Professional Documents
Culture Documents
B. Members Use A Distinct Body of Knowledge
B. Members Use A Distinct Body of Knowledge
a.
Suppose Melissa Chung asks you whether maternal child health nursing is a profession.
What qualifies an activity as a profession?
Members supervise other people.
a.
Nursing is changing because social change affects care. Which of the following is a trend
that is occuring in nursing because of social change?
So many are treated in ambulatory units that nurses are hardly needed.
a.
The hanovan family was a single parent one before mrs. Hanovan re married. What is a
common concern of single parent families?
Too many people give advice
5.
a.
Mrs. Hanovan serves many roles in her family. If, when you talk to Carey, she interrupts to
say, Dont tell our family secrets, she is fulfilling what family role?
Decision maker
b. Gate keeper
c. Problem solve
d. Bread-earner
6.
a.
The Hanovan family consist of two parents; Carey 12; and Brian 2. Mrs. Hanovan is a 5
months pregnant. Which of Duvalls family life stages is the family currently experiencing?
Pregnancy stage
a.
Maria Rodriguez is the 12 year old student you met at the beginning of the chapter. Which
statement by her is the best example of ethnocentrism?
My school, Steven park, is the best in the city
a.
While she is in the hospital, Maria Rodriguez makes the following statements. Which is the
best example of stereotyping?
My doctor is funny; he tells jokes and makes me laugh
a.
Suzzane matthews tells you she used to worry because she developed breast later than most
of her friends. Breast development is termed:
Adrenarche
b. Mamarche
c. Thelarche
d. Menarche
10. Suppose Kevin matthews tells you that he is considering vasectomy after the birth of his new
child. Vasectomy is the incision of which organ?
a.
The testes
d. Day 20
13. The Matthews neighbor Cindy is a woman who has sex with women. Another term for this
sexual orientation is
a.
Lesbian
b. Celibate
c. Gay
d. Voyeur
14. Suppose Dana, 17 years old, tells you she wants to use a fertility awareness method of
contraception. How will she determine her fertile days?
a.
She will notice that she feels hot, as if she has an elevated temperature
b. She should asess whether her cervical mucus is thin and watery
c. She should monitor her emotions for sudden anger or crying
d. She should asess whether her breast feels sensitive to cool air
15. Suppose Dana, 17 years old, chooses to use a combination oral contraceptive (COC) as her
family planning method? What is a danger signs of COCs you would ask her to report?
a.
One month
b. Twelve months
c. Five years
d. Ten years
17. Dana 17 years old, wants to try female condoms as her reproductive planning method.
Which instruction would you give her?
a.
The hormone the condom releases may cause mild weight gain
Sperm can nolonger reach the ova, because fallopian tubes are blocked
b. S[erm cannot enter the uterus, because the cervical entrance is blocked
c. Prostaglandins released from the cut fallopian tubes can kill sperm
d. The ovary no longer release ova, as there is no where for them to go
19. The Carls are a couple undergoing testing for infertility. Infertility is said to exist when:
a.
a.
She may feel some mild cramping when the dye is inserted
She has patent fallopian tubes, so fertilizes ova can be implanted into them
All of the children will be born with some aspects of Down syndrome
b. All of her female and none of her male children will have Down syndrome
c. She has a greater than average chance a child will have Down syndrome
d. Its impossible for any of her children to be born with Down syndrome
26. Amy Alvarez has told a genetic councelling session that she is a balanced translocation
carrier for Down syndrome. What would be your best action regarding this information?
a.
a.
Asessing whether the Whartons jelly of the cord has a pH higher than 7.2
Surfactant keeps lungs from collapsing on expiration, and thus newborn breathing
b. Surfactant is produced by the fetal liver, so its presence reveals liver maturity
c. Surfactant is the precursor to IGM antibody production, so it prevents infection
d. Surfactant reaveals amture kidney function,as it is produced by kidney glomeruli.
