WorksheetsMaternal and Child Health Nursing
Total questions: 90
Worksheet time: 1hrs 8mins
You are assigned to a child with hepatitis. What should you include in the plan of care? Select all that apply.
A. Providing a low-fat, well-balanced diet
B. Teaching the child effective hand-washing techniques
C. Scheduling playtime in the playroom with other children
D. Notifying the primary health care provider (PHCP) if jaundice is present
E. Instructing the parents to avoid administering medications unless prescribed
What is your level of certainty?
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An infant with heart failure receiving diuretic therapy should be closely monitored of intake and output. What is the most appropriate method to assess urine output?
A. Weighing the diapers
B. Comparing intake with output
C. Measuring the amount of water added to formula
D. Inserting a urinary catheter
What is your level of certainty?
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During the RLE case presentation, student nurse Justine is explaining the care for a child with cystic fibrosis. Which statement was made by the student that prompted the professor to comment he needs to review further information about CF?
A. It is a chronic multisystem disorder affecting the exocrine glands
B. A child with CF has abnormally thick mucus
C. It is present at birth, a genetic disease considered as an autosomal recessive trait
D. Because of the mucus, this disease causes dilation of the passageways of many organs
What is your level of certainty?
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Paolo is a 9-year-old child being treated for right lower lobe pneumonia. His mother calls from home the clinic nurse. The mother said “ my child is having discomfort on the right side, but ibuprofen is not helping”. Which instruction should the nurse provide to the mother?
A. Encourage the child to lie on the right side
B. Increase the dose of ibuprofen
C. Increase the frequency of ibuprofen
D. Encourage the child to lie on the left side
What is your level of certainty?
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A 7-year old child has symptoms of itchy, red, and swollen eyes. The nurse also observed discharge from the eyes and so she sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. From the diagnosis, which requires a further investigation?
A. Possible trauma to the eye
B. Possible sexual abuse
C. Presence of an exposure to allergy
D. Presence or history of a respiratory infection
What is your level of certainty?
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What are the clinical manifestations of nephrotic syndrome that a nurse should include in the findings?
A. Hematuria, bacteriuria, weight gain
B. Massive proteinuria, hypoalbuminemia, edema
C. Gross hematuria, albuminuria, fever
D. Hypertension, weight loss, proteinuria
What is your level of certainty?
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Nurse Vee, reviewed the primary health care provider's orders for a child after a tonsillectomy. She was praised by her senior nurse. This was after she questioned which of the following order?
A. If the child is coughing, suction him frequently
B. Can be discharged to home when alert and tolerating fluids
C. Provide clear, cool liquids to the child when awake
D. Instruct parents that milk products should not be given to the child
What is your level of certainty?
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The primary health care provider has documented that the 10-month old infant is asymptomatic for HIV infection. The mother expressed to the nurse that she is so happy that the infant will not get HIV infection. The nurse should make which most appropriate response to the mother?
A. "I am so pleased also that everything has turned out fine."
B. “Because symptoms have not developed, it is unlikely that your infant will develop HIV infection."
C. "Everything looks great, but be sure to return with your infant next month for the scheduled visit."
D. "Most children infected with HIV develop symptoms within the first 9 months of life, and some become symptomatic sometime before they are 3 years old."
What is your level of certainty?
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Prior to being discharged, the parents of a child with a cleft lip were given instructions by the nurse on home feeding of their baby. Which statement by the mother would indicate that further teaching is indicated?
A. "I am so glad that I can breast-feed my baby."
B. "I must feed my baby with a syringe and not use a nipple."
C. "I will feed my baby while sitting in a chair and holding her more upright."
D. "I will burp my baby very frequently so that she does not swallow a lot of air."
What is your level of certainty?
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In which position should an infant with a diagnosis of bronchiolitis be placed by a nurse?
A. Head and chest at a 30-degree angle with the neck slightly extended
B. Supine, side-lying position with the arms elevated
C. Trendelenburg's, at a 60-degree angle with pelvis higher than head
D. Prone with the head of the bed elevated 15 degrees
What is your level of certainty?
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According to the mother, the child weighs 8.1 kg, prior to admission, but assessment showed that child now weighs 7.4 kg. Diagnostic findings include gastroenteritis and dehydration. The mother is worried and asks how severe the dehydration is. What type of dehydration does the child exhibit?
A. Mild dehydration
B. Acute dehydration
C. Severe dehydration
D. Moderate dehydration
What is your level of certainty?
