Test Bank
Maternity and Pediatric Nursing
3rd Edition
By Susan Ricci, Theresa Kyle, and Susan Carman
Test Bank - Maternity and Pediatric Nursing (3rd
... [Show More] Edition) by Ricci, Kyle, and Carman 2
Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................4
Chapter 2- Family-CenteredCommunity-BasedCare....................................................................................................9
Chapter 3- Anatomy and Physiology of the Reproductive System...............................................................................14
Chapter 4- Common Reproductive Issues....................................................................................................................19
Chapter 5- Sexually Transmitted Infections.................................................................................................................24
Chapter 6- Disorders of the Breasts .............................................................................................................................29
Chapter 7- Benign Disorders of the Female Reproductive Tract..................................................................................34
Chapter 8- Cancers of the Female Reproductive Tract.................................................................................................39
Chapter 9- Violence and Abuse ...................................................................................................................................44
Chapter 10- Fetal Development and Genetics..............................................................................................................49
Chapter 11- Maternal Adaptation During Pregnancy ...................................................................................................54
Chapter 12- Nursing Management During Pregnancy..................................................................................................60
Chapter 13- Labor and Birth Process...........................................................................................................................66
Chapter 14- Nursing Management During Labor and Birth .........................................................................................72
Chapter 15- Postpartum Adaptations ...........................................................................................................................78
Chapter 16- Nursing Management During the Postpartum Period ...............................................................................84
Chapter 17- Newborn Transitioning ............................................................................................................................90
Chapter 18- Nursing Management of the Newborn......................................................................................................96
Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy.........................................................................102
Chapter 20- Nursing Management of the Pregnancy at Risk......................................................................................108
Chapter 21- Nursing Management of Labor and Birth at Risk...................................................................................114
Chapter 22- Nursing Management of the Postpartum Woman at Risk .......................................................................120
Chapter 23- Nursing Care of the Newborn With Special Needs.................................................................................126
Chapter 24- Nursing Management of the Newborn at Risk........................................................................................132
Chapter 25- Growth and Development of the Newborn and Infant............................................................................138
Chapter 26- Growth and Development of the Toddler...............................................................................................144
Chapter 27- Growth and Development of the Preschooler.........................................................................................150
Chapter 28- Growth and Development of the School-Age Child ...............................................................................157
Chapter 29- Growth and Development of the Adolescent..........................................................................................164
Chapter 30- Atraumatic Care of Children and Families.............................................................................................171
Chapter 31- Health Supervision .................................................................................................................................176
Chapter 32- Health Assessment of Children ..............................................................................................................183
Chapter 33- Caring for Children in Diverse Settings..................................................................................................190
Chapter 34- Caring for the Special Needs Child ........................................................................................................197
Chapter 35- Key Pediatric Nursing Interventions ......................................................................................................203
Chapter 36- Pain Management in Children ................................................................................................................210
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................................217
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ...........224
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 3
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears.....231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder.........................238
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder...........................244
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder...........250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder............257
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder
...................................................................................................................................................................................264
Extra Questions: Musculoskeletal Disorder...........................................................................................................270
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder..................277
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic
Disorder.....................................................................................................................................................................283
Extra Questions: Neoplastic Disorder....................................................................................................................290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder...........................296
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder...............................303
Chapter 49- Nursing Care of the Child With an Alteration in Genetics .....................................................................310
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development........................317
Chapter 51- Nursing Care During a Pediatric Emergency..........................................................................................324
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 4
Chapter 1- Perspectives on Maternal, Newborn, and Women’s
Health Care
1. The United States ranks 50th in the world for maternal mortality and 41st among
industrialized nations for infant mortality rate. When developing programs to assist in decreasing
these rates, which factor would most likely need to be addressed as having the greatest impact?
A) Resolving all language and cultural differences
B) Assuring early and adequate prenatal care
C) Providing more extensive women’s shelters
D) Encouraging all women to eat a balanced diet
2. When integrating the principles of family-centered care, the nurse would include which of the
following?
