Chapter 27 Maternity

Question 1

A child is diagnosed with iron deficiency anemia. What will the nurse explain can occur if this disorder goes untreated?

Accepted Answer

Heart failure

Question 2

Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care?

Accepted Answer

She can make amends for past hostilities to her brother., She will feel less neglected by the parents., She can experience being supportive of her parents and brother.

Question 3

What food would the nurse emphasize as being a rich source of iron?

Accepted Answer

Cream of Wheat

Question 4

What should be included in the nursing care of a 12-year-old child receiving radiation therapy for Hodgkins disease?

Accepted Answer

Appetite stimulation, Provision for expressions of anger, Conservation of energy, Application of sunblock

Question 5

Child with thalassemia major receives blood transfusions frequently.Whats a complication of repeated blood transfusions?

Accepted Answer

Hemosiderosis

Question 6

Nurse finds adolescent w Hodgkins disease crying. Adolescent says, I am so scared. Whats the most appropriate response?

Accepted Answer

Tell me whats got you scared

Question 7

The nurse is caring for a child with a low platelet count. What skin assessments would alert the nurse to bleeding?

Accepted Answer

Petichiae, Purpura, Hematoma, Ecchymosis

Question 8

Nurse explains that the COPP medical regimen for the treatment of Hodgkins disease uses a combination of which drugs?

Accepted Answer

Vincristine, Procarbazine hydrochloride, Prednisone, Cyclophosphamide

Question 9

Nurse notes that a 4-yo gums bleed easily& he has bruising &petechiae on his extremities. Which lab value is consistent?

Accepted Answer

Platelet count of 25,000/mm3

Question 10

Which statement by a mother may indicate a cause for her 9-month-olds iron deficiency anemia?

Accepted Answer

Formula is so expensive. We switched to regular milk right away.

Question 11

3-yo with sickle cell disease is admitted to hospital in sickle cell crisis with severe abdominal pain. Type of crisis?

Accepted Answer

Vaso-occlusive

Question 12

The nurse is presenting information on the congentital disorder of hemophilia A. What fact will the nurse include?

Accepted Answer

It is transmitted by symptom-free females.

Question 13

Which statement made by a parent indicates an understanding of health maintenance of a child with sickle cell disease?

Accepted Answer

It is important for my child to drink plenty of fluids.

Question 14

Child dx with acute lymphoblastic leukemia. What is the result of an overproduction of immature WBCs in the bone marrow?

Accepted Answer

Increased susceptibility to infection

Question 15

A 6-year-old with leukemia asks, Who will take care of me in heaven? What is the best response by the nurse?

Accepted Answer

Who do you think will take care of you?

Question 16

What will the nurse teach the parents of a child with a low platelet count to avoid?

Accepted Answer

Aspirin

Question 17

What is the result of a deficiency of factor IX?

Accepted Answer

Christmas disease

Question 18

2-yo has been dx with hemophilia A. What information should the nurse include in a teaching plan about home care?

Accepted Answer

If bleeding occurs, apply pressure, ice, elevate, and rest the extremity.

Question 19

What should the nurse closely assess in a child receiving a transfusion?

Accepted Answer

Fever

Question 20

The child receiving a transfusion complains of back pain and itching. What is the best initial action by the nurse?

Accepted Answer

Clamp off blood and keep line open with normal saline

Question 21

What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit?

Accepted Answer

With orange juice

Question 22

A child is living w a chronic disease process. How would nurse anticipate chronic illness will effect G&D?

Accepted Answer

Decreased feelings of independence, Impaired sense of belonging

Question 23

What are the classic symptoms of thalassemia major (Cooleys anemia)?

Accepted Answer

Pathological fractures, Hepatomegaly, Protruding teeth, Jaundice

Question 24

What would the nurse include in a teaching plan about mouth care of a child receiving chemotherapy?

Accepted Answer

Clean teeth with a soft toothbrush.

Question 25

On admission, child w leukemia has widespread purpura &platelet count of 19,000/mm3.Whats priority nursing intervention?

Accepted Answer

Assessing neurological status

Question 26

Nurse is dealing w a preschooler w a life-threatening illness. What should nurse remember the childs concept of death?

Accepted Answer

That a person becomes alive again soon after death

Question 27

Family of a child receiving chemotherapy for leukemia should be taught to focus on which aspect(s) of the childs care?

Accepted Answer

Using a support group, Reporting exposure to infectious diseases, Maintaining adequate hydration, Stimulating appetite

Question 28

Most recent blood count for a child who received chemotherapy last week shows neutropenia. Whats priority nursing dx?

Accepted Answer

Risk for infection

Question 29

How has synthetic recombinant antihemophilic factor improved the management of hemophilia?

Accepted Answer

Reduces cost of care of the hemophiliac, Reduces risk of HIV and hepatitis A and B transmission, Can be administered by family at home, Eliminates the need for frequent transfusions

Chapter 27 Maternity

Questions 29

Chapter 27 Maternity

Questions 29