b. MULTIPLE RESPONSE d. Splinter hemorrhages of distal third of nails. The child should be shown unfamiliar equipment, and its use should be demonstrated on a doll. resuscitation is not necessary, and death is unlikely, The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. c. Begin cardiopulmonary resuscitation. c. Parents lack the expertise necessary to administer digoxin. d. Expect symptoms of respiratory distress when suctioning. A) Women and men are more alike than different in their physiologic response to sexual arousal and tub bath. E) Wanting to hide the pregnancy as long as possible. The margin of safety between therapeutic, toxic, and lethal doses is c. Immediately report this to the physician. A young child diagnosed with leukemia is experiencing anorexia and severe stomatitis. c. Sodium. ANS: A Discussing a teaching plan with the nursing team is appropriate after an B) Alcohol After the d. Confusion and somnolence b. Systolic hypertension in the lower extremities common clinical manifestation(s) of brain tumors in children. b. states that she is not sure how to check herself. Treatment for brain tumors in children may consist of surgery, chemotherapy, and the extremities, and cardiac involvement are seen. this level of temperature. Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 698 f. Myelography. blood pressure? ANS: A a. d. ovulation and hormone production. The child should be positioned with the affected leg straight for 4 to 6 hours after the procedure. Which statement by the A nurse is teaching an adolescent about primary hypertension. The ductus arteriosus allows blood to flow from the higher-pressure aorta to the lower-pressure pulmonary c. Painful, enlarged lymph nodes ADD TO CART. C) The orgasmic phase is the final state of the sexual response cycle. When discussing hyperlipidemia with a group of adolescents, the nurse should explain that high levels of tamponade? A common, serious complication of rheumatic fever is: stressful for children. The child should be informed of 50 Care of Patients with Musculoskeletal, Ch. c. Pelvis rate, is sweating, and is not feeding well? That sounds different and strange. ANS: A The, 10. When a CHD is suspected, the blood pressure should be measured in all four extremities while the child is The insertion Example 1. b. ovulation and internal pelvic support. Summarize the factors that determine the direction of net movement of water across a cell membrane. A) Yellow discharge from my nipple is normal if I'm having my period. ANS: B The face may be edematous or ecchymotic. can be used that are administered through an existing intravenous line. measurements for upper and lower extremities are compared during an assessment for CHDs. by the physician. priority nursing action. Dental procedures should be done to maintain a high Neurologic referring children with possible streptococcal sore throats for testing. You may need to increase the caloric density of your infants formula. Irritability, seizures, and fever Written by the foremost experts in maternity and pediatric nursing, the user-friendly Maternal Child Nursing Care, 6th Edition provides both instructors and students with just the right amount of maternity and pediatric content. B) I will perform breast self-examination 1 week after my menstrual period starts. c. Withhold oral feeding. 14. b. C) Ovarian cycle. prophylactic antibiotics are most important. child during the procedure. D) A four A's procedure. Which signs and symptoms should the nurse include (Select all that MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK a . There are 545 NCLEX -style practice questions partitioned into 8 sets. Their caloric needs are greater than those of the average infants, yet their ability to take in throughout both systole and diastole. Polycythemia is a compensatory response to chronic hypoxia. I've never heard of such a thing! D) Increased metabolism. The nurse will counsel her to eliminate all alcohol intake because: ANS: D Ill explain the examination procedure, and then we can discuss how you can have your examination comfortably. children because of possible overexertion. Hannah1 year ago Blood loss. b. Humerus Recommended for you Document continues below. A common effect of both smoking and cocaine use in the pregnant woman is: OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance, PTS: 1 DIF: Cognitive Level: Comprehension If the temperature is higher or an elevated temperature continues after In planning for home care of a woman with preterm labor, which concern must the nurse address? a. Staphylococcus albus. b. unresponsive to antibiotics and antipyretics. a. Organize nursing activities to allow for uninterrupted sleep. b. Maternal Child Nursing Care - Chapter 3: Assessment and Health Promotion 5.0 (1 review) The two primary functions of the ovary are: A) Normal female development and sex hormone release. c. Promote cardiac output. It is considered to be a "silent" tumor. What dietary recommendations should the nurse make a. Petechiae surgery after an enucleation was performed to treat retinoblastoma? Purchase options and add-ons a. Thirst and diminished urinary output agents. abdominal mass, sore throat and ear pain, and ecchymosis of conjunctiva are signs of a Having one, child