Primary hypertension in children may be treated with weight reduction and exercise programs. refer the couple to a psychologist for emotional support. Angioneurotic edema occurs as a manifestation in anaphylactic shock. Infection d. Anemia. c. Wait for the infant to cry to show definite signs of hunger. The wound Place in order from the highest-priority intervention to Letting child hear the sounds of an electrocardiograph monitor. Encouraging the child to cough, turn, and breathe deeply should be deferred until after the evaluation What is the best response by the nurse in this situation? Congenital heart disease tends to contribute to hypervolemia, not hypovolemia, What type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and Leadership/Delegation and Emergency, Saunders NCLEX-RN Prioritizing, Leadership, a, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Kimberly McGraw (Chapters 12,13,14 ) Homework. Diuretics that work on the proximal and distal renal tubules contribute to increased losses of potassium. c. It is the most common brain tumor in young children. MSC: Client Needs: Health Promotion and Maintenance, PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Diagnosis ANS: D d. Encourage the child to cough, turn, and breathe deeply. c. Increase the oxygenation of blood. The initial signs and symptoms of rhabdomyosarcoma tumors are related to the site of the The optimal therapy for osteosarcoma is a combination of surgery and chemotherapy. associated with this tumor? The woman states, I have special undergarments that I do not remove for religious reasons. d. Give morphine subcutaneously or by an existing intravenous line. Increase analgesia. children because of possible overexertion. Weigh the infant every day on the same scale at the same time. Bone marrow and stem cell transplantation therapies are Staphylococcus viridans is the most common causative agent in bacterial (infective) endocarditis. c. Decreased urinary output Feeding is seeing the surgical site because they imagine a cavity in the skull. ANS: C d. There will be an eye pad dressing taped over the surgical site. B) Menarche. their infant to provide the holding, rocking, and cuddling that help children sleep more soundly. a. Cardiomyopathy is one of the indications for cardiac transplant. PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: PlanningMSC: Client Needs: Health Promotion and Maintenance 3. c. Sore throat and ear pain nodules are nontender swellings located over bony prominences, commonly found in rheumatic fever. A) Heroin d. Reduce energy expenditure. prepared for the loss of their hair, and it should be removed in a sensitive, positive manner if ANS: D The two functions of the ovaries are ovulation and hormone . Their 2-year-old daughter has PKU. Family history of myocardial infarction The child does not need to be on strict bed rest for 3 days. The body part that both protects the pelvic structures and accommodates the growing fetus during pregnancy is the: In the first 24 to 48 hours after surgery, the body temperature may increase to 37.7C (100 F) as part of the By Vanessa Machin. D) Puberty. produce symptoms when they are relatively large and compress adjacent organs. While b. Don't worry. ANS: A a. Ill explain the examination procedure, and then we can discuss how you can have your examination comfortably. What is the nurses first action when planning to teach the parents of an infant with a congenital heart defect This is not the textbook. d. Encourage restricted mobility in susceptible children. infant on the same scale at the same time each day ensures consistency. Parents may lack the B) Explain the process of vulvar self-examination to the woman and reassure her that she should More than half occur in the femur. B) Reassure the woman that using vaginal cream is not a problem for the examination. ANS: C, F Warm flushed extremities LDL is the major carrier of cholesterol to the cells. The house was so messy when he got home and I know he hates that. A school-age child diagnosed with leukemia experienced severe nausea and vomiting when, 9. synthesis of membranes and steroid production. management. restricted mobility in susceptible children should be done, but maintaining good oral health and using Which postoperative intervention should be questioned for a child after a cardiac catheterization? Written by the foremost experts in maternity and pediatric nursing, the user-friendly Maternal Child Nursing Care, 6th Edition provides both instructors and students with just the right amount of maternity and pediatric content. can be used that are administered through an existing intravenous line. This repair would not Check the dressing for bleeding. disrupt the integrity of the skin. C) Sexual response and ovulation. this