A) Childbirth is viewed as a procedural event
B) Families are unable to make informed choices
C) Childbirth results in changes in relationships
D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 5
B) Health care workers’ attitudes
C) Transportation
D) Finances
7. After teaching a group of nursing students about the issue of informed consent. Which of the
following, if identified by the student, would indicate an understanding of a violation of
informed consent?
A) Performing a procedure on a 15-year-old without consent
B) Serving as a witness to the signature process
C) Asking whether the client understands what she is signing
D) Getting verbal consent over the phone for emergency procedures
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
His parents are out of town on vacation, and the child is staying with a neighbor. Which action
would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the child’s aunt or uncle to obtain their consent
D) Advocating for termination of parental rights for this situation
9. After teaching nursing students about the basic concepts of family-centered care, the instructor
determines that the teaching was successful when the students state which of the following?
A) “Childbirth affects the entire family, and relationships will change.”
B) “Families are not capable of making health care decisions for themselves.”
C) “Mothers are the family members affected by childbirth.”
D) “Childbirth is a medical procedure.”
10. A nursing instructor is preparing a class discussion on the trends in health care and health
care delivery over the past several centuries. When discussing the changes during the past
century, which of the following would the instructor be least likely to include?
A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care
with the understanding that based on this client’s cultural background, the client most likely
views illness as which of the following?
A) Caused by supernatural forces.
B) A punishment for sins.
C) Due to spirits or demons.
D) From an imbalance of yin and yang
12. A nurse is developing a plan of care for a woman to ensure continuity of care during
pregnancy, labor, and childbirth. Which of the following would be most important for the nurse
to incorporate into that plan?
A) Adhering to strict, specific routines
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 6
B) Involving a pediatric physician
C) Educating the client about the importance of a support person
D) Assigning several nurses as a support team
13. A nursing instructor is preparing a class discussion on case management in maternal and
newborn health care. Which of the following would the instructor include as a key component?
Select all that apply.
A) Advocacy
B) Coordination
C) Communication
D) Resource management
E) Event managed care
14. After teaching a group of students about the concept of maternal mortality, the instructor
determines that additional teaching is needed when the students state which of the following?
A) “The rate includes accidental causes for deaths.”
B) “It addresses pregnancy-related causes.”
C) “The duration of the pregnancy is not a concern.”
D) “The time frame is typically for a specified year.”
15. A group of students are reviewing the historical aspects about childbirth. The students
demonstrate understanding of the information when they identify the use of twilight sleep as a
key event during which time frame?
A) 1700s
B) 1800s
C) 1900s
D) 2000s
16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which
action would least likely demonstrate application of the concept of family-centered care?
A) Focusing on the birth as a normal healthy event for the family
B) Creating opportunities for the family to make informed decisions
C) Encouraging the woman to keep her other children at home
D) Fostering a sense of respect for the mother and the family
17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors.
Which of the following would the nurse most likely include? Select all that apply.
A) Chromosomal abnormalities
B) Malnutrition
C) Preterm cervical dilation
D) Underlying disease condition
E) Poor placental attachment
18. A nurse is preparing a presentation for a local community group about health status and
children’s health. Which of the following would the nurse include as one of the most significant
measures?
A) Fetal mortality rate
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B) Neonatal mortality rate
C) Infant mortality rate
D) Maternal mortality rate
19. A group of students are reviewing an article describing information related to indicators for
women’s health and the results of a national study. Which of the following would the students
identify as being satisfactory for women? Select all that apply.
A) Smoking cessation
B) Colorectal cancer screening
C) Violence against women
D) Health insurance coverage
E) Mammograms
20. A nurse is preparing a presentation for a local women’s group about heart disease and
women. Which of the following would the nurse expect to address when discussing measures to
promote health.
A) Women have similar symptoms as men for a heart attack.
