Texas Tech University

NURS 4403 Chapter 49: Neuromuscular or Muscular Dysfunction MULTIPLE CHOICE 1. Spastic cerebral palsy is characterized by: a. Hypertonicity and poor control of posture, balance, and coordinated motion. b. Athetosis and dystonic movements. c. Wide-based gait and poor performance of rapid, repetitive movements. d. Tremors and lack of active movement. 2. The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child’s spasticity. The nurse’s respon...

NURS 4403 Chapter 35: The Adolescent and Family MULTIPLE CHOICE 1. In girls, the initial indication of puberty is: a. Menarche. c. Growth of pubic hair. b. Growth spurt. d. Breast development. 2. The mean age of menarche in the United States is: a. 11.5 years c. 13.5 years b. 12.5 years d. 14 years 3. By what age should concerns about pubertal delay be considered in boys? a. 12 to 12.5 years c. 13 to 13.5 years b. 12.5 to 13 years d. 13.5 to 14 years 4. Steve, 14 years o...

NURS 4403 Chapter 41: Gastrointestinal Dysfunction MULTIPLE CHOICE 1. Nurses must be alert for increased fluid requirements when a child has: a. Fever. c. Congestive heart failure. b. Mechanical ventilation. d. Increased intracranial pressure (ICP). 2. Which type of dehydration results from water loss in excess of electrolyte loss? a. Isotonic dehydration c. Hypotonic dehydration b. Isosmotic dehydration d. Hypertonic dehydration 3. An infant is brought to the emergency departm...

NURS 4403 Chapter 39: Pediatric Variations of Nursing Interventions MULTIPLE CHOICE 1. What should the nurse consider when having consent forms signed for surgery and procedures on children? a. Only a parent or legal guardian can give consent. b. The person giving consent must be at least 18 years old. c. The risks and benefits of a procedure are part of the consent process. d. A mental age of 7 years or older is required for a consent to be considered “informed.” 2. The nurse...

NURS 4403 Chapter 04: Reproductive System Concerns MULTIPLE CHOICE 1. When assessing a patient for amenorrhea, the nurse should be aware that this is unlikely to be caused by: a. Anatomic abnormalities. c. Lack of exercise. b. Type 1 diabetes mellitus. d. Hysterectomy. 2. When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention might be recommended? a. Increasing the intake of red meat and simple carbohydrates b. Reducing the intake of diure...

NURS 4403 Chapter 05: Infertility, Contraception, and Abortion MULTIPLE CHOICE 1. Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle? a. Hysterosalpingogram b. Endometrial biopsy c. Laparoscopy d. Follicle-stimulating hormone (FSH) level 2. A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse’s most appr...

NURS 4403 Chapter 15: Fetal Assessment during Labor MULTIPLE CHOICE 1. Fetal bradycardia is most common during: a. Intraamniotic infection. b. Fetal anemia. c. Prolonged umbilical cord compression. d. Tocolytic treatment using terbutaline. 2. While evaluating an external monitor tracing of a woman in active labor, the nurse notes that the fetal heart rate (FHR) for five sequential contractions begins to decelerate late in the contraction, with the nadir of the decelerations occurr...

NURS 4403 Chapter 12: Pregnancy at Risk: Gestational Conditions MULTIPLE CHOICE 1. Women with hyperemesis gravidarum: a. Are a majority, because 80% of all pregnant women suffer from it at some time. b. Have vomiting severe and persistent enough to cause weight loss, dehydration, and electrolyte imbalance. c. Need intravenous (IV) fluid and nutrition for most of their pregnancy. d. Often inspire similar, milder symptoms in their male partners and mothers. 2. Because pregnant women...

NURS 4403 Chapter 09: Maternal and Fetal Nutrition MULTIPLE CHOICE 1. A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this? a. This weight gain indicates possible gestational hypertension. b. This weight gain indicates that the woman’s infant is at risk for intrauterine growth restriction (IUGR). c. T...

NURS 4403 Chapter 03: Assessment and Health Promotion MULTIPLE CHOICE 1. The two primary functions of the ovary are: a. Normal female development and sex hormone release. b. Ovulation and internal pelvic support. c. Sexual response and ovulation. d. Ovulation and hormone production. 2. The uterus is a muscular, pear-shaped organ that is responsible for: a. Cyclic menstruation. c. Fertilization. b. Sex hormone production. d. Sexual arousal. 3. Unique muscle fibers make the ute...