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Maternal Child Nursing Care Actual Exam Practice Questions for exam 3 with correct verified answers. Latest 2025 £13.07
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Maternal Child Nursing Care Actual Exam Practice Questions for exam 3 with correct verified answers. Latest 2025
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Maternal Child Nursing Care Practice Questions for exam 3 with correct verified answers. Latest 2025

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  • December 8, 2024
  • 108
  • 2024/2025
  • Exam (elaborations)
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Maternal Child Nursing Care Practice Questions for
exam 3 with correct verified answers. Latest 2025


1. Nurses must be alert for increased fluid requirements when a child

presents with which possible concern? a. Fever

b. Mechanical ventilation

c. Congestive heart failure

d. Increased intracranial pressure (ICP): ANS: A

Fever leads to great insensible fluid loss in young children because of increased

body surface

area relative to fluid volume. Respiratory rate influences insensible fluid loss and

should be

monitored in the mechanically ventilated child. Congestive heart failure is a case

of fluid overload in children. ICP does not lead to increased fluid requirements in

children.

2. Which type of dehydration results from water loss in excess of

electrolyte loss?

a. Isotonic dehydration

b. Isosmotic dehydration

c. Hypotonic dehydration




,d. Hypertonic dehydration: ANS: D

Hypertonic dehydration results from water loss in excess of electrolyte loss. This

is the most

dangerous type of dehydration. It is caused by feeding children fluids with high

amounts of

solute. Isotonic dehydration occurs in conditions in which electrolyte and water

deficits are present in balanced proportion. Isosmotic dehydration is another term

for isotonic dehydration. Hypotonic dehydration occurs when the electrolyte

deficit exceeds the water deficit, leaving the serum hypotonic.

3. An infant is brought to the emergency department with poor skin

turgor, sunken fontanel, lethargy, and tachycardia. This is suggestive of

which condition? a. Overhydration

b. Dehydration

c. Sodium excess

d. Calcium excess: ANS: B

These clinical manifestations indicate dehydration. Symptoms of overhydration

are edema and

weight gain. Regardless of extracellular sodium levels, total body sodium is

usually depleted






,in dehydration. Symptoms of hypocalcemia are a result of neuromuscular

irritability and manifest as jitteriness, tetany, tremors, and muscle twitching.

4. What is a common cause of acute diarrhea?

a. Hirschsprung's disease

b. Antibiotic therapy

c. Hypothyroidism

d. Meconium ileus: ANS: B

Acute diarrhea is a sudden increase in frequency and change in consistency of

stools and may

be associated with antibiotic therapy. Hirschsprung's disease, hypothyroidism,

and meconium ileus are usually manifested with constipation rather than

diarrhea.

5. The viral pathogen that frequently causes acute diarrhea in young

children is:

a. Giardia organisms.

b. Shigella organisms.

c. Rotavirus.

d. Salmonella organisms.: ANS: C






, Rotavirus is the most frequent viral pathogen that causes diarrhea in young

children. Giardia

and Salmonella are bacterial pathogens that cause diarrhea. Shigella is a

bacterial pathogen that is uncommon in the United States.

6. Constipation has recently become a problem for a school-age child who

is being treated for seasonal allergies. The nurse should focus the

assessment on what possibly related factor? a. Diet

b. Allergies

c. Antihistamines

d. Emotional factors: ANS: C

Constipation may be associated with drugs such as antihistamines, antacids,

diuretics, opioids,

antiepileptics, and iron. Because this is the only known recent change in her

habits, the

addition of antihistamines is most likely the etiology of the diarrhea, rather than

diet, allergies,

or emotional factors. With a change in bowel habits, the presence and role of

any recently prescribed medications should be assessed.

7. Therapeutic management of most children with Hirschsprung's disease

is primarily:

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