Question 1

Which statement best characterizes hepatitis A?

Accepted Answer

A)  Incubation period is 6 weeks to 6 months. 
B)  Principal mode of transmission is through the parenteral route. 
C)  Onset is usually rapid and acute. 
D)  There is a persistent carrier state. 
A)  Incubation period is 6 weeks to 6 months. 
B)  Principal mode of transmission is through the parenteral route. 
C)  Onset is usually rapid and acute. 
D)  There is a persistent carrier state.

Question 2

The nurse notes on assessment that a 1-year-old child is underweight,with abdominal distention,thin legs and arms,and foul-smelling stools.The nurse suspects failure to thrive is associated with

Accepted Answer

A)  Celiac disease 
B)  Intussusception 
C)  Irritable bowel syndrome 
D)  Imperforate anus 
A)  Celiac disease 
B)  Intussusception 
C)  Irritable bowel syndrome 
D)  Imperforate anus

Question 3

An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN)and gastrostomy feedings.Nursing care should include

Accepted Answer

A)  preparing family for impending death. 
B)  teaching family signs of central venous catheter infection. 
C)  teaching family how to calculate caloric needs. 
D)  securing TPN and gastrostomy tubing under the diaper to lessen risk of dislodgment. 
A)  preparing family for impending death. 
B)  teaching family signs of central venous catheter infection. 
C)  teaching family how to calculate caloric needs. 
D)  securing TPN and gastrostomy tubing under the diaper to lessen risk of dislodgment.

Question 4

A child has irritable bowel syndrome.The nurse is teaching the parents about the pathophysiology associated with the symptoms their child is experiencing.Which response indicates to the nurse that teaching has been effective?

Accepted Answer

A)  "My child has an absence of ganglion cells in the rectum causing alternating diarrhea and constipation." 
B)  "The cause of my child's diarrhea and constipation is disorganized intestinal contractility." 
C)  "My child has an intestinal obstruction; that's why he has abdominal pain." 
D)  "My child has an intolerance to gluten, and this causes him to have abdominal pain." 
A)  "My child has an absence of ganglion cells in the rectum causing alternating diarrhea and constipation." 
B)  "The cause of my child's diarrhea and constipation is disorganized intestinal contractility." 
C)  "My child has an intestinal obstruction; that's why he has abdominal pain." 
D)  "My child has an intolerance to gluten, and this causes him to have abdominal pain."

Question 5

The postoperative care plan for an infant with surgical repair of a cleft lip includes

Accepted Answer

A)  a clear liquid diet for 72 hours. 
B)  nasogastric feedings until the sutures are removed. 
C)  elbow restraints to keep the infant's fingers away from the mouth. 
D)  rinsing the mouth after every feeding. 
A)  a clear liquid diet for 72 hours. 
B)  nasogastric feedings until the sutures are removed. 
C)  elbow restraints to keep the infant's fingers away from the mouth. 
D)  rinsing the mouth after every feeding.

Question 6

What is an expected outcome for a 1-month-old infant with biliary atresia?

Accepted Answer

A)  Correction of the defect with the Kasai procedure 
B)  Adequate nutrition and age-appropriate growth and development 
C)  Adherence to a salt-free diet with vitamin B12 supplementation 
D)  Remaining compliant with a high-protein diet 
A)  Correction of the defect with the Kasai procedure 
B)  Adequate nutrition and age-appropriate growth and development 
C)  Adherence to a salt-free diet with vitamin B12 supplementation 
D)  Remaining compliant with a high-protein diet

Question 7

What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis?

Accepted Answer

A)  Preventing the spread of illness to others 
B)  Nutritional guidance and preventing constipation 
C)  Teaching daily use of enemas 
D)  Coping with stress and avoiding triggers 
A)  Preventing the spread of illness to others 
B)  Nutritional guidance and preventing constipation 
C)  Teaching daily use of enemas 
D)  Coping with stress and avoiding triggers

Question 8

The earliest clinical manifestation of biliary atresia is

Accepted Answer

A)  jaundice. 
B)  vomiting. 
C)  hepatomegaly. 
D)  absence of stooling. 
A)  jaundice. 
B)  vomiting. 
C)  hepatomegaly. 
D)  absence of stooling.

Question 9

The nurse cares for many children with different types of hepatitis.What information about this disease is correct? (Select all that apply.)

Accepted Answer

A)  Hepatitis A can be contracted from contaminated water. 
B)  Only a small percentage of children infected with hepatitis B fully recover. 
C)  People infected with chronic hepatitis C are usually asymptomatic. 
D)  Hepatitis D is the most likely to cause a fulminating illness. 
E)  Hepatitis E is the most common type in children in the United States. 
A)  Hepatitis A can be contracted from contaminated water. 
B)  Only a small percentage of children infected with hepatitis B fully recover. 
C)  People infected with chronic hepatitis C are usually asymptomatic. 
D)  Hepatitis D is the most likely to cause a fulminating illness. 
E)  Hepatitis E is the most common type in children in the United States.

