Test Bank Safe Maternity & Pediatric Nursing Care Second Edition by Luanne Linnard-Palmer, Exams of Nursing

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Test Bank Safe Maternity & Pediatric Nursing Care Second Edition by Luanne Linnard-Palmer

1. At what point in an infant's development would you expect the birth weight to triple? - ANSWERAt 12 Months
2. While the nurse is assessing the neurological development of a 3 month old. infant which of the following would the nurse expect to fine? - ANSWERWhile prone, lifting head and neck off surface
3. While assessing an infant with moderate dehydration demonstrating a 10% body weight loss which of the following would the nurse expect to fine? - ANSWERDecreased urine output

4. While reinforcing a teaching session between the nutritionist and a mother of a 5 month old infant who has stopped breast feeding you explain that the maternal iron stores are present in the infant's bodies until what time frame? - ANSWER6 months of age
5. The most important aspect of care of an infant according to Erickson is to develop a sense of what - ANSWERTrust
6. When administering medications to an infant in the hospital the best way to ensure medication administration accuracy safety is to - ANSWERDouble-check all medications and calculations with a second nurse
7. All of the following represent ways to communicate with infants except - ANSWERProviding simple conversations that encourage autonomy

8. While providing anticipatory guidance to the parent of a 4 month old during a routine scheduled well-child visit, the nurse would explain. which psychological stage is the infant expected to accomplish during the first year of life? - ANSWERTrust vs. Mistrust
9. Which of the following foods should the nurse teach the parents to introduce to their infant's diet first? - ANSWERIron-fortified cereal
10. Which of the following immunizations would be given to a 4 month old infant? - ANSWERRotavirus Vaccine Hib Vaccine PCV Polio Vaccine IVP DTaP

11. Which of the following activities within the hospital environment is the child in the toddler development stage most likely to be fearful of? - ANSWERWatching roommate being placed on a gurney to go to surgery
12. According to Erinkson the milestone that the toddler must achieve can best be supported by which of the following. - ANSWERArt activities that promote the sense of a completion or task
13. A frustrating behavior displayed by a toddler that a parent should acknowledge as a normal response is the cognitive development of a toddler is - ANSWERThe toddlers egotistical thought process
14. The number of words mastered by a toddler third birthday is - ANSWER

15. Bedtime fears are very real experiences for the toddler which of the following creates the greatest fear? - ANSWERThe fear from separation at bedtime
16. A parent comes into the clinic with a toddler for a well child appointment. The topic of food preferences and refusal has been brought up as a concern that the child is not eating enough and is refusing to consume what the rest of the family eats for dinner. The nurse best repose is - ANSWERThis is normal and foods lags should be expected during this time of slowed growth.
17. Stranger anxiety is a common experience for the toddler. The nurse should practice which of the following to assist in the minimization of stranger anxiety in the hospital? - ANSWEREstablish a positive rapport with the parents before approaching the child

18. Car seat safety for the toddler includes the following - ANSWERTransition to a convertible seat and place it facing forward
19. The prevention and identification of a child abuse is important during the toddlers because - ANSWERThis is the most common age of chid abuse in the nation
20. Iron deficiency anemia is a common toddler nutritional problem. While teaching a parent about the greatest influence to the development of this disorder the nurse explains that - ANSWERToo much milk in the Diet prevents the toddler from consuming enough iron rich foods
21. The pediatric nurse should explain to the parents of a preschooler that they can expect their 3 year old child to be able

to accomplish which of the following skills? - ANSWERRide a tricycle

22. A 4 year old child has been admitted to the in patient pediatric unit for a course of antibiotics to fight cellulitis. Which of the following bed assignments would be most appropriate for this preschooler - ANSWERIn a multi bed room with 3 other children
23. Which behavior demonstrated by a preschooler would confirm the child is in an appropriate developmental level - ANSWERShe is requesting a ballerina bandage after having blood drawn.
24. Which of the following conditions can occur when a preschooler frequently scratches chickenpox vesicle lesions - ANSWERSecondary bacterial infections

25. Which of the following infections experienced by a 5 year old child in a preschool center must be reported to all parents - ANSWERStrep throat
26. A preschooler is requesting to have the same lunch for school everyday an appropriate response to the parent would be
    • ANSWERThat is OK your young child will change his mind soon enough
27. Which of the following would the pediatric nurse see as a reason for a preschooler describing her teddy bear as being in the hospital because she was naughty - ANSWERMagical thinking
28. What heart rate would a pediatric nurse expect to find in a preschooler who is 4 years old? - ANSWER90 to 115

29. Evan an 11 year old child has been hospitalized for a fractured femur by an all terrain vehicle The injury requires 2 weeks of traction and the nurse notes boredom is setting in and making Evan restless. B y understating developmental theory the nurse selects which of the following forms of play or distraction for this child - ANSWERA video game for 2 on the large screen in the playroom
30. Parents of 7 year old heather bring her into the clinic on her third pediculosis infestation in the last 6 months Her mother describes her intense interest in performing arts and shares that she has been in two musicals in the last year After listening the nurse offers the following advice - ANSWERDescribe the importance of not sharing costumes with others and keep personal items in a plastic bin away from other performing children.

