INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

MULTIPLE CHOICE 1. When asked about her activities, a 10-year-old girl responded, I like school. I play the flute in the school band, and I take tennis lessons. What does the nurse know these activities will help this child develop? a. Initiative b. Industry c. Identity d. Intimacy ANS: B The school-age period is referred to by Erikson as the stage of industry. Successful participation in activities facilitates the childs sense of industry. DIF: Cognitive Level: Application REF...

MULTIPLE CHOICE 1. The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry. The nurse is aware that these symptoms indicate what? a. Respiratory distress syndrome b. Hypoglycemia c. Necrotizing enterocolitis d. Renal failure ANS: B The preterm infant, before 38 weeks, should be assessed for hypoglycemia because the infants glycogen stores are not adequate. DIF: Cognitive Level: Analysis REF: Page 317 TOP: Postterm Infant KEY: Nursing Proces...

MULTIPLE CHOICE 1. What statement made by a parent indicates correct understanding of infant feeding? a. Ive been mixing rice cereal and formula inthe babys bottle. b. I switched the baby to low-fat milk at 9 months. c. The baby really likes little pieces of chocolate. d. I give the baby any new foods before he takes his bottle. ANS: D New solid foods should be introduced before formula or breast milk to encourage the infant to try new foods. DIF: Cognitive Level: Comprehension ...

MULTIPLE CHOICE 1. What does the nurse recognize as an example of Piagets concrete operational thinking? a. 2-year-old says, Its nighttime when his room is darkened. b. 4-year-old refers to the hospital as my house. c. 5-year-old coloring a picture of a puppy says, This is my puppy. d. 7-year-old says, I am sick because I have germs in my chest. ANS: D The 7-year-olds remark reflecting the cause and effect of germs and illness is an example of operational thinking. All other options...

MULTIPLE CHOICE 1. After delivery, a mother asks the nurse about newborn screening tests. The nurse explains that what is the optimal time for testing for phenylketonuria? a. In the first 24 hours of life b. After 2 to 3 days c. At 4 to 6 weeks of age d. At 2 months of age ANS: B Blood tests for phenylketonuria should be obtained 48 to 72 hours after birth. The newborn will have had enough time to ingest protein through feedings, and the chance of false-negative results will be red...

MULTIPLE CHOICE 1. The nurse is caring for a woman who had a cesarean birth yesterday. Varicose veins are visible on both legs. What nursing action is the most appropriate to prevent thrombus formation? a. Have the woman sit in a chair for meals. b. Monitor vital signs every 4 hours and report any changes. c. Tell the woman to remain in bed with her legs elevated. d. Assist the woman with ambulation for short periods of time. ANS: D Early ambulation and range-of-motion exercises are...

MULTIPLE CHOICE 1. The parents of a newborn girl express concern about the infants vaginal discharge, which appears to be bloody mucus. What does the nurse explain as the cause? a. Premature stimulation of the ovarian hormones by the pituitary system b. Cessation of female sex hormones transferred in utero from mother to infant c. The increased amount of circulating blood from the mother throughout pregnancy d. Trauma to the genitalia during the birth process ANS: B Blood-tinged muc...

MULTIPLE CHOICE 1. The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level? a. It prevent osteoporosis. b. It decreases vaginal lubrication. c. It raises the level of low-density lipoproteins. d. It raises the level of high-density lipoproteins. ANS: C Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body cells to the liver for excretion. With lowered levels of estrogen, low-densi...

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 anaesthesia? 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 post spinal headache...

MULTIPLE CHOICE 1. A new mother states her preference to formula feed her newborn. What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort? a. Wear a well-fitting bra continuously for several days. b. Stand in a warm shower, letting the water spray over the breasts. c. Express small amounts of milk from the breasts several times a day. d. Massage the breasts when they ache. ANS: A When a mother does not wish to breastfeed, a snug b...