INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING

Chapter 06: Nursing Care of Mother and Infant During Labor and Birth Chapter 07: Nursing Management of Pain During Labor and Birth Chapter 08: Nursing Care of Women with Complications During Labor and Birth Chapter 09: The Family After Birth Chapter 10: Nursing Care of Women with Complications After Birth

MULTIPLE CHOICE 1. The nurse is preparing to administer immunizations at a well-child clinic. Which method of administration will the nurse implement? a. DTaP subcutaneously b. Hib vaccine prepared in a separate syringe c. Varicella intramuscularly d. Varicella 1 week after the MMR vaccine ANS: B Hib vaccine must be given in a separate syringe from other vaccines administered at the same time. DIF: Cognitive Level: Knowledge REF: p. 757 OBJ: 7 TOP: Hib KEY: Nursing Pr...

MULTIPLE CHOICE 1. A mother reports that her 4-month-old infant is lethargic, sleeps 18 hours a day, and snores. The nurse recognizes these signs are characteristic of what? a. Hypothyroidism b. Hyperthyroidism c. Type 1 diabetes mellitus d. Tay-Sachs disease ANS: A The infant with hypothyroidism will appear sluggish, and the tongue will be enlarged, causing noisy respiration. DIF: Cognitive Level: Analysis REF: p. 726 OBJ: 3 TOP: Hypothyroidism KEY: Nursing Process ...

MULTIPLE CHOICE 1. What is the difference between complementary therapy and alternative therapy? a. Complementary therapy must be administered by a medical doctor. b. Complementary therapy is administered with conventional therapy. c. Complementary therapy replaces conventional therapy. d. Complementary therapy is administered to a group of patients at the same time. ANS: B Complementary therapy is administered with conventional therapy, such as massage with muscle relaxants fo...

MULTIPLE CHOICE 1. An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. What does the nurse suspect the adolescent has used? a. Alcohol b. Cocaine c. Amphetamines d. PCP ANS: A Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness, combativeness, and violence. DIF: Cognitive Level: ...

MULTIPLE CHOICE 1. The nurse has reviewed dietary restrictions for celiac disease with concerned parents. Which grain will the nurse explain can be eaten with celiac disease? a. Wheat b. Oats c. Barley d. Rice ANS: D Rice is a gluten-free grain that can be eaten by children afflicted with celiac disease. These children will have a lifelong restriction of wheat, oats, barley, and rye. DIF: Cognitive Level: Knowledge REF: p. 667 OBJ: 4 TOP: Celiac Disease KEY: Nursing P...

MULTIPLE CHOICE 1. Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema? a. “Wool is the best fabric for the infant‘s clothing.” b. “I should avoid laundry detergents with fragrances.” c. “I put cotton gloves on the infant‘s hands.” d. “The infant‘s fingernails are kept short.” ANS: A Clothing should be made of cotton. Wool is avoided because of its allergy potential. DIF:...

MULTIPLE CHOICE 1. What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome? a. Reach the child to minimize body movements. b. Change the child‘s position frequently. c. Keep the head of the child‘s bed flat. d. Keep edematous areas moist and covered. ANS: B The child should be turned frequently to prevent respiratory tract infection and to prevent pressure on delicate skin. 2. The nurse discussed strategies with a pa...

MULTIPLE CHOICE 1. Which statement indicates that the child‘s parents understand how to perform respiratory therapy? a. “We do her postural drainage before the aerosol therapy.” b. “We give her respiratory treatments when she is coughing a lot.” c. “We give the aerosol followed by postural drainage before meals.” d. “She needs respiratory therapy every day when she has an infection.” ANS: C Postural drainage for the child with CF is done following nebulization...

MULTIPLE CHOICE 1. The child receiving a transfusion complains of back pain and itching. What is the best initial action by the nurse? a. Notify the charge nurse. b. Disconnect intravenous lines immediately. c. Give diphenhydramine (Benadryl). d. Clamp off blood and keep line open with normal saline. ANS: D If a blood transfusion reaction occurs, the first action is to stop the blood infusion, keep the line open with normal saline, and notify the charge nurse. DIF: Cognitive ...