question

1. A nurse is taking a history from a woman and her common-law husband. What is the best description of this type of family? A. Family B. Family of origin C. Family of choice D. Extended family

answer

C

question

2. An obstetric nurse understands and works within the systems theory of family interaction. This nurse is aware that an integral part of the nursing role is to facilitate the development of a bond between the A. new subsystem of mother/infant and the father. B. subsystem of mother/father and the new infant. C. subsystem of mother/father/infant and extended family. D. new subsystem of mother/infant and significant others.

answer

D

question

3. The pediatric nurse understands and works within the developmental theory of families. According to this theory, which information would be most important to provide to families with preschool children? A. Injury prevention and immunizations B. Sibling rivalry C. Sleep-wake patterns D. Couple-building and family adjustment

answer

a

question

4. The clinic nurse is providing assistance to a family who lost their son in a motorcycle collision. Future planning would include counseling the family that one of the most critical times in the grieving process usually takes place in the A. first two weeks. B. third to fourth week. C. fifth to sixth week. D. eighth to tenth week.

answer

b

question

5. A nurse is working with a family whose members appear cold and distant toward each other. None of the family members seems able to manage stress. Which familial role has not been met by this family? A. Affective and coping needs B. Economic needs C. Physical needs D. Socialization needs

answer

a

question

6. A nurse is planning interventions to assist a family that has had a death in the immediate family group. The nurse is helping other family members to take on some of the roles left by the deceased person. Under which family theory is this nurse working? A. Communication Theory B. Family Developmental Stages and Theory C. Family Systems Theory D. Structural-Functional Theory

answer

d

question

7. A nurse is planning to assess a family using a standardized tool. Before beginning the assessment, which action by the nurse is most important? A. Ensure the family that the nurse will maintain strict confidentiality of all data. B. Inform the family that all assessments will be shared with the health-care team. C. Instruct the family on the various types of tools available for use. D. Obtain agreements over the confidentiality of the information obtained.

answer

d

question

8. A nurse has assessed a family that has difficulty with communication and blurring of roles, affecting daily function. Which nursing diagnosis best fits this situation? A. Altered Family Processes B. Caregiver Role Strain C. Readiness for Enhanced Coping D. Situational Family Dysfunction

answer

a

question

9. A patient admitted to the hospital is from a culture with which the nurse is unfamiliar. The patient has limited English skills. The patient needs surgery but will not consent until her oldest son arrives. Which action by the nurse is best? A. Describe all the complications that can occur if the operation is delayed. B. Make the patient as comfortable as possible while waiting for the son. C. Teach the patient about the value of autonomy in American health care. D. Using an interpreter, attempt to convince the patient to consent.

answer

b

question

10. A nurse is working with a patient who became critically ill and was admitted emergently. The patient's large family is coming to the hospital from several different states over several different days. Which of the following would be the best intervention to promote family cohesion and function? A. Arrange for visitation by the hospital or family clergy member. B. Ask the family to appoint a single spokesperson who will get all information. C. Create a visitation schedule so that the nurses are not overwhelmed by the family. D. Schedule a family conference when all family members have arrived.

answer

d

question

1. The perinatal nurse explains to a new nurse that a female fetus has a developed ovary by A. 8 weeks. B. 10 weeks. C. 12 weeks. D. 16 weeks.

answer

b

question

2. A perinatal nurse is conducting prenatal classes. This nurse explains that an incision for cesarean birth is normally made in which uterine segment? A. Isthmus B. Cervix C. Apex D. Corpus

answer

a

question

3. The perinatal nurse explains to an adolescent that ova are produced and estrogen is secreted at which phase of life? A. Puberty B. Birth C. The climacteric D. Pregnancy

answer

a

question

4. Which part of a woman's anatomy is used as the assessment landmark for the fetal presenting part? A. Ischial spines B. Sacral promontory C. Sacral alae D. True pelvis

answer

a

question

5. A nurse is conducting prenatal classes. The nurse explains the incision made to enlarge the perineal opening for a vaginal birth. What is this incision called? A. Colposcopy B. Episiotomy C. Ligation D. Septal myotomy

answer

b

question

6. Which hormone is responsible for regulating oogenesis? A. Estrogen B. Follicle-stimulating hormone (FSH) C. Gonadotropin-releasing hormone (GnRH) D. Progesterone

answer

b

question

7. A pregnant woman has been advised that she has a platypelloid pelvis type. What action by the perinatal nurse is best? A. Advise the woman that she may need a cesarean delivery. B. Educate the woman that a posterior fetal presentation is possible. C. Instruct the woman on specific back strengthening exercises. D. Reassure the woman that a trial of labor will still be allowed.

