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Maternity and Pediatrics Ricci, Kyle and Carman- Ch 44 Questions with Correct Answers
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Maternity and Pediatrics Ricci, Kyle and Carman- Ch 44 Questions with Correct Answers
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Maternity and Pediatrics Ricci, Kyle and Carman- Ch44 Questions with Correct Answers
1. The nurse is teaching the mother of a 5-year-old boy with a
myelomeningocele who has developed a sensitivity to latex. Which of
the following responses from his mother indicates a need for further
teaching?
A) "He needs to get a medical alert identification."
B) "I will need to discuss this with his caregivers."
C) "A product's label indicates whether it is latex-free."
D) "He must avoid all contact with latex." Correct Answer-Ans: C
Feedback:
The Food and Drug Administration (FDA) requires that all medical
supplies be labeled if they contain latex, but this is not the case with
consumer products. The mother must be familiar with products that
contain latex. The Spina Bifida Association of America maintains an
updated list of latex-containing products. Getting a medical alert
identification, talking with his caregivers, and avoiding all contact with
latex are correct.
2. The nurse is caring for an 8-year-old boy with myasthenia gravis and
is teaching his parents about the signs of cholinergic crisis. Which of the
following responses by the parents indicates a need for further teaching?
A) "Low blood pressure is a sign of crisis."
B) "He might have difficulty swallowing."
C) "He may start to sweat a lot."
,D) "More saliva in the mouth is a common sign." Correct Answer-Ans:
B
Feedback:
Dysphagia is a sign of myasthenic crisis. Increased salivation,
hypotension, and increased sweating are signs and symptoms of
cholinergic crisis.
3. The nurse is providing postoperative care for a 14-month-old girl who
has undergone a myelomeningocele repair. The girl's mother is
extremely anxious and tells the nurse she is afraid she will never learn
how to care for her daughter at home. Which response by the nurse
would be most appropriate?
A) "I will help you become comfortable in caring for your daughter."
B) "You must learn how to care for your daughter at home."
C) "You will need to learn to collaborate with all the caregivers."
D) "There is a lot to learn, and you need a positive attitude." Correct
Answer-Ans: A
Feedback:
The nurse needs to empower families to become the experts on their
child's needs and conditions via education and participation in care. The
most positive approach is to let the mother know the nurse will support
her and help her become an expert on her daughter's care. Telling the
mother that she must learn how to care for her daughter or that she must
have a positive attitude is not helpful. Telling her that she needs to
collaborate with the caregivers is true, but does not address her fears.
,4. The nurse is caring for a 10-year-old with Duchenne muscular
dystrophy. As part of the plan of care, the nurse focuses on maintaining
his cardiopulmonary function. Which intervention would the nurse
implement to best promote maximum chest expansion?
A) Deep-breathing exercises
B) Upright positioning
C) Coughing
D) Chest percussion
. Correct Answer-Ans: B
Feedback:
The nurse should emphasize that the child's position should be arranged
to promote maximum chest expansion. This is usually in the upright
position. Deep-breathing exercises are for strengthening/maintaining
respiratory muscles. Coughing helps clear the airways. Chest percussion
helps loosen secretions in lungs
5. A 6-year-old boy with cerebral palsy has been admitted to the hospital
for some tests. His condition is stable. The boy's mother remains with
her son, but she is obviously exhausted and stressed. Which response by
the nurse would be most appropriate?
A) "Would you like me to bring you a blanket and pillow?"
B) "You are doing such a wonderful job with your son."
C) "He's in good hands; consider going home to get some sleep."
D) "Are you planning to spend the night or to go home?" Correct
Answer-Ans: C
Feedback:
, Providing daily, intense care can be quite demanding and tiring. When a
child with cerebral palsy is admitted to the hospital, this may serve as a
time of respite for family and primary caregivers. The nurse should
remind the mother that her son is in good hands and urge her to go
home. Asking her whether she is planning to stay might make the
mother feel obligated to stay. Asking if she wants a blanket or pillow
does not encourage the mother to leave the hospital. Telling the mother
she is doing a good job is nice, but does not encourage her to take a
break.
6. A nurse is caring for a 14-year-old girl following myelography.
Which of the following would be the priority nursing action?
A) Monitoring for a decrease in spasticity
B) Observing for signs of meningeal irritation
C) Assessing motor function
D) Observing for mental confusion or hallucinations Correct Answer-
Ans: B
Feedback:
Following myelography, the nurse should carefully observe for signs of
meningeal irritation because of what is involved in this procedure.
Monitoring for a decrease in muscle spasticity, assessing motor function,
and observing for mental confusion or hallucinations is appropriate
following an intrathecal test dose of baclofen.
7. The nurse has developed a plan of care for a 6-year-old with muscular
dystrophy. He was recently injured when he fell out of bed at home.
Which intervention would the nurse suggest to prevent further injury?
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