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Maternity and Pediatric Nursing
Examination 2025/
A 12 year old girl is diagnosed with functional scoliosis. The nurse explains that what causes this type of spinal curvature defect? - answers>>poor posture A 30 year old pregant woman, gravid 1, para 0, is 30 weeks pregnant. She reports at her regularly scheduled office visit that she is experiencing vaginal bleeding that began "about three days ago" she also states, "I didn't call because I am not having any pain and I can feel the baby mowing" the appropriate diagnostic procedure would be - answers>>Abdominal ultrasound A 35 year old woman comes into the clinic for a physical. She states she is not sexually active and has not started menopause. Her previous Pap smear screenings have been negative with no family history of disease. The patient asks how often should she receive Pap smears? The nurse responds Pap tests should be repeated every? - answers>> 3 - 5 years until 65 years old A 35 year old woman reports very heavy menstrual periods. How does the nurse chart this in the medical records? - answers>>Reports menorrhagia A baby can lose heat by evaporation if which of the following situations occurs? - answers>>The baby is wet from amniotic fluid A charge nurse is observing a newly licensed nurse who is performing endotracheal suctioning for a preschool age child. Which of the following actions by the newly licensed nurse requires the charge nurse to intervene? - answers>>Allow the child to rest for 30-60 seconds between suctioning passes A child has recurrent, persistent, repetitive thoughts that invades the conscious mind. also with ritual movements is often diagnosed with what? - answers>>obsessive- compulsive disorder A child is brought into the ED wish suspended appendicitis. What signs and symptoms does the nurse expect to assess? - answers>>1. Rebound tenderness
- Guarding
- Pain on lifting thigh when supine
A child is brought to the emergency department because he ingested an unknown quantity of acetaminophen. When does the nurse expect this child to receive following gastric lavage? - answers>>N-acetylcystein A child is experiencing a tonic clonic seizure, what is the appropriate nursing action for this child? - answers>>1. Observe and record stages and manifestations
- Move objects out of the child's immediate area
- Assist the child to bed and them go for help A child presents to the pediatric clinic with a "slapped cheek" appearance. The nurse anticipates a diagnosis of - answers>>Fifth disease A child that is having difficulty with letter recognition, does not like reading, and often confuses sound alike words like God for dog is often diagnosed with having what? - answers>>Dyslexia A child with a periodical cellulitis has a rectal temperature of 102.2 decrees. The child has an order for acetaminophen 280 mg by mouth. The label on the bottle reads 160 mg per 5 mL. How many mL should the nurse dispense to the child - answers>>8.8 mg A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make? - answers>>It is normal to have these feelings during the first few months of pregnancy A copper intrauterine device can be used as an emergency contraceptive measure if it is inserted within what time frame after unprotected sex? - answers>>7 days A decrease in estrogen and progesterone during the menstrual cycle results in what? - answers>>Shedding of the endometrium A friend tells you she is "having periods again" she thought she had her last menstrual period two years ago when asked. As a nurse, you should advise her that she: - answers>>should see her healthcare provider promptly, because this is not an expected occurrence A hydrocele can be defined as: - answers>>extra fluid around the testicles and scrotum A man with erectile dysfunction should avoid sildenafil (Viagra) if he is also taking what medication because it could cause an unsafe drop in blood pressure - answers>>riociguat A mother asks a nurse "How can I get rid of my baby's cradle cap?" What is the correct
a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse? - answers>>Sperm remain viable in the woman's reproductive tract for 4 to 5 days A nurse is an obstetrical clinic is reinforcing teaching with a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the information? - answers>>I will check to be sure the strings of the IUD are still present after my period A nurse is assessing a 2 week old premature infant for output. When weighing the soiled diaper. The nurse is aware that 1 Bram weight equals ___ mL of output for documentation - answers>> A nurse is assisting with an admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings? - answers>>Headache A nurse is assisting with the care for a client who has a marginal abrupt placentae. Which of the following findings are risk factors for developing the condition? - answers>>1. Cigarette smoking
- Blunt abdominal trauma
