Mom/baby test 5 prepu questions

The parents of a child recently diagnosed with atopic dermatitis voice concern to the nurse that their child may develop asthma at some point. How should the nurse respond? "I am not sure why you think a skin disorder would lead to asthma?" "I can understand your concern. We will closely monitor your child for asthma development." "If your child starts having respiratory difficulties, be sure to let your health care provider know." "All children with atopic dermatitis develop both asthma and hay fever, so we will monitor your child for both conditions."

"I can understand your concern. We will closely monitor your child for asthma development."

After teaching a woman about hyperemesis gravidarum and how it differs from the typical nausea and vomiting of pregnancy, which statement by the woman indicates that the teaching was successful? "I can expect the nausea to last through my second trimester." "I should drink fluids with my meals instead of in between them." "I need to avoid strong odors, perfumes, or flavors." "I should lie down after I eat for about 2 hours."

"I need to avoid strong odors, perfumes, or flavors."

The nurse is discussing acne vulgaris with a group of adolescents. The teenagers make the following statements regarding the topic. Which statement is the most accurate regarding acne vulgaris? "My mom says I have acne because I eat too much chocolate." "Sometimes I get acne when I use my sister's makeup." "My next door neighbor told me that acne was caused by a fungus." "There is a new immunization that you can get to keep from having acne."

"Sometimes I get acne when I use my sister's makeup."

A 16-year-old client was at 12 weeks' gestation when she gave birth to a fetus last week. The client has come to the office for follow-up and, while waiting in an examination room, notices that on the schedule is written her name and "follow-up of spontaneous abortion." The client is upset about what is written on the schedule. How can the nurse best explain this terminology? "Spontaneous abortion is the medical name for a miscarriage." "Abortion is a medical term for any interruption of pregnancy before a fetus is viable." "Spontaneous abortion is a more specific term used to describe a spontaneous miscarriage, which is a loss of pregnancy before 20 weeks. This term does not imply that you did anything to affect the pregnancy." "Oh, that just means it was a miscarriage."

"Spontaneous abortion is a more specific term used to describe a spontaneous miscarriage, which is a loss of pregnancy before 20 weeks. This term does not imply that you did anything to affect the pregnancy."

A nurse is caring for a 13-year-old boy with Duchenne muscular dystrophy. He says he feels isolated and that there is no one who understands the challenges of his disease. How should the nurse respond? "You need to remain as active as possible and have a positive attitude." "There are many things that you can do like crafts, computers or art." "There are a lot of kids with the same type of muscular dystrophy you have at the MDA support group." "You have to go to a support group; it will be very helpful."

"There are a lot of kids with the same type of muscular dystrophy you have at the MDA support group."

A child has an order for an erythrocyte sedimentation rate (ESR). The child's mother asks what the purpose of the test is. What is the best response by the nurse? "This is a test to determine if your child has a skin infection." "This test will tell if your child has allergies." "This test will tell if your child has an infection or inflammation somewhere in their body." "This test will tell if your child has a fungus somewhere in their body."

"This test will tell if your child has an infection or inflammation somewhere in their body."

The nurse is providing teaching on ways to maintain skin integrity and prevent infection for the parents of a boy with atopic dermatitis. Which response indicates a need for further teaching? "We should avoid using petroleum jelly." "We should keep his fingernails short and clean." "We should avoid tight clothing and heat." "We need to develop ways to prevent him from scratching."

"We should avoid using petroleum jelly."

A pregnant single mom living alone tells the nurse she is considering getting a cat for her 2-year-old daughter. Which is the best response by the nurse? "The exposure to the cat litter may cause you to need a C-section." "This will cut down on the jealousy for your two-year-old when the baby comes." "If you don't think caring for a cat is too much work, that would be great." "You should wait until after you give birth to obtain the cat for your daughter."

"You should wait until after you give birth to obtain the cat for your daughter."

A nurse has been assigned to assess a pregnant client for placental abruption (abruptio placentae). For which classic manifestation of this condition should the nurse assess? painless bright red vaginal bleeding increased fetal movement "knife-like" abdominal pain with vaginal bleeding generalized vasospasm

"knife-like" abdominal pain with vaginal bleeding

After reviewing a client's history, which factor would the nurse identify as placing her at risk for gestational hypertension? A) Mother had gestational hypertension duringpregnancy. B) Client has a twin sister. C) Sister-in-law had gestational hypertension. D) This is the client's second pregnancy.

) Mother had gestational hypertension duringpregnancy.

The nurse is caring for an infant on the pediatric unit who has a very red rash in the diaper area, with red lesions scattered on the abdomen and thighs. What is the priority nursing intervention? 1. administer griseofulvin with a fatty meal 2. institute contact isolation precautions 3. apply topical antibiotic cream 4. apply topical antifungal cream

4. apply topical antifungal cream

A nurse is caring for a client who has a diagnosis of gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? A. Ceftriaxone (Rocephin) B. Fluconazole (Diflucan) C. Metronidazole (Flagyl) D. Zidovudine (Retrovir)

A

Antiemetics are ordered to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications? Administer the antiemetic before starting chemotherapy Provide the antiemetic as needed (PRN) when nausea and vomiting are reported Use the antiemetic after it is clear that nonpharmacologic methods are not effective Start the antiemetic on a scheduled basis when the chemotherapy begins to cause nausea

Administer the antiemetic before starting chemotherapy

A nurse is providing care to a couple who have experienced intrauterine fetal demise. Which action would be least effective in assisting a couple at this time? Avoid any discussion of the situation with the couple. Allow the couple to spend as much time as they want with their stillborn infant. Give the parents a lock of the infant's hair. Assist the family in making arrangements for their stillborn infant.

Avoid any discussion of the situation with the couple.

A nurse is developing the plan of care for a child who has cerebral palsy. Which o the following actions should the nurse include? A. Structure interventions according to the toddlers chronological age. B. Evaluate the toddlers need for an evaluation of hearing ability. C. Monitor the toddlers pain level routinely using a numeric rating scale D provide total care for daily hygiene activities.

B

A woman with placenta previa is being treated with expectant management. The woman and fetus are stable. The nurse is assessing the woman for possible discharge home. Which statement by the woman would suggest to the nurse that home care might be inappropriate? A) "My mother lives next door and can drive mehere if necessary." B) "I have a toddler and preschooler at homewho need my attention." C) "I know to call my health care provider rightaway if I start to bleed again." D) "I realize the importance of following theinstructions for my care."

B) "I have a toddler and preschooler at homewho need my attention."

A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing the woman closely for possible infection. Which of the following would lead the nurse to suspect that the woman is developing an infection? (Select allthat apply.) A) Fetal bradycardia B) Abdominal tenderness C) Elevated maternal pulse rate D) Decreased C-reactive protein levels E) Cloudy malodorous fluid

B) Abdominal tenderness C) Elevated maternal pulse rate E) Cloudy malodorous fluid

A woman with gestational hypertension experiences a seizure. Which of the following would be the priority? A) Fluid replacement B) Oxygenation C) Control of hypertension D) Delivery of the fetus

B) Oxygenation

The nurse is caring for a child admitted with second-degree (partial-thickness) burns. What is most characteristic of this type of burn? Blisters appear. Skin is red and edematous. Pain is minimal. Muscle damage occurs.

Blisters appear.

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication? A) Urinary output of 20 mL per hour B) Respiratory rate of 10 breaths/minute C) Deep tendons reflexes 2+ D) Difficulty in arousing

C) Deep tendons reflexes 2+

The father of an 8-year-old boy who is receiving radiation therapy is upset that his son has to go through 6 weeks of treatments. He doesn't understand why it takes so long. In explaining the need for radiation over such a long time, what should the nurse mention? Cells are only susceptible to treatment by radiation during certain phases of the cell cycle It is difficult to locate where the cancer cells are in the body, so the entire body must be irradiated Radiation therapy is very weak, and therefore it takes a long time to achieve therapeutic doses Insurance companies typically allow only a short radiation treatment per week, to contain costs

Cells are only susceptible to treatment by radiation during certain phases of the cell cycle

A child is hospitalized with a diagnosis of severe cellulitis. The nurse is preparing the family for discharge. Which instruction is most important for the nurse to convey to the family? Keep follow-up appointments. Perform proper hand hygiene. Complete the prescribed antibiotics. Monitor for signs of worsening condition.

Complete the prescribed antibiotics.

Which assessment finding would lead the nurse to suspect infection as the cause of a client's PROM?A) Yellow-green fluid B) Blue color on Nitrazine testing C) Ferning D) Foul odor

D) Foul odor

A woman is being discharged after receiving treatment for a hydatidiform molar pregnancy. The nurse should include which information in the discharge teaching? Do not become pregnant for at least a year; use contraceptives to prevent it. Have your blood pressure checked weekly in the clinic. RhoGAM must be given within the next month at the clinic. An amniocentesis can detect a recurrence of this disorder in the future.

