INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. A girl tells a nurse that she and her best friend belong to the popular clique. She states, “I love Lady Gaga, and I want to be a singer.” The nurse recognizes the girl’s statement as characteristic of what time period? a. Early adolescence b. Middle adolescence c. Late adolescence d. The entire adolescent period ANS: A Cliques of unisex friends, having a best friend, and hero worship are characteristics of the early adolescent. DIF: Cognitive Level:...

MULTIPLE CHOICE 1. A parent states, “My 7-year-old really wants a dog. His 10-year-old brother has allergies to animal dander. I don’t know what to do.” What type of pet should the nurse suggest as the best choice? a. A small breed of dog because the large dogs produce more allergens. b. An older unneutered dog that produces fewer allergens than a younger one. c. A cat because it requires less care and is less allergenic. d. A poodle, which does not shed, making it a good choic...

MULTIPLE CHOICE 1. What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain? a. Give him an ice cube to suck on. b. Have him wash his mouth out with peroxide and water. c. Wrap the tooth in a clean tissue. d. Wash off the tooth and place it in a container of milk. ANS: D The tooth should be washed off and put in a container of milk to preserve it for possibl...

MULTIPLE CHOICE 1. What would be an expected finding when assessing language development in a 2-year-old child? a. A 900-word vocabulary b. Use of two-word sentences c. Use of pronouns and prepositions d. 100% of speech is understandable ANS: B The 2-year-old child should be using two-word sentences. DIF: Cognitive Level: Analysis REF: 374 OBJ: 5 TOP: Speech Development KEY: Nursing Process Step: Data Collection 2. A nurse is planning to explain the use of time-out...

MULTIPLE CHOICE 1. A nurse discusses child-proofing the home for safety with the mother of a 9-month-old infant. Which statement made by the mother would indicate an unsafe behaviour? a. “I put covers on all of the electrical outlets.” b. “In the car, she rides in a front-facing car seat.” c. “There are locks on all of the cabinets in the house.” d. “I have a gate at the top and bottom of the stairs.” ANS: B A rear-facing infant car seat should be used for infan...

MULTIPLE CHOICE 1. A pregnant woman inquires about exercising during pregnancy. What information should the nurse include when planning to educate this woman? a. Exercise elevates the mother’s temperature and improves fetal circulation. b. Exercise increases catecholamines, which can prevent preterm labour. c. A regular schedule of moderate exercise during pregnancy is beneficial. d. Pregnant women should limit water intake during exercise. ANS: C It is recommended that pregna...

MULTIPLE CHOICE 1. A nurse observes the patient bearing down with contractions and crying out, “The baby is coming!” What is the best nursing intervention? a. Find the primary health care provider. b. Stay with the woman and use the call bell to get help. c. Send the woman’s partner to locate a registered nurse. d. Assist with deep breathing to slow the labour process. ANS: B If birth appears to be imminent, the nurse should not leave the woman and should summon help with...

MULTIPLE CHOICE 1. A patient with gestational hypertension is exhibiting all of the signs listed. What should the nurse report immediately? a. Diarrhea b. Urticaria c. Blurred vision d. Backache ANS: C Visual disturbances indicate worsening gestational hypertension and must be reported promptly for effective intervention to prevent severe pre-eclampsia and convulsion. DIF: Cognitive Level: Application REF: 105 OBJ: 4 TOP: Gestational Hypertension KEY: Nursing Process St...

MULTIPLE CHOICE 1. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child? a. Identify measurable outcomes with a timeline. b. Choose specific nursing interventions for the child. c. Determine appropriate nursing diagnoses. d. State nursing actions related to the child’s medical diagnosis. ANS: C The nurse uses assess...

MULTIPLE CHOICE 1. A woman missed her menstrual period 2 weeks ago and has come to the doctor’s office for a pregnancy test. Which placental hormone is measured in pregnancy tests? a. Progesterone b. Estrogen c. Human chorionic gonadotropin d. Human placental lactogen ANS: C Human chorionic gonadotropin is the basis for most pregnancy tests. It is detectable in maternal blood as soon as implantation occurs, usually 7 to 9 days after fertilization. DIF: Cognitive Level: Kno...