- Cocaine use A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority - answers>>administer antibiotics when available A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make? - answers>>Let's discuss what you told me with your family members A nurse is caring for a client who has just learned she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations? - answers>>Facial edema A nurse is caring for a client who has Postpartum psychosis. Which of the following actions is the nurse's priority? - answers>>As the client if she has thoughts of harming herself or her infant A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client? - answers>>Orange ice pop
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before," Which of the following is an appropriate therapeutic response by the nurse? - answers>>Tell me more about your concerns A nurse is caring for a patient who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make? - answers>>This is a probable sign of pregnancy A nurse is caring for a postpartum client who saturates a perineal pad in 10 minute. Which of the following actions should the nurse take first? - answers>>massage the client's fundus A nurse is caring for a school age child wh has a fracture to the femur. Which of the following findings is the nurse's priority - answers>>tingling in the right foot A nurse is caring for an adolescent following the application of a plaster cast for a fractured tibia. Which of the following actions should the nurse take? - answers>>Perform a neuromuscular check of loser extremities A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow? - answers>>Coarctation of the aorta A nurse is collecting data from a 1 year old child who has Wilm's tumor. Which of the following findings should the nurse expect - answers>>Abdominal mass A nurse is collecting data from a child and notes the presence of bruises on her arms and legs. Which of the following actions should the nurse take first? - answers>>Report the suspected abuse to the authorities A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect? - answers>>WBC 17,000/mm A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings requires immediate intervention by the nurse? - answers>>Displaced fungus from the midline A nurse is collecting data from a client who is 14 hours postpartum. The nurse notes: breast soft, fungus firm, slightly deviated to the right; moderate loch ruby; temperature 37.7 C, pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform? - answers>>Ask the client to empty her bladder
preschool age child who weighs 27.3 lbs. Available is methimazole 5mg/tablet. How many tablets should the nurse administer per dose - answers>>0.5 tab/dose A nurse is preparing to administer phenytoin 200 mg PO. Available is phenytoin oral suspension 125 mg/5mL. How many mL should the nurse administer? - answers>>8 mL A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering - answers>>Erythomycin A nurse is preparing to administer Rho(D) immune globulin 300 mcg IM to a client who is 28 weeks of gestation and has a Rh-negative blood type. Which of the following locations should the nurse plan to administer the medication - answers>>Intramuscularly in the ventrogluteal muscle A nurse is preparing to measure the uterine funds of a client who is at 32 weeks of gestation. The nurse can expect to find that the measurement will be at ____ cm - answers>> 32 A nurse is providing support to a patient who has a new diagnosis of endometriosis. The nurse should inform the patient that which of the following conditions is a possible complication of endometriosis? - answers>>Inferitility A nurse is providing teaching to a school age child who has a new diagnoses of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching - answers>>I should not take my regular insulin when I am sick A nurse is reinforcing nutritional teaching with a client who is 8 weeks of gestation. Which of the following statements should the nurse include? - answers>>You should increase your folic acid intake during your pregnancy A nurse is reinforcing teaching about common discomfort of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching? - answers>>urinary frequency A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophilia. Which of the following statements by the parent indicates a need for further teaching? - answers>>I will apply warm compress over the site A nurse is reinforcing teaching about diagnostic test with the parents of a child who has suspected cystic fibrosis. Which of the following diagnostic tests should the nurse t include as the most definitive when diagnosing cystic fibrosis? - answers>>Swea
Chloride test A nurse is reinforcing teaching about fetal development with a group of women who are pregnant. Which of the following statements should the nurse include in the teaching? - answers>> very fine hairs, called lanugo, cover your baby's entire body by week 36 of pregnancy A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times? - answers>>Prior to discharge from the hospital after giving birth A nurse is reinforcing teaching about lice with the parents of a school age child at a well child visit. What of the following information should the nurse include? - answers>>Encourage your child to avoid sharing hats with other children A nurse is reinforcing teaching about menstruation with adolescent female client. Which of the following statements should the nurse include? - answers>>1. Ovulation typically occurs around the 14 day of the menstrual cycle