Do not become pregnant for at least a year; use contraceptives to prevent it.

The nurse receives a report on a child admitted with severe muscular dystrophy. The nurse suspects the child has been diagnosed with the most severe form of the disease, known as: Duchenne. facioscapulohumeral. limb-girdle. myotonia.

Duchenne

A parent is observing a nurse provide care for the parent's 2-year-old toddler who was burned in a house fire. When the nurse is finished, the parent tells the nurse "I cannot believe this has happened. I should have been able to prevent this from happening." What is the best action for the nurse to take? Give the parent a hug. .Tell the parent to be thankful that the child is alive. Encourage the parent to talk more about feelings. Tell the parent he or she could not have prevented the fire

Encourage the parent to talk more about feelings.

What accurately depicts the hemodynamic changes that occur in the body within the first 24 to 48 hours after a burn? Hematocrit and white blood cell (WBC) counts increase. Hemoglobin and white blood cell (WBC) counts decrease. Hematocrit and white blood cell (WBC) counts decrease. Hematocrit increases and white blood cell (WBC) count decreases.

Hematocrit and white blood cell (WBC) counts increase.

The community nurse receives a call from a local day care center. One of the children in the center has been diagnosed with impetigo. Which information related to impetigo will the nurse provide to the day care center? Impetigo is highly contagious and can spread quickly. Impetigo cannot be treated with medication and has to run its course. The facility staff should wear masks until all children and adults are healthy. Impetigo usually develops because of sensitivity to pollens and molds.

Impetigo is highly contagious and can spread quickly.

An infant is born to a mother with gestational diabetes. Which long-term maternal complication is associated with this diagnosis? Increased risk of development of type 2 diabetes Weight gain that is not lost after the pregnancy Development of long-term hypertension Heart disease

Increased risk of development of type 2 diabetes

A pregnant woman who is at approximately 12 weeks' gestation comes to the emergency department after calling her health care provider's office and reporting moderate vaginal bleeding. Assessment reveals cervical dilation and moderately strong abdominal cramps. She reports that she has passed some tissue with the bleeding. The nurse interprets these findings to suggest which of the following? Threatened abortion Inevitable abortion Incomplete abortion Missed abortion

Inevitable abortion

A woman with class II heart disease is experiencing an uneventful pregnancy and is now prescribed bed rest at 36 weeks' gestation by her health care provider. The nurse should point out that this is best accomplished with which position? Lie flat on her back. Stay in high Fowler position. Lie in a semi-recumbent position. Use pillows and wedges to stay in a fully recumbent position.

Lie in a semi-recumbent position.

The nurse is preparing information for a client who has just been diagnosed with gestational diabetes. Which instruction should the nurse prioritize in this information? Maintain a daily blood glucose log Report any signs of possible urinary tract infection Plan daily menus with dietitian Long-term therapy goals

Maintain a daily blood glucose log

Which medication will the nurse anticipate the health care provider will prescribe as treatment for an unruptured ectopic pregnancy? oxytocin promethazine ondansetron methotrexate

Methotrexate

An infant is seen in the emergency department with several raised red welts over the abdomen and lower extremities. The parent states that the symptoms developed suddenly over the past few hours. The infant is fussy and has a low grade temperature. What assessment is most important for the nurse to perform? Observe the infant's respiratory effort. Examine the lips and oral mucosa for cyanosis. Question the parent about methods of punishment. Determine whether the child is breastfed or formula fed.

Observe the infant's respiratory effort.

A nurse is caring for a newborn client who is diagnosed with myelomeningocele. Which nursing intervention would protect the newborn from injury? Place the newborn in a prone or lateral position. Delay the parents from holding the newborn. Place petroleum jelly gauze on the spinal sac to keep it moist. Place a urine collection bag on newborn for the continuous leakage.

Place the newborn in a prone or lateral position.

Which nursing diagnosis is most relevant in the first 12 hours of life for a neonate born with a myelomeningocele? a) Impaired physical mobility b) Delayed growth and development c) Risk for infection d) Constipation

Risk for infection

The nurse is providing care to a neonate whose mother has heroin use disorder. The nurse suspects that the neonate is experiencing neonatal abstinence syndrome based on which finding? hypotonicity sneezing easy consolability vigorous sucking

Sneezing

An infant has presented at the clinic with impetigo. Which organism usually causes impetigo in infants? Staphylococcus aureus Group A beta hemolytic strep Methicillin-resistant Staphylococcus aureus (MRSA) Escherichia coli

Staphylococcus aureus

A 15-year-old adolescent arrives at the office with a report of flu symptoms, including nausea and vomiting and recent weight loss. A pregnancy test is done and is positive. The client begins crying and tells the nurse her mother will be furious with her. What can the nurse do to assist this adolescent at this point? -Support her by respecting her right to privacy and confidentiality. -Contact the mother of the adolescent to be sure the child gets prenatal care. -Tell the adolescent that this is too big of a problem for her to make decisions about and she needs to listen to her mother. -Recommend some adoption agencies for her to talk to in the near future.

Support her by respecting her right to privacy and confidentiality.

The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing action is priority? The nurse soaks the skin with warm water. The nurse applies topical antibiotics to the lesions. The nurse follows contact precautions. The nurse applies elbow restraints to the infant.

The nurse follows contact precautions.

The nurse is caring for a child admitted to the hospital for an open fracture of the femur following a motor vehicle accident. The nurse notes the following lab values: white blood cells 10,000/mm3, hemoglobin 7.9 g/dl (79 g/L), hematocrit 28%, platelets 151,000/mm3. Which nursing action is priority? Ask the child to rate pain on a scale 0 to 10. Administer antibiotics intravenously stat. Transfuse 1 unit of packed red blood cells. Provide the family with preoperative instructions.

Transfuse 1 unit of packed red blood cells.

Hypertonic labor is labor that is characterized by short, irregular contractions without complete relaxation of the uterine wall in between contractions. Hypertonic labor can be caused by an increased sensitivity to oxytocin. What would the nurse do for a client who is in hypertonic labor because of oxytocin augmentation? Increase the oxytocin. Turn off the oxytocin. Increase the methotrexate. Turn off the methotrexate.

Turn off the oxytocin.

The nurse is caring for a child on the burn unit weighing 100 lb (45.5 kg) who has second-degree (partial-thickness) burns over 30% of the body. During the beginning shift assessment, which assessment finding is of most concern to the nurse? Pain at a 7 on a 0 to 10 scale Urine output of 15 ml per hour over the last 4 hours Refused dinner due to nausea Weight gain of 0.9 kg over the last 2 days

Urine output of 15 ml per hour over the last 4 hours

A mother asks the nurse about bathing her child. Which response by the nurse would be most appropriate? Use lukewarm water with a mild soap and allow the child to remain in the tub for a short time to avoid supersaturation. Make sure the water is hot and use a mild soap, letting the child stay in the tub until the water becomes cooled. Use lukewarm water with a mild soap and let the child play in the tub until his skin is supersaturated. Avoid using soap on his skin but keep the water hot to prevent him from becoming chilled.

Use lukewarm water with a mild soap and allow the child to remain in the tub for a short time to avoid supersaturation.

The nurse is caring for a 13-year-old client who asks about acne prevention. Which would be most appropriate for the nurse to suggest? Avoid chocolate and greasy foods. Wash the face with abrasive soaps three times a day. Pop the pimples to make them go away. Wash the face twice a day with a mild soap then pat dry.

Wash the face twice a day with a mild soap then pat dry.

The nurse is caring for a child brought to a pediatric clinic for swelling in the lower extremities. The skin is reddened with undefined borders and pits slightly when pressed. Based on the assessment findings, which of the following would the nurse suspect? cellulitis impetigo staphylococcal scalded skin syndrome (SSSS) cat scratch disease

cellulitis

A nursing instructor is teaching students about fetal presentations during birth. The most common cause for increased incidence of shoulder dystocia is: longer length of labor. increased number of overall pregnancies. increasing birth weight. poor quality of prenatal care.

increasing birth weight.

The nurse is discussing dietary intake with the parents of a 4-year-old child who has been diagnosed with atopic dermatitis. Later, the nurse notes the menu selection made by the parents for the child. Which selection indicates the need for further instruction? peanut butter and jelly sandwich chicken nuggets tomato soup carrot and celery sticks

peanut butter and jelly sandwich

A 40-year-old woman comes to the clinic reporting having missed her period for two months. A pregnancy test is positive. What is she and her fetus at increased risk for? type 2 diabetes mellitus type 1 diabetes mellitus placental abnormalities postterm birth

placental abnormalities

When administering magnesium sulfate to a client with preeclampsia, the nurse explains to her that this drug is given to reduce blood pressure. increase the progress of labor. prevent seizures. lower blood glucose levels

prevent seizures.

