Chapter 52 Maternal and Child Health Nursing 7th Edition

Chapter 52  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
A 2-year-old child is diagnosed with lead poisoning caused by eating paint chips from a windowsill. What measure should the nurse instruct the parents to prevent this from occurring in the future?
A)
Teaching their daughter that paint is not an edible substance
B)
Not allowing their daughter any milk products during daylight hours
C)
Covering the windowsills with paneling to prevent her from reaching them
D)
Administering ipecac syrup the next time they see her eat a paint chip
Ans:
C

Feedback:

Active interventions need to begin to prevent further lead exposure such as removal of the child from the environment containing the lead source or removal of the source of lead from the child’s environment. Removal of the lead source is not an easy task in homes because simple repainting or wallpapering does not necessarily remove the source of peeling paint adequately. After some months, the new paint will begin to peel because of the defective paint underneath. The walls must therefore be covered by paneling or dry wall or other solid protective material. The child is 2 years old and will not understand that paint is not edible. Milk products will not prevent future episodes of lead poisoning. Syrup of ipecac will not help with the metabolism of lead from paint chips.

2.
A child with a head injury is demonstrating signs of cognitive deficits. The parents are concerned about how well the child will recover. Which nursing diagnosis should the nurse identify as the most appropriate for the family at this time?
A)
Anxiety related to extent of required hospitalization
B)
Risk for long-term learning deficits related to head injury
C)
Parental fear related to outcome after head injury in child
D)
Ineffective coping related to care of a child with a head injury
Ans:
C

Feedback:

The parents are concerned if the child will recover. The most appropriate nursing diagnosis would be parental fear related to outcome after head injury. The parents are not demonstrating anxiety related to the hospitalization. Even though the child is demonstrating cognitive deficits at this time, this can change. The recovery from a head injury is unpredictable so deficits can resolve. The parents are not providing care to the child at this time, so there is no evidence of ineffective coping related to the care of a child with a head injury.

3.
An infant is brought to the emergency department with acetaminophen poisoning. Which medication should the nurse expect to administer to this child?
A)
Iron
B)
Deferoxamine
C)
Acetylcysteine
D)
Dexamethasone
Ans:
C

Feedback:

In the emergency department, acetylcysteine, a mucolytic agent and also the specific antidote for acetaminophen poisoning, will be administered. Acetylcysteine prevents hepatotoxicity by binding with the breakdown product of acetaminophen so that it will not bind to liver cells. Iron, deferoxamine, and dexamethasone are not used as antidote for acetaminophen poisoning.

4.
The nurse is completing the health history for the parents of school-age child admitted with a ruptured spleen. For which activity should the nurse assess as the possible cause for this child’s injury?
A)
Shooting pool
B)
Skateboarding
C)
Playing baseball
D)
Playing basketball
Ans:
B

Feedback:

In children, the spleen is the most frequently injured organ when there is abdominal trauma. Frequent causes of injury include skateboard accidents. Injuries to the spleen are not associated with shooting pool or playing baseball or basketball.

5.
Before discharging a school-age child being treated for a snake bite, the nurse instruct ways to prevent additional bites in the future. Which statement indicates that teaching provided to this child has been effective?
A)
“I should wear long pants when out of doors.”
B)
“I should look at rocks before touching them.”
C)
“I should poke a snake with a stick before touching it.”
D)
“I should spray a snake with water before picking it up.”
Ans:
B

Feedback:

Common safety rules to avoid snake bites include being aware that snakes like to sit in the sun on warm rocks. The child should look at a rock before touching it to prevent a snake bite. Wearing long pants will not necessarily prevent snake bits. Snakes should not be poked or sprayed with water. Snakes should be identified in underbrush and under rocks. Snakes should also be identified by sound and markings.