Maternal Child Final Exam
R.I.C.E.
Rest-ice-compression-elevate
In what way is respiratory adaptation more difficult for an infant born by cesarean than vaginally A) more fluid is present in the lungs at birth B) Surfactant is missing from the lungs C)The respiratory centers in the brain are not stimulated D) there is less sensory stimulation to breathe
A) more fluid in the lungs at birth
what reflexes would the nurse expect to find in a term newborn? (Select all that apply) A) rooting B) Barlow C) Moro D) Tonic neck
A) rooting C) Moro D)Tonic neck
A condition that occurs when there is an inflammation of the kidney and renal pelvis. The condition is which of the following? How is it diagnosed? What would the treatment be? •A) Oliguria •B) Amenorrhea •C) Pyelonephritis •D) Ascites
C) pyelonephritis
Breath sounds associated with asthma attack: •A) Crackles •B) Rhonchi •C) Wheezing •D) Stridor
C) wheezing
A symptom often seen in acute glomerulonephritis is edema. The most common site the edema is first noted is in which area of the body? A) ankles B) hands C) eyes D) sacrum
C)eyes
Excessive cerebrospinal fluid within the intracranial cavity maybe responsible for the occurrence of: •A) meningitis •B) meningocele •C) hydrocephalus •D) spina bifida
C)hydrocephalus
fibrocystic disease of the pancreas, organs affected are the lungs-pancreas and liver
Cystic fibrosis
The caregivers of a child bring the child to the emergency care center, concerned that the child was fine before she went to bed, but woke up in the middle of the night with a bark-like cough and with difficulty breathing. These symptoms indicate the child likely has which of the following disorders? A) Tonsillitis B) Adenoiditis C) Epiglottitis D) Spasmodic laryngitis
D)Spasmodic laryngitis
The nurse will teach the caregiver of a child with cystic fibrosis that which of the following likely needs adjustment in the child's diet? What else do you need to know about CF? The amount of: A) Iodized salt B) Saturated fat C) Pancreatic enzymes D) Calories from protein
D)calories from protein (Pancreatic enzymes are needed for life but is not a dietary change)
what assessment finding is the best indication that magnesium sulfate toxicity is developing A) manifesting brisk deep tendon reflexes B) taking less than 12 breaths/min C)excreting protein in the urine D) having a magnesium level of 5mg/dL
D)taking less than 12 breaths/min
Febrile seizures are cause from •A) Epilepsy •B) Antibiotics •C) Elevated body temperature below 100 •D) When the body temperature rises quickly
D)when the body temp rises quickly can be due to infection
Hydrocephalus Diagnosis and treatment
DX: CT and MRI TX: Surgical intervention is the only effective means of relieving brain pressure and preventing additional damage to the brain tissue (using shunts-VP is the most common)
The nurse should refrain from examining the back of a child's throat if epiglottitis is expected because it could spread the infection. If false, make this statement true. (T or F)
False, it will not spread infection-it can cause a complete airway obstruction.
Reye syndrome is associated with acetaminophen and a viral infection. If false, make this statement true.
False- associated with aspirin (salicylate) and viral infections
Glasgow scale
This is an assessment tool used to determine consciousness in clients. Mostly with TBI Patients, (car accidents, falls, or being hit in the head)
A sprained ankle is treated by using the "RICE" method. (True or False)
True
How is CHF treated?
Using Digoxin. removing excess fluids with the use of diuretics, decreasing the workload on the heart by limiting physical activity and improving tissue oxygenation.
foods to avoid with celiac disease
Wheat, rye, oats, and barley(Gluten)
What type of assessment, diagnostic tests, and treatment would be conducted in the child suspected of having an appendicitis?
assessment-pain and tenderness in the RLQ of the abdomen, nausea, vomiting, fever, constipation. WBC count is elevated. It can take hours to rule out other conditions. TX-surgical removal of the appendix is necessary and should be done as soon as possible after diagnosis.
clubbing of finger indicates what:
chronic lack of oxygen
Procedures and treatments should be done in the child's hospital room to make them feel more secure. If false, make this statement true.
false-they should be done in the procedure room because you should keep the child's room peaceful and that is their safe zone.
incomplete fracture caused by incomplete ossification most common in children.
green stick fracture
Celiac disease
malabsorption syndrome caused by an immune reaction to gluten
data that the nurse observes
objective data
broken bone penetrates the skin
open (compound) fracture
scoliosis exam
physical exam at the age of 10 or 11 to look for first signs
Intussuception treatment
prolonging tx is dangerous. first 12-24 hrs has a good outcome w/complete recovery. TX includes IV fluids, NPO status, and a diagnostic barium enema. If the enema doesn't reduce the invagination, then abdominal surgery will be performed.
single break in the bone without penetration of the skin
simple or closed fracture
twists around the bone and are associated with child abuse by a wrenching force
spiral fracture
data spoken by the child or family
subjective data
What are s/s of CHF in a child? How is CHF treated?
tachycardia is the first sign-heart beats faster in an attempt to increase the blood flow. failure to gain weight, weakness, fatigue, restlessness, irritability, and a pale, mottled, or cyanotic color. Coughing with bloody sputum, edema and enlargement of the liver and heart may be present.
intussusception
telescoping of one portion of the bowel into a distal portion. Common in kids with CF. common cause of intestinal Obstruction may cause fecal emesis, currant jelly stools
The medication of choice for a pregnant mom who has acne would include any of the following except: •A) Clearasil •B) Retin-A •C) Accutane D) Tetracycline
C) Accutane
S/S of hip dysplasia •A) One leg is shorter than the other •B) Broadening of the buttocks •C) Two skin fold on the back of each thigh •D) Hypotonicity of the leg muscles
A) one leg is shorter than the other
why are infants more prone to otitis media? A) the eustachian tube in the infant is straight, short, and wide. B) the infant is supine or prone most of the time. C) they have increased susceptibility to upper respiratory infections. D) most children do not have acutely developed hearing until the age of 5 years.