type of reaction. As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth? a. d. I may attend school but should avoid exercise for several days. ANS: B decreased pulmonary blood flow? Test Banks or exam guides are useful in test preparation, revisions and self-study. Neurogenic shock or have high anxiety. B) Extensive central nervous system damage A hypothermia blanket is not indicated for chorea is transient and will resolve without treatment, Which action by the school nurse is important in the prevention of rheumatic fever? Children should avoid excessive intake of fruit juices and other Increased cardiac output d. Angioneurotic edema. OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance, PTS: 1 DIF: Cognitive Level: Comprehension The fever of Kawasaki disease is A) Personal risk behaviors influence fertility It is thought that HDLs protect against cardiovascular disease. disturbing the infant, changing bed linens and complete bathing are done only when necessary. ANS: B D) Craniofacial dysmorphologies. Infants with heart failure should be fed every 3 hours; a 2-hour The child should be told what he will look and feel like after surgery. C) CNS abnormality Diuretics will help the body get rid of excess A nurse is teaching an adolescent about primary hypertension. d. New, frequent coughing ANS: C A) No one deserves to be hurt. C) Many women have benign lumps and bumps in their breasts. Weight control and diet. Subcutaneous Which complication might the nurse anticipate? ANS: A Assume that a pygmy mouse is observed by looking through a lens placed 20.0cm20.0 \mathrm{~cm}20.0cm from the mouse. including intravenous lines, incision, and endotracheal tube. When a CHD is suspected, the blood pressure should be measured in all four extremities while the child is After enucleation surgery, the parents are prepared for the child's facial appearance. The incidence of congenital heart disease is approximately 50% in children with trisomy 21 (Down syndrome). Which interventions should the nurse implement? Surgical closure of the ductus arteriosus would: inflammatory response to tissue trauma. d. Assisting the adolescent in accepting the amputation as better than a long course of However, an opportune time has presented itself, for the couple to receive correct teaching about inherited ge, between gender and inheritance of the disorder because PKU is an autosomal recessive. c. Put the infant in a car seat to minimize movement. ANS: A Which is most descriptive of the pathophysiology of leukemia? b. b. by the physician. heart in rheumatic myocarditis, The primary nursing intervention necessary to prevent bacterial endocarditis is to: above 37.7 C (100 F); new, frequent coughing; and any episodes of the infant turning blue or bluer than Nursing interventions for the child after a cardiac catheterization include which of the following (Select all A) Menstrual A nurse is conducting a staff in-service on childhood cancers. An adolescent with osteosarcoma is scheduled for a leg amputation in 2 days. B) Proliferative The child should be positioned with the affected leg straight for 4 to 6 hours after the procedure. d. Congenital heart disease. The nurse recognizes B) The woman has injuries on various parts of her body that are in different stages of healing. Discrepancies between upper and lower extremities may indicate cardiac disease. It is not a pain-free procedure. become familiar with normal and abnormal findings during the examination. C) PCP ANS: A Short-acting medications C) I will examine the outer upper area of the breast only. The pulmonic stenosis increases the pressure D) Urethra. An important objective to decrease this risk is to: Underline the correct pronoun in parentheses in the sentence below. Which statement regarding female sexual response is inaccurate? b. D) Ask the woman to reschedule the appointment for the examination. If ineffective, These are signs of early congestive heart failure, and the physician should be notified. referring children with possible streptococcal sore throats for testing. c. sexual response and ovulation. cardiovascular disease. Primarily 110 a. Assess the parents anxiety level and readiness to learn. C) The orgasmic phase is the final state of the sexual response cycle. MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK. b. B) I will perform breast self-examination 1 week after my menstrual period starts. A) The climacteric. a. the eyelids are open, the exposed area resembles the mucosal lining of the mouth. d. Headache ANS: B b. Allowing ambulation, monitoring vital signs every 2 hours, checking pulses, and removing the pressure dressing after 4 hours are interventions that do not apply to a child B) Uncertainty as to where to go for care. Which immunization should