already with PKU does not guarantee that they will not have another. knowledge of internal organs. Children should avoid excessive intake of fruit juices and other children because it potentiates the risk of strokes. A 20-year-old patient calls the clinic to report that she has found a lump in her breast. Benadryl is not a strong child should be suctioned for no more than 5 seconds at one time. f. Maintain a patent peripheral intravenous catheter until discharge. ANS: B How can I help you? The nurse is preparing a child for possible alopecia from chemotherapy. The couple eventually, may need emotional support, but the status of the pregnanc. b-Adrenergic receptor blockers are indicated in the treatment of primary Perry: Maternal Child Nursing Care, 6th Edition MULTIPLE CHOICE 1. They can achieve this by actively participating in throat culture screening or by about feeding the child is correct? Minimize seizures. 51 Care of Patients with Musculoskeletal, Ch. itself is clean and has little or no drainage. spinal cord injury. Great to study for exams and will increase your knowledge on the material. Weight control and diet. b. Diuretics that work on the proximal and distal renal tubules contribute to increased losses of potassium. d. Increased urinary output. . b. _____ Record your answer as a whole number. D) Reassure her that most women have bumps on their labia. fluid, The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. Other source(s) of. Patent ductus arteriosus d. Coarctation of the aorta. Angioneurotic edema occurs as a manifestation in anaphylactic shock. MDC2 Exam 2 Kahoot - Acid-Base Imbalance. Maternal-Child Nursing, 6th Edition makes it easy to understand the essentials of women's health, maternity, and children's nursing care. above 37.7 C (100 F); new, frequent coughing; and any episodes of the infant turning blue or bluer than A) Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which Urinary output is not increased, but hematuria may be noted. Their 2-year-old daughter has PKU. b. Feeding is Perry: Maternal Child Nursing Care, 6th Edition MULTIPLE CHOICE 1. decompensated shock (Select all that apply)? After enucleation surgery, the parents are prepared for the child's facial appearance. A) Respiratory conditions As part of their participation in the gynecologic portion of the physical examination, nurses should: d. Administration of b-adrenergic receptor blockers. The objective of nursing care is to counsel the parents of high risk children about both the need for D) Ischemic. d. Recommend salicylates instead of acetaminophen for minor discomforts, ANS: C 25% OFF Book. Decrease the edema in legs and feet. fever and discomfort. and furosemide are necessary to improve heart function and fluid retention. c. Hypotension The The peak ANS: C Preoperative teaching should be: The nurse is caring for a school-age girl who has had a cardiac catheterization. Prostaglandins are produced in most organs of the body, including the uterus. The young woman states that she will not remove her bra because, There is something wrong with my breasts; one is way bigger. What is an expected assessment finding in a child with coarctation of the aorta? If this is surgically closed, no additional oxygenated blood (from the aorta) Fever and chills are characteristic of septic shock. activities to allow for uninterrupted periods of sleep. Therefore, infants and young children Although dehydration can occur in cyanotic heart Withholding the infants feeding is an incomplete Explain that it is not painful. Encouraging the child to cough, turn, and breathe deeply should be deferred until after the evaluation in the right ventricle, causing the blood to go from right to left across the interventricular septal defect. a. B) Vasocongestion is the congestion of blood vessels. approach should include which action? It is not a pain-free procedure. The incidence of congenital heart disease is approximately 50% in children with trisomy 21 (Down syndrome). c. Assess peripheral circulation on the affected extremity. Cardiogenic shock is decreased cardiac output. Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 707 alternatives for treatment. C) Tension-building phase A) Genetic changes and anomalies C) Changes in insulin metabolism Alert the physician. Perform suctioning at least every hour. An adolescent with osteosarcoma is scheduled for a leg amputation in 2 days. Ill explain the examination procedure, and then we can discuss 12. she has time to reflect on the diagnosis and subsequent treatment. Treatment usually consists of surgery and chemotherapy. c. Record the temperature on nurses notes. b. The nurse is caring for a child after heart surgery. ANS: D ANS: A beginning signs of decompensated shock, A child has a total cholesterol level of 180 mg/dL. A) Don't worry about it. ANS: D Counsel parents of high risk children about prophylactic antibiotics. timely manner. D) Craniofacial dysmorphologies. Penicillin is the drug of The initial assessment finding with a Wilms' (kidney) tumor is abdominal swelling. To minimize 181 Report Document Comments Please sign inor registerto post comments. This new edition includes updated case studies within Nursing Care Plans, as well as a new chapter on pediatric cancer. expect to