The nurse is developing the plan of care for a 3-year-old child diagnosed with atopic dermatitis. Which client outcomes are common focuses for a child with this diagnosis? Select all that apply. pain management promotion of skin hydration maintenance of skin integrity reduction in anxiety prevention of infection

promotion of skin hydration maintenance of skin integrity prevention of infection

The nurse is teaching a pregnant woman with iron deficiency anemia about foods high in iron. Which foods if selected by the woman indicate a successful teaching program? Select all that apply. raisins potatoes corn broccoli peanut butter yogurt

raisins broccoli peanut butter

A nurse is caring for a pregnant client who is HIV positive. What is a priority issue that the nurse should discuss with the client? the client's relationship with the spouse the amount of physical contact that should occur with the infant the client's plan for future pregnancies the need for the client to avoid breastfeeding

the need for the client to avoid breastfeeding

A pregnant woman in her second trimester comes to the prenatal clinic for a routine visit. She reports that she has a new kitten. The nurse would have the woman evaluated for which infection? cytomegalovirus parvovirus B19 toxoplasmosis herpes simplex virus

toxoplasmosis

A group of nursing students are reviewing information about atopic dermatitis. Which answers indicate that the students understand the information? Select all that apply. a) The disorder is chronic with periods of remissions. b) Scratching initiates the reaction, which then becomes pruritic. c) Changes in temperature can contribute to flare-ups. d) Excessively humid environments often lessen the severity of the reaction. e) The reaction occurs in response to specific allergens.

• The disorder is chronic with periods of remissions .• The reaction occurs in response to specific allergens. • Changes in temperature can contribute to flare-ups.

The nurse is interviewing the mother of a 6-month-old being seen at a well-child visit. The mother reports she has used an over-the-counter topical ointment intended for adults on her child for a skin rash. What is the most appropriate response by the nurse? "This is dangerous so please do not do this again." "Why did you do that instead of contacting your doctor?" "Children have thin skin and can absorb medications differently than adults." "How often do you use this medication?"

"Children have thin skin and can absorb medications differently than adults."

A mother brings her 2-year-old son to the clinic with a bumpy rash. Which statement by the mother would lead the nurse to suspect that the child may have atopic dermatitis? a) "We just had him to the barber for his first haircut." b) "He just started swim lessons at the YMCA." c) "I feel so bad for him because he has asthma, and now he gets this rash." d) "It started as a flat red rash in between his legs."

"I feel so bad for him because he has asthma, and now he gets this rash."

The nurse is preparing a child for discharge following a sickle cell crisis. Which statement by the mother indicates a need for further teaching? "She loves popsicles, so I'll let her have them as a snack or for dessert." "I bought the medication to give to her when she says she is in pain." "She has been down, but playing in soccer camp will cheer her up." "I put her legs up on pillows when her knees start to hurt."

"She has been down, but playing in soccer camp will cheer her up."

A client is 33 weeks' pregnant and has had diabetes since age 21. When checking her fasting blood glucose level, which value would indicate the client's disease is controlled? 45 mg/dl 85 mg/dl 120 mg/dl 136 mg/dl

85

At 24 weeks' gestation, a client's 1-hour glucose tolerance test is elevated. The nurse explains that, based on this finding, the client will need to take which action? A 3-hour glucose tolerance test for follow-up Daily insulin injections for gestational diabetes Monthly hemoglobin A1C levels to rule out diabetes Daily fingersticks for a fasting blood glucose level

A 3-hour glucose tolerance test for follow-up

A nurse suspects that a pregnant client may be experiencing abruption placenta based on assessment of which of the following? (Selectall that apply.) A) Dark red vaginal bleeding B) Insidious onset C) Absence of pain D) Rigid uterus E) Absent fetal heart tones

A) Dark red vaginal bleeding D) Rigid uterus E) Absent fetal heart tones

A nurse on the obstetrical unit is admitting a client who is in labor. The client has a positive HIV status. The nurse is aware that which of the following is contraindicated for this client? (Select all that apply.) A. Episiotomy B. Vacuum extraction C. Forceps D. Cesarean birth E. Internal fetal monitoring

A, B, C, E

A nurse is caring for a client who is in labor. The nurse is aware that which of the following conditions have medications that can be prescribed as prophylactic treatment during labor or immediately following delivery? (Select all that apply.) A. Gonorrhea B. Chlamydia C. HIV D. Group B Streptococcus ß-hemolytic E. TORCH

A,B,C,D

The nurse is caring for a child with a second-degree (partial-thickness) burn. What assessment findings would the nurse expect to observe? Edema with wet blistering skin Reddened and leathery skin Edema with dry or waxy-looking skin Peeling skin with eschar

Edema with wet blistering skin

The nurse is teaching a health and wellness course to young women of childbearing age. Which vitamin will the nurse encourage all to take daily? a) Folic acid b) Niacin c) Ascorbic acid d) Calcium

Folic acid

The nurse explains to a pregnant client that she will need to take iron during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse suggests that absorption of the supplemental iron can be increased by taking it with which substance? meals high in iron milk legumes orange juice

Orange Juice

Parents of a preschooler with cerebral palsy ask the nurse what the surgeon plans to implant in their child's body to control spasticity. What is the nurse's answer? a) Vagal nerve stimulator b) Baclofen pump c) Central venous catheter d) Botulinum toxin

b) Baclofen pump

The nurse is obtaining a health history on a woman of child-bearing age who wants to become pregnant. What information in her health history places her at high-risk for having a child with a myelomeningocele? a) History of a previous abdominal surgery. b) History of asthma taking montelukast. c) History of scoliosis. d) History of a seizure disorder and taking phenobarbital

d) History of a seizure disorder and taking phenobarbital

A nurse informs a pregnant woman with cardiac disease that she will need two rest periods each day and a full night's sleep. The nurse further instructs the client that which position for this rest is best? right lateral recumbent left lateral recumbent on her back prone

left lateral recumbent

What would be the physiologic basis for a placenta previa? a loose placental implantation low placental implantation a placenta with multiple lobes a uterus with a midseptum

low placental implantation

A 17-year-old client comes to the clinic because of irregular menstrual bleeding and facial acne. The client is overweight, despite exercising daily, and has excessive hair growth on the chin and abdomen. The nurse explains to the client that blood will be drawn for which purposes? Select all that apply. to screen for insulin resistance to obtain fasting cholesterol levels to rule out pregnancy to screen for hypertension to measure androgen level

to screen for insulin resistance to obtain fasting cholesterol levels to measure androgen level

A nursing instructor is teaching students about preexisting illnesses and how they can complicate a pregnancy. The instructor recognizes a need for further education when one of the students makes which statement? "A pregnant woman with a chronic condition can put herself at risk." "A pregnant woman with a chronic illness can put the fetus at risk." "A pregnant woman does not have to worry about contracting new illnesses during pregnancy." "A pregnant woman needs to be careful of and cautious about accidents and illnesses during her pregnancy."

"A pregnant woman does not have to worry about contracting new illnesses during pregnancy."

The nurse is caring for a 10-year-old boy who plays on two soccer teams. He practices four days a week and his team travels to tournaments once a month. He has been diagnosed with a stress fracture in one of his vertebrae. Which instruction is most important to emphasize to the boy and his parents? "You and your coaches need to understand that you cannot play soccer for at least six weeks." "Ice will help reduce the inflammation." "You will need to see a physical therapist for stretching and strengthening exercises." "NSAIDs can help with pain control and inflammation."

"You and your coaches need to understand that you cannot play soccer for at least six weeks."

A woman is going to have labor induced with oxytocin. Which statement reflects the induction technique the nurse anticipates the primary care provider will prescribe? Administer oxytocin in a 20 cc bolus of saline. Administer oxytocin in two divided intramuscular sites. Administer oxytocin diluted in the main intravenous fluid. Administer oxytocin diluted as a "piggyback" infusion

Administer oxytocin diluted as a "piggyback" infusion

A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The nurse is monitoring the woman's serum magnesium levels. Which level would the nurse identify as therapeutic? A) 3.3 mEq/L B) 6.1 mEq/L C) 8.4 mEq/L D) 10.8 mEq/L

B) 6.1 mEq/L

The nurse is reviewing the laboratory test results of a pregnant client. Which one of the following findings would alert the nurse to the development of HELLP syndrome? A) Hyperglycemia B) Elevated platelet count C) Leukocytosis D) Elevated liver enzymes

D) Elevated liver enzymes

A young child has just been admitted to the emergency department with a burn that encompasses the epidermis and the underlying dermis. From which type of burn does this child suffer? First-degree or superficial burn Second-degree or partial-thickness burn Third-degree or full-thickness burn Fourth-degree or fat-layer burn

