Chapter 43 Maternal and Child Health Nursing 7th Edition

Chapter 43  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is caring for a 6-month-old child with a rash. Which information from the parent strongly suggests that roseola is the diagnosis?
A)
The rash is a mixture of papules and pustules.
B)
The infant is lethargic and not interested in playing.
C)
The infant’s temperature fell when the rash appeared.
D)
The infant’s temperature rose at the same time as the rash appeared.
Ans:
C

Feedback:

The rash of roseola is distinctive. There are discrete, rose-pink macules approximately 2 to 3 mm in size and flat with the skin surface. With roseola, infants become irritable and anorexic although even with a high fever remain playful and alert. The condition is diagnosed based on the physical signs and symptoms with the hallmark being a rash that appears immediately after a sharp decline in fever.

2.
During a health promotion seminar with community members, the nurse provides information to support the 2020 National Health Goal to prevent and reduce the incidence of infectious disease in children. What information did the nurse most likely provide?
A)
Participating in age-appropriate exercise
B)
Getting adequate rest and sleep each day
C)
Importance of maintaining appropriate immunizations
D)
Ingesting the recommended amount of fresh fruit and vegetables
Ans:
C

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals to prevent and reduce the incidence of infectious disease in children by educating parents about the importance of immunizations. Rest, sleep, exercise, and dietary intake are not identified interventions to help achieve the 2020 National Health Goals for infectious disease in children.

3.
The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection?
A)
Dark red color
B)
Noticeable crusts but no pruritus
C)
Dark red, macular, very pruritic lesions
D)
Various stages of lesions present at the same time
Ans:
D

Feedback:

Most of chickenpox lesions are found on the trunk; although, the face, scalp, palate, and neck also may be involved. They appear in approximately three separate series or crops, with each new lesion moving through progressive stages. At some point, all four stages of lesions—macule, papule, vesicle, and crust—can be present. The lesions are not dark red in color. These lesions are very itchy.

4.
A school-age child has been placed in airborne precautions until the microorganism causing the child’s symptoms can be identified. Which diagnosis should the nurse identify as being the most appropriate for the child at this time?
A)
Altered body temperature (fever) related to systemic infection
B)
Knowledge deficit related to disease prognosis, prevention, and treatment
C)
Social isolation related to precautions required to prevent infection transmission
D)
Deficient diversional activity related to activity restriction and precautions to prevent disease transmission
Ans:
C

Feedback:

Because the child has been placed in airborne precautions, the diagnosis that is the most appropriate at this time is social isolation. There is no enough information to determine if the child is experiencing a fever. The reason for the child’s symptoms is not known so a knowledge deficit is not appropriate at this time. There is also not enough information to determine if the child has an activity restriction.

5.
A school-age child is placed in contact precautions for a communicable disease. Which observation indicates that teaching about these precautions has been effective?
A)
Family members sitting on the patient’s bed
B)
Father applies a face mask before entering the child’s room
C)
Mother applies a gown and gloves before entering the child’s room
D)
Younger brother applies a face mask, gown, gloves, and face shield before entering the room
Ans:
C

Feedback:

For contact precautions, a disposable gown and gloves are required to prevent the transmission of infection. Family members should not be sitting on the patient’s bed. A face mask and face shield are not required for contact precautions.