MATERNAL CHILD HEALTH NURSING NUR 2633 MATERNAL CHILD HEALTH NURSING EXAM 3 STUDY GUIDE

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MATERNAL CHILD HEALTH NURSING NUR 2633 MATERNAL CHILD HEALTH NURSING EXAM 3 STUDY GUIDE Question 1 A mother brings her infant to the pediatrician for a check-up. She tells the pedi... atric nurse that almost every afternoon her infant fusses generally occurring at the same time each day, usually during the late afternoon or evening. The infant pulls both legs and arms into a flexed position. Based on this description, the nurse suspects that the infant has: a. Gastric ulcers b. Infantile colic c. Meckel diverticulum d. Irritable bowel syndrome Selected Answer: Infantile colic. Question 2 Sara, age 6 months, was born at 35 weeks gestation. She seems to be developing normally, but her parents are concerned because she is a more difficult baby than their other child, who was born at term. How does the nurse explain this? a. Infants’ temperaments are part of their unique characteristics. b. Infants become less difficult if they are not kept on scheduled feedings and structured routines. c. Sara’s behavior is suggestive of failure to bond completely with her parents. d. Sara’s difficult temperament is the result of painful experiences in the neonatal period. Selected Answer: An infant's temperament is part of their unique characteristic ANS: A Infant temperament has a strong biological component. Together with interactions with the environment, primarily the family, the biological component contributes to the infant’s unique temperament. Children perceived as difficult may respond better to scheduled feedings and structured caregiving routines rather than demand feedings and frequent changes in routines. The nurse should provide guidance in parenting techniques that are best suited to Sara’s temperament. Question 3 Which strategy would be the least appropriate for a child to use to cope? a. Learning problem solving b. Listening to music c. Having parents solve problems d. Using relaxation techniques Selected Answer: C. Having parents solve problems Children respond to everyday stress by trying to change the circumstances or adjust to the circumstances the way they are. Strategies that provide relaxation and other stress-reduction techniques should be used. An inappropriate response would be for the parents to solve the problems. Some children develop socially unacceptable strategies such as lying, stealing, or cheating. Learning problem solving, listening to music, and using relaxation techniques are positive approaches for coping in children. Question 4 A child undergoes an appendectomy. Which of the following nursing interventions would not be considered acceptable? Selected Answer: Give oral laxatives pre-operative Answers: Pain management Give oral laxatives pre-operative Monitor intake and output Wound care? Question 5 [Show More]

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