Maternity II Exam One Questions

The nurse is working with a preschooler with functional constipation. Which is the most important information for the nurse to share? Select one: a. The child is informed of the treatments for constipation and/or impaction b. The parents expect the child to sit on the toilet for a period of time each day c. Parental action is required for the onset of vomiting or severe abdominal pain d. The child is allowed a reward for having a bowel movement

(choices are incorrect and you chose them on the exam a. The child is informed of the treatments for constipation and/or impaction c. Parental action is required for the onset of vomiting or severe abdominal pain) idk what the correct answer is

You patient is on a immunotherapy program. After you given them an injection you notice coughing, four scattered hives, and wheezing. What would be your first intervention with this patient? Select one: a.Notify the health care provider immediately b.Take every 5 min vital signs including 02 and continue to monitor c.Administer I.M ephedrine per institutional protocol d.Begin 02 via nasal canula

(idk what the correct answer is, you got this wrong on the exam and chose a.Notify the health care provider immediately)

Which of the following can lead to a possible diagnosis of human immunodeficiency virus (HIV) in a child? Select all that apply. Select one or more: a.Intermittent diarrhea. b.Excessive weight gain. c. Repeated respiratory infections d. Irregular heartbeat e.Poor weight gain

(idk what the corrrect answer is you put, c.Repeated respiratory infections d.Irregular heartbeat e.Poor weight gain)

What information should the nurse provide the parent of a child diagnosed with nasopharyngitis? Select one: a. Avoid sending the child to child care. b. Restrict the child to clear liquids for 24 hours. c. Use comfort measures for the child d. Complete the entire prescription of antibiotics.

(idk what the corrrect asnwer is you put, a. Avoid sending the child to child care and it is wrong)

The nurse is caring for a 9-month old who was born with a congenital heart defect (CHD). Assessment reveals a HR of 160, capillary refill of 4 seconds, bilateral crackles, and sweat on the scalp. These are signs of ________

Congestive Heart Failure

As a nursing student, you understand the ductus arteriosus is a critical fetal structure that is important during intrauterine life. You understand the function of it is: Select one: a. Shunts the combined cardiac output from the pulmonary artery to the aorta going to the lungs b. Shunts the combined cardiac output from the aorta to the pulmonary artery to the right ventricle c. Shunts the combined cardiac output from the pulmonary artery to the systemic circulation d. Shunts the combined cardiac output from the aorta to the pulmonary artery and later to the pulmonary veins

NOT A OR B (idk what the correct answer is you got this wrong on the test, maybe D?)

You have a patient you are assessing complaining of her eyes itching and burning, runny nose and sneezing since visiting her parents who have a dog. Which condition would you suspect? Select one: a.Allergic rhinitis b.Anaphylaxis c.Asthma d.Croup

a. Allergic rhinitis

Which statement about pneumonia is accurate? Select one: a. Children with bacterial pneumonia are usually sicker than those with viral pneumonia b. Children with viral pneumonia are usually sicker than those with bacterial pneumonia. c. Children with viral pneumonia must be treated with a complete course of antibiotics. d. Pneumonia is most frequently caused by bacterial agents.

a. Children with bacterial pneumonia are usually sicker than those with viral pneumonia

Which intervention will encourage a sense of autonomy in a toddler with disabilities? Select one: a. Encouraging independence in as many areas as possible b. Helping parents learn special care needs of their child c. Exposing child to pleasurable experiences as much as possible d. Avoiding separation from family during hospitalizations

a. Encouraging independence in as many areas as possible

The nurse is admitting a child to the hospital for a cardiac workup. What is the first step in a cardiac assessment? Select one: a. History and inspection. b. Percussion. c. Palpation. d. Auscultation.

a. History and inspection.

You are providing care for a mother who is HIV+ and an infant who has also recently tested positive. Which statement by the mother indicates a need for further teaching? Select one: a. I am so looking forward to the day where my baby is no longer infectious" b. " My baby may have to be on medication for the virus" c. "I keep hoping every day that a cure for my baby can be found" d. "I do not want the day care staff to know the baby's condition"

a. I am so looking forward to the day where my baby is no longer infectious"

A 3 month-old baby has been diagnosed with a ventricular septal defect (VSD). The flow of blood through the heart is ________. a. Left-to-right. b. Right-to-left c. Decreased cardiac demand d. Atrial septal defect.

a. Left-to-right.

