Maternal And Child Health Nursing NCLEX Quiz 22

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  • 1/10 Questions

    Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease?

    • Susceptibility to respiratory infection
    • Bleeding tendencies
    • Frequent vomiting and diarrhea
    • Seizure disorder
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Maternal And Child Health Nursing NCLEX Quiz 22 - Quiz

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  • 2. 

    Which of the following should the nurse do first for a 15-year-old boy with a full leg cast who is screaming in unrelenting pain and exhibiting right foot pallor signifying compartment syndrome?

    • Medicate him with acetaminophen.

    • Notify the physician immediately

    • Release the traction

    • Monitor him every 5 minutes

    Correct Answer
    A. Notify the physician immediately
    Explanation
    Compartment syndrome is an emergent situation and the physician needs to be notified immediately so that interventions can be initiated to relieve the increasing pressure and restore circulation.Option A: Acetaminophen (Tylenol) will be ineffective since the pain is related to the increasing pressure and tissue ischemia.Option C: The cast. not traction. is being used in this situation for immobilization. so releasing the traction would be inappropriate.Option D: In this situation. specific action not continued monitoring is indicated.

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  • 3. 

    Which of the following would the nurse do first for a 3-year-old boy who arrives in the emergency room with a temperature of 105 degrees. inspiratory stridor. and restlessness. who is leaning forward and drooling?

    • Auscultate his lungs and place him in a mist tent.

    • Have him lie down and rest after encouraging fluids.

    • Examine his throat and perform a throat culture

    • Notify the physician immediately and prepare for intubation.

    Correct Answer
    A. Notify the physician immediately and prepare for intubation.
    Explanation
    The child is exhibiting classic signs of epiglottitis. always a pediatric emergency. The physician must be notified immediately and the nurse must be prepared for an emergency intubation or tracheostomy.Option A: Further assessment with auscultating lungs and placing the child in a mist tent wastes valuable time. The situation is a possible life-threatening emergency.Option B: Having the child lie down would cause additional distress and may result in respiratory arrest.Option C: Throat examination may result in laryngospasm that could be fatal.

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  • 4. 

    Which of the following assessment findings would lead the nurse to suspect Down syndrome in an infant?

    • Small tongue

    • Transverse palmar crease

    • Large nose

    • Restricted joint movement

    Correct Answer
    A. Transverse palmar crease
    Explanation
    Down syndrome is characterized by the following a transverse palmar crease (simian crease). separated sagittal suture. oblique palpebral fissures. small nose. depressed nasal bridge. high arched palate. excess and lax skin. wide spacing and plantar crease between the second and big toes. hyperextensible and lax joints. large protruding tongue. and muscle weakness.

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  • 5. 

    At which of the following ages would the nurse expect to administer the varicella zoster vaccine to a child?

    • At birth

    • 2 months

    • 6 months

    • 12 months

    Correct Answer
    A. 12 months
    Explanation
    The varicella zoster vaccine (VZV) is a live vaccine given after age 12 months. The first dose of hepatitis B vaccine is given at birth to 2 months. then at 1 to 4 months. and then again at 6 to 18 months. DTaP is routinely given at 2. 4. 6. and 15 to 18 months and a booster at 4 to 6 years.

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  • 6. 

    Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for a child with a urinary tract infection?

    • A shorter urethra in females

    • Frequent emptying of the bladder

    • Increased fluid intake

    • Ingestion of acidic juices

    Correct Answer
    A. A shorter urethra in females
    Explanation
    In females. the urethra is shorter than in males. This decreases the distance for organisms to travel. thereby increasing the chance of the child developing a urinary tract infection.Option B: Frequent emptying of the bladder would help to decrease urinary tract infections by avoiding sphincter stress.Option C: Increased fluid intake enables the bladder to be cleared more frequently. thus helping to prevent urinary tract infections.Option D: The intake of acidic juices helps to keep the urine pH acidic and thus decrease the chance of flora development.

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  • 7. 

    Which of the following is being used when the mother of a hospitalized child calls the student nurse and states. “You idiot. you have no idea how to care for my sick child”?

    • Displacement

    • Projection

    • Repression

    • Psychosis

    Correct Answer
    A. Projection
    Explanation
    The mother is using projection. the defense mechanism used when a person attributes his or her own undesirable traits to another.Option A: Displacement is the transfer of emotion onto an unrelated object. such as when the mother would kick a chair or bang the door shut.Option C: Repression is the submerging of painful ideas into the unconscious.Option D: Psychosis is a state of being out of touch with reality.

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  • 8. 

    Which of the following aspects of psychosocial development is necessary for the nurse to keep in mind when providing care for the preschool child?

    • The child can use complex reasoning to think out situations.

    • Fear of body mutilation is a common preschool fear

    • The child engages in competitive types of play

    • Immediate gratification is necessary to develop initiative.

    Correct Answer
    A. Fear of body mutilation is a common preschool fear
    Explanation
    During the preschool period. the child has mastered a sense of autonomy and goes on to master a sense of initiative. During this period. the child commonly experiences more fears than at any other time. One common fear is fear of the body mutilation. especially associated with painful experiences.Options A. C. and D: The preschool child uses simple. not complex. reasoning. engages in associative. not competitive. play (interactive and cooperative play with sharing). and is able to tolerate longer periods of delayed gratification.

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  • 9. 

    When discussing normal infant growth and development with parents. which of the following toys would the nurse suggest as most appropriate for an 8-month-old?

    • Push-pull toys

    • Rattle

    • Large blocks

    • Mobile

    Correct Answer
    A. Large blocks
    Explanation
    Because the 8-month-old is refining his gross motor skills. being able to sit unsupported and also improving his fine motor skills. probably capable of making hand-to-hand transfers. large blocks would be the most appropriate toy selection.Option A: Push-pull toys would be more appropriate for the 10 to 12-month-old as he or she begins to cruise the environment.Options B and D: Rattles and mobiles are more appropriate for infants in the 1 to 3 month age range. Mobiles pose a danger to older infants because of possible strangulation.

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  • 10. 

    Which of the following is characteristic of a preschooler with mid-mental retardation?

    • Slow to feed self

    • Lack of speech

    • Marked motor delays

    • Gait disability

    Correct Answer
    A. Slow to feed self
    Explanation
    Mild mental retardation refers to development disability involving an IQ 50 to 70. Typically. the child is not noted as being retarded. but exhibits slowness in performing tasks. such as self-feeding. walking. and taking.Options B. C. and D: Little or no speech. marked motor delays. and gait disabilities would be seen in more severe forms mental retardation.

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  • Current Version
  • Aug 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 05, 2017
    Quiz Created by
    Santepro
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