Second-degree or partial-thickness burn

The nurse is caring for a 7-year-old with burns. Which finding would be highly suggestive of a burn induced by child abuse (child maltreatment)? stocking-glove pattern on hands or feet splash patterns nonuniform pattern spattering pattern

stocking-glove pattern on hands or feet

A 26-year-old primigravida has brought her doula to the birthing center for support during her labor and birth. The doula has been helping her through the past 16 hours of labor. The laboring woman is now 6 cm dilated. She continues to report severe pain in her back with each contraction. The client finds it comforting when her doula uses the ball of her hand to put counterpressure on her lower back. What is the likely cause of the woman's back pain? Breech presentation Fetal macrosomia Occiput posterior position Nongynecoid pelvis

Occiput posterior position

A 5-year-old client has been diagnosed with leukemia and is currently on chemotherapy and radiation. The child is having difficulty due to mucositis. Which is the most appropriate nursing diagnosis for this child? Pain due to neoplastic process in bone Disturbed body image related to loss of hair after chemotherapy Compromised family coping related to long-term chemotherapy regimen Risk for imbalanced nutrition, less than body requirements, related to inflammation

Risk for imbalanced nutrition, less than body requirements, related to inflammation

A nurse is caring for a pregnant client with heart disease in a labor unit. Which intervention is most important in the first 48 hours postpartum? limiting sodium intake inspecting the extremities for edema ensuring that the client consumes a high fiber diet assessing for cardiac decompensation

assessing for cardiac decompensation

A pregnant woman in her 39th week of pregnancy presents to the clinic with a vaginal infection. She tests positive for chlamydia. What would this disease make her infant at risk for? deafness blindness neonatal laryngeal papillomas chickenpox

blindness

A fetus is experiencing shoulder dystocia during birth. The nurse would place priority on performing which fetal assessment postbirth? extensive lacerations monitor for a cardiac anomaly assess for cleft palate brachial plexus assessment

brachial plexus assessment

The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children that involves honey-colored crusted lesions. The nurse most likely is referring to: seborrheic dermatitis. miliaria rubra (heat rash). candidiasis. impetigo.

impetigo.

A primigravida 21-year-old client at 24 weeks' gestation has a 2-year history of HIV. As the nurse explains the various options for delivery, which factor should the nurse point out will influence the decision for a vaginal birth? the viral load amniocentesis results at 34 weeks' gestation the mother's age prophylactic antiretroviral therapy (ART) to the infant at birth

the viral load

A primigravida 28-year-old client is noted to have Rh negative blood and her husband is noted to be Rh positive. The nurse should prepare to administer RhoGAM after which diagnostic procedure? Contraction test Nonstress test Biophysical profile Amniocentesis

Biophysical profile

The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children. Which of the following disorders is the nurse most likely referring to? a) Candidiasis b) Seborrheic dermatitis c) Impetigo d) Miliaria rubra

Impetigo

A pregnant woman has been admitted to the hospital due to preeclampsia with severe features. Which measure will be important for the nurse to include in the care plan? Institute and maintain seizure precautions. Institute NPO status. Admit the client to the middle of ICU where she can be constantly monitored. Plan for immediate induction of labor.

Institute and maintain seizure precautions.

The nurse learns that the child has been admitted with clinical manifestations associated with cholinergic crisis. Which of the following findings is associated with this condition? Select all that apply. a) The child's apical heart rate is 52 beats per minute b) The child is drooling excessively c) The child exhibits diaphoresis d) The child is complaining that his muscles are very weak e) The child's blood pressure is 172/94

• The child exhibits diaphoresis • The child's apical heart rate is 52 beats per minute • The child is complaining that his muscles are very weak • The child is drooling excessively

The nurse is caring for a child recently fitted with braces on both legs due to cerebral palsy (CP). What would the nurse emphasize in the discharge teaching? "Check the skin that is covered by the braces for redness and breakdown." "It is very important to comply with the use of this brace." "Please try and follow the therapist's on and off schedule." "If the brace is painful, feel free to take it off."

"Check the skin that is covered by the braces for redness and breakdown."

The nurse is evaluating the parents' understanding of atopic dermatitis. Which statement shows their understanding? "Atopic dermatitis turns to asthma later in life." "Hydrocortisone cream may lead to kidney disease." "Flare-ups of lesions are not uncommon following therapy." "Atopic dermatitis follows a streptococcal infection."

"Flare-ups of lesions are not uncommon following therapy."

A nurse is providing instructions for home cast care. Which response by the parent indicates a need for further teaching? "We must avoid causing depressions in the cast." "Pale, cool, or blue skin coloration is to be expected." "The casted arm must be kept still." "We need be aware of odor or drainage from the cast."

"Pale, cool, or blue skin coloration is to be expected."

Which bathing technique demonstrates the nurse's correct knowledge when performing this intervention? A child should be bathed in lukewarm water with a mild soap and remain in the tub for a short time to avoid supersaturation. A child should be bathed in hot water with a mild soap and should remain in the tub for a short time to avoid supersaturation. A child should be bathed in lukewarm water with a mild soap and remain in the tub for a long period of time to achieve supersaturation. A child should have a bath in hot water with no soap to avoid irritation; the bath should last a short time to avoid supersaturation.

A child should be bathed in lukewarm water with a mild soap and remain in the tub for a short time to avoid supersaturation.

The nurse is caring for a child with burns in a pediatric hospital. What would be an appropriate nursing diagnosis for this client? a) Knowledge deficit related to daily care procedures in the acute care setting b) Acute pain related to thermal injuries and procedures c) Risk for fluid volume overload related to thermal injuries d) Risk for aspiration related to effects of medication

Acute pain related to thermal injuries and procedures

A nurse is caring for a child with second- and third-degree (partial- and full-thickness) burns over 15% of the body. The child reports severe itching in and around the burn sites. Which action would be most appropriate for the nurse to perform? Administer diphenhydramine. Turn the child every 2 hours. Soak the child in a colloidal bath. Provide diversional activities.

Administer diphenhydramine.

A nurse is teaching a pregnant woman with preterm premature rupture of membranes who is about to be discharged home about caring for herself. Which statement by the woman indicates a need for additional teaching? A) "I need to keep a close eye on how active mybaby is each day." B) "I need to call my doctor if my temperatureincreases." C) "It's okay for my husband and me to havesexual intercourse." D) "I can shower but I shouldn't take a tub bath."

C) "It's okay for my husband and me to havesexual intercourse."

A child is born with clubfoot (congenital talipes equinovarus). The child later receives a cast on the affected leg to correct the problem. Which measure should the nurse mention to the mother to ensure good circulation in the affected leg? Check the infant's toes for coldness or blueness. Change the infant's diapers frequently. Perform passive foot exercises. Apply Denis Browne splints to the infant each night.

Check the infant's toes for coldness or blueness.

A woman in her 20s has experienced a spontaneous abortion (miscarriage) at 10 weeks' gestation and asks the nurse at the hospital what went wrong. She is concerned that she did something that caused her to lose her baby. The nurse can reassure the woman by explaining that the most common cause of miscarriage in the first trimester is related to which factor? Exposure to chemicals or radiation Advanced maternal age Chromosomal defects in the fetus Faulty implantation

Chromosomal defects in the fetus

Which nursing diagnosis will the nurse prepare for the infant who is placed prone to protect the myelomeningocele repair site? a) Risk for impaired skin integrity b) Disorganized infant behavior c) Peripheral neurovascular dysfunction d) Risk for activity intolerance

a) Risk for impaired skin integrity

Which condition would alert the nurse that a child may be suffering from muscular dystrophy? a) Hyperactive lower extremity reflexes b) Hypertonia of extremities c) Increased lumbar lordosis d) Upper extremity spasticity

c) Increased lumbar lordosis

An infant has been born and diagnosed with a meningocele. Which action will the nurse incorporate into each contact with this infant? inspection of the cystic sac on the child's back for leakage auscultation for bowel sounds listening for a shrill cry careful supine positioning

inspection of the cystic sac on the child's back for leakage

The nurse admits a child who has sustained a severe burn. The child's immunizations are up to date. Which immunization would the child most likely be given at this time? hepatitis A vaccine hepatitis B vaccine tetanus toxoid vaccine Haemophilus influenzae type B vaccine

tetanus toxoid vaccine

The nurse has completed client teaching with a 16-year-old female who has been prescribed isotretinoin for cystic acne. Which statements indicate learning has occurred? Select all that apply. "If I am sexually active I need to let my doctor know." "As long as I use two forms of birth control I don't need to have monthly pregnancy testing." "I am young so I won't need to have the liver tests the pamphlet suggests." "This is not a drug to be used for all forms of acne. My sister has minor acne so I told her this wasn't for her." "It's important I get my CBC blood test when my doctor orders it."

"If I am sexually active I need to let my doctor know." "This is not a drug to be used for all forms of acne. My sister has minor acne so I told her this wasn't for her." "It's important I get my CBC blood test when my doctor orders it."