An appropriate nursing intervention when providing comfort and support for a child whose death is imminent is to: Select one: a. Limit care to essentials. b. Avoid playing music near the child. c. Explain to the child the need for constant measurement of vital signs. d. Whisper to the child instead of using a normal voice.

a. Limit care to essentials.

Which statement best explains why iron deficiency anemia is common during toddlerhood? Select one: a. Milk is a poor source of iron. b. Iron cannot be stored during fetal development. c. Dietary iron cannot be started until age 12 months. d. Fetal iron stores are depleted by age 1 month.

a. Milk is a poor source of iron.

What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching? Select one: a. Oatmeal. b. Rice cake. c. Meat patty. d. Corn muffin.

a. Oatmeal.

Which finding would confirm a diagnosis of cystic fibrosis? Select one: a. Sweat chloride is greater than 60 mEq/L. b. Chest radiograph shows alveolar hyperinflation. c. Stool analysis indicates significant amounts of fecal fat. d. Liver function levels are abnormal.

a. Sweat chloride is greater than 60 mEq/L.

A child who is pale and moaning is diagnosed with esophageal varices and is admitted to the hospital. The health care provider orders a blood transfusion. What nursing actions should be taken? Select one: a. Take the vital signs, verify the blood product with another nurse against the child's ID bracelet, and monitor the vital signs according to agency policy. b.Record the vital signs in accordance with facility policy and check the blood product against the child's ID bracelet in the presence of the nursing supervisor. c.Take the vital signs after hanging the blood because the child is pale and moaning and is in critical condition; return in 15 minutes to monitor the vital signs. d.Because the vital signs were recorded during admission, hang the blood and monitor the child's vital signs every 15 minutes until the transfusion is absorbed.

a. Take the vital signs, verify the blood product with another nurse against the child's ID bracelet, and monitor the vital signs according to agency policy.

Which nursing action is most important when caring for a child after a cardiac catheterization? Select one: a. Check a pulse distal to the insertion site. b. Provide for rest. c. Assess the electrocardiogram every 15 minutes d. Administer oxygen.

a. Check a pulse distal to the insertion site.

A infant who had cardiac surgery for a congenital defect is to be discharged. What should the nurse emphasize to the parents when they administer the prescribed antibiotic? Select one: a. Ensure that the antibiotic is administered as prescribed. b. Shake the bottle thoroughly before giving the antibiotic. c. Give the antibiotic between feedings d. Keep the antibiotic in the refrigerator after the bottle has been opened.

a. Ensure that the antibiotic is administered as prescribed.

While caring for a formula fed preterm infant you notice a distended abdomen, blood in the stool, and 3 mL of undigested milk when aspirating stomach contents. What diagnosis do you suspect? Select one: a.Necrotizing enterocolitis b.Meckel's diverticulum c. Crohn's disease d. Infection

a.Necrotizing enterocolitis

A 6-year-old child with sickle cell disease is admitted with a vaso-occlusive crisis (painful episode). What are the priority nursing concerns? Select all that apply. Select one or more: a.Pain management b.Hydration c.Prevention of infection d.Nutrition e.Blood transfusion

a.Pain management b.Hydration c.Prevention of infection (you got this wrong on the exam and put, e. blood transfusion as well)

As a nurse working in a pediatric cardiology clinic you understand children with heart disease may require interventions to live active and full lives. Which of the following would be an effective nursing intervention to minimize the childs cardiac workload and decrease cardiac demands? Select one: a.Scheduling care and activities to provide periods of uninterrupted rest b.Implementing a consistent care plan c.Allowing the child to have their way in order to avoid conflicts d.Feeding an infant over long periods

a.Scheduling care and activities to provide periods of uninterrupted rest

The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities. The nurse notices that the parents keep asking the same questions. The nurse should: Select one: a. Suggest that they ask their questions when they are not upset. b. Patiently continue to answer questions. c. Kindly refer them to someone else to answer their questions. d. Recognize that some parents cannot understand explanations.

b. Patiently continue to answer questions.

Which classification of drugs is used to relieve an mild intermittent acute asthma episode? Select one: a. Inhaled corticosteroids. b. Short-acting beta2-adrenergic agonist. c. Long-acting bronchodilators d. Leukotriene blockers.

b. Short-acting beta2-adrenergic agonist.

A 16-year-old boy with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. The nurse should explain to his parents that: Select one: a. This is how he is asking for more parental control. b. This is part of normal adolescence. c. He needs more discipline. d. He needs more socialization with peers.

b. This is part of normal adolescence.