B) Heart disease is no longer viewed as a “man’s disease.”
C) Women experiencing a heart attack are at greater risk for dying.
D) Heart attacks in women are more easily diagnosed.
21. A nurse is working to develop a health education program for a local community to address
breast cancer awareness. Which of the following would the nurse expect to include when
describing this problem to the group? Select all that apply.
A) White women have higher rates of breast cancer than African American women.
B) African American women are more likely to die from breast cancer at any age.
C) Survival at any stage is worse among white women.
D) Women living in South America have the highest rates of breast cancer.
E) Breast cancer is the leading cause of cancer mortality in women.
22. A group of nursing students are reviewing information about factors affecting maternal,
newborn, and women’s health. The students demonstrate understanding of the information when
they identify which of the following deficiencies as being associated with poverty? Select all that
apply.
A) Literacy
B) Employment opportunities
C) Mobility
D) Political representation
E) Skills
Answer Key
1. B
2.
Chapter 5- Sexually Transmitted Infections
1. The nurse is developing a plan of care for a client who is receiving highly active antiretroviral
therapy (HAART) for treatment of HIV. The goal of this therapy is to:
A) Promote the progression of disease
B) Intervene in late-stage AIDS
C) Improve survival rates
D) Conduct additional drug research
2. A woman who is HIV-positive is receiving HAART and is having difficulty with compliance.
To promote adherence, which of the following areas would be most important to assess initially?
A) The woman’s beliefs and education
B) The woman’s financial situation and insurance
C) The woman’s activity level and nutrition
D) The woman’s family and living arrangements
3. When developing a teaching plan for a community group about HIV infection, which group
would the nurse identify as an emerging risk group for HIV infection?
A) Native Americans
B) Heterosexual women
C) New health care workers
D) Asian immigrants
4. After teaching a group of adolescents about HIV, the nurse asks them to identify the major
means by which adolescents are exposed to the virus. The nurse determines that the teaching was
successful when the group identifies which of the following?
A) Sexual intercourse
B) Sharing needles for IV drug use
C) Perinatal transmission
D) Blood transfusion
5. The nurse reviews the CD4 cell count of a client who is HIV-positive. A result less than which
of the following would indicate to the nurse that the client has AIDS?
A) 1,000 cells/mm3
B) 700 cells/mm3
C) 450 cells/mm3
D) 200 cells/mm3
6. When obtaining the health history from a client, which factor would lead the nurse to suspect
that the client has an increased risk for sexually transmitted infections (STIs)?
A) Hive-like rash for the past 2 days
B) Five different sexual partners
C) Weight gain of 5 lbs in 1 year
D) Clear vaginal discharge
7. Assessment of a female client reveals a thick, white vaginal discharge. She also reports intense
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 25
itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:
A) Trichomoniasis
B) Bacterial vaginosis
C) Candidiasis
D) Genital herpes simplex
8. A client with trichomoniasis is to receive metronidazole (Flagyl). The nurse instructs the client
to avoid which of the following while taking this drug?
A) Alcohol
B) Nicotine
C) Chocolate
D) Caffeine
9. A woman gives birth to a healthy newborn. As part of the newborn’s care, the nurse instills
erythromycin ophthalmic ointment as a preventive measure related to which STI?
A) Genital herpes
B) Hepatitis B
C) Syphilis
D) Gonorrhea
10. Which findings would the nurse expect to find in a client with bacterial vaginosis?
A) Vaginal pH of 3
B) Fish-like odor of discharge
C) Yellowish-green discharge
D) Cervical bleeding on contact
11. A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse
discusses the risk of transmitting the infection to her newborn, explaining that this infection is
transmitted to the newborn through the:
A) Amniotic fluid
B) Placenta
C) Birth canal
D) Breast milk
12. The nurse encourages a female client with human papillomavirus (HPV) to receive continued
follow-up care because she is at risk for:
A) Infertility
B) Dyspareunia
C) Cervical cancer
D) Dysmenorrhea
13. A client is diagnosed with pelvic inflammatory disease (PID). When reviewing the client’s
medical record, which of the following would the nurse expect to find? (Select all that apply.)
