Maternal and Child Health Nursing 7th Edition By Pillitteri
Maternal and Child Health Nursing 7th Edition By Pillitteri
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Chapter 44 Maternal and Child Health Nursing 7th Edition By Pillitteri
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse has been asked to participate in a community health teaching session. Which interventions should the nurse include to help achieve the 2020 National Health Goals to reduce the incidence of anemias? (Select all that apply.) | |
| A) | Explain the importance of healthy eating for adolescent participants. | |
| B) | Instruct pregnant women to take iron supplementation as prescribed. | |
| C) | Emphasize ways to reduce unintentional injuries at home, work, and play. | |
| D) | Review foods that are rich in iron that should be a part of school-age children’s diets. | |
| E) | Examine strategies for elderly community members to improve the quality of life. | |
| Ans: | A, B, D | |
| Feedback: | ||
| Nurses can help the nation achieve the 2020 National Health Goals to improve children’s health and reduce hospitalization from anemia by educating parents about the importance of women taking an iron supplement during pregnancy, encouraging iron-rich food sources for young children, and educating adolescents about healthy diets. Prevention of unintentional injuries and improving the quality of life for the elderly are not interventions to achieve this National Health Goal. | ||
| 2. | The nurse is concerned that a school-age child has iron-deficiency anemia. What did the nurse assess in this patient? | |
| A) | Shyness | |
| B) | Thumb-sucking | |
| C) | Asks many questions | |
| D) | Craving for ice cubes | |
| Ans: | D | |
| Feedback: | ||
| In school-age children, there is an association between iron-deficiency anemia and pica or the craving for ice cubes. Iron-deficiency anemia is not associated with shyness, thumb-sucking, or inquisitive behavior. | ||
| 3. | The nurse is evaluating the effectiveness of teaching provided to the parents of a school-age child prescribed liquid ferrous sulfate (Feosol) for iron-deficiency anemia. Which observations indicate that teaching has been effective? (Select all that apply.) | |
| A) | Mother places medication in orange juice. | |
| B) | Mother provides medication with a glass of milk. | |
| C) | Child observed consuming fresh raw fruit and drinking water. | |
| D) | Mother provides liquid-prepared medication to the child with a straw. | |
| E) | Child goes to the bathroom to brush teeth immediately after taking the medication. | |
| Ans: | A, C, D, E | |
| Feedback: | ||
| The liquid preparation of ferrous sulfate (Feosol) should be mixed with juice and swallowed by using a straw to avoid teeth staining. The child should thoroughly brush teeth to also prevent staining. High-fiber foods and water help reduce the risk of constipation from this medication. This medication should not be taken with milk because it will interfere with absorption. | ||
| 4. | A school-age child weighing 55 lb is prescribed to receive 15 ml/kg of packed red blood cells. If the child is to receive 10 ml/kg/hr, how many hours will it take to infuse the prescribed amount of blood for this patient? (Calculate to the nearest 10th decimal point.) | |
| Ans: | 1.5 hours | |
| Feedback: | ||
| The child weighs 55 lb. To determine weight in kilogram, divide 55 lb by 2.2 = 25 kg. Then multiply the weight in kg by 15 ml to determine the total amount of blood the patient is to receive or 15 ml × 25 kg = 375 ml. Then to determine the amount of blood to infuse per hour, multiply 10 ml × 25 kg = 10 × 25 = 250 ml. If the child is to receive a total of 375 ml of blood, divide 375 ml by 250 ml to determine that the prescribed amount of blood will take 1.5 hours to infuse. | ||
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