What medication does a nurse expect to administer to control bleeding in a child with hemophilia A? Select one: a. Factors II, VII, IX, X complex b. Factor VIII concentrate c. Albumin d. Fresh frozen packed RBC

b. Factor VIII concentrate

The nursing student understands which of the following conditions are characterized as inflammatory bowel disease? Select all that apply. Select one or more: a.Kwashiorkor b. Hirschsprung's Disease c. Cystic fibrosis d.Ulcerative colitis e.Crohn's disease

b.Hirschsprung's Disease d.Ulcerative colitis e.Crohn's disease

A patient comes to you stating " I have environmental allergies" what can I do? As the nurse you recommend all of the following except? Select one: a. If possible install hardwood floors throughout your house b.Make sure you have carpet in your bedroom c. Avoid the use of curtains d. Avoid sprays and powders

b.Make sure you have carpet in your bedroom

A mother is crying and tells the nurse that she should have brought her son in yesterday when he said his throat was sore. Which is the nurse's best response to this parent whose child is diagnosed with epiglottitis and is in severe distress and in need of intubation? Select one: a. "Epiglottitis is slowly progressive, so early intervention may have decreased the extent of your son's symptoms." b. "Children this age rarely get epiglottitis; you should not blame yourself." c. "Epiglottitis is rapidly progressive; you could not have predicted his symptoms would worsen so quickly." d. "It is always better to have your child evaluated at the first sign of illness rather than wait until symptoms worsen."

c. "Epiglottitis is rapidly progressive; you could not have predicted his symptoms would worsen so quickly."

The nurse is providing care to two children on a pediatric unit. One child is diagnosed with iron-deficiency anemia, and the other has sickle cell disease. Which manifestation does the nurse recognize as being different between the two children? Select one: a.Sickle cell disease is transmitted as a dominant trait from one parent b. A child with iron deficiency express significant pain and discomfort c. A child with sickle cell disease experience a varying amount of joint pain d. A child with iron-deficiency anemia experiences normal physical growth

c. A child with sickle cell disease experience a varying amount of joint pain

The nurse is assessing a 2 month old infant in a pediatric clinic. The mother states "He always spits up, but it has become much worse. Vomit goes everywhere." Which additional assessment will help the nurse identify a possible diagnosis for the infant? Select one: a. Cardiac assessment of the mitral valve b.Normal skin turgor is noted over the sternum c. A hard mass palpated in the mid-epigastrium d. Vomiting occurs before and after eating

c. A hard mass palpated in the mid-epigastrium

Immediately after birth you notice the newborn becomes cyanotic and tachypneic with a murmur present. The pediatrician orders a prostaglandin E1 infusion immediately after their assessment. You understand the pediatrician is treating this newborn for: Select one: a. Hypertrophic cardiomyopathy b. Transposition of the great arteries c. A patent ductus arteriosus d. Atrial septal defect

c. A patent ductus arteriosus

A young boy will receive a bone marrow transplant (BMT). This is possible because one of his older siblings is a histocompatible donor. This type of BMT is termed: a. Syngeneic. b. Monoclonal c. Allogeneic d. Autologous

c. Allogeneic

You are teaching a family of a child who was recently diagnoses with idiopathic thrombocytopenia. Which medication should you instruct the parents to avoid giving to their child? Select one: a. Tylenol b. Demerol c. Aspirin d. Oxycodone

c. Aspirin

The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home. Whom should the nurse invite to the conference? Select one: a. Primary care physician and key health professionals involved in child's care b. Family and nursing staff c. Family and key health professionals involved in child's care d. Social worker, nursing staff, and primary care physician

c. Family and key health professionals involved in child's care

A pale, lethargic 1-year-old infant weighs 28 lb. (12.6 kg) and has a hemoglobin level of 9 g/dL. The parent tells the nurse that the infant refuses solid food when it is offered by spoon and drinks between four and six full bottles of milk per day. What should the nurse recommend? Select one: a. Begin the weaning process immediately. b. Take the infant to the metabolic clinic for an examination. c. Give the infant finger foods such as dry cereal and chopped meat. d. Puncture a large hold in the nipple and add puréed baby food to the milk.

c. Give the infant finger foods such as dry cereal and chopped meat.

Which statement best describes b-thalassemia major (Cooley's anemia)? Select one: a. All formed elements of the blood are depressed. b. Increased incidence occurs in persons of West African descent. c. Increased incidence occurs in families of Mediterranean extraction. d. Inadequate numbers of red blood cells are present.

c. Increased incidence occurs in families of Mediterranean extraction.

