Maternal and Child Health Nursing 7th Edition By Pillitteri
Maternal and Child Health Nursing 7th Edition By Pillitteri
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Chapter 48 Maternal and Child Health Nursing 7th Edition By Pillitteri
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is caring for a school-age child newly diagnosed with type 1 diabetes mellitus. Which nursing action supports the 2020 National Health Goals to reduce the long-term complications from this disease process? | |
| A) | Schedule the child and parents to attend diabetes education classes. | |
| B) | Explain how the child’s physical abilities will be affected during school. | |
| C) | Recommend homeschooling so the mother can provide the needed medications. | |
| D) | Discuss admission to a rehabilitation facility to learn self-care with this disease process. | |
| Ans: | A | |
| Feedback: | ||
| Endocrine disorders tend to be long-term with lifetime consequences. Reducing the incidence of consequences or improving care has long-term implications. A 2020 National Health Goal related to endocrine disorders includes increasing the proportion of persons with diabetes who receive formal diabetes education. To support this goal, the nurse should schedule the child and parents to attend diabetes education classes. There are no 2020 National Health Goals to address alteration in physical abilities, homeschooling with type 1 diabetes mellitus, or the need to be admitted to a rehabilitation facility to learn self-care. | ||
| 2. | The nurse is planning care for a school-age child diagnosed with growth hormone deficiency. Which diagnosis should the nurse select to help the patient with this health problem? | |
| A) | Risk for situational low self-esteem related to short stature | |
| B) | Ineffective tissue perfusion related to infantile blood vessels | |
| C) | Impaired skin integrity related to overproduction of melanin | |
| D) | Risk for self-directed violence related to oversecretion of epinephrine | |
| Ans: | A | |
| Feedback: | ||
| Children with short stature tend to report feeling of lower quality of life largely related to discrimination. The nurse may need to remind parents to assign duties and responsibilities to children that match their chronologic age, not their physical size, in order to promote children’s feelings of maturity and self-esteem. A child that differs in any way from peers may be the victim of bullying. The nurse should alert the parent to this possibility and assess for this at well-child visits to help protect the child’s quality of life. Tissue perfusion is not affected by this disorder. This disorder does not cause impaired skin integrity. There is no overproduction of epinephrine with this disorder. | ||
| 3. | The nurse is preparing teaching materials for a family whose child is prescribed somatropin (Humatrope) for a growth hormone deficiency. What should the nurse instruct the parents about the administration of this medication? | |
| A) | This medication must be given by injection. | |
| B) | This medication must be given in the morning before school. | |
| C) | Hip or knee pain is an expected adverse effect of this medication. | |
| D) | This medication does not interact with any other types of medication. | |
| Ans: | A | |
| Feedback: | ||
| Somatropin (Humatrope) is administered by injection. It is best given at hour of sleep because that is when growth hormone is released. Hip or knee pain could indicate a slipped capital epiphysis and should be reported to the health care provider. The nurse should urge the parents to inform all health care providers that the child is receiving this medication to avoid medication interactions. | ||
| 4. | Prior to discharging an infant with congenital hypothyroidism to home with the parents, what should the nurse emphasize regarding the care that this child will need going forward? | |
| A) | Vitamin K administration until school age | |
| B) | Administration of levothyroxine indefinitely | |
| C) | An increased intake of calcium beginning immediately | |
| D) | Administration of vitamin C until after growth is complete | |
| Ans: | B | |
| Feedback: | ||
| The treatment for hypothyroidism is oral administration of synthetic thyroid hormone or sodium levothyroxine. A small dose is given at first, and then the dose is gradually increased to therapeutic levels. The child needs to continue taking the synthetic thyroid hormone indefinitely to supplement that which the thyroid does not make. Vitamin K is not needed. Supplemental vitamin D, and not calcium, may be given to prevent the development of rickets when rapid bone growth begins. Supplemental vitamin C is not indicated for this disorder. | ||
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