31. Asthma is considered a chromic inflammatory process that involve three distinct characteristics The pediatric nurse describes the family of a newly diagnosed school-aged child that asthma characteristics are - ANSWERBronchoconstriction Mucus production Inflammation
32. Obesity has reached epidemic proportions influencing factors associated with most cases of childhood obesity include - ANSWERA high calorie food-intake sedentary lifestyle genetics
33. Erkinsons theory of psychosocial development describes the opposing feelings of accomplishments or industry vs inferior a school aged child feelings of inferiority According to Erinkson the greatest influence to a school aged Childs success during this

stage is - ANSWERSuccessful mastery of the first three stages of psychosocial development

34. The loss of primary (deciduous teeth ) and the eruption of permanent teeth (secondary) teeth take place during the early school age children The pediatric nurse explains to the family that although shedding of teeth can be quite variable they can expect child to loose - ANSWERcentral incisor
35. While providing care at a summer camp for children the nurse is approached by a counselor who asks about the process of puberty. The nurse explains that while puberty is considered the time when a child's sexual development is complete and the child is now available reproduce prepubescence is considered - ANSWERThe time before sexual maturity

36. Precious puberty is the process of puberty that begins before the age of 8 for girls and before the age of 9 for boys - ANSWERTrue
37. According to Kholberg theory of moral development the young school aged child sees rules and behavioral standards as coming from the expectations of those around them rules are not established from within rather are created established and enforced by others - ANSWERTrue
38. Precocious puberty can be specially defined as breast development in girls before the age of 6 in Caucasians and 5 in African Americans - ANSWERfalse 7 Caucasians 6 African Americans
39. What is the best way to measure the height of hospitalized 16 month old toddler - ANSWERHaving the child stand on the unit scale and using measure arm

40. How does the nurse determine how many Calories a child needs on a daily basis - ANSWERBy using a child's age to estimate their daily calorie need per kilogram of weight
41. Two forms of pediatric pain assessment tools are used to collect information about a child's pain experience these two forms are - ANSWERSubjective and objective
42. Which one of the following pain assessment tools is used for a newborn - ANSWERCries pain scale
43. But what age can most children answer specific questions about location in severity of their presenting symptoms - ANSWERPreschool age child starting a five years

44. Oral morphine sulfate has just been administered to a six year in severe pain after surgical appendectomy according to the child's age and developmental level which Pain tool will the nurse use to asses this child's level of pain relief - ANSWERWong baker face pain rating scale
45. Regression is a common response of the young child to the stresses of hospitalization regression can be defined as - ANSWERDisplay of early developmental behaviors
46. Children experience negative consequences to hospitalization including fear anxiety and pain and discomfort parents also experience consequences potential responses families may have to experience at the hospitalized child include
    • ANSWERFear guilt frustration loss of control

financial concerns

47. Lack of control is one of the most influential aspects of a young child's hospitalization when a child perceives a decrease in or lack of control in his or her environment the child experiences - ANSWERA perception of a threat
48. The nurse is preparing a young school-age child to go to surgery as a nurse is completing a preoperative checklist special attention should be given to which of the following - ANSWERLoose teeth
49. A mother brings her child into the pediatric public health clinic stating that his personality has changed the mother states the child has regressed developmentally and is at times very hyper active and very emotional the pediatric nurse should include the possibility of which of the following - ANSWERPossible exposure to lead

50. A father caused the pediatric clinic stating the local laboratory called to say that they'd 4 year old child has a seizure disorder has a serum blood level of phenobarbital of 52 MCG What should be the next action of the nurse receiving the call - ANSWERTell the primary caregiver the laboratory values & await instructions
51. Lead is a - ANSWERCommercially used substance Heavy soft and gray blue metal substance Naturally occurring substance
52. Which cranial nerve will be assessed of a child who is in an MVA was brought in with the facial droop - ANSWERV

53. Of all of the following listed below which is not considered a potential source of lead exposure to children - ANSWERTreated building construction lumber
54. When reinforcing parental teaching about ferbal seizures the pediatric nurse include the following - ANSWERIt relates to how rapidly the child's fever rises doing an infectious process
55. What is the current CDC guidelines from recognizing when is Serum lead value shows potential toxicity in children - ANSWER10 MCG/DL
56. Which of the following are associated with the administration of the anticonvulsant phenytoin - ANSWERGum hyperplasia Ataxia Gastric distress

