has been estimated that a daily intake of 0.4 mg of folic acid in women of child-
bearing age will prevent 50 to 70% of cases of neural tube defects. A 0.1 mg dose
is too low and 1.5 and 2 mg are not recommended dosages of folic acid.
The nurse is caring for an infant born with a myelomeningocele. Surgery to repair
the defect is scheduled for the next day. What is the most appropriate way to
position and feed this newborn?
a. Left lateral and tube feed
b. Prone turn head to side and nipple feed
c. Supine in infant carrier and nipple feed
d. Supine with defect supported with rolled blankets and nipple feed - ANSWER
ANS: B
In the prone position feeding is a problem. The infant's head must be turned to one
side for feeding. If the child is able to nipple feed there is no indication for tube
feeding. Before surgery the infant should be kept in the prone position to minimize
tension on the sac and risk of trauma.
The nurse is talking to a parent with a child who has a latex allergy. Which
statement by the parent indicates she correctly understands the teaching?
Maternal-Child Nursing Exam |Final Exam
ACTUAL Questions and Verified Answers
test bank| Already Graded A – Rasmussen
Which set of symptoms are characteristic of spastic cerebral palsy?
a. Hypertonicity and poor control of posture balance and coordinated motion
b. Athetosis and dystonic movements
c. Wide-based gait and poor performance of rapid repetitive movements
d. Tremors and lack of active movement -
ANSWER ANS: A
Hypertonicity poor control of posture balance and coordinated motion are part of
the classification of spastic cerebral palsy. Athetosis and dystonic movements are
part of the classification of dyskinetic/athetoid cerebral palsy. Wide-based gait and
poor performance of rapid repetitive movements are part of the classification of
ataxic cerebral palsy. Tremors and lack of active movement may indicate other
neurological disorders.
The parents of a child with cerebral palsy ask the nurse if any drugs can decrease
their child's spasticity. What knowledge is the basis of the nurses' response?
a. Anticonvulsant medications are sometimes useful for controlling spasticity.
b. Medications that would be useful in reducing spasticity are too toxic for use in
children.
c. Many different medications can be highly effective in controlling spasticity.
d. A pump can be implanted that delivers medication into the intrathecal space to
decrease spasticity. - ANSWER ANS: D
Baclofen given intrathecally is best suited for children with severe spasticity that
interferes with activities of daily living and ambulation. Anticonvulsant
,medications are used when seizures occur in children with cerebral palsy. The
intrathecal route decreases the adverse effects of the drugs that reduce spasticity.
Few medications are presently available for the control of spasticity.
What term is used for a hernial protrusion of a saclike cyst of meninges spinal fluid
and a portion of the spinal cord with its nerves through a defect in the vertebral
column?
a. Rachischisis
b. Encephalocele
c. Meningocele
d. Myelomeningocele - ANSWER ANS: D
A myelomeningocele is a visible defect with an external saclike protrusion
containing meninges spinal fluid and nerves. Rachischisis is a fissure in the spinal
column that leaves the meninges and spinal cord exposed. Encephalocele is a
herniation of the brain and meninges through a defect in the skull producing a
fluid-filled sac. Meningocele is a hernial protrusion of a saclike cyst of meninges
with spinal fluid but no neural elements.
Which problem is most often associated with a myelomeningocele?
a. Hydrocephalus
b. Craniosynostosis
c. Biliary atresia
d. Esophageal atresia - ANSWER ANS: A
Hydrocephalus is a frequently associated anomaly in 80 to 90% of children with
myelomeningocele. Craniosynostosis is the premature closing of the cranial sutures
and is not associated with myelomeningocele. Biliary and esophageal atresias are
not associated with myelomeningocele.
,What is the most common problem for children born with a myelomeningocele?
a. Neurogenic bladder
b. Cognitive impairment
c. Respiratory compromise
d. Cranioschisis - ANSWER ANS: A
Myelomeningocele is one of the most common causes of neuropathic (neurogenic)
bladder dysfunction among children. Risk of cognitive impairment is minimized
through early intervention and management of hydrocephalus. Respiratory
compromise is not a common problem in myelomeningocele. Cranioschisis is a
skull defect through which various tissues protrude and is not associated with
myelomeningocele.
Which supplement is recommended to prevent neural tube defects?
a. Vitamin A throughout pregnancy
b. Multivitamin preparations as soon as pregnancy is suspected
c. Folic acid for all women of child-bearing age
d. Folic acid during the first and second trimesters of pregnancy - ANSWER
ANS: C
The widespread use of folic acid among women of childbearing age is expected to
decrease the incidence of spina bifida significantly. Vitamin A does not have a
relation to the prevention of spina bifida. Folic acid supplementation is
recommended for the preconception period and during the pregnancy but only 42%
of women actually follow these guidelines.
, How much folic acid is recommended as a daily dose for women of child-bearing
age?
a. 0.1 mg
b. 0.4 mg
c. 1.5 mg
d. 2 mg - ANSWER ANS: B
It has been estimated that a daily intake of 0.4 mg of folic acid in women of child-
bearing age will prevent 50 to 70% of cases of neural tube defects. A 0.1 mg dose
is too low and 1.5 and 2 mg are not recommended dosages of folic acid.
The nurse is caring for an infant born with a myelomeningocele. Surgery to repair
the defect is scheduled for the next day. What is the most appropriate way to
position and feed this newborn?
a. Left lateral and tube feed
b. Prone turn head to side and nipple feed
c. Supine in infant carrier and nipple feed
d. Supine with defect supported with rolled blankets and nipple feed - ANSWER
ANS: B
In the prone position feeding is a problem. The infant's head must be turned to one
side for feeding. If the child is able to nipple feed there is no indication for tube
feeding. Before surgery the infant should be kept in the prone position to minimize
tension on the sac and risk of trauma.
The nurse is talking to a parent with a child who has a latex allergy. Which
statement by the parent indicates she correctly understands the teaching?