31. Liz Calhorn is scheduled to have an ultrasound examination. What instruction would you
give her before her examination?
a.
b. The intravenous fluid infused to dilate your uterus does not hurt the fetus
c. You will need to drink at least 3 glasses of fluid before the procedure
d. You can have medicine for pain for any contractions caused by the test.
207
32. Liz Calhorn is scheduled to have an amniocentesis to test for fetal maturity. What instruction
would you give her before this procedure?
a. void immediately before the procedure to reduce your bladder size
b. The x-ray used to reveal your fetus position has no longterm effects
c. The intravenous fluid infused to dilate your uterus does not hurt the fetus
d. No more amniotic fluid forms afterward, which is why only a small amount is
removed.
33. Lauren sometimes feels ambivalent about being pregnant. What is the psychological task
youd like to see her complete during the first trimester of pregnancy?
a. View morning sickness as tolerable
b. accept the fact that she is pregnant
c. Accept the fact the baby is growing inside her
d. Choose a name for the baby
34. Lauren Maxwell is aware that shes been showing some narcissism since becoming pregnant.
Which of her actions best describe narcissism?
a. Her skin feels pulled thin across her abdomen.
b. Her thoughts tend to be mainly about herself
c. She feels a need to sleep a lot more than usual
d. She often feels numb or as if shes taken a narcotic
35. Lauren Maxwell did a urine pregnancytest but was surprised to learn that a positive result is
not a sure sign of pregnancy. She asks you what would be a positive sign. You tell her a
positive sign would be if:
a. she is having a consistent uterine growth
b. She can feel the fetus move inside her
c. hCG can be found on her bloodstream
d. The fetal heart can be seen on ultrasound
36. lauren Maxwells doctor told her she has a positive Chadwicks sign. She asks you what this
means, and you tell her that:
a. Her abdomen is soft and tender
b. Her uterus has tipped forward
c. Cervical mucus is clear and sticky
d. Her vagina is darkened in color
37. Lauren Maxwell overheard her doctor say that the insulin is not as effective during pregnancy
as usual. That made her worry that she is developing diabetes, like her aunt. How would you
explain how decreased insulin effectiveness safeguards the fetus?
a. Decreased effectiveness prevents the fetus from being hypoglycemic
b. If insulin is ineffective, it cannot cross the placenta and harm the fetus
c. The lessened action prevents the fetus from gaining too much weight
d. The mother not the fetus, is guarded by this decreased insulin action
38. Sandra Czerinski feels well. She asks you why needs to come for prenatal care. The best
reason for her to receive regular care is:
a. Discovering allergies can help eliminate early birth
b. It helps document howmany pregnancies occur each year
c. It provides time for education about pregnancy and birth
d. It determines whether the pregnancy today are planned or not
39. Why is it important to ask Sandra about past surgery on a pregnancy health history?
a. To test her recent and long term memory
b. Adhesion from the surgery could limit uterine growth
c. To assess whether she could be allergic to any medication
d. To determine if she has effective health insurance
40. Sandra reports that the palms of her hands are always itchy. You notice scratches on them
when you do a physical exam. What is most likely cause of this finding during pregnancy?
a. She must have become allergic to dishwashing soap
45. Juliberry adams tells you she is developing oainful hemorrhoids. Advice you would give her
would be;
a. Take a tablespoon of mineral oil with each of your meal
b. Omit fiber from your diet. This will prevent constipation
c. Lie on your stomach daily to drain blood from rectal veins
d. Witch hazel pads feel cool against swollen hemorrhoids.