be considered carefully before being given to a child receiving, 6. The nurse will counsel her to eliminate all alcohol intake because: A genetic, counselor is the best source for determining genetic probability ratios. Often calming the the need for chemotherapy and its side effects before surgery. The couple should be given information about the likelihood of having, another baby with this disorder so that they can make an informed decision. The nurse is preparing an adolescent for discharge after a cardiac catheterization. Surgery The nurse guides a woman to the examination room and asks her to remove her clothes and put on an d. Fever and poor fine motor control. Multidimensional Care II 100% (9) 14. ANS: D The recent death of her husband reminded her that she should come for a visit. While preparing a 21-year-old client for her first adult physical examination and Papanicolaou (Pap) test, the nurse is aware of excessiveness shyness. Administering penicillin Maternal practice questions for exam practice maternal child nursing care 6th edition perry test bank chapter 39: pediatric variations of nursing interventions Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Georgia Maryville University Keiser University D) What? for side effects. The nurses best In planning for home care of a woman with preterm labor, which concern must the nurse address? quiet. Summarize the factors that determine the direction of net movement of water across a cell membrane. Cholesterol and blood pressure d. It is the most common benign tumor in young children. a. Peripheral perfusion is monitored after catheterization. A) Vasoconstriction Give Me Liberty! You may need to increase the caloric density of your infants formula. b. Benadryl is not a strong During a health history interview, a woman states that she thinks that she has bumps on her labia. tamponade? Bed rest is recommended for the acute febrile stage, but it does not need to be strict. administration continues until the child is taking and retaining adequate amounts of oral fluids. A boy with leukemia screams whenever he needs to be turned or moved. maternal child health nursing chapter 1 flashcards quizlet web a the child has the legal right to consent to and make decisions for . c. Increase servings of fish Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 695 Gather literature for the parents. encouraged to seek appropriate social activities for the child, especially before kindergarten. oxygenation by producing additional red blood cells and thereby increases the oxygen-carrying capacity of the Weight changes may indicate fluid retention. An important nursing consideration when chest tubes will be removed from a child is to: The child needs opportunities for social development. be to: The affected joints will change every 1 to 2 days. For what reason might a newborn infant with a cardiac defect, such as coarctation of the aorta, that results Replace whole milk with 2% or 1% milk D) That is unfortunate; this must be very stressful for you. C) Reassure the woman that a nurse practitioner is just as good as her old doctor. a. Recheck the infants blood pressure. Digoxin is indicated in the Laura1 year ago _____ Record your answer as a whole number. Asymptomatic, enlarged, cervical or supraclavicular lymphadenopathy is the most common sign of a brain tumor. protect against cardiovascular disease, The leading cause of death after heart transplantation is: D) You have to remember that he is frustrated and angry so he takes it out on you. A) Perineum. Pulmonary stenosis c. Ventricular septal defect c. Father has type 1 diabetes mellitus b. response to the problem. When assessing a child for possible congenital heart defects (CHDs), where should the nurse measure OBJ: Nursing Process: Planning, Implementation 51 Care of Patients with Musculoskeletal, Ch. If this is surgically closed, no additional oxygenated blood (from the aorta) Removal of tumor will stop the various symptoms. Multidimensional Care II 100% (6) 10. b. Cardiogenic shock d. Anaphylactic shock. B) Hypotension and vasodilation It is a safe, frequently used drug. c. Avoiding mentioning postoperative discomfort and interventions. Parents must be ANS: C of death. a. Administer 100% oxygen by blow-by. Although dehydration can occur in cyanotic heart b. Systolic hypertension in the lower extremities C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection. common malignant extracranial solid tumors in children. Blood loss and extracellular fluid loss are two of the most frequent causes of hypovolemic shock in children. symptoms of a rhabdomyosarcoma tumor. directly affect the edema. Neurologic Children at this age have poorly defined body boundaries and little C) Ovarian cycle. 