Chapter 50 Maternal and Child Health Nursing 7th Edition

Chapter 50  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is caring for a 10-year-old child with bacterial conjunctivitis of the right eye. The eye is inflamed and drains a thick, yellow discharge. What should the nurse teach the patient about the care of the eye?
A)
Do not attend school for 2 weeks.
B)
Use ophthalmic drops for 3 days.
C)
Keep the eye covered at all times.
D)
Clean the discharge away from the inner to outer canthus.
Ans:
D

Feedback:

Conjunctivitis is inflammation of the conjunctiva that causes pustular drainage. The eye should be cleansed from the inner to the outer canthus to prevent the spread of infection to the other eye. School does not need to be missed for 2 weeks with this eye infection. Ophthalmic medication should be used as prescribed, which might be longer than 3 days. The eye does not need to be covered.

2.
A mother is concerned that her toddler is diagnosed with amblyopia. What should the nurse explain as possible treatments for this eye condition? (Select all that apply.)
A)
Wearing corrective eye glasses
B)
Covering the good eye with a patch
C)
Using a patch and corrective eye glasses
D)
Applying eye drops prior to applying an eye patch
E)
Scheduling for immediate surgery to cut the eye muscle
Ans:
A, B, C, D

Feedback:

Treatment for amblyopia can consist of wearing correcting glasses, covering the good eye with a patch, or a combination of the two. An additional option is using the medication levodopa and an eye patch. LASIK surgery might be considered, which corrects the refractive error but does not cut the eye muscle.

3.
The outpatient care clinic receives the 2020 National Health Goals that focus on prevention, early detection, treatment, and rehabilitation of vision problems. What should the nurse remind each patient to do to ensure eye health?
A)
Flush the eyes every day with cool water.
B)
Instill artificial tears in the eyes at least twice a day.
C)
Cleanse the eyes with soap and warm water while taking a shower.
D)
Use personal protective eyewear during recreation and hazardous situations.
Ans:
D

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals that focus on prevention, early detection, treatment, and rehabilitation of vision problems by reminding all patients to use personal protective eyewear in recreational activities and hazardous situations around the home. This goal will not be met by instructing patients to flush the eyes with water, use artificial tears, or cleanse the eyes with soap and warm water.

4.
A school-age child comes into the emergency department with tearing and pain in the right eye. Which method will the nurse use to assess for foreign body under the upper eye lid?
A)
Evert the upper lid.
B)
Apply topical anesthesia to the upper lid.
C)
Apply cool water to the lid to cause it to retract.
D)
Catch the child’s attention with a toy so that he looks down.
Ans:
A

Feedback:

Foreign bodies such as sand or dirt that are loose on the conjunctiva can be removed by gentle wiping with a well-moistened, sterile, cotton-tipped applicator after the eyelid is everted. Topical anesthetic, cool water, and diversion are not appropriate methods to assess for a foreign body under the upper eye lid.

5.
When assessing school-age children for vision problems, which child would be most important for the nurse to assess for a deficiency in color perception?
A)
A girl who was born prematurely
B)
A boy who does not participate well in art class
C)
A boy who has had frequent middle ear infections
D)
A girl whose teacher reports that she rubs her eyes
Ans:
B

Feedback:

Color deficit is the inability to perceive color correctly. It occurs in 4% to 8% of boys because one of the sets of cones of the retina that perceive red, green, or blue is absent. It is important for the loss of color perception to be detected early so the child can learn changes in traffic signals or other color-dependent signs necessary for safety. The child who does not participate well in art class could be color blind. Since this is a condition that occurs in boys, the girls do not need to be assessed for color deficit. Color deficit is not associated with ear infections.