MATERNITY AND PEDIATRIC NURSING BY RICCI
KYLE CARMAN 2026 PRACTICE SET MOCK
EXAM REVISION NOTES AND SOLUTIONS
EXPERT GRADE A+
◉ 2. A nurse is preparing a program for a group of parents about
injury prevention. Which of the following would the nurse include as
an important contributing factor for cervical spine injury in a child?
A) Exposure to teratogens while in utero
B) Immaturity of the central nervous system
C) Increased mobility of the spine
D) Incomplete myelinization Answer: Ans: C
Feedback:
Compared to the adult, a child's spine is very mobile, especially in
the cervical spine region, resulting in a higher risk for cervical spine
injury. Exposure to teratogens in utero may lead to altered growth
and development of the brain or spinal cord. Immaturity of the
central nervous system places the infant at risk for insults that may
result in delayed motor skill attainment or cerebral palsy.
Incomplete myelinization reflects the lack of motor control.
◉ 13. A child with Duchenne muscular dystrophy is to receive
prednisone as part of his treatment plan. After teaching the child's
,parents about this drug, which statement by the parents indicates
the need for additional teaching?
A) "We should give this drug before he eats anything."
B) "We need to keep a close eye for possible infection."
C) "The drug should not be stopped suddenly."
D) "He might gain some weight with this drug." Answer: Ans: A
Feedback:
Corticosteroids such as prednisone can cause gastric upset, so the
medication should be given with food to reduce this risk. The drug
may mask the signs of infection, so the parents need to monitor the
child closely for any changes. Treatment with this drug should not
be stopped abruptly due to the risk for acute adrenal insufficiency.
Common side effects of this drug include weight gain, osteoporosis,
and mood changes.
◉ 14. Which of the following would the nurse include in the
preoperative plan of care for an infant with myelomeningocele?
A) Positioning supine with a pillow under the buttocks
B) Covering the sac with saline-soaked nonadhesive gauze
C) Wrapping the infant snugly in a blanket
D) Applying a diaper to prevent fecal soiling of the sac Answer: Ans:
B
Feedback:
, For the infant with a myelomeningocele, saline-soaked nonadhesive
gauze or antibiotic-soaked gauze is used to keep the sac moist. The
infant is positioned prone, with a folded towel under the abdomen,
so that the urine and feces flow away from the sac. A warmer or
isolette is used to keep the infant warm. Blankets are avoided
because they could place excess pressure on the sac. Diapering may
be contraindicated to avoid placing pressure on the sac.
◉ 15. Which of the following would the nurse expect to find initially
in a child with Guillain-Barre syndrome?
A) Symmetric flaccid weakness
B) Ataxia
C) Sensory disturbances
D) Lower extremity pain Answer: Ans: D
Feedback:
Although symmetric flaccid weakness or paralysis, ataxia, and
sensory disturbances may be assessed, pain, especially in the lower
extremities, is commonly the initial presenting finding, preceding
motor involvement.
◉ 16. The nurse is assessing a newborn who was delivered after a
prolonged labor due to an abnormal presentation. The newborn
sustained a cranial nerve injury. The nurse would most likely expect
to assess deficits related to which cranial nerve?
A) Optic
, B) Facial
C) Acoustic
D) Trigeminal Answer: Ans: B
Feedback:
The most common cranial nerve injury occurring during birth
trauma involves facial nerve palsy. The optic, acoustic, and
trigeminal nerves are not typically injured during birth trauma.
◉ 17. A child with spastic cerebral palsy is to receive botulin toxin.
The nurse prepares the child for administration of this drug by
which route?
A) Oral
B) Subcutaneous injection
C) Intramuscular injection
D) Intravenous infusion Answer: Ans: C
Feedback:
Botulin toxin is administered by injection into the muscle. It may
cause dry mouth. It is not administered orally, by subcutaneous
injection, or by intravenous infusion.
◉ 18. The nurse is assessing the neuromusculoskeletal system of a
newborn. Which of the following would the nurse identify as an
abnormal finding?