answer

a

question

8. A pediatric nurse has assessed a 13-year-old girl and notices that she is in thelarche. What situation does this term refer to? A. The appearance of breast buds B. The appearance of secondary sex characteristics C. The first menstrual period D. The growth of pubic hair

answer

a

question

9. An adolescent in the pediatric clinic states that her vaginal secretions sometimes seem more thin, watery, and stretchable than usual. What response from the nurse is best? A. Advise the patient that this is related to her periods. B. Educate the patient that she is fertile when this occurs. C. Instruct the patient to douche after her periods. D. Screen the patient for sexually transmitted infections.

answer

b

question

10. A perimenopausal woman complains to the nurse about the new onset of urinary stress incontinence. Which statement by the nurse is best? A. "A little incontinence is normal at your age." B. "Clonidine (Catapres) is a new treatment for this." C. "This is probably related to decreased estrogen." D. "We need to start you on estrogen therapy."

answer

c

question

1. The nurse working in reproductive health care is aware that which of the following was a goal of the Human Genome Project? A. Identify exact human DNA sequences and genes B. Identify human DNA and RNA sequences C. Measure exact human DNA sequences for chromosomal diseases D. Measure exact human DNA sequence maps for disease prevention

answer

a

question

2. A nurse is teaching a prenatal class on fetal growth and development. In which gestational week does the nurse inform the parents that the heart begins to beat? A. Second B. Third C. Fourth D. Sixth

answer

a

question

3. The perinatal nurse is providing information on fetal growth and development. The nurse explains that fetal urine production begins at A. 6 to 8 weeks. B. 9 to 12 weeks. C. 12 to 16 weeks. D. 15 to 18 weeks.

answer

b

question

4. A nurse is providing preconception counseling. The nurse explains that the fetus is most vulnerable to the effects of teratogens during which time period? A. 5 to 10 weeks B. 2 to 8 weeks C. 4 to 12 weeks D. 6 to 15 weeks

answer

b

question

5. The nurse is conducting a prenatal visit with a newly expectant mother. The woman wants to know why the nurse is concerned about her drinking habits. Which is the best response by the nurse? A. "Alcohol has one of the strongest effects on fetal development we know of." B. "Asking about drug and alcohol use is a normal part of a history." C. "High amounts of drinking can lead to bleeding problems in the fetus." D. "Women who are pregnant should limit alcohol to 2 drinks a day."

answer

a

question

6. A woman who smokes has just learned she is 10 weeks pregnant. She does not believe that quitting will help her fetus now because she has already exposed it to the smoking. Which response by the nurse is best? A. "Stop now and your baby's birth weight will probably be near normal." B. "The effects of the carbon dioxide have already done some harm." C. "Tobacco exposure is worse for the fetus in the third trimester." D. "You are right; quitting now does not really offer any benefits."

answer

a

question

7. A newborn nursery nurse notes that a neonate has hyperirritability and some difficulty breathing. Which response by the nurse is most appropriate? A. Ask the mother about opioid use during pregnancy. B. Inform the mother not to drink caffeinated beverages. C. Teach the mother infant relaxation techniques. D. Tell the physician about suspected maternal crack use.

answer

a

question

8. A nurse is conducting a history on a new obstetric patient. The mother works in an animal shelter. Which instruction by the nurse is most appropriate? A. Avoid contact with birds and reptiles. B. Be sure you have a tetanus booster. C. Get cytomegalovirus antibodies drawn. D. Have someone else clean litter boxes.

answer

d

question

9. A nurse is teaching a prenatal class about placental development and functions. Which information about the placenta is best? A. Cushions the fetus and protects it against mechanical injury B. Is the site of hematopoiesis during the first two gestational weeks C. Produces Wharton's jelly that surrounds the umbilical blood vessels D. Provides oxygenation, nutrition, hormones, and waste removal

answer

d

question

10. A faculty member is teaching a nursing class about fetal circulation. The faculty member explains that most blood bypasses the liver and enters the inferior vena cava through the A. ductus arteriosus. B. ductus venosus. C. foramen ovale. D. pulmonary artery.

