Chapter 30 Maternal and Child Health Nursing 7th Edition

Chapter 30  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
When assessing the oral cavity of a 2.5-year-old toddler, which finding is expected?
A)
12 deciduous teeth
B)
20 deciduous teeth
C)
16 deciduous and 2 permanent teeth
D)
6 deciduous and 12 permanent teeth
Ans:
B

Feedback:

All 20 deciduous teeth are generally present by 2.5 to 3.0 years of age.

2.
The nurse is preparing a community educational program for the parents of toddlers. Which topics should the nurse include that address the 2020 National Health Goals for safety? (Select all that apply.)
A)
Using age-appropriate car seats
B)
Securing poisonous items out of reach
C)
Eliminating lead-based paint in the home
D)
Removing pets from the home environment
E)
Obtaining foot stools for use during toilet training
Ans:
A, B, C

Feedback:

The 2020 National Health Goals for toddlers focus on safety. The nurse can help the nation achieve these goals by educating parents about the importance of using car seats and childproofing the home against poisoning and lead poisoning. The National Health Goals do not address pets in the home. Foot stools for toilet training are not a safety concern.

3.
The parents of a toddler want to assist the child achieve the developmental task of autonomy. Which approach should the nurse suggest to the parents?
A)
Teach the child how to count.
B)
Allow the child to make simple decisions.
C)
Give the child small household chores to do.
D)
Urge the child to put on clothes independently.
Ans:
B

Feedback:

To develop a sense of autonomy is to develop a sense of independence. A healthy level of autonomy is achieved when parents are able to balance independence with consistently sound rules for safety. Allowing the child to make simple decisions helps the child achieve autonomy in a safe setting. Teaching how to count will not help develop autonomy in the child. Providing the child with chores will not develop autonomy. The child is not developmentally prepared to be able to put on clothes independently.

4.
A mother is concerned that her 2-year-old child is having seizures when he holds his breath until he passes out when he wants something his mother does not want him to have. What should the nurse respond to this mother’s concern?
A)
Seizures rarely occur in toddlers.
B)
With seizures, cyanosis rarely develops.
C)
Seizures are not provoked; temper tantrums are.
D)
Seizures typically occur with fever; temper tantrums do not.
Ans:
C

Feedback:

Some children hold their breath as part of a temper tantrum until they become cyanotic. Breath holding occurs when a child is provoked; the child develops a distended chest, often has air-filled cheeks, and shows increasing distress as the body registers oxygen want. A seizure cannot be provoked. Seizures can occur in all ages. Cyanosis can occur with seizures. Seizures can occur in those with neurologic problems and not just with a fever.

5.
The nurse had instructed the family of a toddler on home safety during a previous visit. During this current visit, what observation indicates that instruction has been effective?
A)
Prescribed medication sitting on countertop
B)
House plant on a small table next to the sofa
C)
Small bowl of mixed nuts on the coffee table
D)
All windows in the home have locked screens.
Ans:
D

Feedback:

To prevent falls, the parents should keep the house windows closed or keep secure screens in place. Prescribed medication should be stored in a locked cabinet and not left out on a table because this could cause accidental poisoning. House plants should not be within reach of the toddler because this could cause an accidental poisoning or injury if the plant is pulled on top of the child. Nuts could cause accidental choking and should not be within the child’s reach.