A) the eustachian tube in the infant is straight, short, and wide
The nurse would observe a child for frequent swallowing following a T & A because this is indicative of: A) Bleeding from the surgical site. B) Pain at the incision area. C) Sore throat from postnasal drip. D)Potential vomiting.
A)Bleeding from the surgical site.
definitive diagnosis for pneumonia •A) Fever •B) WBC •C) Chest x-ray •D) Bronchoscopy with biopsy
C) Chest x-ray
A child with a platelet disorder should not receive which of the following: •A) Ibuprofen •B) Aspirin •C) Caffeine •D) Prednisone
B) Aspirin they should also avoid A) ibuprofen
What is an indication of bulimia? •A) Extreme weight loss •B) Dental erosion •C) Hyperkalemia •D) Amenorrhea
B) Dental erosion
what medication would you see a person on with congestive heart failure •A) Penicillin •B) Lanoxin •C) Aspirin •D) Acetaminophen
B) Lanoxin (digoxin)
The nurse is caring for a small child who has been admitted with a diagnosis of shaken baby syndrome. Which of the following conditions or concerns often occur with shaken baby syndrome? A) Edema to the arms and legs B) Loss of vision and mental retardation C) Chronic infection and scarring D) Complaints of illness and nightmares
B) Loss of vision and mental retardation
By the age of one an average child's weight should be •A) Doubled •B) Tripled •C) Depends on the child •D) 25% of birth weight
B) Tripled
What is a high priority for the treatment of eating disorders? •A) Behavior modification plan •B) Correct fluid and electrolyte balance •C) Monitor ketones •D) Document fluid intake
B) correct fluid and electrolyte balance MASLOW A) behavior modification plan (treatment therapy in the book)
How would you tell a parent to give their infant oral suspension medication? •A) In a cup •B) In a syringe •C) In food •D) Medication cup
B) in a syringe
Which of the following will be the highest priority for the nurse during the first 12 hours after a cardiac cath. procedure? A) Keeping the head of the bed elevated 45 degrees B) Observing the extremity C) Changing the dressing at least every three hours D) Monitoring for signs of infection
B) observing the extremity
What is Wilm's tumor? The nurse taking care of a child with Wilm's tumor should not do which of the following assessments? •A) Lungs sounds •B) Palpate the abdomen •C) Skin turgor •D) Check reflexes
B) palpate the abdomen
what finding indicates to the nurse a baby is post term? A) scarf sign B) thick cartilage and a stiff Pina C) 3.5 mm breast buds D)flexed positions showing good muscle tone
B) thick ear cartilage and a stiff pina
assessment of a woman recieving magnesium sulfate includes vital signs and what other assessment: A) urine for glucose B)Deep tendon reflexes C)pupils for constriction D)stool for blood
B)Deep tendon reflexes
manifestations of scabies includes: •A) Nits are present •B) Circular rash •C) Rash between fingers or toes •D) Swelling of extremities
C) Rash between fingers or toes
The caregiver of a child with a history of ear infections calls the nurse and reports that her son has just told her his urine "looks funny." He also complains of a headache, and his mother reports that his eyes are puffy. The nurse encourages the mother to have the child seen by the care provider because the nurse suspects the child may have: Make sure you know about each of these disorders. •A) A urinary tract infection •B) Enuresis •C) Acute glomerulonephritis •D) Rheumatic fever
C) acute glomerulonephritis
Neutropenia puts a child at risk for: •A) Altered skin integrity •B) Hemorrhage •C) Infection •D) Falls
C)infection
What type of food could a child with celiac disease consume? •A) Mac and cheese •B) Pork and noodles •C) Chicken and dinner roll •D) Steak and potatoes
D) Steak and Potatoes
The caregivers and the nurse are in the room when the child takes the last breath and dies. Which of the following actions by the nurse would be considered appropriate at this time? Discuss concepts of death at all ages. •A) The nurse walks out of the room and call the nursing supervisor and chaplain. •B) The nurse tells the family that he or she shares in their sadness and cries with them. •C) The nurse maintains his or her professional demeanor and tells the caregivers that a staff person will be in to take the body soon. •D) The nurse consoles the family members by hugging or rubbing their backs and then moves to a corner in the room to cry.
D) the nurse consoles the family members by hugging or rubbing their backs and then moves to a corner in the room to cry.
Glomerulonephritis is associated with a streptococcal infection. If false, make this statement true.
False- can run in the family and the cause is unknown, occurs on its own or as part of another disease like lupus or diabetes.
Osteomyelitis is an inflammation of the bone and is treated with nonsteroidal medications. T or F
False- it is an infection of the bone caused by fungi or bacteria. Antibiotics and antifungals are used for treatment.
Drinking milk with an iron supplement will enhance the absorption. If false, make this statement true.
False-avoid milk or dairy products when taking iron calcium can decrease the amount of iron your body absorbs. you should take with orange juice to help absorb iron and take on an empty stomach.
A child with epiglottis should have a throat culture done to determine if they have strep throat. If false, make this statement true.
False-it can cause laryngospasm and respiratory failure
Gastroesophageal reflux results in projectile vomiting. If false, make this statement true
False-the vomiting is effortless, not projectile in nature.