answer

b

question

1. The perinatal nurse knows that which of the following hormones is most responsible for maintaining pregnancy? A. Estrogen B. Progesterone C. Relaxin D. Human chorionic gonadotropin

answer

b

question

2. A woman who is 28 weeks pregnant calls the clinic to complain of painless, irregular contractions. The clinic nurse informs her that this is related to circulating levels of which hormone? A. Estrogen B. Progesterone C. Relaxin D. Prostaglandin

answer

a

question

3. A new patient is having a speculum exam, and the nurse notes the cervix has a bluish-purple discoloration. Which of the following does the nurse chart about this finding? A. Goodell's sign B. Chadwick's sign C. Striae gravidarum D. Linea nigra

answer

b

question

4. During a prenatal class, the nurse explains that one of the baby's protections during pregnancy is the cervical mucus. The nurse teaches the class members that the medical term for this is A. Linea nigra B. Rugae C. Striae gravidarum D. Operculum

answer

d

question

5. A woman who is 22 weeks pregnant calls the clinic to report painless irregular contractions. Which action by the nurse is best? A. Asks the woman how many pregnancies she has lost B. Informs the woman she needs to go to the hospital C. Teaches the woman that this is a normal occurrence D. Tells the woman to come to the clinic today

answer

c

question

6. A pregnant woman complains of leukorrhea at her clinic visit. Which action by the nurse is best? A. Inform her she should abstain from sex during this time. B. Instruct her to buy and use perineal pads or incontinence pads. C. Instruct her to douche twice a week with a vinegar solution. D. Teach her to cleanse her vulvar area gently with soap and water.

answer

d

question

7. A woman who is entering her third trimester complains of tingling and numb sensations that radiate up to the elbow in her dominant hand. Which action by the nurse is best? A. Advise her to elevate her hands at night. B. Have her buy a cock-up splint from the pharmacy. C. Instruct her on over-the-counter analgesics. D. Order a wrist x-ray to assess for trauma.

answer

a

question

8. A woman in her third trimester is complaining of constipation. Which instruction by the nurse is best? A. "Because of the fetal location, this is difficult to treat." B. "Drink 8 glasses of water and increase your fiber daily." C. "Use little Fleets enemas when you are constipated." D. "You can use over-the-counter laxatives occasionally."

answer

b

question

9. A woman complains that she feels dizzy and sweaty when she has been lying down for a few minutes. Which action by the nurse is best? A. Advise her to come in to the clinic today. B. Facilitate getting an order for an EKG. C. Instruct her to lie on her left side. D. Teach her to rest sitting in a recliner.

answer

c

question

10. A nurse notes that a pregnant woman's chart states that she is having trouble binding in. Which action by the nurse is best? A. Ask the mother about preparation for the newborn at home. B. Demonstrate proper abdominal binding to prevent stretch marks. C. Discuss transition through the couvade with the woman and her partner. D. Talk to the mother about how she conceptualizes the child.

answer

d

question

1. The clinic nurse is counseling a low-risk pregnant woman who is at 20 weeks' gestation. The nurse advises the woman to schedule her next routine prenatal appointment for A. 1 week. B. 2 weeks. C. 3 weeks. D. 4 weeks.

answer

d

question

2. A woman calls the clinic to ask about taking a home pregnancy test because she has missed her last period by 2 weeks. The nurse advises her to use a home pregnancy test A. that is specific to the beta subunit of hCG. B. that is specific to the alpha subunit of hCG. C. in 1 week. D. in 2 weeks.

answer

a

question

3. The clinic nurse knows that a probable sign of pregnancy is A. Piskacek's sign. B. nausea and vomiting. C. hearing a fetal heartbeat. D. urinary frequency.

answer

a

question

4. A nurse is interviewing a 22-year-old primigravida. The patient's last menstrual period was December 25 and lasted 3 days (normal for her). The calculated estimated date of birth would be A. October 1. B. September 1. C. October 2. D. September 2.

answer

a

question

5. A woman in the clinic reveals that she is experiencing high levels of stress related to her pregnancy. What action by the nurse is best? A. Advise the woman to get plenty of sleep. B. Encourage the woman to spend time with friends. C. Explain why anxiolytics are not used in pregnancy. D. Set up an exercise regimen with the woman.

answer

b

question

6. A nurse is interviewing a woman who is in her second trimester. The woman asks the nurse if blue cohosh (Caulophyllum thalictroides) is safe and useful to take during pregnancy. Which response by the nurse is best? A. Blue cohosh is safe and useful to treat morning sickness. B. Blue cohosh used during the third trimester eases labor. C. Blue cohosh causes fetal anoxia and should not be used. D. Blue cohosh has not been thoroughly studied in pregnant women.

answer

c

question

7. A nurse is reviewing a patient's chart and finds the following documentation: A 28-year-old woman complains of nausea and vomiting, breast tenderness, and frequent urination. A physical exam reveals a positive Hegar's and Chadwick's signs. The nurse interprets these findings as A. all positive signs of pregnancy. B. all presumptive signs of pregnancy. C. all probable signs of pregnancy. D. presumptive and probable signs of pregnancy.

answer

c

question

8. A woman who is 22 weeks pregnant calls the clinic worried that her last hCG test had a lower level than the results from her initial prenatal visit. Which response by the nurse is best? A. Ask if the woman has felt quickening. B. Have the woman come in for an ultrasound. C. Schedule a repeat hCG test in 1 week. D. Reassure the woman that this is a normal finding.

