INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. On a home visit, the nurse notes that the parents require teaching intervention to protect the 15-month-old child who lives there. What observation would lead the nurse to this conclusion? a. The fireplace has a screen. b. The dining room table has a tablecloth on it. c. There are paintings on the wall. d. The kitchen floor is clean but not shiny. ANS: B A tablecloth presents a safety hazard because the curious toddler will reach up and pull on it. The toddle...

MULTIPLE CHOICE 1. When a small group of preschool-age children were playing house, each child was pretending to be a particular family member. What type of play does the nurse recognize these children are participating in? a. Parallel b. Cooperative c. Symbolic d. Fantasy ANS: B In cooperative play, children play with each other, each taking a specific role. DIF: Cognitive Level: Analysis REF: p. 391| Table 15.8 OBJ: 11 TOP: Play KEY: Nursing Process Step: Data Colle...

MULTIPLE CHOICE 1. The nurse is advising parents about feeding their infant with phenylketonuria. What formula and/or diet should the nurse suggest? a. Lifelong high-protein diet b. A formula that is low in the amino acid leucine c. A soy-based formula d. Substitute Lofenalac for some protein foods ANS: D A synthetic food providing enough protein for growth and tissue repair, but little phenylalanine, is substituted for natural protein foods. DIF: Cognitive Level: Comprehensi...

Test Bank for Introduction to Maternity and Pediatric Nursing 9th Edition by Gloria Leifer.

MULTIPLE CHOICE 1. What is the best response to a postpartum woman who tells the nurse she feels “tired and sick all of the time since I had the baby 3 months ago”? a. “This is a normal response for the body after pregnancy. Try to get more rest.” b. “I‘ll bet you will snap out of this funk real soon.” c. “Why don‘t you arrange for a babysitter so you and your husband can have a night out?” d. “Let‘s talk about this further. I am concerned about how you are fe...

MULTIPLE CHOICE 1. Which statement indicates the parents understand when to contact the pediatrician or nurse practitioner? a. Infant refuses a feeding. b. Infant has an axillary temperature of 97°F. c. Infant has three pasty, yellow-brown stools in 24 hours. d. Infant‘s diaper is not wet after 8 hours. ANS: D Decreased or lack of voiding by the newborn should be reported to the pediatrician or nurse practitioner to prevent dehydration. DIF: Cognitive Level: Comprehension ...

MULTIPLE CHOICE 1. In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty concentrating. What remedy might the nurse suggest to relieve these symptoms? a. Drink tea or hot chocolate before going to bed. b. Take a daily folic acid and vitamin C supplement. c. Include complex carbohydrates and fiber in the diet. d. Avoid exercise when symptoms occur. ANS: C A diet rich in complex carbohydrates and fiber is recommended for premenstrual d...

MULTIPLE CHOICE 1. The nurse is preparing a teaching plan for a woman receiving a subarachnoid block before delivery. What nursing action will be included in this plan to prevent the associated side effect of this type of anesthesia? a. Restrict oral fluids. b. Keep legs flexed. c. Walk with assistance as soon as possible. d. Lie flat for several hours. ANS: D The woman would be advised to remain flat for several hours after the block to decrease the chance of postspinal headac...

MULTIPLE CHOICE 1. After birth, the nurse quickly dries and wraps the newborn in a blanket. How does this action prevent heat loss? a. Conduction b. Radiation c. Evaporation d. Convection ANS: C Newborns lose heat quickly after birth as fluid evaporates from their bodies. DIF: Cognitive Level: Comprehension REF: p. 227 | Table 9.3 OBJ: 2 TOP: Thermoregulation KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation ...

MULTIPLE CHOICE 1. A pulsating structure is felt during a vaginal examination of a woman in labor. How would the nurse position the woman to prevent compression of a prolapsed cord? a. On her right side with knees flexed b. On her left side with a pillow placed between her legs c. On her back with her head lower than the rest of her body d. Supine with her legs elevated and bent at the knee ANS: C The Trendelenburg‘s (head down) position displaces the fetus upward to stop com...