Maternal and Child Health Nursing 7th Edition By Pillitteri
Maternal and Child Health Nursing 7th Edition By Pillitteri
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Chapter 40 Maternal and Child Health Nursing 7th Edition By Pillitteri
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is planning a community program for parents that focuses on the 2020 National Health Goals to reduce of respiratory illness in children. Which information should the nurse emphasize in this presentation? (Select all that apply.) | |
| A) | Adhering to recommended immunizations | |
| B) | Engaging in age-appropriate activity daily | |
| C) | Importance of avoiding all cigarette smoking | |
| D) | Ensuring an adequate dietary intake of calcium products | |
| E) | Role of good hand washing to reduce transmission of disease | |
| Ans: | A, C, E | |
| Feedback: | ||
| Nurses can help the nation achieve the 2020 National Health Goals to reduce respiratory illness in children by teaching children to avoid cigarette smoking, ways to help avoid respiratory infections such as good hand washing, and reminding parents to come for child health maintenance visits so that children can receive pneumococcal immunization or screening for tuberculosis, as appropriate. Activity and nutrition are not identified as interventions to reduce the risk of respiratory illness in children. | ||
| 2. | The nurse is caring for a school-age child with laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child? | |
| A) | Administering an oral analgesic | |
| B) | Urging the child to take oral fluids | |
| C) | Teaching the child to take long, slow breaths | |
| D) | Assisting with racemic epinephrine nebulizer therapy | |
| Ans: | D | |
| Feedback: | ||
| When caring for a child with laryngotracheobronchitis, cool moist air combined with racemic epinephrine through a nebulizer usually reduces inflammation and produces effective bronchodilation to open the airway. An oral analgesic is not necessary because the child is not experiencing throat pain. The child may not be able to take fluids orally at this time. Intravenous therapy could be indicated to maintain adequate hydration and thin respiratory secretions. The child is experiencing air hunger and will not be able to take long slow breaths. | ||
| 3. | The nurse is caring for a preschool-age child with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem? | |
| A) | Healthy children rarely have more than one cold per year. | |
| B) | Typically, the child will pull the ear when a cold is present. | |
| C) | A cough that accompanies a cold should rarely be suppressed. | |
| D) | An antibiotic is prescribed for children younger than 5 years of age. | |
| Ans: | C | |
| Feedback: | ||
| When caring for a child with acute nasopharyngitis, or the common cold, the nurse should teach the parents that cough suppressants are not necessary because coughing raises secretions, preventing pooling of secretions and the danger of consequent lower respiratory infection. Healthy children can have more than one cold per year. Pulling on the ear indicates an ear infection. Antibiotics are not prescribed unless a bacterial infection is present. | ||
| 4. | The nurse is making a follow-up visit to the home of a family with a baby newly diagnosed with cystic fibrosis. Which outcome indicates that the parents are adjusting to the child’s care needs? | |
| A) | Baby has gained weight. | |
| B) | Baby’s foul-smelling stool. | |
| C) | Baby produces large stool twice a day. | |
| D) | Baby appears flushed and is warm to touch. | |
| Ans: | A | |
| Feedback: | ||
| Children with cystic fibrosis need pancreatic enzyme replacements to help absorb nutrients. The baby gaining weight indicates that these supplements are effective. Foul-smelling stool indicates that additional intervention is needed because fat is not being absorbed. Large stools indicate that nutrients are not being adequately absorbed. Flushing and warmth could indicate a fever or that the home environment is too warm for the child. If children with cystic fibrosis become overheated, they begin to lose excessive sodium and chloride through perspiration and become dehydrated. | ||
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