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia? "A family's economic problems are often a cause of malnutrition." "Milk is a perfect food, and babies should be able to have all the milk they want." "Caregivers sometimes don't understand the importance of iron and proper nutrition." "Children have a hard time getting enough iron from food during their first few years."

"Milk is a perfect food, and babies should be able to have all the milk they want."

Which postoperative intervention should a nurse perform when caring for a client who has undergone a cesarean birth? Assess uterine tone to determine fundal firmness. Delay breastfeeding the newborn for a day. Ensure that the client does not cough or breathe deeply. Avoid early ambulation to prevent respiratory problems.

Assess uterine tone to determine fundal firmness.

Which of the following data on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy? A) Use of oral contraceptives for 5 years B) Ovarian cyst 2 years ago C) Recurrent pelvic infections D) Heavy, irregular menses

C) Recurrent pelvic infections

Based on knowledge of the progression of muscular dystrophy, which activity would a nurse anticipate the client having difficulty with first? breathing sitting standing swallowing

Standing

A young mother gives birth to twin boys who shared the same placenta. What serious complication are they at risk for? Twin-to-twin transfusion syndrome (TTTS) HELLP syndrome TORCH syndrome ABO incompatibility

Twin-to-twin transfusion syndrome (TTTS)

A 13-year-old adolescent is being treated for scoliosis with a brace. During the first follow-up appointment after the brace was initiated, which statement by the adolescent indicates the need for further instruction? "I check my brace daily to make sure there is no damage or change to it." "I leave my brace on for gym at school." "When I get home from school, I look forward to taking off my brace for a few hours before I go to bed." "I wear a t-shirt under my brace."

When I get home from school, I look forward to taking off my brace for a few hours before I go to bed."

A client at 37 weeks' gestation presents to the emergency department with a BP 150/108 mm Hg, 1+ pedal edema, 1+ proteinuria, and normal deep tendon reflexes. Which assessment should the nurse prioritize as the client is administered magnesium sulfate IV? urine protein ability to sleep hemoglobin respiratory rate

respiratory

A nurse is assessing a 6-month-old girl with an integumentary disorder. The nurse notes three virtually identically sized, round red circles with scaling that are symmetrically spaced on both of the girl's inner thighs. What should the nurse ask the mother? "Has she been exposed to poison ivy?" "Does she wear sleepers with metal snaps?" "Do you change her diapers regularly?" "Tell me about your family history of allergies."

"Does she wear sleepers with metal snaps?

The parents of a child diagnosed with atopic dermatitis ask the nurse, "My child has a skin disorder. I don't understand why a complete blood count (CBC) was ordered?" What is the appropriate response by the nurse? "Eosinophils are a type of white blood cell that are often elevated with atopic dermatitis. These are part of the CBC and helps in making the diagnosis." "The complete blood count is a routine test used anytime there is an abnormal condition in the body." "This test will help in determining the type of bacteria that is causing this infection." "This is just another tool to help rule out any other disorders that can be causing this skin disorder. There will be other lab tests ordered as well."

"Eosinophils are a type of white blood cell that are often elevated with atopic dermatitis. These are part of the CBC and helps in making the diagnosis."

The school nurse has completed an educational program on first aid practices in the home. Which statement about burn care by a participant would indicate a need for further education? "I guess my mom was right; she always put ice on our burns when we were kids." "If my child has a superficial burn, I will run cool water over it." "Mild soap can be used to clean a superficial burn." "For a superficial burn, I can cover it with a clean nonadherent dressing."

"I guess my mom was right; she always put ice on our burns when we were kids."

The parents of a 6-year-old child with idiopathic thrombocytopenic purpura (ITP) ask the nurse conducting an assessment of the child what causes the disease. What is the nurse's best response? "ITP is primarily an autoimmune disease in which the immune system attacks and destroys the body's own platelets, for an unknown reason." "ITP is a serious bleeding disorder characterized by a decreased, absent, or dysfunctional procoagulant factor." "ITP occurs when the body's iron stores are depleted due to rapid physical growth, inadequate iron intake, inadequate iron absorption, or loss of blood." "ITP is characterized by the loss of surface area on the red blood cell membrane."

"ITP is primarily an autoimmune disease in which the immune system attacks and destroys the body's own platelets, for an unknown reason."

A young child with Duchenne muscular dystrophy is placed on both prednisone and calcium. Parents view these two medications as rather "common" and question their importance for the child. What explanation by the nurse will be most helpful to the parents? a) "Prednisone will help protect his vulnerable respiratory tract from developing reactive airway disease. Calcium is needed to guard against muscle cramping." b) "Prednisone will stimulate weight gain and appetite. Calcium is needed to ensure adequate supplies for the development of permanent teeth." c) "Prednisone helps to keep muscle fibers strong and delays progression of the disease. Calcium protects against osteoporosis caused by both prednisone and lack of weight bearing." d) "Prednisone will protect against nerve inflammation in his hips and legs. Calcium is necessary should dietary intake be insufficient to meet growth needs."

"Prednisone helps to keep muscle fibers strong and delays progression of the disease. Calcium protects against osteoporosis caused by both prednisone and lack of weight bearing."

An adolescent with atopic dermatitis reports interest in using herbal preparations to help manage the condition. What response(s) is appropriate? Select all that apply. "Sage is useful in reducing skin irritation." "Some people find the use of chamomile beneficial in managing this condition." "Aloe is beneficial in reducing the itching associated with dermatitis." "Evening primrose oil can be used for dermatitis." "Lavender oil can be used to reduce inflammation."

"Some people find the use of chamomile beneficial in managing this condition." "Evening primrose oil can be used for dermatitis."

A parent expresses a concern about white scales that have begun to flake off the 1-week-old infant's scalp. The parent asks, "What can I do to prevent this?" Which response by the nurse would be most appropriate? -"Your child most likely has infantile seborrheic dermatitis, or cradle cap. You can care for it by cleansing the hair and scalp daily with baby shampoo. You can also apply baby oil to the area for 10 to 15 minutes and then rinse away the flakes." -"Your child most likely has dandruff. You can treat it with daily with antiseborrheic shampoo, like Head and Shoulders." -"How often do you bathe your infant? The infant should have a thorough shampooing every day to prevent things like this." -"Your child most likely has infantile seborrheic dermatitis, or cradle cap. There is no intervention needed and it should resolve in 1 week."

"Your child most likely has infantile seborrheic dermatitis, or cradle cap. You can care for it by cleansing the hair and scalp daily with baby shampoo. You can also apply baby oil to the area for 10 to 15 minutes and then rinse away the flakes."

The young girl has been prescribed corticosteroids for dermatomyositis. Which statements by her mother indicates the need for further education? Select all that apply .a) "She's got to take this medication to help with the calcium deposits that can form. "b) "We are taking her to Disney in the summer." c) "She might recover completely from this condition." d) "The physician said when it's time for her to stop taking this medication; he will gradually start reducing her dose." e) "I give it to her first thing in the morning before breakfast."

"b) "We are taking her to Disney in the summer." e) "I give it to her first thing in the morning before breakfast

The nurse is caring for a child with burns in a pediatric hospital. What would be an appropriate nursing diagnosis for this client? Knowledge deficit related to daily care procedures in the acute care setting Risk for fluid volume overload related to thermal injuries Acute pain related to thermal injuries and procedures Risk for aspiration related to effects of medication

Acute pain related to thermal injuries and procedures

A nurse is caring for an infant with a meningocele. Which finding alerts the nurse that the lesion is increasing in size? a) Increasing ICP b) Leaking cerebrospinal fluid c) Increasing head circumference d) Constipation and bladder dysfunction

Constipation and bladder dysfunction

A nurse is caring for an infant who has myelomeningocele. Which of the following actions should the nurse include in the postoperative plan of care? A assist the caregiver with cuddling the infant B assess the infants temperature rectally C Place the infant in supine position D. Apply a sterile moist dressing on the sac.

D

Which of the following findings on a prenatal visit at 10 weeks might lead the nurse to suspect a hydatidiform mole? A) Complaint of frequent mild nausea B) Blood pressure of 120/84 mm Hg C) History of bright red spotting 6 weeks ago D) Fundal height measurement of 18 cm

D

The nurse is caring for a child who fractured the arm in an accident. A cast has been applied to the child's right arm. Which action(s) should the nurse implement? Select all that apply. Document any signs of pain. Check capillary refill time in the both arms. Monitor the color of the nail beds in the right hand. Wear a protective gown when moving the child's arm. Wear sterile gloves when removing or touching the cast.

Document any signs of pain. Check capillary refill time in the both arms. Monitor the color of the nail beds in the right hand.