50 Care of Patients with Musculoskeletal, Ch. B) Endometrial cycle. Patent ductus arteriosus d. Coarctation of the aorta. Anaphylaxis results in distributive shock from extreme allergy or hypersensitivity to a foreign hypertension. Allow ambulation as tolerated. Educational Psychology and Development of Children Adolescents (D094), Care of the childrearing family (nurs420), Management of Adult Health II (NURSE362), Ethical and Legal Considerations of Healthcare (IHP420), Variations in Psychological Traits (PSCH 001), Introduction to International Business (INT113), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Database Systems Design Implementation and Management 9th Edition Coronel Solution Manual, English 123- 3-4 Assignment Submission- Annotating Your Sources, History 1301-Ch. enough antihistamine for this severe a reaction. e. Ecchymosis of conjunctiva. ANS: C Parents ask the nurse whether they can hold the Treating the underlying disease. [Show more] Last document update: 10 months ago Blood pressure MSC: Client Needs: Physiologic Integrity, PTS: 1 DIF: Cognitive Level: Comprehension The principal area of involvement is the joints. b. Streptococcus hemolyticus. Cholesterol c. Low-density lipoproteins (LDLs) a. a. Trisomy 21 detected on amniocentesis vomiting are the most common. What is an expected assessment finding in a child with coarctation of the aorta? b. Abdominal mass D) Increased metabolism. infant with a repaired tetralogy of Fallot. Mdc2exam1 prep - EXAM 1 QUESTIONS WITH ANSWERS. ANS: C c. Headaches and vomiting b. Potassium. fluid, The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. intravenous line to ensure adequate hydration. Oslers nodes, Janeway spots, and splinter hemorrhages are characteristic of A major clinical manifestation of rheumatic fever is: The child and family should be exposed to the sights and sounds of the intensive care unit. d. Administering corticosteroids if chorea develops, ANS: A spinal cord injury. Coolness and blanching may indicate arterial occlusion. A lot of drainage will come from the affected socket. abdominal mass, sore throat and ear pain, and ecchymosis of conjunctiva are signs of a b. The nurses first action should Genetic testing, including amniocentesis, would need to be performe, the fetus is affected. appetite will increase slowly, The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an d. Cardiac valve damage. Therefore, infants and young children knowledge of internal organs. B) Vasocongestion is the congestion of blood vessels. The nurses response should be based on knowing that: Place the child in the knee-chest position. ANS: C, D, E The child needs to a. a. Neurogenic shock c. Hypovolemic shock The nurse is assessing a child postcardiac catheterization. d. Recommend salicylates instead of acetaminophen for minor discomforts, ANS: C d. Therapeutic management includes administration of gamma globulin and aspirin. Salicylates can be used to control the inflammatory process, especially in the joints, and reduce the A common, serious complication of rheumatic fever is: The female reproductive organ(s) responsible for cyclic menstruation is/are the: Maternal Child Nursing Care - Chapter 4: Repr, Chapter 05: Infertility, Contraception, and A, Chapter 04: Reproductive System Concerns c. Refer children with sore throats for throat cultures. B) Increased appetite 16. Elevated circulating LDL is a strong risk factor in radiotherapy alone or in combination. physician is notified immediately of this life-threatening complication. 46: The child with Cerebral Dysfunction, Chapter 42: The Child With Cardiovascular Dys, Chapter 40: The Child With Respiratory Dysfun, Chapter 47: The Child With Endocrine Dysfunct, Chapter 46: The Child With Cerebral Dysfuncti, Chapter 22: Substance-Related and Addictive D, Chapter 11 Childhood and Neurodevelopmental D, General interests and leisure activities - pa. before the physician drains the fluid, but the physician must be notified. C) Continuing to deny the pregnancy. a. D) Ischemic. Do you know (who\underline{\text{who}}who, whom) she's going to be for Halloween? d. You should place a nasal oxygen cannula on your infant during and after each feeding. B) Bony pelvis. tub bath. The nurse is preparing a child for possible alopecia from chemotherapy. A) Gonadotropin-releasing hormone (GnRH). a. Chlorides. results from loss of neuronal control, such as the interruption of neuronal transmission that occurs from a Lanoxin is used in the child with CHD. B) Uncertainty as to where to go for care. color. Children usually limit their activities if allowed to set The nurse should understand that the reasons behind this delay include: This is an autosomal recessive inherited disorder, which means that: both genes of a pair must be abnormal for the disorder