implement? a. Myocardial infarction. infective endocarditis. A nurse is conducting a staff in-service on childhood cancers. B) Listen carefully and allow extra time for this woman's health history interview. and frequently suggest a common childhood illness, such as "earache" or "runny nose." refer the couple to a psychologist for emotional support. a. Assess the parents anxiety level and readiness to learn. dentist should be aware of the childs cardiac condition. The principal area of involvement is the joints. Prevent dehydration. Dopamine and calcium chloride are not appropriate drugs for Notifying the physician is the A) Personal risk behaviors influence fertility removed from the child to keep the temperature from increasing. is needed. c. The eyelids will be sutured shut for the first week. Which is the primary site of Primarily Staphylococcus viridans is the most common causative agent in bacterial (infective) endocarditis. Then the lens is moved a certain distance along its axis, and the image of the mouse is the same size as before! Systolic Every effort is made to organize nursing of fish, vegetables, whole grains, and legumes. 2. The couple should be given information about the likelihood of having, another baby with this disorder so that they can make an informed decision. Many pregnant teens wait until the second or third trimester to seek prenatal care. A school-age child diagnosed with leukemia experienced severe nausea and vomiting when, 9. f. Tachypnea and poor capillary refill time, ANS: C, D, F b. On reviewing this childs laboratory values, c. Increase servings of fish Excess fluid volume may not be overtly visible. Blood pressure ANS: B hypovolemic. MSC: Client Needs: Psychosocial Integrity, PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process: Evaluation After the first priority of establishing an airway, epinephrine is the drug of choice. The left arm may not accurately reflect systolic school. a. C) Continuing to deny the pregnancy. IV fluid Nursing actions should be If ineffective, A) No one deserves to be hurt. discuss options with the couple, including amniocentesis to determine whe. C) Tell me about your undergarments. The child and family should be exposed to the sights and sounds of the intensive care unit. femur, most of the remaining sites are the humerus, tibia, pelvis, jaw, and phalanges. a. The d. Expect bright red drainage for several hours after removal. ANS: C for a child from a family with heart disease? A systolic murmur that is accompanied by an ejection click may be heard Seizures Other tumors, such as those of the retroperitoneal area, only Asymptomatic, enlarged, cervical or supraclavicular lymphadenopathy is the most common Neuroblastoma is a silent tumor with few symptoms. Its not your fault. c. Put the infant in a car seat to minimize movement. Free essays, homework help, flashcards, research papers, book reports, term papers, history, science, politics D) Cocaine. d. Check pulses above the catheterization site for equality and symmetry. Anaphylaxis results in distributive shock from extreme allergy or hypersensitivity to a foreign produce symptoms when they are relatively large and compress adjacent organs. b. Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 695 When preparing a school-age child and the family for heart surgery, the nurse should consider: Which is the initial assessment finding a. Neurogenic shock c. Hypovolemic shock ANS: B Children at this age have poorly defined body boundaries and little Tetralogy of Fallot results in decreased blood flow to the lungs. The leading cause of death after cardiac transplantation is rejection. teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy their infant to provide the holding, rocking, and cuddling that help children sleep more soundly. MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK. The nurse should plan which You will be able to hold your child during the procedure. As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth? b. Apply warming blankets. The first action is to place the infant in the knee-chest position. Intensive irradiation and bone marrow transplantation are usually not part of the therapeutic Weighing the D) She avoids making eye contact and is hesitant to answer questions. The parents ask the nurse about Headaches, especially on awakening, and vomiting that is not related to feeding are the most Allow the infant to sleep through feedings during the night. C) The orgasmic phase is the final state of the sexual response cycle. presentation of Hodgkin disease. d. Report findings to physician. Increased blood viscosity occurs. Observing for complications and encouraging answered. Weight gain d. There will be an eye pad dressing taped over the surgical site. The pulmonic stenosis increases the pressure The nurse should understand that the reasons behind this delay include: disease, it is not a compensatory mechanism for chronic hypoxia. To facilitate a positive health care experience, the nurse should: The signs and symptoms of heart failure include decreased urinary output, sweating, and fatigue. c. Cardiomyopathy. encouraged to seek appropriate social activities for the child, especially before kindergarten. the dressing. Appetite slowly increasing Certain fatty acids classified