answer

d

question

9. A nurse is teaching a prenatal class. What information about cigarette exposure should the nurse provide the women? A. Secondhand smoke is not as dangerous for the fetus. B. Smoke exposure only affects the fetus and newborn. C. The effects of secondhand smoke are not well documented. D. Tobacco use can cause preterm labor and placental abruption.

answer

d

question

10. A nurse is assessing fetal heart tones and gets a reading of 82 beats/minute. Which action by the nurse is best? A. Take the woman's pulse for comparison. B. Attach electronic fetal monitoring equipment. C. Position the woman on her left side. D. Administer oxygen to the pregnant woman.

answer

a

question

1. The perinatal nurse knows that the most ideal time to address issues related to a poor outcome in a past pregnancy is A. Postpartum. B. Prenatally. C. Preconception. D. Interconception.

answer

d

question

2. The prenatal nurse provides nutritional counseling during pregnancy to ensure adequate weight gain. The nurse teaches that the additional daily calories required are the equivalent of A. 1 glass of skim milk. B. 2 servings of yogurt. C. 2 apples. D. 3 ounces of cheese.

answer

a

question

3. The perinatal nurse knows that the blood volume in pregnancy increases on average by A. 20% to 30%. B. 30% to 40%. C. 40% to 50%. D. 50% to 60%.

answer

c

question

4. The prenatal nurse counsels a woman to stop smoking prior to conceiving. Which of the following does the nurse advise is a potential complication of smoking during pregnancy? A. Gestational diabetes mellitus B. Intellectual and developmental disabilities C. Intrauterine growth restriction D. Hyperirritability

answer

c

question

5. A nurse is reviewing the chart of a woman being seen for a routine prenatal visit. The chart documents concerns with Couvade syndrome. The nurse understand this includes A. The partner experiencing maternal signs and symptoms. B. A history of prior problems with preterm labor. C. A history of multidrug abuse in the pregnant female. D. A history of extreme pregnancy-related nausea and vomiting.

answer

a

question

6. An obese pregnant woman is in the clinic for nutritional counseling. What weight gain should the nurse recommend to this woman in her second and third trimesters? A. 0.1 kg/week B. 0.3 kg/week C. 0.4 kg/week D. 0.5 kg/week

answer

b

question

7. A pregnant woman is concerned about the possibility of her baby being born with a neural tube defect (NTD). Which response by the nurse is best? A. "I can ask the physician to order genetic screening for you if you like." B. "Be sure to take your iron supplement each day with a glass of orange juice." C. "You need to be sure to get at least 1,000 mg of calcium and 600 IU of vitamin D daily." D. "About 70% of NTDs can be prevented by getting 400 mcg of folic acid each day."

answer

d

question

8. A woman in her first trimester of pregnancy complains of nausea. Which suggestion by the nurse is best? A. "Try eating plain, dry crackers before you get out of bed." B. "You may be constipated; try some senna tablets." C. "I have heard that licorice root is good for nausea." D. "Don't worry unless you start vomiting continuously."

answer

a

question

perinatal clinic and reports having two large cavities that the dentist wants to fill. Which response by the nurse is best? A. "You should wait until your third trimester to have dental work done." B. "It is safe to use most local anesthetics for dental work during pregnancy." C. "You will need to wait until after you have given birth to your baby." D. "You can have them filled, but you will have to avoid the anesthetics."

answer

b

question

10. A pregnant woman and her partner are preparing her birth plan. It is the couple's wish that the woman give birth in warm water. The nurse recognizes this style of birthing as the A. Lamaze method. B. LeBoyer method. C. Odent method. D. Dick-Read method.

answer

c

question

1. When describing the "powers" of labor to a new nurse, the perinatal nurse discusses the uterine contractions and the A. Woman's pushing efforts. B. Unique musculature of the uterus. C. Position of the fetus. D. Hormonal influences regulating labor.

answer

a

question

2. The perinatal nurse assesses a primigravida who has just arrived at the birth facility for labor assessment. The woman describes contractions that are 7 to 10 minutes apart and felt in the abdomen. She states the contractions feel better when she is walking. This is most likely A. True labor. B. Transition. C. Early labor. D. False labor.

answer

d

question

3. The perinatal nurse describes for the student nurse the lettering used to designate fetal position. The correct use includes A. "P" indicating fetal pelvis location. B. "P" indicating posterior maternal pelvis. C. "M" indicating fetal mandible. D. "A" indicating maternal anus.