to be expressed. d. Prepare the family for imminent death, ANS: B B) Explain the procedure as it unfolds and continue to question the client to get information in a discuss options with the couple, including amniocentesis to determine whe. d. Keep the affected leg flexed and elevated. It is considered to be a "silent" tumor. capillary leaks, which may occur with drug or latex allergy? Intrusive experiences are frightening, especially those that c. Painful, enlarged lymph nodes The nurse is needed. a. 15. MSC: Client Needs: Health Promotion and Maintenance, PTS: 1 DIF: Cognitive Level: Knowledge OBJ: Nursing Process: Diagnosis A) The woman and her partner are having an argument that is loud and hostile. Other tumors, such as those of the retroperitoneal area, only Which is the initial assessment finding Match. C) Reassure the woman that bumps can be treated. a. Thirst and diminished urinary output as when sucking on fists, rather than waiting until he or she cries for a bottle because the stress of crying The Prophylactic antibiotics are necessary. Dental procedures should be done to maintain a high after a cardiac catheterization. D) Check it again in 1 month and call me back if its still there. patch is in place, and the child's face may be edematous or ecchymotic. Ensuite, repondez aux questions en suivant le modele, modele : Il y a quelqu'un sur la plage? An 8-month-old infant has a hypercyanotic spell while blood is being drawn. b. Tetralogy of Fallot d. Patent ductus arteriosus. C) Tension-building phase the liquid are given to infants, which makes it easy to overmedicate or undermedicate. Which painful, tender, pea-sized nodules may appear on the pads of the fingers or toes in bacterial Continue intravenous (IV) fluids until the infant is tolerating oral fluids. this time. c. Assess peripheral circulation on the affected extremity. Dehydration must be prevented in hypoxemic The birth was vaginal, and the estimated blood loss (EBL) was approximately 1500 mL. b. Study with Quizlet and memorize flashcards containing terms like 1. metastasize. Infection is not a clinical consequence of cyanosis. a. Abdominal swelling d. Discourage parents from rocking the infant. apply)? I'm sure its nothing. detect premalignant or malignant cells is called: b. Maternal Child Nursing Test Bank McKinney 5th edition University University of Texas at El Paso Course Nursing care of childbearing and childrearing families (NURS4608) 31 Documents Academic year:2021/2022 SP Uploaded bySamantha Perez Helpful? B) What else do you do that makes him angry enough to hurt you? 25% OFF Book. Allow the infant to sleep through feedings during the night. Which defect results in increased pulmonary blood flow? Perry: Maternal Child Nursing Care, 6th Edition MULTIPLE CHOICE 1. d. Streptococcus viridans. improve oxygenation and increase pulmonary blood flow, What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory The most physiologically important ions that arise by electrolyte dissociation in water. Click the card to flip Having one, child already with PKU does not guarantee that they will not have another. endocarditis? Infants born to mothers who are insulin dependent have an increased risk of CHD. Neuroblastomas are the most c. Explaining that, although the amputation is difficult, it will cure the cancer Warming blankets are not indicated at The majority of tumors develop in ANS: A nurse instructs the parents to notify the physician if what conditions occur (Select all that apply)? 18. The nurse is administering an IV chemotherapeutic agent to a child diagnosed with leukemia. A) You cant have an examination without removing all your clothes. D) Facial grimaces and spasms of hands and feet are often part of arousal. ANS: D A fully matured endometrium that has reached the thickness of heavy, soft velvet describes the _____ Nursing assessments will be different from those done in the hospital setting. 12. incidence is between ages 10 and 25 years. have activities that foster independence. measurements for upper and lower extremities are compared during an assessment for CHDs. Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 704 This will Great to study for exams and will increase your knowledge on the material. MSC: Client Needs: Health Promotion and Maintenance, PTS: 1 DIF: Cognitive Level: Knowledge D) Prepregnancy medical attention is lacking, C) Her ovaries may be affected by the aging process, The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is: a. Ch 25 and 26 - Textbook: Maternal-Child Nursing McKinney, James, Murray 5th Ed. b. Suction for no longer than 30 seconds at a time. D) Cocaine. ANS: c. Parents lack the expertise necessary to administer digoxin. b. One of the most frequent causes of hypovolemic shock in children is:
