Maternal Child Online Book Questions Ch. 29
D
A child is scheduled for a diagnostic procedure later today. The mother has been at the hospital with the child for the past 2 days and needs to go home. Which nursing intervention would be most beneficial for this caregiver? A. Tell the mother that she doesn't need to stay since the procedure is quite safe. B. Recommend that she stay until the child leaves so that the child will not know she left. C. Suggest that the mother go home since the procedure will probably not be done until much later today. D. Get the mother's cell phone number and tell her you will call her when the child goes down for the procedure.
A
A mother is scheduled for rooming-in with her infant prior to discharge from the hospital. The nurse realizes that rooming-in is done for what purpose? A. Allow the caregiver to practice treatments and procedures that will be necessary once the infant is home. B. Take overall care of the infant in the hospital. C. Reduce the cost of the hospital stay since rates for rooming-in are less. D. To allow the infant to bond with the parent.
C
A preschooler is admitted to the pediatric floor for dehydration and is frightened. Which nursing intervention would be LEAST effective in alleviating the child's anxiety? A. Assign the child to the same nurse each day. B. Encourage a caregiver to stay with the child when possible. C. Explain all procedures using medical terminology. D. Allow the child to handle the blood pressure cuff before using it.
A, D
A school-aged child is in isolation at the hospital and her family members ask what they can do to help the child feel less lonely. What would the nurse suggest to this family? (Select all that apply.) A. Have the child's classmates send cards to the child. B. Have the child wear a gown and mask so he or she will feel like everyone else. C. Limit the time the nurse spends with the child when performing procedures. D. Draw a smile on the nurse's mask before entering the room. E. Have parents bring the child's electronic game system.
C
Caregivers of a hospitalized toddler are being given safety instructions upon admission to the pediatric floor. Which action by the caregiver would be most important to the toddler's safety? A. Keep the crib at the highest setting so the nurse can assess the child easily. B. If side rails are down, never be more than 3 feet away from the child. C. Keep the crib side rails up at all times. D. Show the child how to push the nurse call button.
A, B, D
Health care providers follow transmission-based precautions when caring for children with documented pathogens or children suspected of having highly transmissible pathogens. Which of the following are included in transmission-based precautions? (Select all that apply.) A. Contact precautions B. Airborne precautions C. Protective precautions D. Droplet precautions
B
The nurse approaches a client room and notes a sign stating the client is in droplet isolation. What precautions would be appropriate for this client? A. Gloves only B. Gown, gloves, and mask C. Gown only D. Gloves and mask
A
The nurse is caring for a 10-year-old child admitted for a surgical procedure to be done the next day. The nurse takes the child to a special area in the playroom and lets the child "start" an IV on a stuffed bear. This is an example of: A. Therapeutic play. B. Positive reinforcement. C. Play therapy D. Age-related activity.
B
The nurse is caring for a preoperative pediatric client. What would it be best for the nurse to do with this client? A. Keep the child away from any food or drinks to ensure the child is NPO. B. Determine how much the child knows and is capable of understanding. C. Explain how therapeutic plan can be used in preparing the child for surgery. D. Teach technical terminology to the caregivers so they will understand what is being said postoperatively.
A, C, D
The nurse is preparing a family to visit their child, who has been admitted to the pediatric intensive care unit (PICU) following a motor vehicle accident. What actions by the nurse would reduce the family's anxiety? (Select all that apply.) A. Prepare the family for what the child will look like when they first visit. B. Tell the family that the child will be fine soon. C. Provide written information about visiting hours. D. Ask the parents what the doctor has told them to ensure their understanding. E. Ask the parents to not bring in personal items such as stuffed animals or toys.
B, D, E
What can the nurse do during an emergency admission to alleviate some of the child's and family's fears/anxieties over the situation? (Select all that apply.) A. Recommend that the family remain in the waiting room until the child is fully admitted and treatment completed. B. Place an identification bracelet on the child, explaining that this will help the hospital staff know who they are at all times. C. Undress the child for a physical examination as soon as they arrive. D. Remain calm, explaining procedures to both the family and the client in a caring manner. E. Ask the family members health history questions while the child is initially being treated.
A
Which approach by the nurse best demonstrates the correct way to prepare a Hispanic child for a planned hospital admission? A. Allow the child to put on surgical attire and "operate" on a doll to teach him what will be happening. B. Since the family is Hispanic, all preparations needs to be in Spanish. C. Tell the child that the procedure will not hurt him because we have "magic medicine". D. Discourage questions by the child so as to not frighten him.
A
A school-aged child needs to have an IV started. Where would be the best place for the nurse to perform this procedure? A. In a treatment room. B. Off the floor in a procedural suite. C. In the playroom where there are distractions. D. In the child's room, ensuring privacy.
C
The nurse is working with a group of caregivers of children in a community setting. The topic of hospitalization and the effects of hospitalization on the child are being discussed. Which statement made by the caregivers supports the most effective way for children to be educated about hospitals? A. "Our next door neighbor was sick and died in the hospital. We explained to our son that usually babies are born and people get well in hospitals." B. "My wife brought home several books about hospitalization and surgery, and she and I are reading them to our son." C. "We are going to take our child to an open house at the hospital so she can see the pediatric unit." D. "The school nurse set up posters and displays showing pictures of what the inside of a hospital looked like, and we made sure our daughter saw the display."
B
When a child is hospitalized and must be away from the caregiver, the child goes through stages of response to the separation. The child who cried and refuses to let the nurse or anyone else comfort them and is continually looking out the door to see if the caregiver is returning is in which stage of separation? A. Despair B. Protest C. Anger D. Denial