PRN6 Maternal Child Health Final Review
1. Administering iron to a baby: Give with orange juice. Tell patient May cause black tarry stool, and
... [Show More] constipation
2. Baby with nausea and vomiting they have anterior bulging fontanels, and you realize head circumference is not normal size. Brain tumor. Child may be irritable.
3. Infant with cancer. Administer Zofran (Ondansetron) with chemotherapy. It is for safe and effective Can be given to pediatrics, PRN 6-8 hour
4. What Stage of grief, Pt/Child diagnose with cancer, they may not want to talk about it? Denial
5. Health care setting, you have child life specialist, their role is to provide. (a) Provide opportunities (b)Interact with the child and patient (c) Therapeutic communication therapies
6. If you have a mother and her hemoglobin, 7.0,8.0,9 - What will happen to the developing fetus? The fetus will have Decrease oxygen and Restriction intrauterine growth.
7. A mother who has been smoking marijuana, using heroine and is pregnant. What do you think will happen to fetus? (a) Child will have low birth weight. (b) Miscarriage or other complications are a risk. (c) Preterm birth.
8. Dysmenorrhea, patient has pain with menstrual period. What is effective medication: Give NSAID (Ibuprofen Aleve).
9. Patient who is 25wks gestation have gestational diabetes. Why would you not want patient to go full term? Macrosomia baby.
10. Patient is 38 weeks, uncomfortable when sleeping. What is the best side to sleep on? Left side is best.
11. Discharge teaching for a 34weeks pregnant patient: Report: (a)Bleeding (b) Ruptured membrane. (c) Headache, does not respond to medication.
12. Preterm labor over 36 or 28weeks gestation. Contractions two to three minutes apart. Happening last three hours. (a) Hook up to fetal monitor. (b) IV therapy, bolus 500 ml fluids (c) Prepare for delivery (d) Get urine sample because UTI could cause contractions.
13. Prevent hypotension in a patient during labor and they just gotten an epidural: IV fluids (nothing by mouth)
14. Fetal monitor with non reassuring contractions-what do you do? (a) Change position to lateral side (b) Deliver baby immediately if fetal heart rate is 80.
15. Newborn skin assessment. Jaundice happen when not breaking down bilirubin. Look yellowing on skin and eyes. (a) Treatment is light therapy. (b) Encourage breastfeeding to pass stool.
16. Most common trauma on a child being born. Fracture of the clavicle.
17. Child born by a mother on drugs. Child will exhibit: Incessant crying.
18. Patient comes in, suspect child abuse, with soft injury: Report to supervisor and authorities.
19. Accelerations of fetal heart rate are normal: Record as normal finding
20. Labor dystocia is not progressing normally through labor process: Non pharmacological procedure: Amniotomy (Artificial rupture of membranes).
21. Patient had 9-pound baby. What do you do if bleeding is more and saturating two pads within 2hrs: Perform Fundal Massage.
22. Precaution for child who is immunocompromised. Hand washing
23. Know that to do parallel play…. Playing side by side, not together
24. Diagnosis for a child with anemia: Activity intolerance related to weakness
25. Discipline to child that is appropriate: (a) Redirection (b) Consequences
(c) Time out (d) Removal of privileges. (e) Distraction
26. You have a child comes with croup, the first thing you do as a nurse is to: Secure/Maintain Airway.
27. Type 1 diabetes mellitus in a 10- year- old, most common manifestation is: Weight loss
28. Most critical action when caring for newborn. Airway suction-get rid of fluid and hear them cry.
29. Palliative care with a child who’s chronically ill? (a) Keep them comfortable (b) Manage the symptoms.
30. Teaching: Child has allergies: (a) Use cold mist vaporizer because it is safer.
(b) No feather pillow (c) Not steam b/c will cause burns (d) No carpet
31. Child with sickle cell anemia. Interventions: (a) Pain Management (b) Hydration
32. If 15-16-yr -old going through dialysis at home: Peritoneal dialysis (has less complications) hemodialysis has a lot of issues.
33. Toddler throws himself on floor. Temper tantrum. Ignore behavior as long as they are safe.
34. What infants are at high risk of cold stress. (a) Preemie (b) Low birth weight. (b) C- section babies (c) Cover with hat
35. 6- month old baby vomiting and has 21 episodes of diarrhea in the past 10 hours: Give IV fluids to hydrate.
36. If you suspect Subdural retinal hemorrhage: Shaken baby syndrome
37. How to read APGAR score: 5
38. Car seat safety instruction when discharge patient: Sit in back, middle rear facing
39. Major risk for increase STI’s in teenagers? Invisibility. They think they can do anything. No consequences. Risk takers.
40. Safe blood transfusions. How long should you transfuse? Less than 4 hrs.
41. Patient had cardiac catheterization and has soaked bandage. Apply pressure above site.
42. Child 8 months old, fell and is unconscious. Establish Airway! And LOC check. If things are declining do CT scan.
43. Primary complication for burn injury: NCLEX – burn infection. Thermal burn is Shock
44. Patient broke ankle and have a cast on. Mother says I will have her take a bath and use the hair dryer. Keep it dry (no hair dryer)
45. Postpartum depression is a big deal. Medication administration is Methergine. What is priority? Assess blood pressure before administering.