A 28-year-old client with a history of endometriosis presents to the emergency department with severe abdominal pain and nausea and vomiting. The client also reports her periods are irregular with the last one being 2 months ago. The nurse prepares to assess for which possible cause for this client's complaints? Healthy pregnancy Ectopic pregnancy Molar pregnancy Placenta previa

Ectopic pregnancy

A woman presents at Labor and Delivery very upset. She reports that she has not felt her baby moving for the last 6 hours. The nurse listens for a fetal heart rate and cannot find a heartbeat. An ultrasound confirms fetal death and labor induction is started. What intervention by the nurse would be appropriate for this mother at this time? Explain to her that there was probably something wrong with the infant and that is why it died. Offer to take pictures and footprints of the infant once it is delivered. Call the hospital chaplain to talk to the parents. Recommend that she not hold the infant after it is delivered so as to not upset her more.

Offer to take pictures and footprints of the infant once it is delivered.

The nurse is preparing to teach a pregnant client with iron deficiency anemia about the various iron-rich foods to include in her diet. Which food should the nurse point out will help increase the absorption of her iron supplement? Dried apples Fortified grains Dried beans Orange juice

Orange Juice

A nurse completes an assessment on an 8-month-old infant seen in the pediatrician's office for a well-child visit. The nurse notes that the infant's buttocks, perineum and inner thighs are covered in a thick coating of white ointment. When questioned, the parent says the infant has a diaper rash and the ointment is to protect the infant's skin. What is the best action for the nurse to take? Commend the parent on addressing the infant's diaper rash. Explain that frequent diaper changes will prevent diaper rash. Tell the parent that he or she has used too much ointment. Provide instruction on how to care for a diaper rash.

Provide instruction on how to care for a diaper rash.

At 31 weeks' gestation, a 37-year-old woman with a history of preterm birth reports cramps, vaginal pain, and low, dull backache accompanied by vaginal discharge and bleeding. Assessment reveals cervix 2.1 cm long; fetal fibronectin in cervical secretions, and cervix dilated 3 to 4 cm. Which interactions should the nurse prepare to assist with? bed rest and hydration at home hospitalization, tocolytic, and corticosteroids an emergency cesarean birth careful monitoring of fetal movement (kick) counts

hospitalization, tocolytic, and corticosteroids

A 44-year-old client has lost several pregnancies over the last 10 years. For the past 3 months, she has had fatigue, nausea, and vomiting. She visits the clinic and takes a pregnancy test; the results are positive. Physical examination confirms a uterus enlarged to 13 weeks' gestation; fetal heart tones are heard. Ultrasound reveals that the client is experiencing some bleeding. Considering the client's prenatal history and age, what does the nurse recognize as the greatest risk for the client at this time? premature birth hypertension spontaneous abortion (miscarriage) preterm labor

spontaneous abortion (miscarriage)

A pregnant woman has arrived to the office reporting vaginal bleeding. Which finding during the assessment would lead the nurse to suspect an inevitable spontaneous abortion (miscarriage)? strong abdominal cramping slight vaginal bleeding closed cervical os no passage of fetal tissue

strong abdominal cramping

The nurse is teaching a client with gestational diabetes about complications that can occur either following birth or during the birth for the infant. Which statement by the mother indicates that further teaching is needed by the nurse? "My baby may be very large and I may need a cesarean birth to have him." "If my blood sugars are elevated, my baby's lungs will mature faster, which is good." "Beginning at 28 weeks' gestation, I will start counting with my baby's movements every day." "I may need an amniocentesis during the third trimester to see if my baby's lungs are ready to be born."

"If my blood sugars are elevated, my baby's lungs will mature faster, which is good."

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with sickle cell disease. The nurses in the group make the following statements. Which statement is most accurate regarding this condition? "The trait or the disease is seen in one generation and skips the next generation." "If the trait is inherited from both parents the child will have the disease." "The disease is most often seen in individuals of Asian decent." "Males are much more likely to have the disease than females."

"If the trait is inherited from both parents the child will have the disease."

The nurse is reinforcing teaching with a group of caregivers of children diagnosed with iron-deficiency anemia. One of the caregivers tells the group, "I give my child ferrous sulfate." Which statement made by the caregivers is correct regarding giving ferrous sulfate? "When I give my son ferrous sulfate I know he also needs potassium supplements." "I always give the ferrous sulfate with meals." "My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vitamin C." "We watch closely for any diarrhea since that usually happens when he takes ferrous sulfate."

"My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vitamin C."

A client with a history of cervical insufficiency is seen for reports of pink-tinged discharge and pelvic pressure. The primary care provider decides to perform a cervical cerclage. The nurse teaches the client about the procedure. Which client response indicates that the teaching has been effective? "Staples are put in the cervix to prevent it from dilating." "The cervix is glued shut so no amniotic fluid can escape." "Purse-string sutures are placed in the cervix to prevent it from dilating." "A cervical cap is placed so no amniotic fluid can escape."

"Purse-string sutures are placed in the cervix to prevent it from dilating.

A 9-year-old child with leukemia is scheduled to undergo an allogeneic hematopoietic stem cell transplant. When teaching the child and parents, what information would the nurse include? "We'll need to have a match to a donor." "The risk for rejection is much less with this type of transplant." "You won't need to receive the high doses of chemotherapy before the transplant." "You'll need to have an incision in your hip area to instill the cells."

"We'll need to have a match to a donor."

A 16-year-old male who diagnosed with tinea pedis questions the nurse about how he may have contracted the condition. How should the nurse respond? a) "It is unlikely you will be able to determine the cause of the infection." b) "You may have gotten the condition from a community shower or gym area." c) "You likely had an infection in another area of your body and it has spread." d) "This condition is common in individuals with lowered immunity."

"You may have gotten the condition from a community shower or gym area."

A woman with diabetes is in labor. To promote optimal outcomes for the mother and neonate, the nurse monitors the client's blood glucose level closely ensuring that it is maintained below which level? 110 mg/dl 150 mg/dl 130 mg/dl 120 mg/dl

110

A woman at 26 weeks' gestation is undergoing screening for diabetes with a 1-hour oral glucose challenge test. On the client's return visit, the nurse anticipates the need to schedule a 3-hour glucose challenge test based on which result of the previous test? 100 mg/dl (5.55 mmol/L) 114 mg/dL (6.33 mmol/L) 130 mg/dL (7.21 mmol/L) 146 mg/dL (8.10 mmol/L)

146

The nurse is caring for a 2-year-old child who experienced burns to the left upper arm, left thigh, left leg, head, and neck. The nurse calculates this to represent what percentage of total body surface area (BSA) burned? Record your answer using one decimal place.

34.5%

A pregnant woman with diabetes is having a glycosylated hemoglobin (HgbA1C) level drawn. Which result would require the nurse to revise the client's plan of care? 5.5% 6.0% 7% 8.5%

8.5

A nuyrse is caring for a child who has cerebral palsy. Which of the following medications should the nurse expect to administer to treat painful muscle spasms? A. Baclofen B. Diazepam C Oxybutynin D. Methotrexate E. Prednisone

A Baclofen B Diazepam

The nurse is caring for a 2-year-old boy with a burn. What finding would warrant referral to a burn unit? a chemical burn a superficial or first-degree burn on the hand a superficial or first-degree burn on the chest a superficial or first-degree burn on the upper arm

A Chemical burn

Which assessment finding by the nurse would warrant immediate action? A child with impetigo has honey-colored drainage noted on the skin area. A child with periorbital cellulitis reports changes in vision and pain with eye movement. A child has a red, warm, edematous area over an old spider bite. A child with cellulitis has a temporal temperature of 101°F (38.3°C).

A child with periorbital cellulitis reports changes in vision and pain with eye movement.

Which of the following would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia? A) Calcium gluconate B) Potassium chloride C) Ferrous sulfate D) Calcium carbonate

A) Calcium gluconate

In a woman who is suspected of having a ruptured ectopic pregnancy, the nurse would expect to assess for which of the following as a priority? A) Hemorrhage B) Jaundice C) Edema D) Infection

A) Hemorrhage

After teaching a group of nursing students about the possible causes of spontaneous abortion, the instructor determines that the teaching was successful when the students identify which of the following as the most common cause of first trimester abortions? A) Maternal disease B) Cervical insufficiency C) Fetal genetic abnormalities D) Uterine fibroids

C) Fetal genetic abnormalities

The nurse is collecting data on a child with a diagnosis of atopic dermatitis. While interviewing the caregiver, the nurse will direct questions to the caregiver recognizing that which common allergens are involved in eczema? Select all that apply. a) Eggs b) Nylon c) Cotton d) Animal dander e) Oatmeal f) Cow's milk

Cow's milk• Animal dander• Nylon

Which of the following findings would the nurse interpret as suggesting a diagnosis of gestational trophoblastic disease? A) Elevated hCG levels, enlarged abdomen,quickening B) Vaginal bleeding, absence of FHR, decreasedhPL levels C) Visible fetal skeleton on ultrasound, absenceof quickening, enlarged abdomen D) Gestational hypertension, hyperemesisgravidarum, absence of FHR

D) Gestational hypertension, hyperemesisgravidarum, absence of FHR

The nurse is observing a 3-year-old boy who is sitting and playing in the waiting area of his pediatrician's office. The nurse calls the boy and his mother back for the boy's appointment. The boy rolls onto his stomach and pushes himself to his knees. Then he presses his hands against his ankles, knees, and thighs, walking up the front of his body, to stand. Which condition should the nurse suspect in this client? Duchenne muscular dystrophy Facioscapulohumeral muscular dystrophy Congenital myotonic dystrophy Juvenile arthritis

Duchenne muscular dystrophy

A 30-month-old child has been discharged from the hospital after receiving treatment for second-degree (partial-thickness) burns over 6% of the body. One week later, the parent calls the nurse to say that the child has been drinking from a cup for one year, but is now constantly pulling at the mother's breast trying to nurse and refuses to drink from a cup. What is the best way for the nurse respond? Make an appointment for the parent to bring the child to the clinic for evaluation. Explain that children who have had a serious injury sometimes exhibit regressive behavior. Tell the parent to allow the child to nurse as much as the child wants. Encourage the parent to explain to the child that he or she must drink from the cup.