A) Sluggish deep tendon reflexes
KYLE CARMAN 2026 PRACTICE SET MOCK
EXAM REVISION NOTES AND SOLUTIONS
EXPERT GRADE A+
◉ 2. A nurse is preparing a program for a group of parents about
injury prevention. Which of the following would the nurse include as
an important contributing factor for cervical spine injury in a child?
A) Exposure to teratogens while in utero
B) Immaturity of the central nervous system
C) Increased mobility of the spine
D) Incomplete myelinization Answer: Ans: C
Feedback:
Compared to the adult, a child's spine is very mobile, especially in
the cervical spine region, resulting in a higher risk for cervical spine
injury. Exposure to teratogens in utero may lead to altered growth
and development of the brain or spinal cord. Immaturity of the
central nervous system places the infant at risk for insults that may
result in delayed motor skill attainment or cerebral palsy.
Incomplete myelinization reflects the lack of motor control.
◉ 13. A child with Duchenne muscular dystrophy is to receive
prednisone as part of his treatment plan. After teaching the child's
,parents about this drug, which statement by the parents indicates
the need for additional teaching?
A) "We should give this drug before he eats anything."
B) "We need to keep a close eye for possible infection."
C) "The drug should not be stopped suddenly."
D) "He might gain some weight with this drug." Answer: Ans: A
Feedback:
Corticosteroids such as prednisone can cause gastric upset, so the
medication should be given with food to reduce this risk. The drug
may mask the signs of infection, so the parents need to monitor the
child closely for any changes. Treatment with this drug should not
be stopped abruptly due to the risk for acute adrenal insufficiency.
Common side effects of this drug include weight gain, osteoporosis,
and mood changes.
◉ 14. Which of the following would the nurse include in the
preoperative plan of care for an infant with myelomeningocele?
A) Positioning supine with a pillow under the buttocks
B) Covering the sac with saline-soaked nonadhesive gauze
C) Wrapping the infant snugly in a blanket
D) Applying a diaper to prevent fecal soiling of the sac Answer: Ans:
B
Feedback:
, For the infant with a myelomeningocele, saline-soaked nonadhesive
gauze or antibiotic-soaked gauze is used to keep the sac moist. The
infant is positioned prone, with a folded towel under the abdomen,
so that the urine and feces flow away from the sac. A warmer or
isolette is used to keep the infant warm. Blankets are avoided
because they could place excess pressure on the sac. Diapering may
be contraindicated to avoid placing pressure on the sac.
◉ 15. Which of the following would the nurse expect to find initially
in a child with Guillain-Barre syndrome?
A) Symmetric flaccid weakness
B) Ataxia
C) Sensory disturbances
D) Lower extremity pain Answer: Ans: D
Feedback:
Although symmetric flaccid weakness or paralysis, ataxia, and
sensory disturbances may be assessed, pain, especially in the lower
extremities, is commonly the initial presenting finding, preceding
motor involvement.
◉ 16. The nurse is assessing a newborn who was delivered after a
prolonged labor due to an abnormal presentation. The newborn
sustained a cranial nerve injury. The nurse would most likely expect
to assess deficits related to which cranial nerve?
A) Optic
, B) Facial
C) Acoustic
D) Trigeminal Answer: Ans: B
Feedback:
The most common cranial nerve injury occurring during birth
trauma involves facial nerve palsy. The optic, acoustic, and
trigeminal nerves are not typically injured during birth trauma.
◉ 17. A child with spastic cerebral palsy is to receive botulin toxin.
The nurse prepares the child for administration of this drug by
which route?
A) Oral
B) Subcutaneous injection
C) Intramuscular injection
D) Intravenous infusion Answer: Ans: C
Feedback:
Botulin toxin is administered by injection into the muscle. It may
cause dry mouth. It is not administered orally, by subcutaneous
injection, or by intravenous infusion.
◉ 18. The nurse is assessing the neuromusculoskeletal system of a
newborn. Which of the following would the nurse identify as an
abnormal finding?
A) Sluggish deep tendon reflexes