46. Pitocin infusing and patient having consistent contraction for few hours. Why would you stop infusion? You turn hyper stimulation. If contractions too forceful, this baby may not progress. Uterine Hyper-stimulation
47. Magnesium sulfate toxicity: Respiration of less than 10.
48. Acute Respiratory Distress Syndrome. (ARDS) What is your primary assessment?
(a) Retraction (b) Tachypnea (Higher heart rate)
49. Patient having Seizure (a) Stay with them. (b) Document length and time of seizure.
50. Maternal newborn abduction teaching: (a) ID anklets and on arms (b Compare ID on baby to ID on mom (c) Security on alarm tags (d) Make sure if baby is transported, use crib (e) Do not give baby to anyone without the ID tag.
51. 3 ½ son in the hospital starts sucking thumb. Ignore behavior, Its normal. (Regression)
52. SIDS Prevention for the baby: (a) Sleep on back (b) Remove blankets (C) Remove stuffed toys in crib.
53. Croup is an infection not bacterial: Don’t expect antibiotic therapy. Want them on corticosteroid. We can only manage symptoms.
54. Infant with right side congestive heart failure, (CHF) what to tell mother? Weight gain over 1lb per day is concerning
55. Standard for School age child to return to school after infection? 24-hours after initiating an antibiotic therapy.
PRN6 Maternal Child Health Final Review
56. Croup: Different types of Respiratory infections in children: Artificial Airway in emergency.
57. Epiglottis: Watch out for excessive swallowing.
58. Interventions with a child with Pneumonia: (a) Promote rest (b) Hydration
59. 3-4months baby with High Heart Rate, lethargic, weight loss, poor skin turgor. Dehydration
60. What is initial therapeutic intervention for child with Acute diarrhea? Push Oral fluids
61. 6-yr- old who is going to have cardiac catheterization procedure, Teaching (a) Don’t use big words (b) Use pictures. (c) Avoid medical jargons.
62. Child born Congenital heart disease: Teaching to parents: Encourage play with other kids
63. Child just got done with blood transfusion and have trouble breathing, having rash, chest pain. Suspect: Air emboli.
64. Side effects of Corticosteroids therapy: Increased appetite
65. Teenage patient diagnosed with end stage renal disease. Problems anticipated with: Want to be independent. (c) May be non-complaint. (d) May be resent control.
66. 3-years old toddler, fell, initially conscious, was vomiting, but not anymore. Suspect brain injury: Interventions: (a) CT scan (b) Monitor Level of consciousness
67. Autism spectrum disorder—Read about
68. Goiter: Caused by enlarged thyroid gland
69. Care for a child with Impetigo: Very Infectious, to prevent: Hand washing important
70. What would predispose children to UTI: Females with short ureter.
71. Pain medication before wound debridement because it is painful: Use Morphine, Fentanyl and Midazolam.
72. Pediatric pain medication, very effective and metabolizes very quickly.
73. Asthma patient listening to lung sounds, you would hear: (A) Expiratory wheezes (b) Non productive cough
74. Pt discharge teaching. Treating for bacterial pneumonia: Give instruction on how to give medication, do you give in formula? Never mix medication in formula because it breaks down the chemical.
75. Digoxin toxicity- side effects? (a) Yellow/green halos (b) Vomiting.
76. Heart failure child-getting Lasix-encourage parents to give foods high in: Potassium
77. What are two interventions for patient after cardiac catheterization?
a. Maintain IV line (they could bleed out) need to push fluids
b. Color, Motion, Sensitivity (they may not be perfusing properly)
78. Pt. comes in, tells you had child at 34 weeks, child screams, child is different from other children. What do you advise? Children have different temperament, this has noting to do with gestational age. They might not be meeting milestones of other, and may be slower because was born earlier.
79. Encourage patient to talk of child illness by? Ask open-ended questions.
80. 5-year-old little girl has a cyst on leg, they need surgery, child is screaming she does not want to take off underwear and put on gown. Child can leave dress on.
81. 3-years-old hospitalized. What is concern for that age of development: Concern: (a) Separation from parents (b) Have parent room in.
82. 8lbs baby, at one year they should weigh? 24 lbs.
83. 16-yr-old that felt a lump on breast? Tell her to come in and get checked.
84. Serum alpha fetal protein testing: When? At 16-21 weeks. If 25weeks gestational age cannot have testing.
85. 6 weeks pregnant, spontaneous abortion at 13 weeks, stillborn at 39 weeks. GTPAL 3,1,0,1,0
PRN6 Maternal Child Health Final Review
86. Cardiovascular system changes during pregnancy, 2nd trimester, you can expect: Increase heart rate because more blood volume.
87. Calculate Due date: LMP: 3 months + 7 days.
88. Pregnancy induced hypertension: Patient with baseline of 140/82 or 90, even though blood pressure is low 130 or 120 be very concerned about patient.
89. Pregnant woman receiving magnesium sulfate: What to assess if you suspect excess magnesium? Hypoactive reflexes. Disappearance of reflexes.
90. Assessment for preeclampsia regarding urine: (a) Watch protein of level 3 or 4 (b) Hypertension
91. Magnesium sulfate. Why is it given to women with preeclampsia? To prevents seizures.
92. Interventions to decrease premenstrual syndrome: (a) Tell to increase fruit consumption (b) Decrease salt intake (c) Decrease sugar and fat
93. What is bacteria responsible for UTI? E- coli
94. RICE
R: Rest, allows to heal
I: Ice for first 48 hours at 15 min. intervals to decrease swelling C: Compress, ace wraps
E: Elevation, early motion; helps keep full ROM [Show Less]