answer

b

question

4. A nurse is told in a hand off report that a woman's cervix is not yet ripened. What does the nurse understand about this patient? A. She is ready to deliver. B. Her cervix has not yet softened. C. Vaginal delivery will not be possible. D. This change begins labor in all women.

answer

b

question

5. The nurse explains to a laboring woman that the relaxation periods between contractions are important for which of the following reasons? A. Avoids uterine rupture B. Allows fetal oxygenation C. Permits fetal assessment D. Prevents uterine ischemia

answer

b

question

6. Which of the following is considered the primary force of labor? A. Pushing by the mother B. Uterine contractions C. Contraction decrement D. Uterine elongation

answer

b

question

7. A nurse assesses the intensity of a woman's contractions. At the acme of her contraction, the nurse is unable to indent the uterus. How would the nurse document this finding? A. Mild contraction B. Moderate contraction C. Strong contraction D. Intense contraction

answer

c

question

8. A nurse assesses the level of a fetal presenting part in a laboring woman at station 0. What does this finding indicate? A. Engagement has occurred. B. The presenting part is above the maternal ischial spines. C. Labor is not progressing. D. The presenting part is at the pelvic outlet.

answer

a

question

9. A nurse reads in a patient's chart that she has employed a doula. What does the nurse understand about this role? A. Provides physical and emotional support during labor B. Performs continuous patient assessment during labor C. Performs private duty nursing care during labor and birth D. Assists the surgeon during a cesarean delivery

answer

a

question

10. A nurse assesses a woman in labor and finds that her contractions are occurring once every 1 to 1 and one-half minutes with a uterine resting tone greater than 30 mm Hg. How does the nurse document this finding? A. First stage labor, active phase B. First stage labor, transition C. Second stage labor D. Uterine tachysystole

answer

d

question

1. In the first stage of labor, the perinatal nurse is aware that pain impulses are transmitted via which route? A. T11, T12 spinal nerve segments B. T9, T10 spinal nerve segments C. L4, L5 spinal nerve segments D. Sacral spinal nerve segments

answer

a

question

2. The perinatal nurse is aware that a woman's history of past painful experiences with labor and birth are part of which neural pathway process for pain? A. Transduction B. Transmission C. Perception D. Modulation

answer

c

question

3. A laboring woman was given promethazine (Phenergan) and meperidine hydrochloride (Demerol) for pain. The nurse is aware that during the first 24 hours of life, the newborn will have an increased risk for which of the following problems? A. Hyperbilirubinemia B. Tachypnea C. Irritability D. Tremors

answer

a

question

4. A nurse is studying therapeutic touch and is explaining it to family and friends. What description is most accurate? A. It is a gentle stroking massage of the patient's abdomen. B. It redirects the patient's energy fields to diminish pain. C. It uses a focal point on which the laboring woman can concentrate. D. It is well documented as a tool to diminish pain during labor.

answer

b

question

5. What information about aromatherapy for labor discomfort should the nurse provide the patient? A. Full strength oils on the skin are most effective. B. Aromatherapy does not offer any benefits. C. Not all aromatherapy oils are safe to use in pregnancy D. Oils are only placed on the pillowcase, never the skin.

answer

c

question

6. The nurse is applying a hot pack to a laboring woman's perineum. The student nurse asks about the purpose of this intervention. What explanation by the nurse is best? A. Relieves muscle spasms B. Helps regulate temperature C. Prevents tissue trauma D. Relieves muscle ischemia

answer

d

question

7. A nursing faculty member is explaining the women's health goals of Healthy People 2020 to a class of nursing students. Which of the following is a goal in this document? A. Reduce the mortality rate to no more than 11/100,000 live births B. Increase the percentage of women using pharmacological pain control C. Decrease the numbers of community-based child- birth education classes D. Increase the number of women referred to a tertiary health-care center

answer

a

question

8. A woman in labor complains of back pain and a headache. What action by the nurse is best? A. Call for an epidural or spinal analgesic/anesthesia B. Perform a complete pain assessment on the woman C. Document the findings and reassure the woman D. Ask the support person to provide massage therapy

answer

b

question

9. A woman near term expresses fears of not being able to tolerate the pain of childbirth. What response by the nurse is best? A. "Remember that pain in childbirth is normal and expected." B. "Choose your support person carefully so he or she can really help you." C. "Be sure to get plenty of sleep in the weeks leading up to the birth." D. "I wouldn't worry too much; most women end up doing just fine."