A) Oral temperature of 100.4 degrees F
B) Dysmenorrhea
C) Dysuria
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 26
D) Lower abdominal tenderness
E) Discomfort with cervical motion
F) Multiparity
14. Which instructions would the nurse include when teaching a woman with pediculosis pubis?
A) “Take the antibiotic until you feel better.”
B) “Wash your bed linens in bleach and cold water.”
C) “Your partner doesn’t need treatment at this time.”
D) “Remove the nits with a fine-toothed comb.”
15. A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this
infection?” Which response by the nurse would be most appropriate?
A) “There is a new vaccine available that prevents the infection from returning.”
B) “All you need is a dose of penicillin and the infection will be gone.”
C) “There is no cure, but drug therapy helps to reduce symptoms and recurrences.”
D) “Once you have the infection, you develop an immunity to it.”
16. A nurse is preparing a presentation for a group of women at the clinic who have been
diagnosed with genital herpes.
Which of the following would the nurse expect to include as a possible precipitating factor for a
recurrent outbreak?
(Select all that apply.)
A) Exposure to ultraviolet light
B) Exercise
C) Use of corticosteroids
D) Emotional stress
E) Sexual intercourse.
17. After teaching a class on sexually transmitted infections, the instructor determines that the
teaching was successful when the class identifies which statement as true?
A) STIs can affect anyone if exposed to the infectious organism.
B) STIs have been addressed more on a global scale.
C) Clients readily view the diagnosis of STI openly.
D) Most individuals with STIs are over the age of 30.
18. A group of students are reviewing information about STIs. The students demonstrate
understanding of the information when they identify which of the following as the most common
bacterial STI in the United States?
A) Gonorrhea
B) Chlamydia
C) Syphilis
D) Candidiasis
19. A nurse is assessing a client for possible risk factors for chlamydia and gonorrhea. Which of
the following would the nurse identify?
A) Asian American ethnicity
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B) Age under 25 years
C) Married
D) Consistent use of barrier contraception
20. A nurse at a local community clinic is developing a program to address STI prevention.
Which of the following would the nurse least likely include in the program?
A) Outlining safer sexual behavior
B) Recommending screening for symptomatic individuals
C) Promoting the use of barrier contraceptives
D) Offering education about STI transmission
21. After teaching a class on preventing pelvic inflammatory disease, the instructor determines
that the teaching was successful when the class identifies which of the following as an effective
method?
A) Advising sexually active females to use hormonal contraception
B) Encouraging vaginal douching on a weekly basis.
C) Emphasizing the need for infected sexual partners to receive treatment
D) Promoting routine treatment for asymptomatic females as risk
22. A group of nursing students are reviewing information about vaccines used to prevent STIs.
The students would expect to find information about which of the following?
A) HIV
B) HSV
C) HPV
D) HAV
E) HBV
23. A mother brings her 12-year-old daughter in for well-visit checkup. During the visit, the
nurse is discussing the use of prophylactic HPV vaccine for the daughter. The mother agrees and
the daughter receives her first dose. The nurse schedules the daughter for the next dose, which
would be given at which time?
A) In 2 month
B) In 2 months
C) In 3 months
D) In 4 months
24. A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects
trichomoniasis based on which of the following? (Select all that apply.)
A) Urinary frequency
B) Yellow/green discharge
C) Joint pain
D) Blister-like lesions
E) Muscle aches
25. A nurse is teaching a women with genital ulcers how to care for them. Which statement by
the client indicates a need for additional teaching?
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 28
A) “I need to wash my hands after touching any of the ulcers.”
B) “I need to abstain from intercourse primarily when the lesions are present.”
C) “I should avoid applying ice or heat to my genital area.”
