MCH Final Exam - 100 Questions with 100% Correct Answers (NEW 2022!)
1. A nurse is caring for a child who is on clear liquid diet. Lunch, the child
... [Show More] consumbed .5 cup of juice and 3oz of jello 1 oz ice pop and 20 ml of ginger ale with medications. How many ml should the nurse chart as the childs intake? -
2. nurse planning care of infant. Most appropriate site to assess pulse? -
3. Teaching parent of a toddler about nutrition. What should be included? -
4. Born with spina bifida. Instructor asks student what other condition may be present with spina bifida. She is accurate with which answer? - s
5. Pedi hotline receives call from mother how plans to admin ASA to toddler for a fever and what to know the dosage -
6. Caring for child who has been phys abused by a family member. Appropriate statemtn for the nurse to say to the child? -
7. Type of play is noted in all children at time but this remains the primary form of play for a child it may be sign of developmental delays -
8. Hearing impaired children are at risk for which of the following -
9. Caring for an adolescent who has a newly applied fiberglass cast for fractured tibia. Immediately following application of the cast the nurse should recognize that the priority action is to do... -
10. An infant has an elevated bilirubin and the provider has requested phototherapy at the mother's bedside. What education should the nurse provide to the mother regarding use of the bili lights? Select all. -
11. Client in labor has external fetal monitor. Nurse nots late decels and interprets them as indicating which of the following? -
12. the nurse knows that all women should perform self breast exams to ID changes. If a woman telephones your clinic and reports a lump in her breast what is the nurse's best response to her?
13. Pregnant client presents to L&D with no prenatal care and it is quickly determined to ultrasound that she is 39wks gest. What lab specimens must the nurse obtain which will direct the care given to the client. Select all. -
14. 6wks. She has had previous spontaneous abortion at 14wks and pregnancy that she delievered vaginally at 39wks. What is her gravidity and parity using the GTPAL system?
15. a woman arrives at the clinical for pregnancy test. The first day of her last menstrual period was july 21, 2015. What is her EDD using Naegles Rule? -
16. Woman presents to the ED with complaints of unilateral LQ ab pain and some vaginal bleeding. She relates having a positive home pregnancy test 1 wk ago. What should the nurse be concerned about with this patient? -
17. 30wk pregnant client is receiving mg sulfate for preeclampsia. Nursing interventions that a nurse will complete while administering mg sulfate to this patient. Select all -
18. For what medical issues is mg sulfate administered to pregnanct women -
19. Fetal wellbeing is a responsibility of the nurse. How does the nurse assess for fetal wellbeing -
20. A prescription for morphine sulfate IV Bolus has been ordered for a child who is in pain. The nurse preparing to administer the medication realizes that the client appears small for her age. Which of the following actions should the nurse take -
21. The nurse is caring for a 17yo cline who is experiencing a relapse of leukemia and is refusing chemotherapy. The client's mother insists that the client receive treatment. Which of the following nursing actions should the nurse take? -
22. A nurse in a well child clinic is assessing a 6mo infant. Which of the following assessment should the nurse expect to make? -
23. A nurse is caring for a 4yo client who just had ab surgery. Which of the following techniques should the nurse use to get the client to take deep breaths -
24. 5yo scheduled for cardiac cath. what does the nurse know about the preop teaching for this client. -
25. Parents of a 3yo child with congenital heart disease are afraid to let their child play with other children because of possible over exertion. Which statements by the nurse is true? -
26. Several complications can occur when a child received a blood transfusion. What is an immediate sign of an air embolus -
27. The nurse is caring for an adolescent who has just started dialysis. 15yo seems angry hostile and depressed. Nurse should recognize this is related to which of the following issues? -
28. The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. What is the most essential part of the nursing assessment to detect early signs of worsening conditions -
29. Which of the following does not predispose the child to UTI -
30. The most immediate threat to life in children with thermal injuries? -
31. A child has a chronic nonproductive cough and diffuse wheezing during the expiratory phase of respiration. What should this suggest to the nurse -
32. all but which of the following techniques are acceptable for medications administration to an infant? -
33. Choose the nursing interventions for a child after a cardiac cath. select all. -
34. Which action is likely to encourage parents to talk about their feeling related to their childs illness -
35. In preparing to insert an IV into a 5yo then nurse should consider which of the following. Select all. -
36. While planning postop care for the toddler. The nurse recognizes that the child is likely to have which concern based on age?
