CM3 Final study guide

A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her but her husband thinks she is imagining things. The most appropriate response by the nurse is:

"Babies in utero do respond to their mother's voice."

During a prenatal visit, the nurse is explaining dietary management to a woman with pregestational diabetes. The nurse recognizes that teaching has been effective when the woman states which of the following?

"Diet and insulin needs change during pregnancy."

Which of the following responses by a after birth woman indicates she understands teaching regarding the correct process of pelvic floor exercises?

"I pretend that I am trying to stop the flow of urine midstream."

Which statement made by the nurse would indicate a correct understanding of palliative care?

"Palliative care provides pain and symptom management for the child."

The nurse's best response to a client taking clomiphene citrate regarding the risk of multiple births is:

"Would you like to discuss this further before your treatment begins?"

Which statement by the nurse is most appropriate to a 15 year old whose friend has mentioned suicide?

"Your friend's threat needs to be taken seriously and immediate help for your friend is important."

Parents have been asked to provide breast milk for their premature infant who is hospitalized. Which of the following is an appropriate part of the education a nurse will provide?

A premature infant more easily digests breast milk than formula

The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

Brian playing with his truck next to Kristina playing with her truck

Which of the following is an important factor for consideration in understanding the pain experience in children?

Children may not admit to having pain

What type of family is one in which all members are related by blood?

Consanguineous

A nasal spray of desmopressin acetate (DDAVP) is used to treat which of the following conditions?

Diabetes insipidus

When is a child with chickenpox considered to be no longer contagious?

When lesions are crusted

The nurse should advise which women about continued condom use during pregnancy?

Women at risk for acquiring or transmitting sexually transmitted infections (STIs)

Which age-group is most concerned with body integrity?

school age

Which is the most significant factor in distinguishing those who commit suicide from those who make suicidal attempts or threats?

social isolation

In helping a patient manage premenstrual syndrome (PMS), the nurse would:

suggest herbal therapies, yoga, and massage

What skill should the nurse expect a 5-year-old child to be able to master?

tie shoelaces

A frequent health problem of migrant children and adolescents in the United States is:

tuberculosis.

The major cause of death for children olderthan 1 year is:

unintentional injuries

When the services of an interpreter are used, it is important for the nurse to:

use an interpreter who is certified

The preferred site for intramuscular injections in infants is:

vastus lateralis

The leading cause of death among African-American boys ages 15 to 19 years is:

Firearm homicide

In terms of language and cognitive development, which expected of a 4-year-old child?

Following simple commands

During the first 4 days of hospitalization, Erich, age 18 months, cried inconsolably when his parents left him, and he refused the staff's attention. Now the nurse observes that Erich appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as which of the following?

He may be experiencing detachment, which is the third stage of separation anxiety.

`What is an important consideration for the school nurse who is planning a class on bicycle safety to consider?

Head injuries are the major causes of bicycle-related fatalities.

The parents of a 12-month-old child ask the nurse if the child can eat hot dogs. The nurse's reply should be based on what understanding?

Hot dogs must be cut into small, irregular pieces to prevent aspiration

The nurse is discussing sexuality with the parents of an adolescent girl with moderate cognitive impairment. What should the nurse consider when dealing with this issue?

Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.

What type of dehydration is defined as "dehydration that occurs in conditions in which electrolyte and water deficits are present in approximately balanced proportion"?

Isotonic dehydration

The nurse is completing a health history with a 16-year-old male. He informs the nurse that he has started using smokeless tobacco after he plays baseball. Which information regarding smokeless tobacco would be most correct for the nurse to provide to this teen?

It has been proven to be carcinogenic.

Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

Lowered body temperature and brittle nails

Which of the following is most important to monitor after the administration of epidural anesthesia?

Maternal blood pressure b

Fetal tachycardia is most common during which of the following situations/conditions?

Maternal fever

Which of the following is appropriate care for the child who is unconscious?

Monitor fluid intake and output carefully to avoid fluid overload and cerebral edema

Parents tell the nurse their 3-year-old daughter and a male cousin of the same age have been inspecting each other closely as they used the bathroom. Which of the following is the most appropriate response by the nurse?

Neither condone nor condemn the curiosity.

When planning care for an infant with a fractured clavicle, the nurse should recognize that, in addition to gentle handling, which of the following will be implemented?

Nothing additional

Probable signs of pregnancy are which of the following?

Observed by the health care provider

Which of the following best describes acute glomerulonephritis?

Occurs after a streptococcal infection

A nurse is planning palliative care for a child with severe pain. Which should the nurse expect to be prescribed for pain relief?

Opioids on a regular schedule

Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability. After the shock phase, a period of adjustment usually follows that may be characterized by what reaction?

Overprotectiveness

Surgical closure of the ductus arteriosus would result in which of the following?

Prevent the return of oxygenated blood to the lungs

A 30-year-old multiparous woman has a boy who is 2½ years old and now an infant girl. She tells the nurse, "I don't know how I'll ever manage both children when I get home." Which suggestion would best help this woman alleviate sibling rivalry?