46. juliberry Adams has ankle edema by the end of each day. Which statement by her would
reveal that she undertand what causes this?
a. Iknow this is a beginning complication; Ill call my doctor tonight
b. I understand this is from eating too much salt; ill restrict that more
c. Ill rest in a simss position to take pressure off lower extremity veins
d. I walk for half an hour everyday to relieve this; Ill try walking more
47. Julliberry Adams makes the following statements. Which one is the safest practice?
a. My brother takes medicine for heartburn; if I get that ill just borrow his
b. Im going to get a measles shot; I dont want measles while I am pregnant
c. there are so many medicines for headache, I have to ask my doctor what to
take
d. I know all-over-the-counter medicine is safe; its why its over all counter.
48. Suppose Toni Alarino has a normal BMI. What would be the recommend weight gain for her
during pregnancy?
a. 10lbs
b. 20lbs
c. 30lbs
d. 60lbs
49. Which statement by Toni lets you know she understand how iron is best absorbed?
a. I always take my iron pills with milk
b. I take iron pills mixed with mashed potatoes
d. Use a tight tampon to put pressure on your cervix and stop the bleeding
64. Suppose Beverly was discovered to have an ectopic pregnancy. What advice would you give
her;
a. Most ectopic pregnancies go to completion, although the newborn is small
b. If she must have a fallopian tube removed, she will be sterile afterward
c. She will have a continous nagging pain through the rest of pregnancy
d. Ectopic pregnancy can be either medically or surgically treated
65. Suppose Beverly develops a placenta previa. What would be an important assessment to
make with her after her babys birth?
a. Whether she recognizes that this is inherited and will probably happen again
b. Asessment of vaginal bleeding, as she is prone to have more than usual
c. Whether she appears Jittery from the prebirth drugs she received
d. Whether she understands that her uterus has a scar and so will always be
weakened
66. Beverly is in preterm labor. When you see her in the emergency room, what should be your
first action?
a. keep her walking so the fetal heads puts harder pressure on the cervix
b. Ask her to lie down on a side lying position and assess her contraction
c. Obtain blood for Hcg hormone assessment.
d. Caution her not to allow anyone to start IV fluid dehydration halts contractions.
67. If Beverly had developed severe pre eclampsia . what would be the drug you would expect to
administer?
a. magnesium sulfate
b. RANITIDINE (Zantac)
c. NON STEROIDAL INFLAMMATORY AGENT
d.A loop diuretic
68. if a patient developed a HELLP syndrome, what symptoms would be most important to assess for?
a. 20%
b. 50%
c. 70%
d. 100%
78. Celeste Balley didnt recognize for over an hour that she was in labor. A sign of true labor is;
a. Sudden increased energy from epinephrine release
b. Nagging but constant pain in the lower back
c. Urinary urgency from increased bladder pressure
d.show or release of the cervical mucus plug
79. Celeste asks you which fetal position and presentation are ideal. Your best answer would be
a. Right occipitoanterior with full flexion
b. Left transverse anterior in moderate flexion
c. Right occipitoposterior with no flexion
d. Left sacroanterior with full flexion
80. Celeste is having long and hard uterine contractions. What leghth of contraction would you
report as abnormal?
a. Any length over 30 seconds
b. A contraction over 70 seconds in length
c. A contraction that peaks at 20 seconds
d. A contraction shorter than 60 seconds
81. you assess Celestes uterine contractions. In relation to the contraction, when does a late
deceleration begin?
a. Forty five seconds after the contraction is over
b. Thirty seconds after the start of a contraction
c. After every tenth or more contraction
d. After a typical contraction ends
82 Celeste has an amniotomy (artificial rupture of the membranes). After this procedure, which of
the following would be an important nursing assessment?