Question 10

Which type of hernia has an impaired blood supply to the herniated organ?

Accepted Answer

A)  Hiatal hernia 
B)  Incarcerated hernia 
C)  Omphalocele 
D)  Strangulated hernia 
A)  Hiatal hernia 
B)  Incarcerated hernia 
C)  Omphalocele 
D)  Strangulated hernia

Question 11

Which nursing interventions are significant for a child with cirrhosis who is at risk for bleeding? (Select all that apply.)

Accepted Answer

A)  Guaiac all stools 
B)  Provide a safe environment 
C)  Administer vitamin K 
D)  Inspect skin for pallor and cyanosis 
E)  Monitor serum liver panels 
A)  Guaiac all stools 
B)  Provide a safe environment 
C)  Administer vitamin K 
D)  Inspect skin for pallor and cyanosis 
E)  Monitor serum liver panels

Question 12

A nurse is teaching a student nurse in the pediatric clinic about vomiting in children.The nurse states that getting parents to estimate the amount a child has vomited is quite difficult.What is the best explanation for this problem?

Accepted Answer

A)  Parents are too upset by the vomiting to pay close attention. 
B)  Parents don't know how to accurately estimate the amount. 
C)  Descriptions about vomitus are vague and non-specific. 
D)  Infants and small children often swallow the vomitus. 
A)  Parents are too upset by the vomiting to pay close attention. 
B)  Parents don't know how to accurately estimate the amount. 
C)  Descriptions about vomitus are vague and non-specific. 
D)  Infants and small children often swallow the vomitus.

Question 13

What is an appropriate statement for the nurse to make to parents of a child who has had a barium enema to correct an intussusception?

Accepted Answer

A)  "I will call the physician when the baby passes his first stool." 
B)  "I am going to dilate the anal sphincter with a gloved finger to help the baby pass the barium." 
C)  "Your baby can't have anything to eat or drink until bowel function returns." 
D)  "Add cereal to the baby's formula to help him pass the barium." 
A)  "I will call the physician when the baby passes his first stool." 
B)  "I am going to dilate the anal sphincter with a gloved finger to help the baby pass the barium." 
C)  "Your baby can't have anything to eat or drink until bowel function returns." 
D)  "Add cereal to the baby's formula to help him pass the barium."

Question 14

What clinical manifestation should a nurse be alert for when suspecting a diagnosis of esophageal atresia?

Accepted Answer

A)  A radiograph in the prenatal period indicates abnormal development. 
B)  It is visually identified at the time of delivery. 
C)  A nasogastric tube fails to pass at birth. 
D)  The infant has a low birth weight. 
A)  A radiograph in the prenatal period indicates abnormal development. 
B)  It is visually identified at the time of delivery. 
C)  A nasogastric tube fails to pass at birth. 
D)  The infant has a low birth weight.

Question 15

What is the best response by the nurse to a mother asking about the cause of her infant's bilateral cleft lip?

Accepted Answer

A)  "Did you use alcohol during your pregnancy?" 
B)  "Does anyone in your family have a cleft lip or palate?" 
C)  "This defect is associated with intrauterine infection during the second trimester." 
D)  "The prevalent of cleft lip is higher in Caucasians." 
A)  "Did you use alcohol during your pregnancy?" 
B)  "Does anyone in your family have a cleft lip or palate?" 
C)  "This defect is associated with intrauterine infection during the second trimester." 
D)  "The prevalent of cleft lip is higher in Caucasians."

Exam 43: The Child with a Gastrointestinal Alteration

Which statement best characterizes hepatitis A?

The nurse notes on assessment that a 1-year-old child is underweight,with abdominal distention,thin legs and arms,and foul-smelling stools.The nurse suspects failure to thrive is associated with

An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN)and gastrostomy feedings.Nursing care should include

A child has irritable bowel syndrome.The nurse is teaching the parents about the pathophysiology associated with the symptoms their child is experiencing.Which response indicates to the nurse that teaching has been effective?

The postoperative care plan for an infant with surgical repair of a cleft lip includes

What is an expected outcome for a 1-month-old infant with biliary atresia?

What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis?

The earliest clinical manifestation of biliary atresia is

The nurse cares for many children with different types of hepatitis.What information about this disease is correct? (Select all that apply.)

Which type of hernia has an impaired blood supply to the herniated organ?

Which nursing interventions are significant for a child with cirrhosis who is at risk for bleeding? (Select all that apply.)

A nurse is teaching a student nurse in the pediatric clinic about vomiting in children.The nurse states that getting parents to estimate the amount a child has vomited is quite difficult.What is the best explanation for this problem?

What is an appropriate statement for the nurse to make to parents of a child who has had a barium enema to correct an intussusception?

What clinical manifestation should a nurse be alert for when suspecting a diagnosis of esophageal atresia?

What is the best response by the nurse to a mother asking about the cause of her infant's bilateral cleft lip?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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