Chapter 36 Maternity and Pediatric Nursing 2nd Edition

Chapter 36  Maternity and Pediatric Nursing 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is teaching the student nurse the physiology involved in pain transmission. Which of the following statements accurately describes a physiologic event in the nervous system related to pain transmission? Select all answers that apply.
A)
Thermal stimulation may involve the release of mediators, such as histamine, prostaglandins, leukotrienes, or bradykinin.
B)
When nociceptors are activated by noxious stimuli, the stimuli are converted to electrical impulses that are relayed to the spinal cord and brain.
C)
Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates; unmyelinated small C fibers transmit the impulse slowly.
D)
Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite side and rise upward to the thalamus.
E)
The point at which the person first feels the highest intensity of the painful stimulus is termed the pain threshold.
F)
Peripheral sensitization allows the nerve fibers to react to a stimulus that is of lower intensity than would be needed to cause pain.

2.
The nurse is managing children who have chronic diseases in a neighborhood clinic. Which of the following are examples of chronic conditions? Select all answers that apply.
A)
Diabetes mellitus
B)
Myocardial infarction
C)
Rheumatoid arthritis
D)
Compound fracture
E)
Acute asthma
F)
Bronchopneumonia

3.
The nurse is caring for a child who is recovering from an appendectomy. Which of the following is the appropriate term for the pain this child is experiencing?
A)
Nociceptive pain
B)
Neuropathic pain
C)
Chronic pain
D)
Superficial somatic pain

4.
The nurse is conducting an assessment of a high school track athlete. He tells the nurse he is experiencing pain along his outer thigh. He describes it as tight, achy, and tender, particularly after he runs. The nurse understands that he is most likely experiencing what kind of pain?
A)
Cutaneous
B)
Neuropathic
C)
Visceral
D)
Deep somatic

5.
The nurse is caring for a child who is experiencing pain related to chemotherapy treatment. Which of the following is a behavioral factor that might affect the child’s pain experience?
A)
Knowledge of the therapy
B)
Fear about the outcome of therapy
C)
Participation in normal routine activities
D)
Ability to identify pain triggers

6.
The nurse caring for infants in the neonatal intensive care unit (NICU) relies on the use of behavioral and physiologic indicators for determining pain. Which of the following examples are behavioral indicators? Select all answers that apply.
A)
The infant grimaces.
B)
The infant’s heart rate is elevated.
C)
The infant flails his arms and legs.
D)
The infant’s respiratory rate is elevated.
E)
The infant is crying uncontrollably.
F)
The infant’s oxygen saturation is low.

Answer Key

1.
B, C, D, F
2.
A, C, E
3.
A
4.
D
5.
C
6.
A, C, E