- The range for a typical menstrual cycle is between 23-35 days A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neutral tube defect. Which of the following instructions should the nurse include in the teaching? - answers>>Eat foods fortified with folic acid A nurse is reinforcing teaching with a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? - answers>>1. Breast changes
- Weight gain
- Irregular vaginal bleeding A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following should the nurse include? - answers>>Replace the device after a 20% weight loss A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron deficiency anemia. The nurse should instruct the client to take this medication with which of the following? - answers>>orange juice A nurse is reinforcing teaching with a client who is taking an oral contraceptive about danger indications to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the
what? - answers>>grand mal A teenager has been fitted with a Milwaukee brace to help with her 40 degree spinal curvature. The teenager understands the nurses teaching when stating which of the following? - answers>>I will wear my brace over a T shirt 23 hours a day A woman asks the nurse, "How do oral contraceptives prevent pregnancy?" what will the nurse explain about the combination of estrogen and progesterone in oral contraceptives - answers>>Prevents ovulation A woman comes into the clinic for her first prenatal visit. Her obstetrical history is recorded. She has a 10-month-old son delivered five days before his due date, a fiveyear-old son that was born at 36 weeks of age, and a seven-year-old daughter born at 38 weeks. She has also lost a pregnancy at 12 weeks. Using GTPAL what is her history
- answers>>G4 T2 P1 A1 L A woman diagnosed with endometriosis reports "painful intercourse" what is the appropriate medical term for the nurse to document when describing this symptom? - answers>>dyspareunia A woman is discharging from the hospital two days after a vaginal birth. What should the nurse plan to teach the woman to report to her healthcare provider in order to prevent postpartum complications? - answers>>Fever A woman is having severe symptoms of PMS. She asks the nurse what she can do to obtain relief from these symptoms. What reply by the nurse is most likely to be helpful? - answers>>In addition to taking medications, stress reduction and regular exercise are beneficial A woman reports that her last menstrual period began on August 5, 2019. What is the woman's expected delivery date using Naegele's rule? - answers>>May 12, 2020 A woman's emotional reaction during the second trimester of pregnancy may be characterized by? - answers>>fantasies about the baby's appearance According to the FDA, medications in this category are contraindicated for use in pregnancy - answers>>Category X After a fall on a bike, a 15 year old boy is brought to the emergency department complaining of nausea and sudden and acute scrotal pain. There is an absence of the
cremastueric reflux. Which problem does the nurse suspect - answers>>testicular torsion After having a right total mastectomy, the patient confides that her husband has voiced concerns about her "disfigurement" which response is most appropriate for the nurse to make? The nurses most therapeutic response would be: - answers>>How did you respond to his statement? After what age is a mother who becomes pregnant for the first time called an "elderly primp"? - answers>>35 years An adolescent girl asks the nurse when she should have her first "Pap test". How should the nurse reply? - answers>>It is recommended you have your first Pap smear when you turn 21 An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911? - answers>>The seizure lasts more than 5 minutes An infant is being evaluated in a pediatric clinic. The mother reports that the infant has been very sluggish and sleeping a log, as well as the infants hands and feet are always cold. The nurse anticipates the following dx - answers>>hyperthyroidism Approximately __% to __% of infertility is due to male factors - answers>> 25 - 30% Are some of the goals of Healthy People 2030 is to increase mammography screening, increase Pap test screening, reduce the number of hip fractures, and to reduce the occurrence of sexually transmitted infections? - answers>>True At 1 and 5 minutes of life, a newborn's Apgar score is 9. What does the nurse understand that a score at 9 indicates? - answers>>The newborn is in stable condition At her 6-week postpartum checkup, a woman states, "I am wondering about birth control. I used oral contraceptives before, and I'm breastfeeding now. Can I use the pill again? What is the nurse's best response? - answers>>Oral contraceptives can be taken once lactation is well established At how many weeks gestational does the fetal lungs start to produce surfactant - answers>>25 weeks Bulimia is described as - answers>>binge eating followed by self-induced vomiting