Explain that children who have had a serious injury sometimes exhibit regressive behavior.

A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does the observation of meconium indicate? cord compression fetal distress related to hypoxia infection central nervous system (CNS) involvement

Fetal distress related to hypoxia

A pregnant woman is diagnosed with placental abruption (abruptio placentae). When reviewing the woman's physical assessment in her medical record, which finding would the nurse expect? firm, rigid uterus on palpation gradual onset of symptoms fetal heart rate within normal range absence of pain

Firm, rigid uterus on palpitation

The mother of a 3-year-old with a myelomeningocele is thinking about having another baby. The nurse should inform the woman that she should increase her intake of which acid? a) Folic acid above 0.4 mg/day b) Ascorbic acid to 4 mg/day c) Folic acid to 0.4 mg/day d) Ascorbic acid to 0.4 mg/day

Folic acid above 0.4 mg/day

When developing the postoperative plan of care for a child with sickle cell anemia who has undergone a splenectomy, which would the nurse identify as the priority? Risk for infection Impaired skin integrity Deficient fluid volume Risk for delayed growth and development

Risk for infection

The nurse is caring for a child with suspected child abuse (child mistreatment)-induced burns. Which assessment findings would support this? a burn to the entire right hand up to 2 cm above wrist with consistent edges consistent history given by all caregivers splattered-looking, small burned areas to both legs 911 called immediately after the burn occurred

a burn to the entire right hand up to 2 cm above wrist with consistent edges

The nurse is caring for orthopedic children who are in the postoperative period following spinal fusion. What is the most appropriate activity to delegate to unlicensed assistive personnel?Ambulate the children twice daily to promote mobility. Encourage commode use to promote bowel function. Provide diversionary activities, as the children must stay flat on their backs. Assist with log-rolling the children every 2 hours.

administering oxytocin

A woman whose fetus is in the occiput posterior position is experiencing increased back pain. Which is the best way for the nurse to help alleviate this back pain? applying a heating pad to the back applying ice to the back applying counterpressure to the back performing acupuncture on the back

applying counterpressure to the back

The nurse is caring for a child with urticaria. What is the priority action? assessing the child's airway and breathing and noting any wheezing or stridor obtaining a detailed history of new foods, medications, stress, or changes in environment inspecting the skin and noting evidence of raised, edematous hives anywhere on the body Noting whether hives are pruritic, blanch when pressed, or are migrating

assessing the child's airway and breathing and noting any wheezing or stridor

Which diagnostic measure is most accurate in detecting neural tube defects? a) Flat plate of the lower abdomen after the 23rd week of gestation b) Significant level of alpha-fetoprotein present in amniotic fluid c) Presence of high maternal levels of albumin after 12th week of gestation d) Amniocentesis for lecithin-sphingomyelin (L/S) ratio

b) Significant level of alpha-fetoprotein present in amniotic fluid

The nurse is conducting a physical examination of a child with severe burns. Which internal physiologic manifestation should the nurse expect to occur first? a) Insulin resistance b) decrease in cardiac output c) Hypermetabolic response with increased cardiac output d) Increased protein catabolism

b) decrease in cardiac output

Which assessment findings, experienced by the client at 36 weeks' gestation, would the nurse document as diagnostic signs of severe preeclampsia? Select all that apply. blood pressure of 164/110 mm Hg elevated liver enzymes edema +1 proteinuria Elevated serum creatinine

blood pressure of 164/110 mm Hg elevated liver enzymes +1 proteinuria Elevated serum creatinine

Why will it be necessary for the nurse to be very supportive of parents' attempts to feed the infant with recently repaired myelomeningocele? a) The infant will have a poor sucking reflex. b) Pain will interfere with the feeding process. c) Assuming the usual feeding position will be difficult. d) Nausea and vomiting often follow repair of the cystic mass.

c) Assuming the usual feeding position will be difficult.

The nurse caring for a client diagnosed with muscular dystrophy would expect which laboratory values to be most abnormal? bilirubin creatine kinase serum potassium sodium

creatine kinase

An adolescent girl is going to be treated for a severe case of acne vulgaris. A pregnancy test should be done prior to the adolescent starting treatment with: a) Tretinoin (Retin-A) b) Erythromycin c) Benzoyl peroxide (Clearasil) d) Isotretinoin (Accutane)

d) Isotretinoin (Accutane)

The nurse is providing presurgical care for a newborn with myelomeningocele. Which action is the central nursing priority? a) Maintain infant in prone position b) Maintain infant's body temperature c) Keep lesion free from fecal matter or urine d) Prevent rupture or leaking of cerebrospinal fluid

d) Prevent rupture or leaking of cerebrospinal fluid

A 29-year-old client has gestational diabetes. The nurse is teaching her about managing her glucose levels. Which therapy would be most appropriate for this client? diet long-acting insulin oral hypoglycemic drugs glucagon

diet

A woman is being closely monitored and treated for severe preeclampsia with magnesium sulfate. Which finding would alert the nurse to the development of magnesium toxicity in this client? diminished reflexes elevated liver enzymes seizures serum magnesium level of 6.5 mEq/L

diminished reflexes

While inspecting the skin of a child, the nurse notes blotchy areas of hemorrhage. When notifying the health care provider, the nurse would identify the client's skin as having: petechiae. purpura. ecchymoses. hematomas.

ecchymoses.

A nurse is conducting a refresher program for a group of perinatal nurses. Part of the program involves a discussion of HELLP. The nurse determines that the group needs additional teaching when they identify which aspect as a part of HELLP? elevated lipoproteins hemolysis liver enzyme elevation low platelet count

elevated lipoproteins

The nurse is preparing a postpartum nursing care plan for a single HIV-positive primigravida client. The nurse should prioritize in the plan how to acquire which resource? breast pump diapers car seat formula

formula

A client in her 20th week of gestation develops HELLP syndrome. What are features of HELLP syndrome? Select all that apply. hyperthermia hemolysis elevated liver enzymes leukocytosis low platelet count

hemolysis elevated liver enzymes low platelet count

A woman at 8 weeks' gestation is admitted for ectopic pregnancy. She is asking why this has occurred. The nurse knows that which factor is a known risk factor for ectopic pregnancy? high number of pregnancies multiple gestation pregnancy use of oral contraceptives history of endometriosis

history of endometriosis

A nurse is providing care to a client who has been diagnosed with a common benign form of gestational trophoblastic disease. The nurse identifies this as: hydatidiform mole. ectopic pregnancy. placenta accrete. hydramnios.

hydatidiform mole.

The nurse is providing care to a neonate. Review of the maternal history reveals that the mother is suspected of having a heroin use disorder. The nurse would be alert for which finding when assessing the neonate? low, feeble cry hypertonicity easy consolability vigorous sucking

hypertonicity

The nurse is caring for a child with a severe burn. The treatment for this child during the first 48 hours will be most likely be related to: hypovolemic shock. wound care. graft placement. curling ulcer.

hypovolemic shock.

The nurse will teach parents of children with myelomeningocele to maintain an environment free of what element? alcohol gel latex peanuts cat dander

latex

To prevent further sickle cell crisis, the nurse would advise the parents of a child with sickle cell anemia to: notify a health care provider if the child develops an upper respiratory infection. prevent the child from drinking an excess amount of fluids per day. encourage the child to participate in school activities, such as long-distance running. administer an iron supplement daily.

notify a health care provider if the child develops an upper respiratory infection.