Anemia Sedation Nystagmus Hirsutism

57. The child with migraines should have his or her diet investigated because research has shown some food and beverages Contain nitrates nitrate may be a trigger for the headache nitrates Are found in hotdog cold cuts bacon and commercially prepared foods and food Mixes - ANSWERTrue
58. The license vocational nurse is working with the pediatric registered nurse who's giving care to a child who is suspected of having meningitis they Lin must immediately report which of the following symptoms to the RN - ANSWERA change in energy level

59. Which of the following are used to treat or relieve the effects of infant respiratory distress syndrome HMD - ANSWERDelay birth as long as possible to allow lungs more time to mature Inhale synthetic surfactant Mechanical ventilation
60. Which of the following May occur in a child with cystic fibrosis - ANSWERHemoptysis Collapsed lung Apnea
61. What physical examination signs and symptoms is most worry-some in terms of degree airway compromise - ANSWERStrider
62. A 3 old presents to the emergency department with the sign of respiratory distress the child has epiglottis associated

with high fever apprehensive and is drooling it is imperative that the nurse avoid which of the following - ANSWERInspecting the child's mouth and throat with the tongue blade

63. Which statement by the mother indicates an understanding of the nurses teaching related to the newborn - ANSWERI should call my doctor if my newborn breathes fast when he is sleeping
64. Why the pediatric healthcare team is teaching parents of a child who has just been diagnosed with cystic fibrosis the mother asked if there was something she did to cause this illness the team would be correct in responding that - ANSWERCystic fibrosis is an autosomal recessive trait from both parents genes
65. While discharging a family from the pediatric clinic the mother of a young child with strep throat when child can return

to preschool the nurse will be correct in saying - ANSWER24 hours after the last fever 24 hours after the first dose of oral anabiotic's

66. Why at school a school-age child with a history of asthma has developed feelings of tight chest and cough the nurse would be correct in administerin which of the following - ANSWERInhaled beta agonist
67. The child presents with RSV bronchiolitis the team provide treatment comfort measures to the child what treatments are included - ANSWERSectioning oxygen and rest
68. A 22 month old toddler squats intermittently when walking she's irritable cyanotic is now apprising listless and progressively more unresponsive the most likely cardiac malformation is – ANSWER TOF

69. Oxygenated blood mixes in the fetal heart through a shunt between the pulmonary artery and the aorta what is the name of the shunt - ANSWERductus arteriosus
70. Select a disease state that increases the risk of delivering a baby with an congenital heart defect - ANSWERDiabetes
71. Which of the following cardiac conditions found in children arise from malformations in the fetal development of the heart - ANSWERTGA
72. A seven-year-old boy has returned from cardiaccatherzation post operative nursing interventions include
    • ANSWERAssessing pulses for symmetry and strength

Extreme continuous cardiac monitor and pulse oximetry to monitor for dysrhythmias bradycardia and hypotension hypoxia and hypoxemia Maintaining the affected extremity in a flat position for 4-8 hours to prevent post procedure bleeding Assessing and in take out put closely for sufficient urinary output dehydration and hypovolemia Assessing for the pain level using a developmentally appropriate tool for the age of the child

73. A term newborn is diagnosed with TGA which priority nursing invention should be instituted immediately - ANSWEREstablishing IV access and initiating PGE1 drip
74. When assessing the conduction system of the heart by looking at a EKG strip the P-wave indicates that which of the following areas in the heart has fired an electrical impulse - ANSWERSA node

75. Pediatric heart failure is most common in infants with congenital heart disease but can present in older children because of which of the following - ANSWERMyocarditis
76. Coarctation of the aorta causes the infant to struggle to feed because of shortness of breath the cause of the shortness of breath is directly related to the infants lung inability to ventilate and provide the body with oxygen - ANSWERFalse
77. You must take a pulse for a full minute before giving a digoxin dose and if the pulse is lower than the specified rate for the child's age 90 BPM the dose is administered because the medication is working - ANSWERFalse
78. All of the following are risk factors associated with the development of osteomyelitis - ANSWERForeign body

Bone injury Immunosuppression Malnutrition

79. You are the bedside nurse for YoungBoy admitted for A fracture of the femur while the child has been transported to x- ray of his affected limb the parent comes to you and states that they are leaving the unit for the night to care for the other siblings and will be back in the early morning before work the best response the pediatric nurse should say is - ANSWERI think it would benefit your son if you want to say good night to him before you leave explain when when you will return Before surgery priority nursing care for the adolescent boy with scoliosis includes - ANSWERDiscussing with the child how to use a PCA machine
80. The nurse has been notified that she will be admitting to the pediatric floor a child with complications associated with