D) “I can try lukewarm sitz baths to help ease the discomfort.”
Chapter 51- Nursing Care During a Pediatric Emergency
1. The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which
question would be most important for the nurse to ask during the health history?
A) “Has she been diagnosed with any chronic disorders?”
B) “Is your daughter currently taking any medications?”
C) “Is she allergic to any medications or drugs?”
D) “Tell me how the bicycle accident happened.”
2. The nurse is caring for a 7-year-old boy experiencing respiratory distress who is scheduled to
have a chest radiograph. Which of the following would be most important for the nurse to
include in the child's plan of care?
A) Administering a sedative to help calm the child
B) Assisting the child to lie still during the chest radiograph
C) Accompanying the child to continue observation
D) Informing the child that he might hear a loud banging noise
3. A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the emergency
department. Which of the following would be most appropriate?
A) Ventilating the child with a bag-valve-mask
B) Estimating the child's weight using a Broselow tape
C) Providing therapy using automated external defibrillation
D) Using rescue breathing and chest compressions
4. When caring for an 8-year-old boy injured in an automobile accident, the nurse demonstrates
understanding of the principles of Pediatric Advanced Life Support (PALS) by which action?
A) Assisting ventilation with a bag-valve-mask (BVM) device
B) Treating ventricular fibrillation using a defibrillator
C) Managing compensated shock to prevent decompensated shock
D) Treating supraventricular tachycardia using cardioversion
5. A 9-year-old girl who has fallen from a second-story window is brought to the emergency
department. Which assessment would be a priority?
A) Evaluating pupils for equality and reactivity
B) Monitoring oxygen saturation levels
C) Asking the child if she knows where she is
D) Using the appropriate pain assessment scale
6. The parents bring their 3-year-old son to the emergency department after having found that he
has ingested some of his mother's medicine. Which assessment would be of critical importance
for this child?
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 325
A) Assessing mental status and skin moisture and color
B) Evaluating the effectiveness of the child's breathing
C) Noting the child's pulse rate and quality
D) Auscultating all lung fields for signs of edema
7. Which of the following would the nurse do first for a 5-year-old girl with profound
bradycardia?
A) Provide oxygen at 100%
B) Administer epinephrine as ordered
C) Use warming blankets
D) Perform gastric lavage
8. Which measure would be most appropriate for the nurse to do to ensure that a child's
endotracheal (ET) tube is correctly positioned?
A) Auscultate for abdominal breath sounds
B) Mark the tracheal tube at the child's lip
C) Watch for a yellow display on a CO2 monitor
D) Inspect for water vapor in the tracheal tube
9. Which intervention would be most helpful in preventing barotrauma when ventilating a
3-year-old girl with a bag-valve-mask?
A) Choosing the correct size bag and face mask
B) Setting the flow rate at exactly 10 L/minute
C) Maintaining the airway in the open position
D) Delivering one breath every 3 to 5 seconds
10. The nurse is providing care to a 4-year-old boy with a broken arm and an infected laceration
from a fall. The nurse notes a significant elevation in the child's heart rate. Which intervention
would be least appropriate?
A) Administering antipyretics as ordered for fever
B) Using a defibrillator to reduce the heart rate
C) Administering analgesics to reduce pain
D) Allowing the parents to comfort the child
11. A child weighing 51 lbs requires defibrillation. How many joules would the nurse expect to
give initially?
A) 46
B) 92
C) 102
D) 204
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 326
12. A 1-month-old infant admitted to the emergency department in respiratory distress exhibits a
regular pattern of breathing followed by brief periods of apnea, then tachypnea for a short time,
eventually returning to a normal respiratory rate. The nurse documents this finding as which of
the following?
A) Hypoventilation
B) Hyperventilation
C) Periodic breathing
D) Stridor
13. The nurse is gathering the necessary equipment for tracheal intubation for a child who is 2
years old. Which tracheal tube size would the nurse obtain?