The nurse develops a meal plan for a child with iron-deficiency anemia. Which meal would the nurse teach the parent has the highest amount of iron? red meat, eggs, oatmeal, and dried fruit chicken, corn, brown rice, and oranges pork, broccoli, white rice, and strawberries tuna salad with eggs, whole wheat crackers, and blueberries

red meat, eggs, oatmeal, and dried fruit

A nurse is caring for a child with tinea pedis. Which assessment finding should the nurse expect? red scaling rash on soles and between the toes patches of scaling in the scalp with central hair loss inflamed boggy mass filled with pustules erythema, scaling, maceration in the inguinal creases and inner thighs

red scaling rash on soles and between the toes

A woman at 12 weeks' gestation comes to the clinic with vaginal bleeding. When assessing the woman further, the nurse would suspect a threatened abortion based on which finding? slight vaginal bleeding cervical dilation high beta human chorionic gonadotropin (hCG) level passage of fetal tissue

slight vaginal bleeding

The nurse is discussing the use of over-the-counter ointments to manage a mild case of diaper rash. What ingredients should the nurse instruct the parents to look for in a compound? Select all that apply. vitamin A zinc vitamin D vitamin B6 vitamin B12

vitamin A zinc vitamin D

When assessing an adolescent for acne, what findings would lead the nurse to identify the acne as severe? Select all that apply. widespread inflammatory lesions evidence of cysts presence of nodules comedones facial papules

widespread inflammatory lesions evidence of cysts presence of nodules

An adolescent is to receive topical retinoid therapy for his moderately severe acne. The nurse would instruct the adolescent about which adverse effects? Select all that apply. a) Dryness b) Flu-like symptoms c) Photosensitivity d) Headache e) Burning

• Dryness• Photosensitivity• Burning

The nurse is planning to teach the parents of a child with newly diagnosed muscular dystrophy about the disease. Which definition should she use to best describe this condition? a) Degeneration of muscle fibers b) Upper motor neuron lesions c) Lesions of the brain cortex d) A demyelinating disease

a) Degeneration of muscle fibers

The nurse admits a 10-year-old who has just eaten lobster and has hives over much of the body. In collecting data regarding this child, which question should the nurse ask the caregiver first? "Has the child ever eaten shellfish before now?" "Is your child allergic to peanuts or other foods?" "Does anyone in your family have any food allergies?" "Have you ever given your child antihistamines?"

"Has the child ever eaten shellfish before now?"

Which intervention is the most beneficial for a burn client undergoing a skin graft? Provide around-the-clock pain medication as soon as pain is reported. Provide pain medication on a PRN schedule as soon as pain is reported. Provide diversional activities for the client. Provide an egg-crate mattress or gel mattress for the client to lie upon.

Provide around-the-clock pain medication as soon as pain is reported.

When teaching a group of caregivers of infants, the nurse is discussing the topic of diaper rash. The caregivers in the group make the following statements. Which statement is the most accurate related to the child with diaper rash. "The formula she drinks sometimes causes her to have a diaper rash." "My child gets diaper rash if I wash her clothes in the same detergent we use for the family." "Sometimes if I leave the diaper off and let him be in the sunshine he gets diaper rash." "They told me to use baby powder every time I change her so she won't get diaper rash."

"My child gets diaper rash if I wash her clothes in the same detergent we use for the family."

The nurse caring for an infant with myelomeningocele before surgical intervention will prioritize care in what way? a) Change position from side to side hourly b) Cover the sac with a saline-moistened dressing c) Keep the mass uncovered and dry d) Prevent cold stress using an Isolette and blankets

b) Cover the sac with a saline-moistened dressing

A nurse is preparing a presentation for a health fair focusing on prevention of congenital neuromuscular disorders. What would the nurse emphasize as most important in preventing neural tube defects? a) Ultrasound screening at 16 weeks' gestation b) Folic acid supplementation c) Maternal serum α-fetoprotein levels screening d) Genetic testing for gene identification

b) Folic acid supplementation

A 3-month-old infant is seen in the pediatric clinic. The infant's parent expresses concern that the child has developed cerebral palsy. The nurse assesses the infant. Which assessment finding indicates to the nurse that the parent's concern is valid? hypertonia in the upper extremities exhibits Gower sign unable to sit without support turns head toward sounds

hypertonia in the upper extremities

A woman with an artificial mitral valve develops heart failure at the 20th week of pregnancy. Which measure would the nurse stress with her during the remainder of the pregnancy? obtaining enough rest maintaining a high fluid intake beginning a low-impact aerobics program discontinuing her prepregnancy anticoagulant

obtaining enough rest

A nurse is caring for a child who has muscular dystrophy. For which of the following findings should the nurse assess? (Select all that apply) A purposeless, involuntary, abnormal movements. B Spinal defect and saclike protusion CMuscular weakness in lower extremeties D Unsteady, wide based or waddling gait. E upwart slant to the eyes

C, D

The nurse is caring for an infant with a myelomeningocele who has paralysis of the lower extremities. Which action would be most appropriate to help reduce friction resulting from this paralysis? a) Place the child on a special care mattress. b) Place a pad beneath the diaper area and change frequently. c) Place a folded diaper in between the legs. d) Place synthetic sheepskin under the infant's chest.

C) Place a folded diaper in between the legs.

The nurse is conducting a physical examination of a 9-month-old infant with a suspected neuromuscular disorder. Which finding would warrant further evaluation? a) Presence of symmetrical spontaneous movement b) Absence of Moro reflex c) Presence of Moro reflex d) Absence of tonic neck reflex

c) Presence of Moro reflex

The nurse is teaching a client who is diagnosed with preeclampsia how to monitor her condition. The nurse determines the client needs more instruction after making which statement? "If I have changes in my vision, I will lie down and rest." "I will weigh myself every morning after voiding before breakfast." "I will count my baby's movements after each meal." "If I have a severe headache, I'll call the clinic."

If I have changes in my vision, I will lie down and rest.

A 10-year-old has been bitten on the lower posterior arm by a dog, requiring several stitches. The child was just admitted to the hospital for 3 days of antibiotic therapy. When developing the care plan, the nurse identifies which nursing diagnoses as being the top 2 priorities? Impaired skin integrity Risk for infection Disturbed body image Risk for fluid volume deficit Knowledge deficit regarding care of wound

Impaired skin integrity Risk for infection

A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm Hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What assessment should the nurse make next? Check deep tendon reflexes. Measure fundal height. Palpate the fundus and check fetal heart rate. Obtain a voided urine specimen and determine blood type.

Palpate the fundus and check fetal heart rate.

The nurse is teaching parents about the care of diaper rash. The nurse would be concerned about the parents' level of understanding if they made which statement? "I need to wash and rinse clothes thoroughly to be sure all of the detergent is washed out." "I should not overdress the infant." "I should only use ointments and creams as instructed by the health care provider." "I should be certain to use fabric softener in the care of the infant's clothes."

"I should be certain to use fabric softener in the care of the infant's clothes."

The nurse is caring for a child with aplastic anemia. The nurse is reviewing the child's blood work and notes the granulocyte count is about 500, platelet count is over 20,000, and the reticulocyte count is over 1%. The parents ask if these values have any significance. Which response by the nurse is appropriate? "The doctor will discuss these findings with you when he comes to the hospital." "These values will help us monitor the disease." "These labs are just common labs for children with this disease." "I'm really not allowed to discuss these findings with you."

"These values will help us monitor the disease."

The nurse is caring for a female child in a pediatric intensive care unit who was struck by lightening while playing softball. The parents state to the nurse, "I don't understand why our child has to be here; the doctor said she was fine?" What is the best response by the nurse? "You should speak with your doctor because that is who admitted your daughter to this unit." "It's just a precautionary measure. It's better to be safe than sorry if she develops complications." "A child who has suffered an electrical burn can develop cardiac arrhythmias up to 72 hours after a burn injury, so we need to monitor her." "It is standard protocol to admit a burn client for surveillance; especially if it is an electrical injury."

"A child who has suffered an electrical burn can develop cardiac arrhythmias up to 72 hours after a burn injury, so we need to monitor her."

A nurse in the maternity triage unit is caring for a client with a suspected ectopic pregnancy. Which nursing intervention should the nurse perform first? Assess the client's vital signs. Administer oxygen to the client. Obtain a surgical consent from the client. Provide emotional support to the client and significant other.

Assess the client's vital signs.

The dermatologist treating a 16-year-old girl with a history of severe acne has ordered a pregnancy test so she can be started on a course of isotretinoin. The teen's caregiver has said that her daughter is a virgin and she refuses to allow her to have the required pregnancy testing. What would be the best action for the nurse to take? Acknowledge the caregiver's discomfort about the pregnancy testing but encourage her to allow the daughter to have the testing so that she can use the medication. Speak with the teen alone to ask her if she is sexually active. If she says she is not sexually active, let the provider know that it is okay to write the prescription. Arrange for the daughter to have the pregnancy testing without the caregiver's knowledge. Have the caregiver sign a permission form acknowledging that the girl has been given the drug without pregnancy testing.

Acknowledge the caregiver's discomfort about the pregnancy testing but encourage her to allow the daughter to have the testing so that she can use the medication.