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A 13-year-old is admitted to the hospital with presenting symptoms of low-grade fever and joint pain. Which diagnostic test finding will assist to determine a diagnosis of rheumatic fever?
A. Absence of C-reactive protein
B. Presence of Reed-Sternberg cells
C. Elevated erythrocyte sedimentation rate
D. Decreased antistreptolysin O titer
What is your level of certainty?
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Alex, is a 4 year-old child scheduled for a tonsillectomy in a day surgical unit. The day after the tonsillectomy, the surgical unit received a call from the mother because she smelled bad odor from the child’s mouth and was concerned about it. Which response is most appropriate?
A. "The child probably has an infection. Bring her for an antibiotic prescription"
B. "Badmouth odor is normal. Just have the child drink more liquids it may help relieve the odor."
C. "Have the child gargle with mouthwash every 4 hours."
D. "You need to contact the health care provider immediately."
What is your level of certainty?
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A nursing student was tasked to collect a sample for urinalysis of a 6-month old. How should the nursing student take the specimen?
A. Catheterizing the infant using the smallest available Foley catheter
B. Attaching a urinary collection device to the infant's perineum for collection
C. Obtaining the specimen from the diaper by squeezing the diaper after the infant voids
D. Noting the time of the next expected voiding and then preparing a specimen cup for the urine
What is your level of certainty?
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The child who has pertussis in the convalescent stage is to be sent home. Which statement by the mother needs to be corrected?
A. "My child should drink fluids."
B. "Dust or smoke can trigger coughing spells."
C. "We need to follow droplet precautions and a quiet environment for at least 2 weeks.”
D. "Vomiting may occur when our child has coughing episodes."
What is your level of certainty?
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The doctor prescribed the child with Cystic Fibrosis to perform breathing exercises, and postural drainage. Which of the following should be instructed by the nurse?
A. Procedures should be scheduled 4 hours apart
B. Perform the postural drainage first and then the breathing exercises
C. Perform the postural drainage after breathing exercises
D. Postural drainage is best in the morning, and breathing exercises is for the evening
What is your level of certainty?
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Before administering the prescribed Digoxin to an infant with heart failure, nurse Lyndsay checked the chart and assessed the patient. The digoxin blood level is 1.6 ng/mL (2.05 mmol/L) and the apical heart rate is 90 beats/min. She also noted the mother’s report that the infant vomitted the formula. Which intervention should the nurse take?
A. Retake the apical pulse
B. Administer the medication
C. Withhold the medication for 1 hour
D. Withhold the medication and notify the primary health care provider
What is your level of certainty?
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Baby Angelo just got his cleft lip on the right side surgically repaired. He was now transferred to the nursing unit. What is the best position at this time?
A. Prone position
B. On the stomach
C. Left lateral position
D. Right lateral position
What is your level of certainty?
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An infant is experiencing a hypercyanotic spell. How should Nurse Rendel prioritize his actions in order of priority. All options must be used.
1. Administer 100% oxygen.
2. Place the infant in a knee-chest position
3. Administer morphine sulfate as prescribed.
4. Document the occurrence, actions taken, and the infant's response.
5.Administer fluids intravenously.
(a)
What is your level of certainty?
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The mother of a child asks the nurse how she should take care of her child diagnosed with Rubeola (measles). The nurse tells the mother to?
A. Keep her child in a room with darker lights
B. Give the child warm baths to help prevent itching
C. Allow the child to play outdoors in the morning because sunlight will help the rash
D. Monitor temp every 4 hours and givee 1 baby aspirin for fever
What is your level of certainty?
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After the surgery of hypospadias in a 16-month old child, which postoperative instruction should the nurse emphasize to the parents as they prepare to go home?
A. Leave the diapers off to allow the site to heal
B. Avoid tub baths until the stent has been removed
C. Encourage toilet training to ensure that flow of urine is normal
D. Restrict fluid intake to reduce urinary output for the first few days
What is your level of certainty?
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The mother of a newborn with hypospadias is questoning the nurse why the doctor cannot perform the circumcision to her child. Which is the most appropriate response by the nurse?
A. "Circumcision will cause an infection."
B. "Circumcision is not performed in a newborn."
C. "Circumcision will cause difficulty with urination."
D. "Circumcision has been delayed to save tissue for surgical repair."
What is your level of certainty?
