Maternal health care | Ch 31: Care of the Child
with a Physical Disorder
1. 1. The nurse uses a diagram to show that tetralogy of Fallot involves a combination of which four
congenital defects?
a. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hyper- trophy
b. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ven- tricular hypertrophy
c. Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hyper- trophy
d. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ven- tricular hypertrophy: ANS: B
Tetralogy of Fallot involves a combination of four congenital defects: pulmonary stenosis, ventricular septal defect,
overriding aorta, and right ventricular hypertro- phy.
REF: Page 990 TOP: Heart defect
2. 2. When caring for a child with coarctation of the aorta, the nurse assesses for the most common clinical
manifestation, which is:
a. clubbing of the digits.
b. upper extremity hypertension.
c. pedal edema and portal congestion.
d. loud systolic ejection murmur.: ANS: B
Coarctation of the aorta results in hypertension in the upper extremities.
REF: Page 991 TOP: Heart defect
3. 3. Parents of a 6-month-old child who has just been diagnosed with iron deficiency anemia ask why it was
not diagnosed earlier. The nurse's best response is:
a. "Are you sure your child has iron deficiency anemia?"
b. "This happens when the maternal stores of iron are depleted at about 6 months."
c. "This anemia is caused by blood loss."
d. "The child may not have had it for a long time.": ANS: B
Iron deficiency anemia becomes apparent at about 6 months of age in a full-term infant, when maternal stores of iron are
depleted.
REF: Page 992 TOP: Anemia
4. 4. Therapeutic management of iron deficiency anemia includes administra- tion of what?
a. Multivitamins
, Maternal health care | Ch 31: Care of the Child
with a Physical Disorder
b. Calcium
c. Ferrous sulfate
d. Iodine: ANS: C
Therapeutic management of iron deficiency anemia is iron supplementation.
REF: Pages 992-993
TOP: Anemia
5. 5. The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain.
The nurse explains that the child's pain is caused by:
a. inflammation of the vessels.
b. obstructed blood flow.
c. overhydration.
d. stress-related headaches.: ANS: B
The signs and symptoms of sickle cell anemia include the sickle-shaped cells clumping and obstructing blood flow, which
causes pain.
REF: Page 993 TOP: Blood disorders
6. 6. The parents of a child diagnosed with sickle cell anemia ask what to do to avoid a sickle cell crisis. The
nurse explains that the medical management of sickle cell crisis includes:
a. information for the parents including home care.
b. providing adequate hydration and pain management.
c. pain management and administration of iron supplements.
d. adequate oxygenation and factor VIII.: ANS: B
Medical management of sickle cell crisis includes palliative analgesics, hydration, and oxygen.
REF: Page 994 TOP: Blood disorders
7. 7. When reviewing laboratory results for a child with hemophilia, the nurse anticipates finding an abnormal:
a. prothrombin time.
b. bleeding time.
c. platelet count.
d. partial thromboplastin time.: ANS: D
Expected laboratory findings for a child with hemophilia include a prolonged partial thromboplastin time.
, Maternal health care | Ch 31: Care of the Child
with a Physical Disorder
REF: Page 995
TOP: Blood disorders
8. 8. The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining
remission of the disease. The nurse informs them that the most effective therapy would be:
a. surgery to remove enlarged lymph nodes.
b. long-term chemotherapy.
c. nutritional supplements to enhance blood cell production.
d. blood transfusions to replace ineffective red cells.: ANS: B
The drug of choice is methotrexate, a chemotherapeutic agent, to produce remis- sion.
REF: Page 998 TOP: Blood disorders
9. 9. The nurse teaches parents that the severity of infant respiratory distress syndrome (RDS) is most influenced
by:
a. poor cough and gag reflex.
b. the gestational age at birth.
c. administering high concentrations of oxygen.
d. the sex of the infant.: ANS: B
RDS is caused by a deficiency of surfactant and occurs almost exclusively in preterm, low-birth-weight infants.
REF: Page 1003 TOP: Respiratory distress syndrome (RDS)
10.10. A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen tent. The
oxygen level in the tent is 25%, and blood gases are normal. The nurse should:
a. restrain the child in the tent and notify the physician.
b. increase the oxygen concentration in the tent.
c. take the child out of the tent and into the playroom.
d. ask the mother for help in comforting the child.: ANS: B
The child with LTB should be placed in the mist tent with 30% oxygen. Restlessness is caused by poor oxygenation.