Realize that the regression in habits and behaviors in the older child is a typical reaction and that he needs extra love and attention at this time.

Latasha is a breastfed infant being seen in the clinic for her 6-month check up. Her mother tells the nurse that Latasha recently began to suck her thumb. Which of the following is the best nursing intervention?

Reassure the mother that thumb-sucking is normal at this age

The volume of amniotic fluid is an important factor in assessing fetal well-being. Oligohydramnios (an amniotic fluid volume of less than 300 mL) is associated with what kind of fetal anomaly?

Renal

A father tells the nurse that his toddler wants the same plate and cupused at every meal,even if they go to a restaurant.The nurse should explain that this is a result of what factor?

Ritualism, common at this age

In terms of gross motor development, what hallmark action should the nurse identify for the parents of a 5-month-old infant to anticipate?

Roll from abdomen to back

The school nurse has been asked to begin teaching sex education in the 5th grade. Which statement should be the foundation for the information the nurse should present?

Sex can be presented as a normal part of growth and development.

The most effective and least expensive treatment of puerperal infection is prevention. What is important in this strategy?

Strict aseptic technique, including hand washing, by all health care personnel

A pregnant woman, who is in the 3rd trimester, asks the nurse how to know "labor is getting closer to starting." Which of the following would be an appropriate response?

Surge of energy

What is the single most important factor to consider when communicating with children?

The child's developmental level

When a client comes to the maternity clinic for a pregnancy test, the nurse would include the abuse assessment screen and include teaching on partner abuse if:

The client is accompanied by a controlling partner.

A progressive infantile spinal muscular atrophy and the most common paralytic form of the floppy infant syndrome is:

Werdnig-Hoffmann disease

A new nurse is caring for a child with a wound and asks you to remind her about the phases of wound healing. Provide the sequence order of how you will provide the information.

1.Inflammatory phase 2.proliferation 3.contraction 4.maturation

When both parents have sickle cell trait, what is the chance that each of their children will have sickle cell anemia?

25%

When is the best age for solid food to be introduced into the infant's diet?

4 to 6 months

At which age can most infants sit steadily unsupported?

8 months

The priority nursing intervention after an amniotomy to induce labor is:

Assess the fetal heart rate (FHR)

Which approach would be best to use to ensure a positive response from a toddler?

Assume an eye-level position and talk quietly.

Identify the interventions that can be safely used to manage diaper dermatitis. Select all that apply:

-Apply a skin barrier paste like zinc oxide -Keep skin surface irritants such as urine and stool off skin -Expose skin to air

The most common causes of subinvolution in the postpartum client are:

-retained placental fragments. -Infection

The nurse administers vitamin K to the newborn for which reason?

Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.

Preschoolers' fears can best be dealt with by which intervention?

Actively involving them in finding practical methods to deal with thefrightening experience

The most important factor for the nurse to consider in assessing a mother's risk of having a low-birth-weight (LBW) infant is:

African American race

The nurse would assist the laboring woman into a hands-and-knees position when which situation occurs?

The occiput of the fetus is in a posterior position.

A pregnant woman is being discharged from the hospital after placement of cerclage because of a history of an incompetent cervix. Discharge teaching should emphasize which of the following?

The presence of any uterine cramping or low backache may indicate preterm labor and should be reported.

The nurse knows that thermoregulation presents a problem for newborns because:

The thin layer of subcutaneous fat provides poor insulation.

Matt, age 14 years, seems to be always eating, although his weight is appropriate for his height. The best explanation for this is:

This is normal because of increase in body mass

The most important consideration in managing tuberculosis in children is:

adequate nutrition.

When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered because these milestones are:

an important part of the child's past growth and development.

What is descriptive of the preschooler's understanding of time?

associates time with events

Kristin, 10 years of age, sustained a fracture in the epiphyseal plate of her right fibula when she fell out of a tree. When discussing this injury with her parents, the nurse should consider that:

bone growth can be affected by this type of fracture.

A common best practice in the provision of services to children with special needs is:

children with special needs are being integrated into regular classrooms.

A child has an avulsed (knocked-out) tooth. The parents are reluctant to try to reimplant the tooth. Where should the tooth be placed for transport to the dentist?

cold milk

A father tells the nurse that his child is "filling up the house with collections" such as seashells, bottle caps, baseball cards, and pennies. The nurse should recognize that the child is developing:

concrete operational thinking

The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster. What recommendations should the nurse provide the parents?

never heat a bottle in a microwave oven

The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is:

erickson

Which term best describes the emotional attitude that one's own ethnic group is superior to others?

ethnocentrism

Assessment of a woman's nutritional status includes a diet history, medication regimen, physical examination, and relevant laboratory tests. A maternity nurse performing such an assessment should be aware that:

illnesses that have created nutritional deficits such as phenylketonuria may require nutritional care before conception

A characteristic of a toddler's language development at age 18 months is:

increasing level of comprehension.

By the time children reach their 12 birthday, they should have learned to trust others and should have developed a sense of:

industry (sense of growth,learning, create)