What postoperative intervention would be questioned for a child after a cardiac catheterization? Select one: a. Check the dressing for bleeding. b. Assess peripheral circulation on the affected extremity. c. Keep the affected leg flexed and elevated. d. Continue intravenous (IV) fluids until the infant is tolerating oral fluids.

c. Keep the affected leg flexed and elevated.

A 6-year old patient is being assessed by the pediatrician for breathing difficulties. The pediatrician expresses a need for diagnostic tests to identify or rule out asthma. Which test does the nurse anticipate ordering? Select one: a. Electrocardiogram b.Peak flow meter c. Pulmonary function tests d. Throat culture

c. Pulmonary function tests

During play, a toddler with a history of tetralogy of Fallot (TOF) might assume which position? Select one: a.Supine b.Sitting c.Squatting d.Standing

c. Squatting

A nurse is caring for a child with a cardiac malformation associated with left-to-right shunting. What does the nurse consider to be the major characteristic of this type of congenital disorder? Select one: a. Clubbing of the fingers and toes b. Elevated hematocrit c. Increased blood flow to the lungs d. Severe growth retardation

c. Increased blood flow to the lungs

Which statement by the mother of a child with rheumatic fever (RF) shows she has an understanding of prevention for her other children? Select one: a. "Whenever one of them gets a sore throat, I will give that child an antibiotic." b. "If their culture is positive for staphylococcus A, I will give them their antibiotic." c."If their culture is positive for group A streptococcus, I will give them their antibiotic." d."There is no treatment. It must run its course."

c."If their culture is positive for group A streptococcus, I will give them their antibiotic."

A mother calls you in the pediatric clinic stating her 14 month old has been crying off and on and has stool that looks like red jelly. What is your primary nursing intervention? Select one: a.Give the child small sips of liquid such as Pedialyte b.Make an appointment for the child to be seen the same day c.Have her get to the ER immediately d.Assess if the child has a temperature

c.Have her get to the ER immediately

Parents bring a toddler who is 2 1/2 years old to the hospital because of observed difficulty with breathing. In addition, they share that at bedtime the toddler has a barky cough. The toddler is diagnosed with laryngotracheobronchitis, commonly known as croup. Which assessment finding does the nurse expect related to the diagnosis? Select one: a. Fever accompanied by a congested cough b. snoring sounds throughout respirations c.Inspiratory stridor heard in the upper airway d. Elevated temperature and diaphoresis

c.Inspiratory stridor heard in the upper airway

The nurse is assessing an infant who is 3 months old during a well-baby visit. Which assessment finding will be of greatest concern to the nurse? Select one: a.The infant mouth breathes when crying b.The infants respiratory rate is fast and irregular c.The infant exhibits 15-second periods of apnea d.The infants eardrums are pink in color

c.The infant exhibits 15-second periods of apnea

A nurse is explaining how hemophilia is inherited to the parents of a recently diagnosed child. What is the best explanation of the genetic factor that is involved? Select one: a.It is an autosomal dominant disorder in which the woman carries the trait. b. It follows the Mendelian law of inherited disorders. c.The mother is the carrier of the disorder, but is not affected by it. d. A carrier can be male or female, but it occurs in the sex opposite that of the carrier.

c.The mother is the carrier of the disorder, but is not affected by it.

What is the most appropriate response to a school-age child who asks if she can talk to her dying sister? Select one: a. "Although she can't hear you, she can feel your presence so sit close to her." b. "Holding her hand would be better because at this point she can't hear you." c. "You need to speak loudly so she can hear you." d. "Even though she will probably not answer you, she can still hear what you say to her."

d. "Even though she will probably not answer you, she can still hear what you say to her."

Which is the nurse's best response to a parent who asks what can be done at home to help a 3 year old child with upper respiratory infection (URI) symptoms and a fever get better? Select one: a. "Give your child Robitussin at night to reduce his cough and help him sleep." b. "Give your child an over-the-counter cold medicine at night." c. "Give your child a baby aspirin every 4 to 6 hours to help reduce the fever." d. "Give your child small amounts of fluid every hour to prevent dehydration."

d. "Give your child small amounts of fluid every hour to prevent dehydration."

The nurse is caring for an 8-week-old infant being evaluated for pyloric stenosis. Which statement by the parent would be typical for a child with this diagnosis? Select one: a. "The baby is a very fussy eater and just does not want to eat." b. "The baby is happy in spite of getting really upset after spitting up." c. "The baby tends to have a very forceful vomiting episode several hours after most feedings." d. "The baby is always hungry after vomiting so I refeed."

d. "The baby is always hungry after vomiting so I refeed."