Hydatidiform mole has what characteristic on ultrasound? - answers>>grape like vesicles If a client misses the time frame by two day, in which she can receive her Medroxprogesterone acetate injection, what action does the nurse need to take prior to administering the next injection? - answers>>Have the client provide a urine sample for an urine pregnancy test Lead poisoning can cause - answers>>- mental retardation
- blindness
- paralysis Mastitis affects both breasts at the same time, and is caused by proper latch when breastfeeding - answers>>False Match following - answers>>1. Tinea pedis- athletes food
- Tenea cruis- jock itch
- Tinea capes- head lice
- Tinea corpporis- ringworm Match the following types of immunity - answers>>Passive- provides antibodies Acquired- having the disease Active- producing own immunity Natural- inborn resistance Men over the age of ___________ should have an annual exam for ____________ cancer. - answers>>50, prostate Menopause is described as a cessation of menses for a _____ consecutive month period due to decreased estrogen production - answers>> 12 Menorrhagia is abnormal uterine bleeding that is - answers>>in excessive amounts of 80mL/month or greater Methylergonovine should not be given to a woman with - answers>>hypertension Mittelschmerz is the term for: - answers>>Pain that is experienced around ovulation How long does a woman's menstrual cycle need to stop to be considered menopausal? answers>> 12 months
Most fetal blood bypasses circulation to the lungs by way of the - answers>>foramen ovale Nursing the newborn promotes uterine involution because It: - answers>>Causes the pituitary to secrete oxytocin to contract the uterus On the first postoperative day, a patient with a TURP complains of abdominal pain. The nurse finds that the bladder is greatly distended. What should the nurse do next? - answers>>Irrigate the indwelling catheter with 20-30 mL of normal saline Otitis media can be treated with ______ and/or - answers>>Antibiotics, myringotony Ovulation cycle in order: - answers>>1. Increase of FSH
- Secretion of LH
- Release of an egg
- Release of progesterone by corpus luteum
- Fertilization of the ovum
- Implantation into the endometrium Parents are speaking with the urologist about their sons undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented? - answers>>An undescended testicle can reduce fertility Select the primary difference between the symptoms of placenta prevue and abrupt placentae - answers>>presence of pain Signs and symptoms of meningitis include: severe headache, fever, stiff neck, and irregular respirations? - answers>>true Tachycardia is the first sign of hypovolemic shock from postpartum hemorrhage? - answers>>True The amount of blood loss with normal menstrucation is ____ to ____% - answers>> 40 - 80 The DTap immunization is administered - answers>>intramuscularly 9 The embryo is termed a fetus at which stage of prenatal development? - answers>> weeks
Have revised his financial plan
- Helped select a crib
- Traded his sports car for a sedian The nurse educates prenatal patients about the threat of TORCH infections. Which infections are included in this classification? - answers>>1. Rubella
- Cytomegalovirus
- Toxoplasmosis
- Herpes Simplex The nurse emphasizes to a patient with a high-risk pregnancy that the impact of such a pregnancy might result in which problems? - answers>>1. Frustration with activity restrictions
- Financial pressures
- Disruption of family roles
- Alteration in child care practices The nurse enters the room of a patient who is 1 day postoperative left sided mastectomy and notes a phlebotomist preparing to take blood from the left antecubital space. What should the nurse do first? - answers>>Stop the phlebotomist and ask that the blood be drawn from the right arm The nurse has massaged the uterus every 15 minutes, but it has remained flaccid, and the client continues to pass large clots. What do these sign indicate? - answers>>Urterine atrophy The nurse has provided discharge instructions to a patient who underwent a vasectomy. Which statement indicates the patient understands the nurse's teaching - answers>> I should ice my scrotum once I get home The nurse instructs a woman taking oral contraceptives to report which possible side effects? - answers>> 1. Speech disturbances
- eye or visual problems
- Headache
- Abdominal pain The nurse is assessing a newborn. Which sign would indicate hypoglycemia - answers>>High pitched cry The nurse is caring for a child diagnosed with nephrosis. Symptoms That are characteristic of nephrosis include which of the following? - answers>>Edema Massive proteinuria