37. Infant weighted 6 lbs at birth. expected weight at 1 yr? -
38. Perinatal nurse prepares the laboring woman for an epidural anesthesia insertions. What nursing action should be taken to prevent maternal hypotension -
39. Methergine is prescribed for a woman to treat postpartum hemorrhage. What is that priority nursing assessment before administering this drug to the postpartum client.
40. Receiving MgSulfate for the management of preeclampsia. A nurse determines that the client is experiencing toxicity from the med if which of the following is noted on assessment -
41. A nurse in the newborn nursery is monitoring newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn would alert the nurse to the possibility of this syndrome -
42. Nurse determines that a new mother understands the teaching about prevention of newborn abduction if she makes which statement -
43. Developing a plan of care for a child who is at risk for seizures. What are the nursing interventions that the nurse should perform if the child has a seizure. Select All. -
44. A new mother expresses concerns regarding SIDS. She asks the nurse how to position the new infant for sleep. What is the nurses best response to this new mother -
45. Hospitalized 2yo with croup is receiving corticosteroid therapy and the mother asks why the provider did not prescribe antibiotics? What is the best response to the mother? -
46. Nurse is monitoring an infant with CHF. Which of the following symptoms alerts the nurse to suspect fluid accumulation and the need to call the provider? -
47. When is it generally recommended that a child return to school with an acute strep pharyngitis -
48. Which type is croup is considered a medical emergency -
49. An appropriate nursing intervention when caring for a child with pneumonia is which of the following -
50. Infant brought to the ED with poor skin turgor weight loss lethargy an tachycardia. What does the nurse suspect is the problem? -
51. Therapeutic management of a child with acute diarrhea and mild dehydration usually beings with what nursing action? -
52. toddler's parents ask for suggestions on dealing with temper tantrums. What is the most appropriate recommendation the nurse can share with the parents? -
53. That is most critical nursing action in caring or the newborn immediately after birth -
54. Newborns that maybe more at risk for developing cold stress are those infants without sufficient brown fat thermogenesis. The neonatal nurse will recognize which baby is at the greatest risk? -
55. Young child brought to ED with severe dehydration secondary to acute diarrhea and vomiting Therapeutic management of this child will begin with which nursing intervention? -
56. 3mo infant dies shortly after arriving to the ED. Infant has a subdural and retinal hemorrhages but no external signs of trauma. The nurse should expect which injury? -
57. 1min after birth the nurse assesses the infant and notes a HR of 80bpm some flexion of extremities a weak cry slight grimacing and pink body but blue extremities. The nurse would calculate an APGAR score as which number. -
58. clinic is lending a federally approved car seat to an infants family. The nurse should explain where the safest place is to put the car seat in the vehicle -
59. student nurse notes that population of a STI health clinic consists largely of teenagers. The nurse explains that adolescents are at greater risk for contracting STIs because of which factor? -
60. Pedi nurse routinely administers blood products to the patients on the unit. Safe administration includes the following procedure -
61. school aged girl who has had a cardiac cath. the child tells the nurse that her bandage is too wet. The nurse find the bandage and bed soaked with blood. What is the most appropriate initial nursing action? -
62. What is the priority nursing intervention when a child is unconscious after a fall -
63. After the acute stage and during the healing process the primary complication from burn injury is - I
64. A mother brings her 15mo old child to the clinic. During nursing assessment the mother makes the following comments. Which comment warrants further investigation. -
65. 10yo is discharged home from the ED after a fracture his left lower extremity. Cast was applied and nurse give discharge instruction to the patient and his parents. The nurse notes the parents require additional education when the mother states which of the following -
66. Informed consent requires which of the following actions -
67. The nurse is caring for a laboring client and notes the fetal monitor pattern of accelerations. Which of the following is appropriate? -
68. A nurse has ID that her pregnant client has a labor dystocia and is not progressing normally through the labor process. The nurse is preparing to augment her labor and will prepare the client for which of following nonpharm procedure? - y
69. Uterine atony occurs after your patient has vaginal delivery of her 9lbs baby. The initial nursing intervention to prevent hemorrhage is which of the following interventions? -
70. Health teaching that the nurse would provide for parents of an immunosupp child focuses on which important measure? -
71. the nurse observed some children in the playroom. Which play situation exhibits the characteristics of parallel play.
