Chapter 46 Maternal and Child Health Nursing 7th Edition

Chapter 46  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
A female preschool patient with a urinary tract infection is scheduled to have a voiding cystourethrogram. What should the nurse include when teaching the patient about this procedure?
A)
A headache is a common occurrence after the procedure.
B)
A local anesthetic will be injected prior to the procedure.
C)
The patient will be expected to void during the procedure.
D)
The patient will have to drink three glasses of water during the procedure.
Ans:
C

Feedback:

A voiding cystourethrogram is a study of the lower urinary tract and looks at the structure of the urethra and bladder and the presence of reflux into the ureters. After bladder catheterization, a radiopaque dye is injected into the bladder, and the catheter is then removed. The child is asked to void into a bedpan while serial X-ray films are taken. Being asked to void while being observed may be the most stressful part of the procedure for children because they have been taught voiding is a private act. Be sure children are told in advance that they will be asked to do this, and that it is alright if a stranger watches them. A headache is not a common occurrence after this procedure. A local anesthetic is not needed for this procedure. The patient will not be asked to drink water during the procedure.

2.
The nurse is caring for a female preschool-age patient with a urinary tract infection. What measures should the nurse teach the mother to prevent future infections?
A)
Suggest the child drink less fluid daily to concentrate urine.
B)
Encourage the child to be more active to increase urine output.
C)
Teach the child to wipe the perineum front to back after voiding.
D)
Teach the child to take frequent tub baths to clean the perineal area.
Ans:
C

Feedback:

Urinary tract infections occur more often in girls than boys because the urethra is shorter in girls and, because it is located close to the vagina and anus, vulvovaginitis or rectal bacteria can easily spread to the urethra. Girls should be taught early to wipe themselves from front to back after voiding and defecating to avoid contaminating the urethra. The child should be encouraged to drink more fluid to prevent concentrated urine. Activity level does not influence the development of urinary tract infections. There is a suggested correlation between the use of hot tubs and urinary tract infections in girls so use of these should be discouraged or minimized.

3.
The nurse is planning a community health program to improve awareness of renal disease as one of the 2020 National Health Goals. What information should the nurse include in this program? (Select all that apply.)
A)
Instruct on organ transplantation procedures.
B)
Explain the importance of restricting fluids after 6 PM.
C)
Review recommended foods to promote renal functioning.
D)
Teach to limit the intake of milk and dairy products with meals.
E)
Remind parents to provide antibiotics for streptococcal throat infections.
Ans:
A, E

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals for renal disease by educating parents to give antibiotics conscientiously for streptococcal throat infections and being active advocates for organ transplant procedures. Restricting fluids, recommending specific foods, and limiting the intake of milk and dairy products are not interventions to support the 2020 National Health Goals for renal disease.

4.
The nurse is providing a child with oxybutynin (Ditropan) as prescribed following surgical repair of a hypospadias. What should the nurse teach the patient about the purpose of this medication?
A)
Acidifies urine
B)
Relieves bladder spasms
C)
Stimulates kidney function
D)
Prevents nausea and vomiting
Ans:
B

Feedback:

The child may notice painful bladder spasms as long as the catheter is in place after surgical repair of a hypospadias. An anticholinergic medication, which relieves bladders spasms such as oxybutynin (Ditropan), may be prescribed for pain relief. Oxybutynin (Ditropan) does not acidify the urine, stimulate kidney function, or prevent nausea and vomiting.

5.
The nurse instructs a school-age patient and the parents on continuous cycling peritoneal dialysis. Which statement indicates that teaching has been effective?
A)
“The solution should be infused cold.”
B)
“Redness and warmth around the tube insertion site is expected.”
C)
“We should notify the health care provider if the drainage is cloudy.”
D)
“Weight gain and a productive cough are expected with the treatments.”
Ans:
C

Feedback:

Cloudy drainage could indicate an infection such as peritonitis and should be reported to the health care provider. The solution should be infused at body temperature. Redness and warmth around the tube insertion site could indicate an infection and should be reported to the health care provider. Weight gain and a productive cough could indicate fluid retention and should be reported to the health care provider.