Chapter 42 Maternal and Child Health Nursing 7th Edition

Chapter 42  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
A child is experiencing anaphylactic shock. Which nursing action is a priority?
A)
Facilitate breathing.
B)
Counteract hypertension.
C)
Enhance the action of histamine.
D)
Reverse sympathetic nervous system responses.
Ans:
A

Feedback:

In anaphylactic shock, the child has symptoms caused by the stimulation of histamine. Bronchospasm can become so severe the child becomes dyspneic, hypoxemic, and then hypoxic. Facilitating breathing is the priority. The blood pressure falls in anaphylactic shock. A goal of therapy is to reverse parasympathetic nervous system responses.

2.
The nurse is planning a program for community members that focus on the 2020 National Health Goals for allergies and immunologic functioning. What content should the nurse include in this program? (Select all that apply.)
A)
Promote following safe sexual practices.
B)
Discourage the use of intravenous substances.
C)
Discuss the role of sexual relations in HIV transmission.
D)
Explain how certain foods promote immunologic compromise.
E)
Encourage parents to discuss the air quality in the schools with the school district.
Ans:
A, B, C, E

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals for allergies and immunologic functioning by advocating for improved air quality in schools, initiating educational programs for children and adolescents that include teaching about the way HIV is transmitted, such as through sexual relations and unclean intravenous needles, and protective measures they can take to avoid contracting the disease, including safer sex practices and not using intravenous drugs. Explaining how certain foods promote immunologic compromise does not support the 2020 National Health Goals for allergies and immunologic functioning.

3.
The nurse is preparing to administer subcutaneous epinephrine hydrochloride (Adrenalin) 0.01 mg/kg to a child weighing 88 lb. How many milliliters of the medication will the nurse provide? (Numeric value only. Calculate to the10th decimal point.)
Ans:
0.40 mg

Feedback:

The nurse needs to first determine the patient’s weight in kilograms by dividing the weight in pounds by 2.2 or 88 / 2.2 = 40 kg. Then the nurse is to multiply the dose of 0.01 mg by the weight or 0.01 mg × 40 kg = 0.40. The nurse is to provide the patient with 0.40 ml of the medication.

4.
The nurse is caring for a child diagnosed with category B HIV. What should the nurse expect to review in this patient’s medical history? (Select all that apply.)
A)
Pneumonia
B)
Herpes zoster
C)
Kaposi sarcoma
D)
Cardiomyopathy
E)
Positive tuberculosis test
Ans:
A, B, D

Feedback:

In category B HIV, the patient will experience serious illnesses such as pneumonia, cardiomyopathy, and herpes zoster. Kaposi sarcoma and tuberculosis are associated with category C HIV.

5.
The nurse is preparing educational materials for a group of new parents about allergic reactions. Which specific immunoglobulin should the nurse emphasize as being responsible for these types of reactions?
A)
IgA
B)
IgE
C)
IgG
D)
IgM
Ans:
B

Feedback:

IgE is involved in immediate hypersensitivity reactions and is associated with allergy and parasitic infections. IgA is found in saliva, sweat, and tears and provides defense against pathogens on exposed surfaces. IgG is the most frequently occurring antibody in plasma and neutralizes bacterial toxins. IgM lyses cell walls and is early to arrive in the presence of an infection in the bloodstream.