The nurse is caring for a homosexual man with a rectal tear and inflamed rectal tissue. The nurse understands that these findings increase the patient's risk for which disorder - answers>>Sexually transmitted infection The nurse is caring for a menopausal patient who is experiencing hot flashes. The nurse suggests that the patient increases intake of which foods? - answers>>Cherries and black beans The nurse is caring for a patient who returns to the unit after under going a transurethral resection of the prostate. The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag. What should the nurse do next? - answers>>document the findings The nurse is caring for a patient with genital herpes. Which manifestation alerts the nurse to a potential signal of an impending outbreak? - answers>>Tingling sensation in the vagina The nurse is caring for a patient with syphilis. Which manifestation indicates that the syphillis has progressed to the secondary stage? - answers>>Positive serology The nurse is caring for an adolescent girl with primary dysmenorrhea. The girl's mother reports that her daughter has been absent from school at least 1 day during her last 4 periods. She anticipates that the health care provider will likely prescribe which treatemtn - answers>>Oral contraceptive sesonale The nurse is caring for an older Male patient. Which patient statement would alter the nurse to a probable presence of benign prostatic hyperplasia - answers>>I have noticed that my urine is very foamy The nurse is collecting data on an infant when she notices tiny pinhead sized redness papule on the infant's neck and axilla. What does the nurse explain are likely the cause of this heat rash? - answers>>heat and moisture The nurse is educating a sexually active female patient about infection prevention. Which change during the premenstrual period increases the patient's risk of infection? - answers>>The cervical mucous plug becomes more permeable The nurse is educating a speaking to a group of junior high girls about reproductive health. Which information is most important to include? - answers>>Breasts may be tender in the middle of the cycle The nurse is planning discharge instruction for a patient who just had a vasectomy. Which information is most important for the nurse to include? - answers>>1. Use a scrotal support for comfort
The ovaries secrete the following hormones during the menstrual cycle? - answers>>Progesterone and Estrogen The ovum only services for ___ hours after ovulation - answers>> 24 The patient complaint to the nurse about a sharp pain in the lower quadrants every month at mid cycle that lasts for several hours. The nurse clarifies that this phenomenon is related to - answers>>Mittelschmerz The patient who has been given a prescription for tadalafil (Cialis) is warned about the possibility of the complication of: - answers>>priapism The primary goal of prenatal care is to assure the woman of - answers>>the healthiest outcome possible The primary purpose of amniotic fluid is to - answers>>protect the fetus during development The priority goal in the management of a severe burn is - answers>>airway maintenance The purpose of RhoGAM is to: - answers>>prevent the fetus from developing RH antibodies The substance that provides support and protection for the vessels inside the umbilical cord is? - answers>>Wharton's Jelly The three germ layers of the embryo are the - answers>>ectoderm, mesoderm, and endoderm The three phases of pregnancy are - answers>>antepartum, intrapartum and postpartum The treatment of osteomyelitis includes the use of - answers>>antibiotics The usual location of fertilization is? - answers>>the fallopian tube The uterine layer that responds to hormonal changes and receives the fertilized ovum is the? - answers>>endometrium To which factors can the rise in the number of sexually transmitted infections be attributed - answers>>1. A knowledge deficit about signs and symptoms of STI's
- Teenagers being reluctant to report disease
- An increase in the opportunity to have multiple partners
- An increase in the number of sexually active teenagers Treatment for osteomyelitis includes antibiotic therapy for _____ weeks - answers>> 4 - 6 Treatment of pediculosis wapitis includes - answers>>Laundering clothing and bedding in hot water Twins that share the same placenta in the uterus are? - answers>>monozygotic What are considered to be functions of the Fallopian tubes? - answers>>1. Safe environment for zygote
- passage for ovum to uterus
- passage for sperm to meet ova
- site for fertilization What can are expected findings in an infant with congenital heart defects - answers>>Failure to thrive Fatigue with feeding or activity What characteristic sign does the nurse caring for a child with Duchenne's muscular dystrophy document? - answers>>Falls frequently and is clumsy What disease found in children is usually inherited as a sex-linked disorder - answers>>Duchenne's muscular dystrophy What doe the 17 year old girl need to start doing as a protocol of Accutane for her treatment? - answers>>Start oral contraceptives What does the nurse assess as part of the BUBBLE HE mnemonic? - answers>>1. Episiotomy or abdominal incision
- Hours of sleep
- Circulation in legs What does the nurse expect the appearance of stools of a child with celiac disease to What all are trigger factors of childhood asthma? - answers>>Pollens Cold Emotions Exercise Pregnancy