a.Ask her pain level is tolerable post procedure
b.Assess maternal heart rate to detect possible bleeding
c.Assess fetal heart rate to detect possible cord prolapsed
d.Document the amount of amniotic fluid that has been lost
83. Jonny asks you what is the purpose of a doula inlabor. Your best answer would be:
a. She times contractions and keeps them from becoming too lengthy
b. She can cook for a woman in labor to keep her from becoming dehydrated
c. She can serve as a support person and coach during labor
d. She replaces the husband as a womans support person
84. Jonny asks you if she could use warm water tub bathing during labor. Your best answer would
be;
a. No. no one is allowed to tub bathe during labor
b. Yes, as long as her membranes are not ruptured
c. No, because warm water can diminish labor contractions
d. Yes, as long as the warm water doesnt raise her temperature
85. Johnny chooses to have epidural anesthesia. What are two risks associated with this?
a. Hypotension and prolonged second stage of labor
b. Severe headache and coldness of all extremities
c. Continued back pain and short first stage of labor
d. Hypertension and a reduced red blood cell count
86. There is n o reason to thing that Jonny will need a fgeneral anesthetic. If she did, what type of
drug is usually prescribed to minimize the risk of aspiration of vomitus?
a. An anticonvulsant such as diazepam (valium)
b. A nerve relaxant such as Phenobarbital
91. Roseann Bigalow has prolonged labor. What is the most common cause for arrest of descent
during the second stage of labor?
a. Cephalopelvic disproportion (CPD)
b. Maternal Calcium deficiency
c. The fetus is sleep during labor
d. The maternal outlet is narrow
92. Suppose a woman experiences a uterine inversion and the placenta is still attached. What
would be your best action?
a. Remove the placenta manually so that the uterus contracts.
b. Attempt to replace the uterus so that it becomes compressed
c. Increase womens intravenous fluid to help restore blood loss
d. Give an emergency bolus of an oxytocin such as Pitocin IV
93. Oxytocin is administered to Roseann to augment labor. What are the first symptoms of water
intoxication to observe for during the procedure?
a. A high, choking voice
b. Headache and vomiting
c. A swollen tender tongue
d. Abdominal bloating and pain
94. Which of the following action would alert you that a new mother is entering a postpartal taking
hold phase?
a. She tells you she was in a lot of pain all during labor
b. She sleeps as if exhausted from the effort of labor
c. She urges the baby to stay awake so that she can breast feed him or her
d. She say that she has not selected a name for the baby as yet
95. You observe Joan Cooper holding her newborn. Which position would best reassure you that
she is relating well to her newborn?
a. She looks directly at her infants face and talks to him.
100.
Beth Ruiz, like all newborns, can lose body heat by conduction. Under which condition
is this most apt to occur?
a. If the nursery is cooled by air conditioning.
b. If the infant is wet from amniotic fluid.
c. If there is a breeze from an open window.
D . If Beth is placed in a cold bassinet.
101.
A moro reflex is the single best assessment of neurologic ability in a newborn. What is
the best way to test this reflex?
a. Observe the infant while she is on her abdomen to see whether she can turn her head.
b. Lift the infants head while she is supine and allow it to fall back 1 inch.
c. Shake the infants crib until the infant responds by flailing her arms.
d. make a sharp noise, such as clapping your hands, to wake the infant.
102.
Beth Ruiz has milia on her nose. What is the necessary therapy for this?
a. Ice packs to reduce inflammation.
b. Warm heat to increase circulation
c. No therapy is necessary for milia.
d. Lancing the lesions so they drain.
103.
Beth had apgar scores of 6 and 8. The five areas assessed with Apgar scoring are:
a. Heart rate, respiratory effort , muscle tone, reflex irritability, and color.
b. Respiratory rate, abdominal tone, reflex irritability, color, head circumference.
c. Color, breathing rate, cry, amount of brown fat, response to an adult voice.
d. Abdominal tone, persistence, gastric acidity, arterial pressure, response to pain.
104.
Ms. Ruiz is preparing to take her new daughter home. On about what day of life can she
expect her babys umbilical cord to fall off?
a. day 1.
b. Day 2 to 3.
c. Day 6 to 10.
d. Day 30.
105.
Newborns need more fluid than adults, because their extracellular fluid component
differs from that of adults. How much of a newborns body weight is extracellular fluid?
a. 20%, compared with 35% in an adult
b. 35%, compared with 20% in an adult
c. 50%, compared with 70% in an adult
d. 70%, compared with 40% in an adult
106.