The parent of a 4-month old with cystic fibrosis (CF) asks the nurse what time to begin the child's first chest physiotherapy (CPT) each day. Which is the nurse's best response? Select one: a. "Thirty minutes after feeding the child breakfast." b. "After deep-suctioning the child each morning." c. "Only when the child has congestion or coughing." d. "Thirty minutes before feeding the child breakfast."

d. "Thirty minutes before feeding the child breakfast."

The nurse in a pediatric clinic is obtaining a health history on a child who is 9 years of age. The nurse learns that the child exhibits chronic cough, midsternal discomfort, and frequent sore throats without infection. Physical assessment indicated 50th percentile for height and 85th for weight. Which recommendations does the nurse make? Select one: a. Initiate a practice of not eating after dinner b. Serve citrus juices instead of carbonated drinks c. Encourage lying on the left side after eating a meal d. Begin an age-appropriate weight loss program

d. Begin an age-appropriate weight loss program

For which clinical indicator should the nurse monitor a child with chronic hypoxia? Select one: a.Increased red blood cell count b.Subcutaneous hemorrhages c.Slow, irregular respirations d. Clubbing of fingers

d. Clubbing of fingers

An accurate description of anemia is: Select one: a. Depressed hematopoietic system. b. Presence of abnormal hemoglobin. c. Increased blood viscosity. d. Decreased oxygen-carrying capacity of blood.

d. Decreased oxygen-carrying capacity of blood.

A 10-year-old is being evaluated for possible appendicitis and complains of nausea and sharp abdominal pain in the right lower quadrant. An abdominal ultrasound is scheduled, and a blood count has been obtained. The child vomits, finds the pain relieved, and calls the nurse. Which should be the nurse's next action? Select one: a. Cancel the ultrasound, and prepare to administer an intravenous bolus. b. Cancel the ultrasound, and obtain an order for oral Zofran (ondansetron). c. Prepare for the probable discharge of the patient. d. Immediately notify the physician of the child's status.

d. Immediately notify the physician of the child's status.

Parents of a toddler with eczema are concerned about alleviating discomfort from itching and preventing infection, since constant scratching has been as issue. They ask the nurse what measures they can take to care for their child. The nurse creates a teaching sheet to provide information regarding the care of a patient with eczema. Which concept should the nurse include on the teaching? Select one: a. Apply cool, wet compresses four times a day b. Avoid use of fabric softeners c. Bathe frequently with warm or hot water using mild soaps d. Maintain hydration of the skin

d. Maintain hydration of the skin

What is the most common mode of transmission of human immunodeficiency virus (HIV) in the pediatric population? Select one: a. Sexual abuse b. Poor hand washing c. Blood transfusions d. Perinatal transmission

d. Perinatal transmission

In which situation is there a risk that a newborn infant will have a congenital heart defect (CHD)? Select one: a. Family history of myocardial infarction. b. Father has type 1 diabetes mellitus. c. Older sibling born with Turner syndrome. d. Trisomy 21 detected on amniocentesis.

d. Trisomy 21 detected on amniocentesis.

As related to inherited disorders, which statement is descriptive of most cases of hemophilia? Select one: a. Y-linked recessive inherited disorder in which the red blood cells become moon shaped b. X-linked recessive inherited disorder causing deficiency of platelets and prolonged bleeding c. Autosomal dominant disorder causing deficiency in a factor involved in the blood-clotting reaction d. X-linked recessive inherited disorder in which a blood-clotting factor is deficient

d. X-linked recessive inherited disorder in which a blood-clotting factor is deficient

A 1-year-old child has a congenital cardiac malformation that causes right-to-left shunting of blood through the heart. What clinical finding should the nurse expect? Select one: a. Failure to thrive b. Absence of pedal pulses c. Peripheral edema d. Proteinuria

d. Proteinuria (when you took the exam you put absence of pedal pulses and peripheral edema which was marked incorrect)

Which of the following is an example of delayed hypersensitivity? Select one: a. Urticaria b.Allergic rhinitis c. Atopic dermatitis d. Poison Ivy

d. poison ivy

While working on the local pediatric unit you are caring for a child who has a diagnosis of coarctation of the aorta. During your assessment you are likely to find which of the following? Select one: a.The child in a squatting position b. Increased BMI c. Circumoral cyanosis d.Diminished femoral pulses

d.Diminished femoral pulses