Chapter 40 Maternal and Child Health Nursing 7th Edition

Chapter 40  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is planning a community program for parents that focuses on the 2020 National Health Goals to reduce of respiratory illness in children. Which information should the nurse emphasize in this presentation? (Select all that apply.)
A)
Adhering to recommended immunizations
B)
Engaging in age-appropriate activity daily
C)
Importance of avoiding all cigarette smoking
D)
Ensuring an adequate dietary intake of calcium products
E)
Role of good hand washing to reduce transmission of disease
Ans:
A, C, E

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals to reduce respiratory illness in children by teaching children to avoid cigarette smoking, ways to help avoid respiratory infections such as good hand washing, and reminding parents to come for child health maintenance visits so that children can receive pneumococcal immunization or screening for tuberculosis, as appropriate. Activity and nutrition are not identified as interventions to reduce the risk of respiratory illness in children.

2.
The nurse is caring for a school-age child with laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?
A)
Administering an oral analgesic
B)
Urging the child to take oral fluids
C)
Teaching the child to take long, slow breaths
D)
Assisting with racemic epinephrine nebulizer therapy
Ans:
D

Feedback:

When caring for a child with laryngotracheobronchitis, cool moist air combined with racemic epinephrine through a nebulizer usually reduces inflammation and produces effective bronchodilation to open the airway. An oral analgesic is not necessary because the child is not experiencing throat pain. The child may not be able to take fluids orally at this time. Intravenous therapy could be indicated to maintain adequate hydration and thin respiratory secretions. The child is experiencing air hunger and will not be able to take long slow breaths.

3.
The nurse is caring for a preschool-age child with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?
A)
Healthy children rarely have more than one cold per year.
B)
Typically, the child will pull the ear when a cold is present.
C)
A cough that accompanies a cold should rarely be suppressed.
D)
An antibiotic is prescribed for children younger than 5 years of age.
Ans:
C

Feedback:

When caring for a child with acute nasopharyngitis, or the common cold, the nurse should teach the parents that cough suppressants are not necessary because coughing raises secretions, preventing pooling of secretions and the danger of consequent lower respiratory infection. Healthy children can have more than one cold per year. Pulling on the ear indicates an ear infection. Antibiotics are not prescribed unless a bacterial infection is present.

4.
The nurse is making a follow-up visit to the home of a family with a baby newly diagnosed with cystic fibrosis. Which outcome indicates that the parents are adjusting to the child’s care needs?
A)
Baby has gained weight.
B)
Baby’s foul-smelling stool.
C)
Baby produces large stool twice a day.
D)
Baby appears flushed and is warm to touch.
Ans:
A

Feedback:

Children with cystic fibrosis need pancreatic enzyme replacements to help absorb nutrients. The baby gaining weight indicates that these supplements are effective. Foul-smelling stool indicates that additional intervention is needed because fat is not being absorbed. Large stools indicate that nutrients are not being adequately absorbed. Flushing and warmth could indicate a fever or that the home environment is too warm for the child. If children with cystic fibrosis become overheated, they begin to lose excessive sodium and chloride through perspiration and become dehydrated.

5.
While providing care, a school-age child develops epistaxis. What should the nurse do to help this patient?
A)
Turn the child’s head to the side and press on the nasal ridge.
B)
Sit the child upright and apply pressure to the sides of the nose.
C)
Keep the child flat and apply pressure to the bridge of the nose.
D)
Elevate the head of the bed slightly and apply pressure to the forehead.
Ans:
B

Feedback:

The nurse keeps the child with a nosebleed in an upright position with the head tilted slightly forward to minimize the amount of blood pressure in nasal vessels and to keep blood moving forward, not back into the nasopharynx. Then the nurse should apply pressure to the cartilage on the sides of the nose with the fingers for about 10 minutes. The head should not be turned. The child should not be in a flat position. Applying pressure to the forehead will not stop the flow of blood from the nose.