107.
Palaka wants to lose the weight she gained in pregnancy, so she is reluctant to increase
her caloric intake for breast feeding. By howmuch should a lactating mother increase her caloric
intake during the first 6 months after birth?
a. 200 kcal/day
b. 350 kcal/day
c. 500 kcal/day
d. 1000 kcal/day
108.
Baby Atkins was given a drug at birth to reverse the effects of a narcotic given to his
mother in labor. What drug is commonly used for this?
a. Sodium chloride
b. Morphine sulfate
c. Penicillin G
d. Naloxone (narcan)
109.
Why are small for gestational age newborns are at risk for difficulty maintaining body
temperature?
Baby Atkins has surfactant administered at birth. The purpose of surfactant is to:
a. Help raise lung secretions by relaxing the airway.
b. Prevent alveoli from collapsing on expiration.
c. paralyze respiratory muscles to synchronize breathing.
d. reduce gastric secretions by action on the pancreas.
111.
Baby Atkins develops hyperbilirubinemia. What is a method use to treat
hyperbilirubinemia ina newborn?
a. Keeping infants in a warm and dark environment.
b. Early feeding to speed passage of meconium.
c. gentle exercise to stop muscle breakdown.
d. Administration of a cardiovascular stimulant.
112.
113.
John is 6 years old. What body system is reaching its peak point of development at this
time?
a. Neurological system.
b. Lymphatic system.
c. Reproductive system.
d. Musculoskeletal system.
114.
John, 6 years old, is a school age child. What must he learn, according to Erikson, to
complete the developmental task of this period?
a. How to be creative
b. How to think abstractly
c. How to trust others
d. How to do things well
115.
Suppose john, 6 years old, tells you his broken leg wants to get better. What type of
thinking is he using?
a. Magical thinking
b. Deductive reasoning
c. Concrete operational thinking
d. Sensorial thought
116.
Bryan is 2 months old. At what age would you expect him to sit securely?
a. 2.5 months
b. 6 months
c. 8 months
d. 12 months
117.
118.
121.
Jason answers every request of his mother by saying, No! How can she minimizes this?
a. Tell Jason she doesnt want him to say no anymore.
b.
c.
d.
122. Jasons mother uses timeout for punishment. What is a good rule for this?
a. The child should sit still for as many minutes as his age.
b. The child should sit still for as many minutes as he misbehaved.
b.
c.
d.
127. if Shelly eats candy, what is the best type in terms of preventing caries?
Adipose glands
b.
Apocrine glands
132. You take a health history on Keoto from her father. What question should you ask at the end of
every interview?
a. Do you have a ride so you can get home?
b. Is there anything else youd like to discuss?
c. Am I a good interviewer? Im trying hard
d. do you have another child who also needs care?
133. Keotos sister is 2 y/o . at what age you should include blood pressure as a routine procedure?
a. 1 y/o
b. 2 y/o
c. 3 y/o
d. 6 y/o
134. You typically gag children to inspect the back of their throat. When is it important not to elicit a
gag reflex?
a. When children are under 5 years of age
b. When a child has symptoms of epiglottitis
c. When a boy has a possible inguinal hernia
d. When a girl has a geographic tongue
135. Keoto has a sinus arrhythmia. This refers to:
a. A wide spaced rib cage
b.Faint, barely audible heart sounds
c.increased heart rate on inspiration
d.An abnormal heart rate in a child
136. Keotos father wants to be sure keotos immunization are up to date. When is the immunization
for varicella usually given?
a. At 12 to 18 months of age
b.As a preschooler booster
c. At 16 years of age
151. You teach Robin imaging to help reduce pain from blood drawing. Why does a technique such as
imagery work well for children?
a.Children pain is not as acute as an adults.
b.Intravenous pain relief in not effective in children
c.Children imagination are at their peak
d.childrens muscle are less tense than adults muscle
152.Robin was given analgesia intravenously. Why is the I.M route infrequently used to administer
analgesia to children?
a.
b. Ill give you some medicine, but youll still be awake and feel pain
c.
d. Ill give you medicine so youre very sleepy but can still talk to me
154. What is the most important consideration in the care of the child with an omphalocele at birth?
a.
b. Keep the infant positioned head down so the intestine can expand.
c. Wrap the infants abdomen tightly to better contain intestine.
d. Position the infant in an infant chair to contain intestine in abdomen.
