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MATERNAL CHILD CH. 43 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MATERNAL CHILD CH. 43 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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MATERNAL CHILD CH. 43 QUESTIONSAND ANSWERS WITH SOLUTIONS 2024
An accurate description of anemia is:
a. Increased blood viscosity.
b. Depressed hematopoietic system.
c. Presence of abnormal hemoglobin.
d. Decreased oxygen-carrying capacity of blood. - ANSWER ANS: D
Anemia is a condition in which the number of red blood cells or hemoglobin concentration is reduced
below
the normal values for age. This results in a decreased oxygen-carrying capacity of blood. Increased blood
viscosity is usually a function of too many cells or of dehydration, not of anemia. A depressed
hematopoietic
system or abnormal hemoglobin can contribute to anemia, but the definition depends on the deceased
oxygen- carrying capacity of the blood.
Several blood tests are ordered for a preschool child with severe anemia. She is crying and upset
because she
remembers the venipuncture done at the clinic 2 days ago. The nurse should explain that:
a. Venipuncture discomfort is very brief.
b. Only one venipuncture will be needed.
c. Topical application of local anesthetic can eliminate venipuncture pain.
d. Most blood tests on children require only a finger puncture because a small amount of blood is
needed - ANSWER ANS: C
Preschool children are very concerned about both pain and the loss of blood. When preparing the child
for
venipuncture, a topical anesthetic will be used to eliminate any pain. This is a very traumatic experience
for
preschool children. They are concerned about their bodily integrity. A local anesthetic should be used,
and a
bandage should be applied to maintain bodily integrity. A promise that only one venipuncture will be
needed
,should not be made in case multiple attempts are required. Both finger punctures and venipunctures are
traumatic for children. Both require preparation.
The most appropriate nursing diagnosis for a child with anemia is:
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 713
a. Activity Intolerance related to generalized weakness.
b. Decreased Cardiac Output related to abnormal hemoglobin.
c. Risk for Injury related to depressed sensorium.
d. Risk for Injury related to dehydration and abnormal hemoglobin - ANSWER ANS: A
The basic pathology in anemia is the decreased oxygen-carrying capacity of the blood. The nurse must
assess
the childs activity level (response to the physiologic state). The nursing diagnosis would reflect the
activity
intolerance. In generalized anemia no abnormal hemoglobin may be present. Only at a level of very
severe
anemia does cardiac output become altered. No decreased sensorium exists until profound anemia
occurs. Dehydration and abnormal hemoglobin are not usually part of anemia.
Which statement best explains why iron deficiency anemia is common during toddlerhood?
a. Milk is a poor source of iron.
b. Iron cannot be stored during fetal development.
c. Fetal iron stores are depleted by age 1 month.
d. Dietary iron cannot be started until age 12 months. - ANSWER ANS: A
Children between the ages of 12 and 36 months are at risk for anemia because cows milk is a major
component
of their diet, and it is a poor source of iron. Iron is stored during fetal development, but the amount
stored
depends on maternal iron stores. Fetal iron stores are usually depleted by age 5 to 6 months. Dietary
iron can
be introduced by breastfeeding, iron-fortified formula, and cereals during the first 12 months of life.
, When teaching the mother of a 9-month-old infant about administering liquid iron preparations, the
nurse
should include that:
a. They should be given with meals.
b. They should be stopped immediately if nausea and vomiting occur.
c. Adequate dosage will turn the stools a tarry green color.
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 714
d. Preparation should be allowed to mix with saliva and bathe the teeth before swallowing. - ANSWER
ANS: C
The nurse should prepare the mother for the anticipated change in the childs stools. If the iron dose is
adequate,
the stools will become a tarry green color. The lack of the color change may indicate insufficient iron. The
iron
should be given in two divided doses between meals, when the presence of free hydrochloric acid is
greatest.
Iron is absorbed best in an acidic environment. Vomiting and diarrhea may occur with iron
administration. If
these occur, the iron should be given with meals, and the dosage reduced and gradually increased as the
child
develops tolerance. Liquid preparations of iron stain the teeth. They should be administered through a
straw, and the mouth rinsed after administration.
Iron dextran is ordered for a young child with severe iron deficiency anemia. Nursing considerations
include:
a. Administering with meals.
b. Administering between meals.
c. Injecting deeply into a large muscle.
d. Massaging injection site for 5 minutes after administration of drug - ANSWER ANS: C
Iron dextran is a parenteral form of iron. When administered intramuscularly, it must be injected into a
large
muscle using the Z-track method. Iron dextran is for intramuscular or intravenous administration; it is not
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