Chapter 42 Maternity and Pediatric Nursing 2nd Edition

Chapter 42  Maternity and Pediatric Nursing 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is teaching the mother of a 5-year-old boy with a history of impaction how to administer enemas at home. Which of the following responses from the mother indicates a need for further teaching?
A)
“I should position him on his abdomen with knees bent.”
B)
“He will require 250 to 500 mL of enema solution.”
C)
“I should wash my hands and then wear gloves.”
D)
“He should retain the solution for 5 to 10 minutes.”

2.
The nurse is taking a health history of an 11-year-old girl with recurrent abdominal pain. Which of the following responses would lead the nurse to suspect irritable bowel syndrome?
A)
“I always feel better after I have a bowel movement.”
B)
“I don’t take any medicine right now.”
C)
“The pain comes and goes.”
D)
“The pain doesn’t wake me up in the middle of the night.”

3.
The nurse is caring for a 3-year-old girl with short bowel syndrome as a result of trauma to the small intestine. The girl’s mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. How should the nurse respond?
A)
“I will help you become an expert on your daughter’s care.”
B)
“You must learn how to care for your daughter at home.”
C)
“You really need the support of your husband.”
D)
“There is a lot to learn and you need a positive attitude.”

4.
The nurse is conducting a physical examination of a child with suspected Crohn disease. Which of the following findings would be the most highly suspicious of Crohn disease?
A)
Normal growth patterns
B)
Perianal skin tags or fissures
C)
Poor growth patterns
D)
Abdominal tenderness

5.
The nurse is caring for an infant with a temporary ileostomy. As part of the plan of care, the nurse monitors for skin breakdown around the stoma. If redness occurs, which of the following would be most appropriate to promote healing and prevent further skin breakdown?
A)
Clean the area well with a scented diaper wipe.
B)
Apply a barrier/healing cream or paste on the skin.
C)
Use a barrier wafer (such as Stomahesive) to attach the appliance.
D)
Sanitize the area with an alcohol wipe after each diaper change.

6.
The nurse is caring for a 4-year-old boy who has undergone an appendectomy. The child is unwilling to use the incentive spirometer. Which approach would be most appropriate to elicit the child’s cooperation?
A)
“Can you cough for me please?”
B)
“You must blow in this or you might get pneumonia.”
C)
“If you don’t try, I will have to get the doctor.”
D)
“Can you blow this cotton ball across the tray?”

Answer Key

1.
A
2.
A
3.
A
4.
B
5.
B
6.
D