Chapter 33 Maternal and Child Health Nursing 7th Edition

Chapter 33  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
An adolescent patient is concerned about the presence of facial acne. What should the nurse teach the patient about the cause of this skin disorder?
A)
Caused by thyroid gland secretions
B)
Develops because of poor personal hygiene
C)
Caused by the activation of androgen hormones
D)
Appears when there is a vitamin deficiency from an inadequate diet
Ans:
C

Feedback:

Acne is a self-limiting inflammatory disease that involves the sebaceous glands, which empty into hair shafts. One cause for the development of acne is an increase in androgen levels, which cause sebaceous glands to become active. Acne is not caused by thyroid gland secretions. Acne does not develop because of poor personal hygiene; although, poor hygiene can make acne worse. Acne is not caused by a vitamin deficiency.

2.
An adolescent is prescribed tretinoin (Retin-A cream) as therapy for acne. What should the nurse instruct the patient about this medication?
A)
Avoid unprotected sun exposure.
B)
Apply the cream while the face is wet.
C)
Avoid using the medication prior to bedtime.
D)
Avoid applying the cream directly on lesions.
Ans:
A

Feedback:

A common prescription medication for acne is tretinoin (Retin-A cream). This medication reduces keratin formation and plugging of ducts. Adolescents should be cautioned to avoid prolonged sun exposure and to use a sunblock of SPF 15 or higher because the preparation makes their skin more susceptible than usual to ultraviolet rays. This medication is not typically applied to a wet face. It can be used prior to bedtime. It should be applied directly to lesions.

3.
The school nurse is preparing an educational session for adolescents to address the 2020 National Health Goals for healthy habits. What should the nurse include in this presentation? (Select all that apply.)
A)
Abstaining from alcohol
B)
Avoidance of tobacco products
C)
Maintaining a healthy body weight
D)
Attending college preparation programs
E)
Refusing to participate in substance abuse
Ans:
A, B, C, E

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals for adolescent healthy habits by educating adolescents about the use of cigarettes, smokeless tobacco, alcohol, and substance abuse, and reducing the number of adolescents who are obese. College preparation programs will not necessarily help adolescents achieve healthy habits.

4.
During a physical assessment, a 15-year-old male expresses concern about being short in height. Which should the nurse respond to this patient’s concern?
A)
Most male adolescents stop growing by age 17 years.
B)
Maximum height is typically achieved by age 14 years.
C)
The epiphyseal lines of long bones close when signs of puberty occur.
D)
The epiphyseal lines of long bones close at about 18 to 20 years of age in males.
Ans:
D

Feedback:

Growth stops with closure of the epiphyseal lines of long bones, which occurs at about 18 to 20 years of age in males. Most adolescent males do not stop growing by age 17 years. Maximum height is not achieved by age 14 years. The epiphyseal lines of long bones do not close when signs of puberty occur.

5.
The nurse is preparing to discuss the most frequent causes of death in adolescents with a group of high school students. On which area should the nurse focus during this discussion?
A)
Water safety
B)
Home safety
C)
Firearm safety
D)
Motor vehicle safety
Ans:
D

Feedback:

Unintentional injuries, most commonly those involving motor vehicles, are the leading cause of death among adolescents. This is the area in which the nurse should focus during the discussion with the high school students. Water, home, and firearm safety are not identified as leading causes of death in adolescents.