answer

c

question

10. What instruction by the nurse will help give the woman a sense of control over her childbirth experience? A. Tour different birthing facilities B. Only use a certified nurse midwife C. Request an elective cesarean birth D. Ask your friends how they handled their birth experiences

answer

a

question

1. In the preadmission clinic, the perinatal nurse describes the advantages to a short hospital stay as including which of the following? A. Decreased risk of nosocomial infection B. Increased rest and recuperation C. Increased opportunity to initiate successful breastfeeding D. Increased teaching about infant care

answer

a

question

2. In the immediate postpartum period, the perinatal nurse knows that the postpartum woman most often has A. Bradycardia. B. Tachycardia. C. A pulse within the normal adult range. D. Tachycardia with a return of normal pulse within 4 hours.

answer

a

question

3. The postpartum nurse expects a postpartum woman's bladder function to return to normal within what length of time? A. 2 to 4 hours B. 4 to 6 hours C. 6 to 8 hours D. 8 to 12 hours

answer

c

question

4. A student nurse in the perinatal clinic sees a notation on the chart of a patient describing her as being in the "puerperium." What explanation does the registered nurse provide the student? A. Time period when breastfeeding inhibits ovulation B. Time period when the infant loses weight after birth C. Time period from childbirth through 6 weeks postpartum D. Time period when risk of the "baby blues" is highest

answer

c

question

5. A nurse performing a perineal assessment on a postpartum woman assists her into which position? A. Sim's B. Prone C. Supine D. Knee-chest

answer

a

question

6. The perinatal nurse understands the term "subinvolution" to mean which of the following? A. Inverted uterus B. Abnormally small uterus C. Uterus not returned to prepregnant state D. Uterus with retained placental tissue

answer

c

question

7. A nurse notes a postpartum woman's vaginal drainage as red fluid with a fleshy odor. How should the nurse document this finding? A. Lochia maxima B. Lochia alba C. Lochia serosa D. Lochia rubra

answer

d

question

8. The nurse knows that during what time frame is a woman most likely to experience heart failure? A. First trimester B. Second trimester C. Third trimester D. Postpartum

answer

d

question

9. The perinatal nurse understands the concept of attachment as which of the following? A. Promotion of a unique and powerful relationship between parent and baby B. The tie that exists between parent and baby; recognized as a feeling that binds C. Learning to care for the infant and knowing him or her well enough to anticipate needs D. An urge to protect the infant against the world, which may lead to overprotectiveness

answer

b

question

10. During which time frame is the new mother most vulnerable to emotional difficulties? A. First 10 days postpartum B. First 3 months postpartum C. First 6 months postpartum D. First year postpartum

answer

b

question

1. The labor and delivery nurse knows that the newborn transition can take how long? A. Minutes to hours B. Minutes to days C. Several hours D. Several weeks

answer

b

question

2. The labor and delivery nurse notes the term "acrocyanosis" on a newly born infant's chart. What action should the nurse take? A. Stimulate the infant B. Apply oxygen to the infant C. Continue to monitor D. Warm the baby more

answer

c

question

3. The pediatric nurse knows that the foramen ovale is permanently closed in infants by what time frame? A. 24 hours B. 7 days C. 4 weeks D. 6 months

answer

d

question

4. A new mother asks why her neonate prefers a flexed position. What information does the nurse provide? A. It is the baby's habit to get in that position. B. It helps to conserve heat. C. It is easy on the joints. D. It helps muscle development.

answer

b

question

5. A nurse assesses a polycythemic infant for complications related to this condition. What finding would be inconsistent with neonatal polycythemia? A. Jaundice B. Hypoglycemia C. Respiratory distress D. Infection

answer

d

question

6. What term does the nurse use to describe an infant who has chronic neurological problems associated with poorly treated infant jaundice? A. Kernicterus B. Cerebral palsy C. Minimal brain damage D. Acute bilirubin encephalopathy

answer

a

question

7. A student nurse in the mother-baby unit is concerned because a neonate has passed a blackish-green, thick, sticky stool. What action by the registered nurse is best? A. Ask the student to document the stool. B. Perform a thorough gastrointestinal assessment. C. Notify the health-care provider. D. Ask if the mother is breast- or bottle-feeding

answer

a

question

8. The perinatal nurse explains to a student that an infant receives passive acquired immunity in which of the following ways? A. Immunizations and antibiotics B. Antibodies passing through the placenta C. Mother's exposure to illness D. Infusion of gamma-globulins

answer

b

question

9. What purpose does REM sleep serve in the neonate? A. Allows for complete rest B. Promotes neural development C. Facilitates digestion D. Improves immunity

answer

b

question

10. The perinatal nurse knows that the fetal ductus arteriosus closes and becomes what structure? A. Ligamentum teres B. Superior vesical artery C. Closed atrial septum D. Ligamentum arteriosum

answer

d

question

1. The nurse uses pre-warmed blankets to wrap the newborn at birth to prevent heat loss by which mechanism? A. Evaporation B. Convection C. Conduction D. Radiation