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Nurse Jo evaluated his teaching of home care instructions to the parent of a child with acquired immunodeficiency syndrome (AIDS). Which statement by the parent indicates the need for further teaching?
A. "I will wash my hands frequently."
B. "I will keep my child's immunizations up to date."
C. "I will avoid direct unprotected contact with my child's body fluids."
D. "I can let my child attend day care, as long as it is a low-grade fever."
What is your level of certainty?
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The worried father of a child who was diagnosed with croup asks Jennifer, who is a new nurse at the hospital what to do because her child has been crying a lot, and trying to climb out of the cool mist tent. Which is the most appropriate nursing action?
A. Tell the mother that the child must stay in the tent
B. Allow to have a toy in the tent to make the child feel more comfortable
C. Inform the primary health care provider and obtain a prescription for a mild sedative
D. Direct the cool mist over the child's face while the mother hold the child
What is your level of certainty?
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A 4-year old child had a history of fever and a cough for the past 2 days and this morning prior to consulting at the clinic the child began to wheeze. Viral pneumonia was diagnosed. Based on the diagnosis, the nurse anticipates which will be a component of the treatment plan?
A. Oral antibiotics
B. Supportive treatment
C. Hospitalization and IV antibiotics
D. Intravenous (IV) fluid administration
What is your level of certainty?
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An infant has bronchiolitis and the diagnostic tests indicated respiratory syncytial virus (RSV). Because of the diagnosis, which is the most appropriate nursing action?
A. Initiate strict enteric precautions
B. Move the infant to a room with another child with RSV
C. Leave the infant in the present room because RSV is not contagious
D. Inform the staff that they must wear a mask, gloves, and a gown when caring for the child
What is your level of certainty?
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A hemophilic child involved in a car crash was being monitored by nurse Regiline. Which assessment finding, if noted, needs for a follow-up?
A. The child maintains affected joints in an immobilized position and denies pain at this time
B. The child's urine is noted to be clear and light yellow and is negative for red blood cells
C. The child maintains bruised joints in an elevated position; the bruises noted are beginning to turn yellow
D. The child is drowsy and difficult to arouse; previously the child was able to respond to questions effectively
What is your level of certainty?
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How should the nurse protect the exposed bladder tissue in an infant with bladder exstrophy?
A. Cover the bladder with petroleum jelly gauze
B. Cover the bladder with a non adhering plastic wrap
C. Apply sterile distilled water dressings over the bladder mucosa
D. Keep the bladder tissue dry by covering it with dry sterile gauze
What is your level of certainty?
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After a 2-year old child had an orchiopexy to fix cryptorchidism, nurse Shiela evaluated the parents’ understanding of the discharge teaching she gave. Which statement by the parents requires correction?
A. "I'll check his temperature."
B. "I'll give him medication so he'll be comfortable."
C. "I'll let him decide when to return to his play activities."
D. "I'll check his voiding to be sure there's no problem."
What is your level of certainty?
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The child that nurse Michaela is caring for complains of pain pointing towards her joints. The child has diagnosis of hemophilia so the nurse suspects hemarthrosis. Which measure should the nurse expect to be prescribed for the child?
A. Perform range-of-motion exercises to the affected joint
B. Application of a bivalved cast for joint immobilization
C. NSAID drugs for the pain
D. Use of a heating pad to the affected joint
What is your level of certainty?
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A child is suspected of having glomerulonephritis. What statement by the parent should the nurse presume is linked with this diagnosis?
A. "I'm so glad they didn't find any protein in his urine."
B. "I noticed his urine was the color of coca-cola lately."
C. “His primary health care provider said his kidneys are working well."
D. "The nurse who admitted my child said his blood pressure was low."
What is your level of certainty?
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While at the emergency department, the mother reported that her child’s nosebleed began suddenly without apparent reason. What would be your initial response?
A. Insert nasal packing
B. Prepare a nasal balloon for insertion
C. Place the child in a semi-Fowler's position, and apply ice packs to the nose
D. Ask the child to sit down and lean forward, and apply pressure to the nose
What is your level of certainty?
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An infant of a mother infected with HIV is being seen in the clinic monthly to be monitored for symptoms indicative of HIV infection. Knowing the most common opportunistic infection of children infected with HIV, the nurse assesses the infant for which sign?
A. Liver failure
B. Cough
C. Watery stool
D. Nuchal rigidity
What is your level of certainty?
