Chapter 45 Maternity and Pediatric Nursing 2nd Edition

Chapter 45  Maternity and Pediatric Nursing 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
An 8-year-old girl was diagnosed with a closed fracture of the radius at approximately 2 p.m. The fracture was reduced in the emergency department and her arm placed in a cast. At 11 p.m. her mother brings her back to the emergency department due to unrelenting pain that has not been relieved by the prescribed narcotics. Which action would be the priority?
A)
Notifying the doctor immediately
B)
Applying ice
C)
Elevating the arm
D)
Giving additional pain medication as ordered

2.
The nurse is caring for an active 14-year-old boy who has recently been diagnosed with scoliosis. He is dismayed that a “jock” like himself could have this condition, and is afraid it will impact his spot on the water polo team. Which response by the nurse would best address the boy’s concerns?
A)
“If you wear your brace properly, you may not need surgery.”
B)
“The good news is that you have very minimal curvature of your spine.”
C)
“Let’s talk to another boy with scoliosis, who is winning trophies for his swim team.”
D)
“Let’s talk to the doctor about your treatment options.”

3.
The nurse is caring for a female infant with torticollis and is providing instructions to the parents about how to help their daughter. Which statement by the parents indicates a need for further teaching?
A)
“We must encourage our daughter to turn her head both ways.”
B)
“Flatness on one side of the head is a common side effect.”
C)
“We must apply firm pressure and stretching every other day.”
D)
“We will do a daily stretching regimen with multiple sessions.”

4.
The nurse is caring for a 10-year-old in traction. While performing a skin assessment, the nurse notices that the skin over the calcaneus appears slightly red and irritated. Which action would the nurse do first?
A)
Reposition the child’s foot on a pressure-reducing device
B)
Apply lotion to his foot to maintain skin integrity
C)
Make sure the skin is clean and dry
D)
Gently massage his foot to promote circulation

5.
The nurse is caring for a 14-month-old boy with rickets who was recently adopted from overseas. His condition was likely a result of a diet very low in milk products. The nurse is providing teaching regarding treatment. Which response by the parents indicates a need for further teaching?
A)
“We must give him calcium and phosphorus with food every morning.”
B)
“He must take vitamin D as prescribed and spend some time in the sunlight.”
C)
“He must take calcium at breakfast and phosphorus at bedtime.”
D)
“We should encourage him to have fish, dairy, and liver if he will eat it.”

6.
The nurse is caring for a 13-year-old boy in traction prior to surgery for slipped capital femoral epiphysis. He has been in an acute care setting for 2 weeks and will require an additional 10 days in the hospital. He is complaining that he feels isolated and is resisting further treatment. Which response by the nurse would be most appropriate?
A)
“I know it is boring, but you must remain immobile for 2 more weeks.”
B)
“If there are no complications, you only have 2 more weeks here.”
C)
“Let’s come up with things to do like books, movies, games, and friends to visit.”
D)
“If you resist your treatment, your condition will only get worse.”

Answer Key

1.
A
2.
C
3.
C
4.
A
5.
A
6.
C