REF: Page 1009 TOP: Laryngotracheobronchitis (LTB)
11.11. The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO.
The nurse explains that:
a. the epinephrine given causes nausea and vomiting.
b. the child is being hydrated with IV fluids.
c. swollen respiratory passages make eating difficult.
with a Physical Disorder
1. 1. The nurse uses a diagram to show that tetralogy of Fallot involves a combination of which four
congenital defects?
a. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hyper- trophy
b. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ven- tricular hypertrophy
c. Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hyper- trophy
d. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ven- tricular hypertrophy: ANS: B
Tetralogy of Fallot involves a combination of four congenital defects: pulmonary stenosis, ventricular septal defect,
overriding aorta, and right ventricular hypertro- phy.
REF: Page 990 TOP: Heart defect
2. 2. When caring for a child with coarctation of the aorta, the nurse assesses for the most common clinical
manifestation, which is:
a. clubbing of the digits.
b. upper extremity hypertension.
c. pedal edema and portal congestion.
d. loud systolic ejection murmur.: ANS: B
Coarctation of the aorta results in hypertension in the upper extremities.
REF: Page 991 TOP: Heart defect
3. 3. Parents of a 6-month-old child who has just been diagnosed with iron deficiency anemia ask why it was
not diagnosed earlier. The nurse's best response is:
a. "Are you sure your child has iron deficiency anemia?"
b. "This happens when the maternal stores of iron are depleted at about 6 months."
c. "This anemia is caused by blood loss."
d. "The child may not have had it for a long time.": ANS: B
Iron deficiency anemia becomes apparent at about 6 months of age in a full-term infant, when maternal stores of iron are
depleted.
REF: Page 992 TOP: Anemia
4. 4. Therapeutic management of iron deficiency anemia includes administra- tion of what?
a. Multivitamins
, Maternal health care | Ch 31: Care of the Child
with a Physical Disorder
b. Calcium
c. Ferrous sulfate
d. Iodine: ANS: C
Therapeutic management of iron deficiency anemia is iron supplementation.
REF: Pages 992-993
TOP: Anemia
5. 5. The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain.
The nurse explains that the child's pain is caused by:
a. inflammation of the vessels.
b. obstructed blood flow.
c. overhydration.
d. stress-related headaches.: ANS: B
The signs and symptoms of sickle cell anemia include the sickle-shaped cells clumping and obstructing blood flow, which
causes pain.
REF: Page 993 TOP: Blood disorders
6. 6. The parents of a child diagnosed with sickle cell anemia ask what to do to avoid a sickle cell crisis. The
nurse explains that the medical management of sickle cell crisis includes:
a. information for the parents including home care.
b. providing adequate hydration and pain management.
c. pain management and administration of iron supplements.
d. adequate oxygenation and factor VIII.: ANS: B
Medical management of sickle cell crisis includes palliative analgesics, hydration, and oxygen.
REF: Page 994 TOP: Blood disorders
7. 7. When reviewing laboratory results for a child with hemophilia, the nurse anticipates finding an abnormal:
a. prothrombin time.
b. bleeding time.
c. platelet count.
d. partial thromboplastin time.: ANS: D
Expected laboratory findings for a child with hemophilia include a prolonged partial thromboplastin time.
, Maternal health care | Ch 31: Care of the Child
with a Physical Disorder
REF: Page 995
TOP: Blood disorders
8. 8. The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining
remission of the disease. The nurse informs them that the most effective therapy would be:
a. surgery to remove enlarged lymph nodes.
b. long-term chemotherapy.
c. nutritional supplements to enhance blood cell production.
d. blood transfusions to replace ineffective red cells.: ANS: B
The drug of choice is methotrexate, a chemotherapeutic agent, to produce remis- sion.
REF: Page 998 TOP: Blood disorders
9. 9. The nurse teaches parents that the severity of infant respiratory distress syndrome (RDS) is most influenced
by:
a. poor cough and gag reflex.
b. the gestational age at birth.
c. administering high concentrations of oxygen.
d. the sex of the infant.: ANS: B
RDS is caused by a deficiency of surfactant and occurs almost exclusively in preterm, low-birth-weight infants.
REF: Page 1003 TOP: Respiratory distress syndrome (RDS)
10.10. A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen tent. The
oxygen level in the tent is 25%, and blood gases are normal. The nurse should:
a. restrain the child in the tent and notify the physician.
b. increase the oxygen concentration in the tent.
c. take the child out of the tent and into the playroom.
d. ask the mother for help in comforting the child.: ANS: B
The child with LTB should be placed in the mist tent with 30% oxygen. Restlessness is caused by poor oxygenation.
REF: Page 1009 TOP: Laryngotracheobronchitis (LTB)
11.11. The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO.
The nurse explains that:
a. the epinephrine given causes nausea and vomiting.
b. the child is being hydrated with IV fluids.
c. swollen respiratory passages make eating difficult.
