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Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Document preview page 1

Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Page 1

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Maternal New Born Practice Exam Question with Answers (47 Solved Questions)

Enhance your exam preparation with Maternal New Born Practice Exam Question with Answers, which features solved past exams to help you focus on key areas.

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Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Page 1 preview imagePractice questions1.A nurse is admitting achild who has acute lym-phocytic leukemia. Whichof the following laborato-ry values should the nurseexpect?A. Platelets 500,000 mm^3B. RBCs 2.5 million/uLC. WBCs 4,000/mm^3D. Hct 60%Correct answer BAn RBC count of 2.5 million/uL is below the ex-pected reference range. A child who has acutelymphocytic leukemia has a low RBC count.2.A nurse is planning carefor a toddler who has acutegastroenteritis and was re-cently admitted. Which ofthe following should thenurse plan to provide forthe child?A. Oral rehydration solu-tionB. Bananas or applesauceC. Chicken or beef brothD. Hypertonic IV solutionCorrect answer AThe nurse should plan to provide an oral re-hydration solution (ORS) to this child who hasacute gastroenteritis. ORS promotes the body'sreabsorption of water and sodium and is moreeffective and less traumatic than the administra-tion of IV fluids for the treatment of dehydrationdue to diarrhea and emesis.3.A nurse is caring fora school-age child whohas glomerulonephritis.The child has decreasedurinary output and ablood pressure of 160/78mmHg and is receivinghydralazine. Which of thefollowing lunch choicesshould the nurse recom-mend?A. 1 hot dog, 22 potatochips, and 120 mL (4 oz) oforange juiceB. 1 sandwich with lettuce,Correct answer CA child who has glomerulonephritis has mod-erate sodium restriction, and further restrictionis given to foods that are high in potassium forchildren who have decreased urinary output.These restrictions are because the kidneys ofthese children are not functioning appropriately.This menu option consists of 571 g of potassiumand 268 g of sodium.1 / 21
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Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Page 2 preview image
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Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Page 3 preview imagePractice questionstomato, and 4 slices of ba-con; a small apple; and 240mL (8 oz) of milkC. 3 oz grilled chicken, 1cup of pear slices, and 120mL (4 oz) of apple juiceD. 1 cup of cottage cheese,a small banana, and 240mL (8 oz) of soda4.A nurse is providing teach-ing to a parent of apreschooler who has tineacapitis. Which of the fol-lowing instructions shouldthe nurse include in theteaching?A. Apply aluminum ac-etate solution compressesto the lesionsB. Apply hydrocortisonecream to the lesions twicedailyC. Seal nonwashable toysin a plastic bag for 2 weeksD. Leave the medicatedshampoo on the scalp for5 to 10 minutesCorrect answer DThe nurse should instruct the parent to use ashampoo made of 2% ketoconazole or 1% se-lenium sulfide for the treatment of tinea capitis.For the shampoo to be effective, the parentshould leave it on the child's scalp for 5 to 10minutes prior to rinsing.5.A nurse is preparing toobtain an antistreptolysinO (ASO) titer from a childwho has acute glomeru-lonephritis.The child's par-ent asks the nurse to ex-plain the purpose of thetest. Which of the follow-ing responses should thenurse provide?Correct answer DAn ASO titer indicates the child had a recentstrep infection. When determining a definitive di-agnosis for acute glomerulonephritis, this mustbe documented because the condition is usuallythe result of this type of infection.2 / 21