answer

a

question

2. During the reflex assessment, the nurse places the infant in the prone position and strokes one side of the vertebral column. The nurse is assessing which reflex? A. Moro B. Galant C. Babinski D. Stepping

answer

b

question

3. The perinatal nurse notes diffuse, soft tissue edema of an infant's head. How will the nurse chart this finding? A. Caput succedaneum B. Cephalhematoma C. Subperiosteal hemorrhage D. Periorbital edema

answer

a

question

4. A newborn has the differential diagnosis of polycythemia after a heel stick was obtained at 1 hour of life. What result would the nurse correlate with this condition? A. Hemoglobin: 15.5 g/dL B. Hemoglobin: 23 g/dL C. Hematocrit: 54% D. Hematocrit: 68%

answer

d

question

5. The perinatal nurse is caring for an infant with a minor congenital anomaly. What does the nurse understand about this type of defect? A. Affects one or more minor body systems only B. Structural defect impacting only social acceptability C. Defect that only has cosmetic or social significance D. Anomaly that can be corrected with minor surgery

answer

c

question

6. A nurse reads the diagnosis "plethora" on an infant's chart. What assessment finding correlates with this condition? A. Pinpoint hemorrhagic areas on the skin B. Tough, leathery, cracked and peeling skin C. Deep purple color caused by too many red blood cells D. Blue discoloration of the soles and palms

answer

c

question

7. A nurse sees that an infant's chart has a notation concerning Epstein pearls. What assessment technique does the nurse use to assess for this finding? A. Gently palpates the anterior and posterior fontanelles B. Shines a penlight into the infant's open mouth C. Palpates the skin for evidence of small nodules D. Inspects the skin for tiny, white, raised lesions

answer

b

question

8. During hand-off report, the off-going nurse reports that a newborn is tachycardic. What heart rate does the nurse expect to find on assessment? A. 80 to 100 beats/minute B. 100 to 120 beats/minute C. Greater than 140 beats/minute D. Greater than 160 beats/minute

answer

d

question

9. A nurse notes that a male infant's urinary meatus is located on the ventral surface of the penis. Which action by the nurse is best? A. Inform the parents that the planned circumcision cannot proceed. B. Have the urologist explain the modifications to the circumcision that are needed. C. Have the parents sign a consent form for an emergency surgical repair. D. Place an indwelling urinary catheter to facilitate bladder emptying.

answer

a

question

10. A nurse assessing a newborn for birth injuries knows that the bone most often fractured during delivery is which of the following? A. Clavicle B. Femur C. Wrist D. Ankle

answer

a

question

1. The pediatric nurse assesses the toddler's fine motor skills by observing which task? A. Buttoning a shirt B. Writing with a pencil C. Holding a spoon to eat D. Using the pincer grasp

answer

c

question

2. According to Piaget, an infant uses his or her senses to learn and explore the environment. Which action is the most appropriate for the nurse to implement to determine object permanence? A. Playing the game of peek-a-boo B. Encouraging the infant to shake a rattle C. Pushing a button on an overhead mobile D. Placing the child in a stroller and going for a walk

answer

a

question

3. The pediatric nurse is promoting anticipatory guidance about safety to the mother of a 10-month-old infant. Which statement is not appropriate for the nurse to include in the teaching session? A. "Do not leave small objects on the floor because your baby will be crawling soon." B. "Keep the side rails up to prevent your baby from falling out of the crib." C. "Put safety locks on all cabinets to prevent accidents." D. "Allow your baby to stay alone for short periods of time to promote independence."

answer

d

question

4. The mother of a 26-month-old toddler tells the pediatric nurse that she is having trouble disciplining her daughter. The mother states, "She really knows how to push me to my limit. I don't know what to do with her!" Which response by the nurse is the most therapeutic? A. "The terrible twos are a difficult time. You have to show her that you are the boss!" B. "When she does something wrong, tell her she is a bad girl and has to be punished for her actions." C. "A 2-minute time-out combined with praise for good behavior is very effective for this age group." D. "Take away her favorite doll and tell her that she cannot have it back until she changes her behavior."

answer

c

question

5. The parents of a toddler ask the nurse how to best prepare the toddler for a planned medical procedure. What should the nurse recognize when answering the toddler's parents? A. The toddler is too young to understand what will happen and does not need an explanation. B. The use of short explanations can best help the toddler understand the planned procedure. C. Allowing the toddler to explore the procedure room may be helpful. D. It is beneficial for the nurse to demonstrate the upcoming procedure to the toddler.