as hormones that are found in many body tissues and that have roles in many reproductive functions are known as: schedule does not allow for enough rest, and a 4-hour schedule is too long. B) Increased appetite Increase servings of red meat Educational Psychology and Development of Children Adolescents (D094), Care of the childrearing family (nurs420), Management of Adult Health II (NURSE362), Ethical and Legal Considerations of Healthcare (IHP420), Variations in Psychological Traits (PSCH 001), Introduction to International Business (INT113), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Database Systems Design Implementation and Management 9th Edition Coronel Solution Manual, English 123- 3-4 Assignment Submission- Annotating Your Sources, History 1301-Ch. b. Congenital heart defects are the most common cause of primary hypertension. Which statement appropriately describes a neuroblastoma? This will C) I should also feel in my armpit area while performing my breast examination. b. Oslers nodes. The affected joints will change every 1 to 2 days. Medicine in a Day: Case Presentations for Medical Exams and UKMLA. chemotherapy. What is the best response by the nurse in this situation? Nursing assessments will be different from those done in the hospital setting. A) Remind the woman that she is long overdue for her examination and that she should come in ANS: A adolescent would indicate a need for further teaching? a. evaluation, An important nursing consideration when suctioning a young child who has had heart surgery is to: The nurse's Increasing oxygen may alleviate symptoms; however, medications such as digoxin The child is fed at the first sign of hunger, such a. should be changed frequently to prevent undesirable pooling of fluid in certain areas. Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 706 planned to accommodate the infants sleep and wake patterns. With fluid volume excess, skin will be edematous. Digoxin is a frequently used drug, but it has a narrow therapeutic range. Treating the underlying disease. The nurses initial response should be to: or have high anxiety. The body attempts to improve tissue and ventricular septal defects and patent ductus arteriosus result in increased pulmonary blood flow. A fully matured endometrium that has reached the thickness of heavy, soft velvet describes the _____ OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance, PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning ANS: C measurements when the child is crying are likely to be elevated; thus the readings will be inaccurate. (Select all that apply.) Cool extremities, decreased skin turgor, confusion, somnolence, tachypnea, and poor capillary refill time are B) Uncertainty as to where to go for care. Were here to help you. Ensuite, repondez aux questions en suivant le modele, modele : Il y a quelqu'un sur la plage? a. Trisomy 21 detected on amniocentesis Infants born to mothers who are insulin dependent have an increased risk of CHD. The metabolic rate of infants with heart failure is greater because of poor cardiac function and increased heart That woman to (who, whom) you gave the packages looks ill. MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK, The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. A) Menstrual cycle. 1. Digoxin has a narrow therapeutic range. c. It is the most common brain tumor in young children. b. c. Observe children for complications such as embolism and heart failure. Identification of the underlying disease should be the first step in treating secondary hypertension. B) She has used contraceptives for an extended time An 18-year-old pregnant woman, gravida 1, is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds. 6th edition peds chapter 30 flashcards quizlet test bank maternal child nursing care by perry 6th edition perry . Explain that only a Band-Aid will be needed. ANS: D The two functions of the ovaries are ovulation and hormone . Allow ambulation as tolerated. the disorder occurs in males and heterozygous females. b. Cardiogenic shock d. Anaphylactic shock. oxygenated blood to the lungs, A nurse is teaching nursing students the physiology of congenital heart defects. ANS: D If bleeding occurs, direct continuous pressure is applied 2.5 cm (1 inch) above the percutaneous skin site to localize pressure over the vessel puncture. C) CNS abnormality An excessive weight gain for an infant MSC: Client Needs: Physiologic Integrity, PTS: 1 DIF: Cognitive Level: Comprehension c. Secure a quiet place for teaching. c. Temperature above 37.7 C (100 F) The child needs to understand that peers activities are too strenuous. A lot of drainage will come from the affected socket. a. She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it. This couple still has an increased likelihood of having a child with PKU. treatment of congestive heart failure. headaches and cerebellar symptoms such as ataxia may be aggravated. Keep the child warm with blankets. C) Tell me about your undergarments. d. Encourage restricted mobility in susceptible children. b. Thrombocytopenia (excessive destruction of platelets) occurs. Cholesterol, triglycerides, and LDLs do not response is: The right arm c. All four extremities secondary hypertension initially involves: b. Increased cardiac output d. Angioneurotic edema. CH 37 Child Cognitive or Sensory Impairment N, Maternal Child Nursing Chapter 37 Impact of C, Ch. ANS: B Written by the foremost experts in maternity and pediatric nursing, the user-friendly Maternal Child Nursing Care, 6th Edition provides both instructors and students with just the right amount of maternity and pediatric content. annually. Salicylates have activities that foster independence. ANS: A D) That is unfortunate; this must be very stressful for you. of the vascular compartment, decreasing blood pressure, and low central venous pressure. common malignant extracranial solid tumors in children. D) Increased drug-taking phase. D) Puberty. A systolic ejection murmur that may be accompanied by a palpable thrill Seizures, cardiac arrhythmias, and pulmonary hypertension are not common complications of rheumatic fever. You should feed your baby every 2 hours. Study Guide for Maternal Child Nursing Care 6th Edition - May 24, 2017 Write a review Authors: Shannon Perry, Marilyn Hockenberry, Deitra Lowdermilk, David Wilson Paperback ISBN: 9780323547666 eBook ISBN: 9780323546485 Purchase options The perinatal nurse is caring for a woman in the immediate . The nurses response should be based on knowing that: Any effort to organize the right environment, plan, or literature is of no use if the parents are not ready to learn a. Diphenhydramine (Benadryl) c. Epinephrine a. (Select all that apply.) Anemia is not a clinical consequence of A surgically implanted decreased pulmonary blood flow? Pulmonary stenosis c. Ventricular septal defect should: before the physician drains the fluid, but the physician must be notified. Weight changes may indicate fluid retention. Structure of the Golgi complex and its role in the synthesis, packaging, and secretion of cell products, To test your knowledge, discuss the following topics with a study partner or in writing, ideally from memory However it is not from the textbook. C) Continuing to deny the pregnancy. defects are unlikely. As part of digoxin. MSC: Client Needs: Health Promotion and Maintenance, PTS: 1 DIF: Cognitive Level: Analysis OBJ: Nursing Process: Evaluation protect against cardiovascular disease, The leading cause of death after heart transplantation is: metastasize. d. Discourage parents from rocking the infant. April 10, 2023 Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) | Qwivy.com Table of Contents Table of Contents Chapter 01: 21st Century Maternity Nursing Chapter 02: Community Care: The Family and Culture Chapter 03: Assessment and Health Promotion Chapter 04: Reproductive System Concerns Surgical closure of the ductus arteriosus would: The infants position b. b. Abdominal mass b. An eye A Test Bank is a collection of exam questions with solutions based on the textbook. endocarditis? site dressing should be observed frequently for bleeding. ANS: D I'm sure its nothing. The nurse is caring for an infant with congestive heart disease (CHD). Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 691 B) Ovaries. d. Streptococcus viridans. e. Normal blood pressure and narrowing pulse pressure A) The climacteric. The nurse is administering an IV chemotherapeutic agent to a child diagnosed with leukemia. C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection. The nurse is cognizant that, The parents of a young child with congestive heart failure tell the nurse that they are nervous about giving ANS: D seeing the surgical site because they imagine a cavity in the skull. C) Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection. Intrusive experiences are frightening, especially those that A) Reassure the woman that the examination will not reveal any problems. a. Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 700 Which is the acceptable mg/dl level, or below this level, low-density lipoprotein (LDL) cholesterol level ANS: B It is difficult to either overmedicate or undermedicate with digoxin. a. Irritability a. Honesty is essential to gain the child's cooperation and trust. b. Strenuous activity must be avoided for several days, but the child can return to Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 710 This includes the size of artery abnormalities when given within the first 10 days of the illness. she is scheduled. This behavior places her at a greater risk for: Seizures. parents. on auscultation when coarctation of the aorta is present. ANS: B, C, E necessary expertise to administer the drug at first, but with discharge preparation they should be prepared to hypertension because the left subclavian artery can be involved in the coarctatio, A child with pulmonary atresia exhibits cyanosis with feeding. Es un electrodomstico que necesitas para hacer pan tostado:. Genetic testing, including amniocentesis, would need to be performe, the fetus is affected. The nurse can demonstrate on a doll the expected size and shape of the dressing. A) You cant have an examination without removing all your clothes. Notify the physician when weight gain exceeds more than 20 g/day. incidence is between ages 10 and 25 years. a. Oslers nodes c. Subcutaneous nodules A) The woman and her partner are having an argument that is loud and hostile. circulation.
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