Chapter 30 Child Health Nursing Partnering With Children & Families, 3rd Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 30

Question 1

Type: MCSA

A child with inflammatory bowel disease is taking prednisone daily. The family should be taught to administer the prednisone at what time?

1. Between meals
2. At bedtime
3. One hour before meals
4. With meals

Correct Answer: 4

Rationale 1: Prednisone can cause gastric irritation and should not be given on an empty stomach.

Rationale 2: Prednisone can cause gastric irritation and should not be given on an empty stomach.

Rationale 3: Prednisone can cause gastric irritation and should not be given on an empty stomach.

Rationale 4: Prednisone, a corticosteroid, can cause gastric irritation. It should be administered with meals to reduce the gastric irritation.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 30-5

Question 2

Type: MCSA

A three-year-old child is suspected of having Hirschsprung’s disease. Which assessment factors would support such a medical diagnosis?

1. Clay-colored stools and dark urine
2. History of early passage of meconium in the newborn period
3. History of chronic, progressive constipation and failure to gain weight
4. Continual bouts of foul-smelling diarrhea

Correct Answer: 3

Rationale 1: Clay-colored stools and dark urine are not associated with Hirschsprung’s disease.

Rationale 2: The infant with Hirschsprung’s disease often has delayed meconium stools.

Rationale 3: These are symptoms of Hirschsprung’s disease in an older infant or child.

Rationale 4: Diarrhea is not typical; obstruction is more likely.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 30-3

Question 3

Type: MCSA

An adolescent complains of recurrent abdominal pain with diarrhea and bloody stools. The nurse should recognize these as symptoms of which inflammatory bowel disease?

1. Necrotizing enterocolitis
2. Ulcerative colitis
3. Crohn’s disease
4. Appendicitis

Correct Answer: 2

Rationale 1: Necrotizing enterocolitis is usually seen in premature infants and generally not in an adolescent patient.

Rationale 2: Diarrhea and bloody stools are typical symptoms of UC.

Rationale 3: The teen with Crohn’s disease might have abdominal pain and diarrhea, but stools usually do not have blood in them.

Rationale 4: Appendicitis is not associated with bloody stools and usually not with diarrhea.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 30-3

Question 4

Type: MCSA

The nurse is measuring an abdominal girth on a child with abdominal distension. Identify the area on the child’s abdomen where the tape measure should be placed for an accurate abdominal girth.

1. Below the umbilicus
2. Just below the sternum
3. Just above the pubic bone
4. Just above the umbilicus, around the largest circumference of the abdomen

Correct Answer: 4

Rationale 1: The circumference below the umbilicus, just below the sternum, or above the pubic bone would not be an accurate abdominal girth.

Rationale 2: The circumference below the umbilicus, just below the sternum, or above the pubic bone would not be an accurate abdominal girth.

Rationale 3: The circumference below the umbilicus, just below the sternum, or above the pubic bone would not be an accurate abdominal girth.

Rationale 4: An abdominal girth should be taken around the largest circumference of the abdomen, just above the umbilicus.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 30-5