answer

b

question

6. The father of a 4-year-old is concerned about his son's reaction to an injury of his friend. He told the nurse that the child stayed in his room over the weekend and cried himself to sleep. When the pediatric nurse questioned the child, he described an argument that he and his friend had about a week prior to his friend's injury. Based on the assessment, what is this preschool child exhibiting? A. Magical thinking B. Inferiority C. Guilt complex D. A morality issue

answer

a

question

7. What is not a key aspect in a teen's environment that helps when making good decisions? A. Ability to think abstractly B. Ability to use deductive reasoning C. Ability to make long-term plans D. Ability to use logical thinking

answer

d

question

8. A nurse is planning an educational class for new families based on Duvall's family development theory. Based on the theory, how are family stages determined? A. Number of children in the family B. The oldest child in the family C. The youngest child in the family D. Years the couple has been married

answer

b

question

9. A mother is complaining to the nurse that her 3-year-old child often has difficulty falling and staying asleep. The following day, the child is cranky and uncooperative. Which action by the nurse is the most appropriate? A. Assess the child's usual nighttime routine. B. Assure mom that sleep and behavior are not related. C. Encourage active play before bedtime. D. Have mom put the child to bed only when sleepy.

answer

a

question

10. A nurse is providing anticipatory guidance to the parents of a preschool-aged child regarding discipline. Which information is most beneficial? A. Children at this age lie frequently and without reason. B. Consequences should be natural and fit the behavior. C. Explaining the rules is not as important as discipline. D. Taking away privileges is a powerful tool for this age group.

answer

b

question

1. When preparing a 4-year-old child for a procedure, the pediatric nurse must be aware of the child's developmental status. Which nursing action demonstrates awareness of the child's developmental status? A. Demonstrating the procedure on the child's teddy bear. B. Providing a peer video of the procedure for the child to view. C. Explaining the procedure to the child the day before the actual procedure occurs. D. Discussing the procedure at length with the child.

answer

a

question

2. The 10-year-old child is receiving preoperative teaching prior to a tonsillectomy. Which response by the nurse uses a developmentally appropriate explanation of the operation? A. "Don't worry; the doctor will cut your tonsils out while you are asleep." B. "The shot that you will receive in your arm will only help the pain a little bit." C. "Don't worry about the operation; it is really not a big deal." D. "The doctor will give you special sleeping medicine before she operates."

answer

d

question

3. There are many myths regarding children and pain levels. Which statement regarding pain management in pediatrics is true? A. Children cannot tell where they hurt. B. The child who is neurologically impaired does not feel pain. C. Children should not receive narcotics because they will become addicts. D. The use of special pain scales allows children to better express their level of pain.

answer

d

question

4. The pediatric nurse uses the head-to-toe approach when conducting a physical assessment on an infant. Which sequence represents correct technique? A. Heart rate, urine output, respiratory rate, and presence of bowel sounds B. Head circumference, lung sounds, presence of bowel sounds, urine output C. Presence of eye drainage, abdominal pain, lung sounds, and urine output D. Urine output, skin color, skin turgor, heart rate, and bowel sounds

answer

b

question

5. During a well-baby visit, the pediatric nurse initiates teaching related to health promotion and prevention of illness. Which nursing statement is appropriate to include in the teaching session? A. "Call the pediatrician if the baby has a temperature of 99°F (37.2°C)." B. "If you smoke, be sure to blow the smoke away from the baby's face." C. "Call the pediatrician if you notice a change in the baby's activity level or feedings." D. "We want to watch the baby's weight gain, so feed the baby when she cries."

answer

c

question

6. The nurse is caring for a toddler hospitalized after a motor vehicle accident. Based on Erikson's developmental model, which behavior would you anticipate can occur as a result of the hospitalization? A. Regression to a previous behavior B. The belief that they are being punished C. Fear of bodily mutilation D. Loss of independence

answer

a

question

7. What is the nurse's responsibility in educating families about how to care for their child at home after minor surgery? A. Taking the child's rectal temperature B. Assessing their child's level of consciousness C. Teaching about the signs and symptoms of infection D. Teaching about the signs of poor air exchange

answer

c

question

8. A parent in the pediatric clinic states that she has been giving her 1-year-old aspirin (ASA) for his fever. What response by the nurse is best? A. Ensure the parent knows the normal dose of 10 mg/kg. B. Teach the parent to only use 5 doses per day. C. Instruct the parent not to use aspirin on a child. D. Make sure the parent can take the child's temperature.

answer

c

question

9. A child with special needs has moved into the community. Which health-care resource should the school nurse direct the child's family toward? A. Medical home B. Pediatric clinic C. Home health care D. Community center

answer

a

question

10. A nurse is providing anticipatory guidance to the parents of an infant. The nurse explains that, for children of this age, the most common fatal injury is which of the following? A. Drowning B. Suffocation C. Electrocution D. Heavy metal poisoning

answer

b

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