Maternity and Pediatric Nursing 4th Edition Test Bank

Maternity and Pediatric Nursing 4th Edition Test Bank Related

Review Maternity and Pediatric Nursing 4th Edition Test Bank related questions and content

A nurse is teaching a parent of an infant about treatment of seborrhea dermatitis (cradle cap). Which should the nurse include in the instructions?

  • A. Shampoo every three days with a mild soap.
  • B. The hair should be shampooed with a medicated shampoo.
  • C. Shampoo every day with an antiseborrheic shampoo.
  • D. The loosened crusts should not be removed with a fine-toothed comb.
Correct Answer: A

Rationale: The nurse should include in the instructions to shampoo every three days with a mild soap. Seborrheic dermatitis, commonly known as cradle cap in infants, is a common condition characterized by greasy, yellowish, scaly patches on the scalp. Mild cases of cradle cap typically do not require aggressive treatment. Using a mild soap and shampooing every few days can help loosen the scales and prevent buildup without causing irritation to the infant's delicate skin. It is important not to shampoo too frequently or use harsh products as this can exacerbate the condition. Additionally, the loosened crusts can be gently massaged and removed after shampooing with a soft brush or cloth, but it is not necessary to use a fine-toothed comb, as this may cause skin irritation.

You may also like to solve these questions

A client with advanced liver cancer is scheduled for chemotherapy. As part of the chemotherapy regimen, the nurse expects the physician to prescribe:

  • A. Fluoxymesterone (Halotestin)
  • B. Fluorouracil (5-fluorouracil, 5 FU
  • C. Tamoxifen (Nolvadex) [Fluoroplex])
  • D. Megestrol (Megace)
Correct Answer: B

Rationale: Fluorouracil (5-FU) is a commonly used chemotherapy drug for various cancers, including of the liver. It is often used to treat advanced liver cancer as part of a chemotherapy regimen. 5-FU works by interfering with the synthesis of DNA and RNA in cancer cells, leading to their death.

A febrile patient's fluid output is in excess of normal because of diaphoresis. The nurse should plan fluid replacement based on the knowledge that insensible losses in an afebrile person are normally not greater than:

  • A. 300ml/24hr
  • B. 900ml/24hr
  • C. 600ml/24hr
  • D. 1200ml/24hr
Correct Answer: C

Rationale: Insensible losses are the fluid losses that occur without the individual being aware of it, such as through breathing, sweating, and through the skin. In an afebrile person, insensible losses are normally around 600ml per 24 hours. This amount can vary depending on factors such as temperature, humidity, and individual metabolism. When a patient is febrile and experiencing diaphoresis (excessive sweating), the fluid output can increase significantly due to the body's attempts to cool itself down. It is important for the nurse to consider these increased fluid losses when planning fluid replacement for a febrile patient to prevent dehydration.

Common side effects of stimulant medications include

  • A. appetite suppression
  • B. gastrointestinal tract symptoms
  • C. sedation
  • D. hepatitis
Correct Answer: A

Rationale: Appetite suppression is a common side effect of stimulant medications used to treat ADHD.

The MOST appropriate answer to why infants cry in response to another infant's cry is

  • A. an early sign of empathy development
  • B. a sign of good hearing reflex
  • C. a startle reflex
  • D. an early sign of fear development
Correct Answer: A

Rationale: Empathy begins developing early, though rudimentary.

If a client with increased pressure (ICP) demonstrates decorticate posturing, the nurse will observe:

  • A. Flexion of both upper and lower extremities
  • B. Extension of elbows and knees, plantar flexion of feet, and flexion of the wnsts
  • C. Flexion of elbows, extension of the knees, and plantar flexion of the feet
  • D. Extension of upper extremities, flexion of lower extremities
Correct Answer: B

Rationale: Decorticate posturing is characterized by flexion of elbows, wrists, and fingers; extension of elbows and knees; plantar flexion of the feet. This type of posturing typically indicates severe damage to the cerebral hemispheres or impairment of the corticospinal tract. When a client with increased intracranial pressure (ICP) displays decorticate posturing, it suggests significant brain injury and dysfunction. This abnormal posturing is a classic sign that requires immediate medical attention and intervention.

Copyright © 2025 Nokea. All rights reserved.