Nursing Care of Children/Maternal Newborn (Preassessment
+post asses ment capstone)
1. A nurse in a provider's office is reinforcing teaching with a parent of a school- age
child who has pediculosis capitis(lice). Which of the following Instructions should the
nurse the teaching?
Wash all bed linens and dry them in dryer for at least 20 mins apply
permethrin cream twice daily
apply anti fungal ointment once per day
ensure family pets are treated within 10 days: Wash all bed linens and dry them in dryer for at
least 20 mins
2. A nurse is reinforcing teaching to a client who has endometriosis . Which of the
following statements should the nurse include in the teaching ?
" Endometriosis will not affect your ability to become pregnant . "
"The pain associated with endometriosis is best relieved by bed rest . " "
Endometriosis may be associated with painful bowel movements . "
"Hormonal therapy will resolve endometriosis": " Endometriosis may be asso- ciated with
painful bowel movements . "
-endometriosis can cause infertility
3. A nurse is assisting with the admission of a 9 - year - old child who has acute rheumatic
fever . When obtaining the client's history , it is appropriate for the nurse to ask the parent
which of the following questions ?
" Has your son had a sore throat recently ? "
"Was your son born with this cardiac defect ? " Has your child had any injuries recently ? "
"Are you aware that your son will have to be in isolation ? ": " Has your son had a sore throat
recently ? "
4. A nurse is reinforcing teaching with the parents of a school - age child who has cystic
fibrosis . Which of the following statements should the nurse make
?
" Administer a bronchodilator to the child ter chest percussion therapy"
" A pigeon - shaped chest might become evident as the disease progresses . "
" Bradycardia is an early indicator of a pneumothorax . "
" Engage the child in daily aerobic exercise . ": " Engage the child in daily aerobic exercise
5. A nurse is assisting in the care of a client who is in active labor . The nurse notes late
decelerations on the fetal monitor tracing . Which of the following actions should the nurse
take first ?
Elevate the client's legs . Position
the client on her side .
Administer oxygen via face mask .
Increase the infusion rate of the IV fluid: Position the client on her side .
,6. Gravida: number of pregnancies a woman has had
7. Para: number of completed pregnancies beyond 20 weeks gestation
8. cystic fibrosis: inherited disorder that causes severe damage to t digestive he
system and other organs lungs,
9. Rheumatic fever (acute rheumatic fever): Disease that can affect the heart, joints, brain,&
skin. Rheumatic fever can develop if strep throat and scarlet fever infections are not treated
properly
10. A nurse is reinforcing teaching with the mother of a toddler who has acute
nephrotic syndrome . The nurse should emphasize the need to report which of the following
manifestations to the provider ?
Yellow nasal discharge
Facial edema
Poor appetite
Irritability: Yellow nasal discharge (Indicates upper respiratory infection)
11. A nurse administers subcutaneous NPH insulin at 0700 to a child who has
diabetes . At which of the following times should the nurse observe for hypoglycemia
caused by the onset of the medication ?
0715
0730
0900
1200: 0900
observe for hypoglycemia by onset of medication
12. A nurse in an urgent care center is caring for a child who has a forearm fracture .
The parent tells the nurse that the provider said it was a greenstick fracture and asks what
that means Which of the following descriptions should the nurse provide ?
" The bone cracked lengthwise but didn't break all the way through . " " Fragments
of bone have splintered into the surrounding tissue . "
" The bone ends have been forced toward each other . "
" The sharp edge of the bone has broken through the skin .: " The bone cracked lengthwise
but didn't break all the way through . "
13. A nurse is assisting with the admission of a client who is at 38 weeks of gestation
and has severe preeclampsia When collecting data from the client , the nurse should expect
which of the following findings ?
Tachycardia
Hypotension
Polyuria
, Headache: Headache
Severe preeclampsia causes headache , blurred vision , irritability , nausea , vomit- ing ,
hypertension , proteinuria , and edema .
14. A nurse is reviewing contraception options for four clients . The nurse should
identify which of the following clients as having a contraindication to oral contraceptives ?
A 15 - year old client who has acne
A client who has a hematocrit of 39 %
A client who has a menstrual cycle every 14 days
A client who has a blood pressure of 140/90: A client who has a blood pressure of 140/90
15. A nurse at a pediatric hotline receives a call from a mother who plans to
administer aspirin to a toddler for a fever and wants to know the dosage. Which of the
following statements by the nurse is an appropriate response ?
"you have to call your physician"
"give her no more than 3 baby aspirins q 4hrs "give
her acetaminophen not Aprin"
"follow directions on the apsrin bottle for her age and weight": "give her
acetaminophen not Apirin"
aspirin can cause Reye's syndrome
16. A nurse is reinforcing teaching with the parent of a school - age client who has
asthma about the use of a peak flow meter . Which of the following statements about the
yellow zone should the nurse include in the teaching ? ( Select all that apply . )
The child should increase his routine medications . The
child is having an exacerbation of the asthma .
The child is blowing too hard into the meter . The child needs to go to the hospital .
The child can participate in strenuous physical activity .: The child should increase his routine
medications .
The child is having an exacerbation of the asthma . The child can
participate in strenuous physical activity .
17. A nurse is reinforcing teaching with a client who is in her second trimester and
has a new diagnosis of gestational diabetes . Which of the following statements by the
client indicates a need for further teaching ?