Low
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Martha is a child with cystic fibrosis scheduled for discharge the next day. The nurse evaluated her mother’s understanding of the feeding appropriate for her. Which of the following if stated by the mother indicates an understanding of correct dietary measure?
A. Low in fat
B. Low in protein
C. Diet is low in calories
D. Diet is high in calories
What is your level of certainty?
Low
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It was nurse Arrbelle’s first time caring for a child admitted with Kawasaki disease. He prepares by refreshing his knowledge of this disease, then he created the initial plan of care. He should include monitoring the child for signs of which condition?
A. Bleeding
B. Failure to thrive
C. Heart failure
D. Decreased tolerance to stimulation
What is your level of certainty?
Low
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Which statement by the parents indicates their understanding of the treatment plan for their child with hypospadias?
A. "Caution should be used when straddling the infant on a hip."
B. "Vital signs should be taken daily to check for bladder infection."
C. "Catheterization will be necessary when the infant does not void."
D. "Circumcision has been delayed to save tissue for surgical repair."
What is your level of certainty?
Low
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Nurse Katrina is tasked to provide teaching to the parents of a child to be sent home after a tonsillectomy. What should she include in her list of discharge instructions? Select all that apply.
A. Avoid hot fluids
B. Avoid raw vegetables
C. Consume pudding products
D. Rest in bed or on a couch for 24 hours
E. Drink cold milkshakes to soothe the throat
What is your level of certainty?
Low
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Wendel is an ER nurse assigned to care for a child with epiglottitis. What should he monitor every time he assesses the child that would indicate the child is experiencing airway obstruction?
A. Check if child exhibits nasal flaring and bradycardia
B. Monitor temperature. Low-grade fever and complaints of a sore throat
C. Check the child’s positioning like leaning forward, with the chin thrust out
D. The child is leaning backward, supporting himself or herself with the hands and arms
What is your level of certainty?
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Nurse Claire is giving discharge instructions to the mother regarding home care and infection control measures for a 3-year-old child with HIV infection Which statement by the mother indicates a need for further teaching?
A. "I should throw away any unused food and formula immediately."
B. "I need to thoroughly wash all vegetables before preparing them."
C. "I will discard the nipple if it becomes soft and sticky."
D. "I will put the clean eating utensils, baby bottle, and dishes in the dishwasher."
What is your level of certainty?
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Nurse Alliyah is evaluating the effectiveness of her teaching to the relative about treatment measures of acute spasmodic episode. Which statement made by the attending relative indicates a need for further teaching?
A. "I could use a cool-mist humidifier in the child’s room."
B. "I will assist the child to inhale steam from running water."
C. "I will take the child out into the cool, humid night air."
D. “I will place a steam vaporizer in the child’s room."
What is your level of certainty?
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After the tonsillectomy, the child appears irritable. Nurse Audrey assessed the child, and the child told her that his throat feels dry. Which item could nurse Audrey give the child to relieve dryness of the throat?
A. Yellow non-citrus Jell-O
B. Iced tea
C. A glass of hot milk
D. Cool cherry Kool-Aid
What is your level of certainty?
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The student nurses attended a lecture about hemophilia. Which statement regarding this disorder should the professor plan to include in the discussion?
A. Males inherit hemophilia from their fathers
B. Hemophilia is a Y-linked hereditary disorder
C. Females inherit hemophilia from their mothers
D. Hemophilia A results from deficiency of factor VIII
What is your level of certainty?
Low
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Shiela is a solo parent at the age of 19. She asked the nurse about measures that could help reduce the hernia in her child. After giving instructions, what statement should the nurse hear that indicates an understanding of the mother?
A. "I will encourage my child to cough every few hours on a daily basis."
B. "I will ensure that my child participates in physical activity every day."
C. "I will give comfort measures to reduce any crying periods by my child."
D. "I will give my child a Fleet enema every day to prevent constipation."
What is your level of certainty?
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A newborn infant received surgical intervention for imperforate anus. What should the nurse anticipate as the correct position postoperatively?
A. Supine with no head elevation
B. Side-lying with the legs extended
C. Side-lying with the legs flexed
D. Supine with the head elevated 30 degrees
What is your level of certainty?
Low
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High
A child with pyloric stenosis is to be admitted. Which assessment data is expected that the nurse should ask the mother to regard the child’s symptoms?
A. Watery diarrhea
B. Projectile vomiting
C. Increased urine output
D. Vomiting large amounts of bile
What is your level of certainty?
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