Chapter 38 Maternal and Child Health Nursing 7th Edition

Chapter 38  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is admitting a 4-year-old child to the hospital for surgery. Before administering medicine, how should the nurse identify this child?
A)
Read the child’s arm band.
B)
Ask the child to state his or her name.
C)
Tell the child to state his or her nickname.
D)
Say the child’s name and see if the child answers.
Ans:
A

Feedback:

When asked what is their name, children cannot be depended on to reply with their correct name. Anxious to please, a preschooler will answer the question, “Are you Johnny Jones?” with “yes.” The child may also agree with any other name the nurse states. Stating a nickname would not correctly identify the child.

2.
The nurse is planning to provide a preschool-age patient with an oral medication. Which approach should the nurse use to gain the child’s cooperation?
A)
Compare the taste of the medicine to a chocolate bar.
B)
Offer to play a game with the child if the medicine is swallowed.
C)
Ask the child if a cup or oral syringe is preferred to take the medicine.
D)
Leave the medicine on the bedside stand; it can be taken independently.
Ans:
C

Feedback:

The child should be offered choices to provide a sense of control. Asking if a cup or oral syringe is preferred is the best approach for the nurse to use to gain the child’s cooperation. Medicine should never be compared to chocolate. The child might eat a fatal amount of the medicine when unattended. Offering to play a game is bribing the child and should not be done. The medicine should not be left at the bedside stand. The child might forget to take it and another child might swallow it.

3.
Prior to providing a preschool-age child with a prescribed dose of medication, the nurse is concerned that the child is underweight. Which should the nurse do at this time?
A)
Give the child the prescribed dose.
B)
Give the child one half the ordered dose.
C)
Call the child’s physician and alert to the dosage error.
D)
Measure the child’s height and weight and check whether the dose is correct.
Ans:
D

Feedback:

Before administering any medication to a child, confirm that the dose prescribed is correct for the child’s weight or body surface area. The nurse should not give the child the prescribed dose or one half the ordered dose. A dosage error has not occurred. The nurse is just calculating the dose according to the child’s current correct weight.

4.
Which technique should the nurse use to administer ear drops to a 4-year-old child?
A)
Press the pinna of the ear forward.
B)
Pull the pinna of the ear downward.
C)
Pull the pinna of the ear up and back.
D)
Lift the pinna of the ear down and back.
Ans:
C

Feedback:

When administering ear drops, if the child is older than 2 years of age, pull the pinna of the ear up and back. The pinna should not be pressed forward, pulled downward, or lifted down and back.

5.
The nurse is identifying diagnosis appropriate for a preschool-age child who began to cry after learning about needing intravenous fluid therapy. Which diagnosis should the nurse select to address this specific reaction?
A)
Fear related to intravenous infusion
B)
Discomfort related to intravenous infusion
C)
Health-seeking behavior by the child related to the intravenous infusion
D)
Deficient knowledge related to actions and effects of intravenous fluid therapy
Ans:
A

Feedback:

After learning about needing an intravenous infusion, the child began to cry. The most appropriate diagnosis would be fear related to intravenous infusion. The infusion has not started, so the child may or may not experience discomfort related to the infusion. The child did not ask the nurse to explain the infusion or the actions and effects of fluid therapy.