" I should limit my carbohydrates to 50 % of my daily caloric intake . " "I will
reduce my exercise schedule to 3 days a week . "
"I will take my glyburide daily with breakfast " " I know I am at increased risk to
+post asses ment capstone)
1. A nurse in a provider's office is reinforcing teaching with a parent of a school- age
child who has pediculosis capitis(lice). Which of the following Instructions should the
nurse the teaching?
Wash all bed linens and dry them in dryer for at least 20 mins apply
permethrin cream twice daily
apply anti fungal ointment once per day
ensure family pets are treated within 10 days: Wash all bed linens and dry them in dryer for at
least 20 mins
2. A nurse is reinforcing teaching to a client who has endometriosis . Which of the
following statements should the nurse include in the teaching ?
" Endometriosis will not affect your ability to become pregnant . "
"The pain associated with endometriosis is best relieved by bed rest . " "
Endometriosis may be associated with painful bowel movements . "
"Hormonal therapy will resolve endometriosis": " Endometriosis may be asso- ciated with
painful bowel movements . "
-endometriosis can cause infertility
3. A nurse is assisting with the admission of a 9 - year - old child who has acute rheumatic
fever . When obtaining the client's history , it is appropriate for the nurse to ask the parent
which of the following questions ?
" Has your son had a sore throat recently ? "
"Was your son born with this cardiac defect ? " Has your child had any injuries recently ? "
"Are you aware that your son will have to be in isolation ? ": " Has your son had a sore throat
recently ? "
4. A nurse is reinforcing teaching with the parents of a school - age child who has cystic
fibrosis . Which of the following statements should the nurse make
?
" Administer a bronchodilator to the child ter chest percussion therapy"
" A pigeon - shaped chest might become evident as the disease progresses . "
" Bradycardia is an early indicator of a pneumothorax . "
" Engage the child in daily aerobic exercise . ": " Engage the child in daily aerobic exercise
5. A nurse is assisting in the care of a client who is in active labor . The nurse notes late
decelerations on the fetal monitor tracing . Which of the following actions should the nurse
take first ?
Elevate the client's legs . Position
the client on her side .
Administer oxygen via face mask .
Increase the infusion rate of the IV fluid: Position the client on her side .
,6. Gravida: number of pregnancies a woman has had
7. Para: number of completed pregnancies beyond 20 weeks gestation
8. cystic fibrosis: inherited disorder that causes severe damage to t digestive he
system and other organs lungs,
9. Rheumatic fever (acute rheumatic fever): Disease that can affect the heart, joints, brain,&
skin. Rheumatic fever can develop if strep throat and scarlet fever infections are not treated
properly
10. A nurse is reinforcing teaching with the mother of a toddler who has acute
nephrotic syndrome . The nurse should emphasize the need to report which of the following
manifestations to the provider ?
Yellow nasal discharge
Facial edema
Poor appetite
Irritability: Yellow nasal discharge (Indicates upper respiratory infection)
11. A nurse administers subcutaneous NPH insulin at 0700 to a child who has
diabetes . At which of the following times should the nurse observe for hypoglycemia
caused by the onset of the medication ?
0715
0730
0900
1200: 0900
observe for hypoglycemia by onset of medication
12. A nurse in an urgent care center is caring for a child who has a forearm fracture .
The parent tells the nurse that the provider said it was a greenstick fracture and asks what
that means Which of the following descriptions should the nurse provide ?
" The bone cracked lengthwise but didn't break all the way through . " " Fragments
of bone have splintered into the surrounding tissue . "
" The bone ends have been forced toward each other . "
" The sharp edge of the bone has broken through the skin .: " The bone cracked lengthwise
but didn't break all the way through . "
13. A nurse is assisting with the admission of a client who is at 38 weeks of gestation
and has severe preeclampsia When collecting data from the client , the nurse should expect
which of the following findings ?
Tachycardia
Hypotension
Polyuria
, Headache: Headache
Severe preeclampsia causes headache , blurred vision , irritability , nausea , vomit- ing ,
hypertension , proteinuria , and edema .
14. A nurse is reviewing contraception options for four clients . The nurse should
identify which of the following clients as having a contraindication to oral contraceptives ?
A 15 - year old client who has acne
A client who has a hematocrit of 39 %
A client who has a menstrual cycle every 14 days
A client who has a blood pressure of 140/90: A client who has a blood pressure of 140/90
15. A nurse at a pediatric hotline receives a call from a mother who plans to
administer aspirin to a toddler for a fever and wants to know the dosage. Which of the
following statements by the nurse is an appropriate response ?
"you have to call your physician"
"give her no more than 3 baby aspirins q 4hrs "give
her acetaminophen not Aprin"
"follow directions on the apsrin bottle for her age and weight": "give her
acetaminophen not Apirin"
aspirin can cause Reye's syndrome
16. A nurse is reinforcing teaching with the parent of a school - age client who has
asthma about the use of a peak flow meter . Which of the following statements about the
yellow zone should the nurse include in the teaching ? ( Select all that apply . )
The child should increase his routine medications . The
child is having an exacerbation of the asthma .
The child is blowing too hard into the meter . The child needs to go to the hospital .
The child can participate in strenuous physical activity .: The child should increase his routine
medications .
The child is having an exacerbation of the asthma . The child can
participate in strenuous physical activity .
17. A nurse is reinforcing teaching with a client who is in her second trimester and
has a new diagnosis of gestational diabetes . Which of the following statements by the
client indicates a need for further teaching ?
" I should limit my carbohydrates to 50 % of my daily caloric intake . " "I will
reduce my exercise schedule to 3 days a week . "
"I will take my glyburide daily with breakfast " " I know I am at increased risk to
