Chapter 7 Child Health Nursing Partnering With Children & Families, 3rd Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 7

Question 1

Type: MCSA

During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. Which finding would strongly suggest this disorder?

1. Asymmetric thigh and gluteal folds
2. Positive Babinski’s reflex
3. A negative Moro reflex
4. Flat soles with prominent fat pads

Correct Answer: 1

Rationale 1: Asymmetric thigh and gluteal folds are a positive finding for developmental dysplasia of the hip and require follow-up with an ultrasound.

Rationale 2: A positive Babinski’s reflex is a normal finding in a newborn.

Rationale 3: The Moro reflex involves both arms and legs. A positive Moro reflex is normal in the newborn. The absence of the Moro can indicate a brain or tissue injury.

Rationale 4: Flat soles are normal in newborns.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 7-1

Question 2

Type: MCSA

The nurse is taking a health history from the family of a three-year-old child. Which statement or question by the nurse would be most likely to establish rapport and elicit an accurate response from the family?

1. “Tell me about the concerns that brought you to the clinic today.”
2. “Does any member of your family have a history of asthma, heart disease, or diabetes?”
3. “Hello, I would like to talk with you and get some information about you and your child.”
4. “You will need to fill out these forms; make sure that the information is as complete as possible.”

Correct Answer: 1

Rationale 1: Asking the parents to talk about their concerns is an open-ended question and one that is more likely to establish rapport and an understanding of the parents’ perceptions.

Rationale 2: Asking about a number of items at once might be confusing to the family.

Rationale 3: Giving an introduction before asking the parents for information is likely to establish rapport, but giving an explanation of why the information would be needed will be even more effective at establishing rapport and also getting more accurate, pertinent information.

Rationale 4: Simply asking the parents to fill out forms is very impersonal, and more information is likely to be obtained and clarified by the nurse directing the interview.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 7-1

Question 3

Type: MCSA

A nurse working in the newborn nursery notes that an infant is having frequent episodes of apnea lasting 10 to15 seconds without any changes in color or decreases in heart rate. Which intervention would be the most appropriate?

1. Continue to observe the infant and call the physician if the apnea lasts longer than 20 seconds.
2. Suction the infant’s mouth and nares.
3. Call the physician immediately.
4. Turn the infant on its right side.

Correct Answer: 1

Rationale 1: Apnea lasting less than 20 seconds is a normal finding in newborns as long as there is no associated cyanosis or bradycardia, so continued observation is the most appropriate intervention.

Rationale 2: There is no indication that suctioning is needed.

Rationale 3: It is unnecessary to inform the physician, as apnea lasting 10 to 15 seconds is normal in a newborn.

Rationale 4: Turning the baby is not necessary, as apnea lasting 10 to 15 seconds in a newborn is normal.

Global Rationale:

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 7-3

Question 4

Type: MCSA

The nurse is completing a physical examination of a four-year-old child. The best position in which to place the child for assessment of the genitalia would be:

1. Supine, with legs at a 50-degree angle.
2. Right side-lying.
3. In prone position, with knees drawn up under the body.
4. Frog-leg position.

Correct Answer: 4

Rationale 1: The child will not tolerate the legs at a 50-degree angle for long.

Rationale 2: There is no reason for a side-lying position, and the child will not tolerate holding the top leg up for long.

Rationale 3: Prone with knees drawn up will allow assessment of the anus, but it will not allow for visualization of the vaginal area.

Rationale 4: Having the child lie supine, flexing her knees and pulling them up to a frog-legged position, allows for accurate assessment of the genitalia and is well tolerated by the majority of children.

Global Rationale:

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 7-5