156. Baby Sparrow may be developing increased intracranial pressure. What vital sign changes occur
with this?
a.
a.
b. Close the infants mouth to see if he can breathe through his nose.
c.
a.
164. Megan has a heart murmur from a tetralogy of Fallot, a congenital heart disorder. This type of
murmur is termed:
a.
Innocent
b. Functional
c. Organic
d. Symmetrical
165. Megan is scheduled for a cardiac catheterization. Why might a child develop cardiac arrhythmias
after this procedure?
a.
167. Suppose Megan has a simple ventricular septal defect. With this condition, in which direction
would blood shunt?
a.
One to five
b. One to ten
c. Two to fifteen
d. Three to fifteen
169. When Dexters mother learned he had an immunologic disease, she was concerned that he had
developed AIDS. What is the transmission method by which most children acquire HIV infection?
a.
Blood transfusion
d. Ibuprofen
171. Dexter is atopic or prone to allergies. In the hospital he has no toys. What would be a poor choice
of a toy to make for him?
a. A paper deck of cards
b. A cloth bean bag
c. A latex glove balloon
d. A tounge blade puppet.
172. If a smallpox epidemic should occur, it will be important to be able to distinguish chickenpox
(varicela) from smallpox. What are the stages of chickenpox lesions?
a. Macular, papular, vesicular, and crusting
b. Macular,crusting, and extensive peeling
c. Papular,vesicular, and pruritic crusting
d. Maculopapular lesion with fine flaking
173. Which is the best description of mumps (infectious parotitis)?
a. Cervical lymph nodes become swollen.
b. Swelling behind the childs ear occur.
c. Swelling above the jaw line occur.
d. The adenoid tonsils are red and swollen.
174. For a child with infectious mononucleosis, why must abdominal palpation be performed gently?
a. Regional lymphnodes are painful
b. The enlarged spleen can rupture
c. red cells pocket just under skin
d. Petechiae form easily from bruising
175. Marty has developed scarlet fever. What is the mark of scarlet fever lesions?
a. They appear on skin and mucous membrane
b. The crusts that form are mildly contagious
199. What information would you want parents to know about their child with cerebral; palsy?
a. Symptoms of cerebral palsy usually fade by puberty
b. All children with cerebral palsy are cognitively challenged
c. Cerebral palsy may be associated with a vaccine reaction
d. Symptoms may seem to grow worse as fine motor skill is needed
200. Tasha is diagnosed as having bacterial meningitis. How long should she placed on respiratory
precautions for this condition?
a. 4 hours
b. 24 hours
c. Ten days
d. 30 days
201. Tasha had a generalized or tonic clonic seizure. What is the usual description of this type seizure?
a. A momentary halt of about ten seconds in respiration.
b. Stiffening pf the extremities, then shaking of the body
c. Extreme pain and twitching of one of the extremities
d. Rapid blinking, then foaming of the mouth
202. Spinal cord injuries occur from accidents. Which is the most common type of injury in
adolescents?
a. Cervical fracture from a diving accident
b. Sacral fracture from a bicycle accident
c. Thoracic fracture from a bullet injury
d. Thoracic sacral injury from lifting weights
203. What if Carla had amblyopia? What is a common assessment for amblyopia?
a. Doing a cover test
b. Asessing for a red reflex
c. Preschool E chart testing