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Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Page 4 preview imagePractice questionsA. "The test determines thelevel of antibiotics in yourchild's blood."B. "The test tells us if yourchild ever had measles."C. "The test verifies theamount of albumin in yourchild's blood."D. "The test shows us ifyour child had a recentstrep infection."6.A nurse is caring for aschool-aged child who hasacute post-streptococcalglomerulonephritis. Whichof the following manifesta-tions should the nurse ex-pect?A. HypotensionB. Elevated serum lipid lev-elsC. Decreased serum potas-sium levelsD. HematuriaCorrect answer DHematuria can be detected visually in clientswho have acute post-streptococcal glomeru-lonephritis.7.A nurse is caring for a4-week-old infant who is2 weeks postoperative fol-lowing surgical correctionof biliary atresia. Which ofthe following findings is anindication that the surgerywas successful?A.The infant has lost 2.2 kg(1 lb) since the surgery.B. The infant has a to-tal bilirubin level of 0.3mg/dL.Correct answer BA bilirubin level of 0.3 mg/dL is within the expect-ed reference range and indicates the surgerywas successful.3 / 21
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Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Page 5 preview imagePractice questionsC. The infant has an as-partate aminotransferase(AST) level of 120 units/L.D. The infant's stools aregray in color.8.You are educating nurs-ing student regarding flu-id requirements for pe-diatric patients who pre-sent with comorbidities.Increased need for flu-id requirements would beconsistent with treatmentmanagement for whichconditions? SATAA. Diabetic ketoacidosisB. Congestive heart failureC. BurnsD. Syndrome of inappropri-ate diuretic hormoneE. Diabetes insipidusA, C, EIncreased fluid requirements would occur in re-sponse to DKA, DI and burns.9.A child is exhibiting signsof clinical dehydration.Which lab value wouldsupport a diagnosis of hy-pertonic dehydration?A. Plasma osmolality of275 mOsm/LB. Serum sodium level of135 mEq/dLC. Calculation of loss ofbody fluid weight at 25ml/kgD. Serum sodium level of150 mEq/dLDHypertonic dehydration would result in an in-crease in serum sodium levels in proportion tofluid loss. Normal range is 135-145 mEq/dL.10.A4 / 21
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Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Page 6 preview imagePractice questionsA nurse is assessing achild who is postopera-tive and received a unitof PRBC's during a sur-gical procedure. Which ofthe following findings in-dicate the child is experi-encing a hemolytic trans-fusion reaction?A. Chills and flank painB. Pruritis and flushingC. Rales and cyanosisD. Bradycardia and diar-rhea11.A nurse is teaching theparents of a toddlerwho had an anaphylac-tic reaction to peanutbutter about administer-ing injectable epinephrine.Which of the followinginstructions should thenurse include?A. Common site for injec-tion of epinephrine are thefatty tissue found in upperarm and in lower abdomenB. Administer epinephrineprior to giving your childpeanut products in the fu-ture.C. No further treatment isneeded after injecting theepinephrineD.You will need to increasethe dosage as your childgains weightDEpinephrine is a weight based medication thatis available in dosage of 0.15mg and 0.3mg. Asthe child grows, it will be necessary to changethe epinephrine dosage that is administered.5 / 21
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Maternal New Born Practice Exam Question with Answers (47 Solved Questions) - Page 7 preview imagePractice questions12.A nurse is teaching theparents of a 3-year-oldchild who has persistentotitis media about preven-tion. Which of the follow-ing statements by the par-ents indicates an under-standing of the teaching?A. "My child should notplay around others whohave ear infections."B. "We should not smokearound our child."C. "My child should notswim this summer."D. "I will encourage mychild to blow his noseforcefully when he has acold."Correct answer BPreventing exposure to tobacco smoke at homecan prevent further episodes of ear infectionsbecause tobacco smoke can cause inflamma-tion of the respiratory tract.13.A nurse is providing teach-ing to the parent of atoddler who has bacteri-al conjunctivitis. Which ofthe following instructionsshould the nurse include?A. Clean secretions fromthe infected eye by wipingfrom the outer canthus to-ward the inner canthus andupwardB. Keep the infected eyecovered with warm com-presses for the first 24 to48 hrC. Notify the provider im-mediately if the sclera be-comes inflamedD. Apply pressure to theCorrect answer CAlthough the conjunctiva becomes inflamedduring this infection, the sclera should remainclear and white. If the sclera becomes inflamed,it can indicate the presence of a serious con-junctival infection, and the child should be as-sessed immediately by an ophthalmologist.6 / 21
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