A) 4.5
B) 5
C) 5.5
D) 6
14. Which of the following would lead the nurse to suspect that a 5-year-old child is
experiencing supraventricular tachycardia?
A) Heart rate 160 beats per minute
B) Flattened P waves
C) Normal QRS complex
D) History of fever
15. Which of the following would be most appropriate to use to help maintain a patent airway in
an infant experiencing a respiratory emergency?
A) Neck hyperextension
B) Head tilt–chin lift technique
C) Jaw-thrust maneuver
D) Small towel under shoulders
16. After teaching a group of nursing students about shock in children, the instructor determines
that the teaching was successful when the students identify which type of shock as most
common?
A) Septic
B) Cardiogenic
C) Hypovolemic
D) Distributive
17. A child who weighs 53 lbs is receiving fluid volume replacement as part of the treatment for
shock. The nurse is evaluating the child's hourly urinary output to determine if the child's
condition is improving. Which output would the nurse interpret as most indicative of
improvement?
A) 12 mL
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 327
B) 15 mL
C) 22 mL
D) 30 mL
18. A child has a tracheal tube in place and will be receiving medications via this tube.
Which of the following medications would the nurse expect to be administered in this manner?
Select all answers that apply.
A) Lidocaine
B) Adenosine
C) Atropine
D) Dopamine
E) Epinephrine
F) Naloxone
19. A group of students are reviewing information about respiratory arrest in children. The
students demonstrate understanding of this information when they identify which of the
following as a common cause involving the upper airway? Select all answers that apply.
A) Croup
B) Asthma
C) Pertussis
D) Epiglottitis
E) Pneumothorax
20. The nurse is preparing the plan of care for a child experiencing respiratory distress.
Which of the following would be the priority?
A) Providing supplemental oxygen
B) Monitoring for changes in status
C) Assisting ventilation
D) Maintaining a patent airway
21. The nurse is providing care to a child who is intubated and the child's condition is
deteriorating. Which of the following would the nurse do first?
A) Check if the tracheal tube is obstructed
B) Assess for displacement of the tracheal tube
C) Look for signs of a possible pneumothorax
D) Check the equipment for malfunction
22. The nurse is providing care to a child experiencing shock. Which of the following
intravenous solutions would the nurse expect to administer?
A) Ringer lactate
B) Dextrose 5% and water
C) Dextrose 5% and normal saline
Test Bank - Maternity and Pediatric Nursing (3rd Edition) by Ricci, Kyle, and Carman 328
D) Dextrose 10% and water
23. A child is brought to the emergency department with a suspected poisoning. Which of the
following would the nurse least likely expect to be used?
A) Gastric lavage
B) Syrup of ipecac
C) Activated charcoal
D) Whole bowel irrigation
24. A group of students are working on a presentation for a local health fair about safety for
children. When developing this presentation, the students would address which of the following
as the most common cause of pediatric injury?
A) Sports
B) Firearm use
C) Falls
D) Automobile accidents
25. As part of their orientation to their pediatric clinical rotation, an instructor is teaching a
group of students how to perform cardiopulmonary resuscitation (CPR) on a child. Two students
return demonstrate the skill using an infant manikin. Which of the following indicates the proper
technique?
A) Compressing 30 times for every 2 breaths
B) Placing the heel of the hand on the midsternum
C) Giving 2 breaths followed by 15 compressions
D) Using two hands to perform chest compressions
26. A child is undergoing rapid sequence intubation and is receiving atropine. The nurse
understands that this agent is used to accomplish which of the following?
A) Lessen the vagal effects of intubation
B) Reduce intracranial pressure
C) Induce amnesia
D) Provide short-term paralysis
27. A nurse determines that a child is exhibiting compensated supraventricular tachycardia
(SVT). Which of the following would be attempted first?
A) Adenosine
B) Synchronized cardioversion
C) Vagal maneuvers
D) Amiodarone
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