72. Appropriate nursing Dx for a child with anemia -
73. Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a childs self esteem. Which discipline is appropriate. Select All -
74. 4yo comes into ED. Has frog-like croaking sounding upon inspiration is agitation and is drooling. She insists on sitting upright. Priority action? -
75. 12y/o dx with type 1 diabetes. Pedi nurse explains to the nurse explains to the patients parents that the symptoms of this disease include which of the following? -
76. ____________ is described as enhancing the quality of life by keeping the patients comfortable in the face of terminal condition such as cancer. -
77. Why are cool mist vaporizers vs steam heat humidifiers recommended in home treatment of respiratory tract infections -
78. 8yo dx with sickle cell anemia. Hospitalized and nurse recognized which of the following as the initial nursing intervention -
79. advantage of peritoneal dialysis
80. The student nurse is preparing education for the parents of a 6yo that will begin Fe supps following a dx of Fe deficient anemia. What should be included in the ed. Select all that apply. -
81. Pedi nurse assesses 7mo infant brought to the clinic with S/S of irritability N?V and taut anterior fontanel. Based on the standard growth chart, the nurse notes that the child has an increased head circumference which may indicate which of the following med conditions? -
82. To offset chemo related effects of nausea and vomiting. The pediatric nurse administers which medications? -
83. The periatric nurse is familiar with kubler ross stages of grief. Parents who are feeling confused and refuse to discuss the disease with any nurse or doctor are in which stage of grief? -
84. During a pedi nursing orientation session to a new unit. The child like specialist is introduced as an important member of the healthcare team. What is an important role of the child like specialist. -
85. The pedi nurse is caring for a child who has been in a motor vehicle collision. The dr explains to the family that there serious physical disabilities. The father is upset and states I don't know how I will be able to cope. I have two other children. What can I do? What is the nurses response? -
86. Asking the pregnant woman about her use of recreational drug is essential component of the prenatal hx. The use of rec drugs cause harm to the fetus resulting in which OB outcomes? Select all. -
87. Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be away that the optimal pharm therapy for pain is? -
88. Screening at 23wks reveals that a pregnant woman has gest DM. in planning her care the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. What is the fetus at greatest risk for? -
89. The nurse caring for a pregnant client knows that her health teach regarding fetal circulation has been effective when the client reports that she has been sleeping in what position?
90. Which of the following are S/S that a pregnant woman should report immediately to her health care provider? Select all. -
91. 34wks, experiencing preterm labor. Interventions nurse will provide for client. Select All. -
92. Perinatal nurse prepare the laboring woman for an epidural. What intervention can the nurse provide to prevent maternal hypotension? -
93. According to agency policy the perinatal nurse provides which intrapartal nursing care for the patient with preeclampsia? -
94. Perinatal nurse providing care to a laboring woman recognizes a nonreassuring FHR tracing. An appropriate initial actions is to which of the following? -
95. Nurse performs assessment of the newborns skin and documents the presence of a yellow coloration of the skin surface sclera and oral mucous membranes. What condition is most likely the cause of these findings? - J
96. 4yo has croup is admitted to the hospital and wes the bed overnight. When the parent comes to visit the next day the nurse explains the situation and the parents says my child neer wets the bed at home. I am so embarrassed. Which of the following is an appropriate response by the nurse? -
97. A nurse is assessing a newborn to a mother who is addicted to drugs. Which assessment findings would the nurse expect to note during the assessment of this newborn -
98. A nurse performs an admission assessment on a child and suspects physical aburse. Based on this suspicion, the primary legal nursing responsibility to which of the following? -
99. A nurse is caring or a child after tonsillectomy. The nurse monitors the child knowing that which of the following indicates that the child is bleedling -
100. A nurse provides home care instructions to the parents of a child with congestive heart failure regarding the procedure for administration of digoxin. Which statement made indicated need for for further instructions? - [Show Less]