Chapter 30: Child With a Sensory Impairment

Chapter 30: Child With a Sensory Impairment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which rationale for why young children are more prone to otitis media should the nurse include in the teaching session with a parent?

1)	The eustachian tube is longer, wider, and vertical in younger children.
2)	The eustachian tube is shorter, wider, and horizontal in younger children.
3)	The eustachian tube is longer, more narrow, and vertical in younger children.
4)	The eustachian tube is shorter, more narrow, and horizontal in younger children.

 

 

____     2.   Which neonate requires a close nursing assessment for the development of retinopathy of prematurity (ROP)?

1)	A newborn of 28 weeks’ gestation who has been on long-term oxygen and weighed 1240 g at birth
2)	A small-for-gestational-age newborn of 36 weeks’ gestation who was in an oxyhood for 12 hours and weighed 1800 g
3)	A female newborn of 28 weeks’ gestation who was on short-term oxygen, weighed 1420 g, and was treated with phototherapy
4)	A newborn of African heritage and 32 weeks’ gestation with a congenital heart defect who needed no oxygen and weighed 1850 g

 

 

____     3.   Which medication should the nurse plan to administer to decrease the risk of eye infection for a newborn?

1)	Oral erythromycin
2)	IV penicillin
3)	Erythromycin eyedrops
4)	Fluoroquinolone ointment

 

 

____     4.   Which nursing action is appropriate when teaching the family of a child diagnosed with bacterial conjunctivitis regarding medication administration?

1)	Teaching that the drug should be administered one time per day
2)	Encouraging the child to rub the eye after administration of the drug
3)	Asking the child to hold the eye open when the drug is administered
4)	Telling the child to lie down for 1 to 2 minutes after the drug is administered

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  2

Chapter number and title: 30: Child With a Sensory Impairment

Chapter learning objective: Describe the various types and causes of congenital and acquired hearing impairments during childhood.

Chapter page reference: 500-503

Heading: Otitis Media

Integrated processes: Teaching and Learning

Client need: Physiological Adaptation

Cognitive level: Application [Applying]

Concept: Sensory Perception

Difficulty: Moderate

 

	Feedback
1	This statement does not accurately reflect why young children are prone to otitis media.
2	This statement accurately reflects why young children are prone to otitis media.
3	This statement does not accurately reflect why young children are prone to otitis media.
4	This statement does not accurately reflect why young children are prone to otitis media.

 

 

PTS:   1                    CON:  Sensory Perception

 

2. ANS:  1

Chapter number and title: 30: Child With a Sensory Impairment

Chapter learning objective: Discuss the resurgence of retinopathy of prematurity and the care that can be provided to premature infants to reduce the possibility of the development of this pathology.

Chapter page reference: 497

Heading: Retinopathy of Prematurity

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Application [Applying]

Concept: Sensory Regulation

Difficulty: Moderate

 

	Feedback
1	Risk factors for ROP include birth at or less than 28 weeks’ gestation, long-term use of oxygen, and a birth weight of less than 1250 g.
2	This neonate does not meet the criteria for having an increased risk for ROP.
3	Although this neonate is at risk because of gestational age, her birth weight is higher than 1250 g, which decreases the risk for ROP.
4	This neonate does not meet the criteria for having an increased risk for ROP.

 

 

PTS:   1                    CON:  Sensory Regulation

 

3. ANS:  3

Chapter number and title: 30: Child With a Sensory Impairment

Chapter learning objective: Describe the most common causes of visual impairment during childhood and differentiate between the care of a child with eye trauma, eye disease, or eye tumor.

Chapter page reference: 496

Heading: Neonatorum Eye Infections

Integrated processes: Clinical Problem-Solving Process

Client need: Pharmacological and Parenteral Therapies

Cognitive level: Comprehension [Understanding]

Concept: Medication

Difficulty: Easy

 

	Feedback
1	Oral erythromycin is not the anticipated treatment for the newborn to decrease the risk for eye infection.
2	IV penicillin is not the anticipated treatment for the newborn to decrease the risk for eye infection.
3	Erythromycin eyedrops are the anticipated treatment for a newborn to decrease the risk for eye infection.
4	Fluoroquinolone ointment is not the anticipated treatment for the newborn to decrease the risk for eye infection.

 

 

PTS:   1                    CON:  Medication

 

4. ANS:  4

Chapter number and title: 30: Child With a Sensory Impairment

Chapter learning objective: Describe the most common causes of visual impairment during childhood and differentiate between the care of a child with eye trauma, eye disease, or eye tumor.

Chapter page reference: 495

Heading: Conjunctivitis

Integrated processes: Teaching and Learning

Client need: Pharmacological and Parenteral Therapies

Cognitive level: Application [Applying]

Concept: Medication

Difficulty: Moderate

 

	Feedback
1	Antibiotics prescribed to treat bacterial conjunctivitis are administered four times per day.
2	The child should be discouraged from rubbing the eye after medication administration.
3	The adult, not the child, should open the eye during medication administration.
4	The child should be encouraged to lie down with the eyes closed for 1 to 2 minutes after medication administration.

 

 

PTS:   1                    CON:  Medication