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NUR2513 MATERNAL CHILD EXAM 3 NEWEST
2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS ( VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
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The nurse is assessing a child for an anxiety disorder. What manifestations noted by the nurse are common to all anxiety disorders? (Select all that apply.)
- Distress or avoidance of feared situations
- Does not go away or gets worse over time
- Impaired functioning or development
- Leads to avoiding social situations
E. Physical symptoms such as palpitations and sweating - ANSWER-ANS: A, B, C
General manifestations common to all anxiety disorders include: anxiety that does not go away or gets worse over time, anxiety that pervades more than one aspect of the child's life, significant distress or avoiding of feared situations, and impaired functioning or development as a response to anxiety. Avoiding social situations is specific to social anxiety disorder. Physical symptoms such as palpitations and sweating are specific to panic disorder.
A nurse is interviewing a mother of two children, ages 5 and 14. They were in a hotel fire a year ago in which their father was killed. The mother is concerned because the younger child has nightmares. The older child does not seem to have any problems. What action by the nurse is the most appropriate?
- Ask the mother about physical injuries to the children.
- Determine if the mother sought counseling after the fire.
- Focus the appointment on the younger child only.
- Inquire if the older child avoids hotels, even on television. - ANSWER-ANS: D 1 / 3
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The younger child has risk factors for and symptoms of posttraumatic stress disorder (PTSD).Although the mother expresses concerns about only the younger child, the nurse should inquire about the health of the older child too, in order to provide holistic care to this family. There are developmental differences in presenting symptoms, and although nightmares in a younger child might be frequently seen in PTSD, an older child might avoid situations or places that remind him or her of the incident. Information about physical injuries is important to note, but is not the priority 1 year after the fire. PTSD does not appear immediately after an incident, so counseling after the fire may not have prevented the onset of PTSD and certainly would not have identified its presence.
A child diagnosed with depression is given the nursing diagnosis of situational low self-esteem.Which statement by the child indicates that a short-term goal has been met?
- "I have to sleep a lot when I feel sad, sometimes until noon!"
- "I wish I didn't make so many mistakes in my homework."
- "My mom makes me special cookies when I am feeling sad."
- "When I was feeling bad, I remembered my great science project." - ANSWER-ANS: D
One important goal for the child with situational low self-esteem is to have the child engage in positive self-talk. Remembering a great project is a good way to highlight the child's abilities in his or her own mind. The other statements do not indicate movement toward resolution of this diagnosis.
The pediatric nurse examines a neonate and documents that the baby is pink in color when crying but turns bluish when quiet. Which question would be most appropriate to ask the parent?
- "Does the baby have trouble when eating?"
- "Have your other children had this problem?"
- "How many respiratory infections has she had?"
D. "You don't ever prop her bottle, do you?" - ANSWER-ANS: A
Choanal atresia is a congenital malformation of the nose in which there is blockage of the posterior side of the nose. It often is associated with bony abnormalities and may affect one side or both sides of the nose. A child with bilateral choanal atresia usually displays respiratory 2 / 3
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problems during development. A newborn who is pink in color when crying, yet turns bluish when quiet should be suspected of having bilateral choanal atresia or another defect impeding the nasal airway. Another sign of this disorder is feeding difficulties and resultant lack of weight gain. Because this is not genetic, asking about other children with the condition is irrelevant.The number of respiratory infections will not give information as to the possible diagnosis.Because of the potential for aspiration, the baby should be fed in a semi-upright to upright position; however, the wording of the question might make the parent feel defensive.
A school-age child has asthma and lives in a home where both parents smoke. The nurse has provided extensive education to the parents on the dangers of second-hand smoke. Which assessment by the nurse indicates that goals for a family nursing diagnosis have been met?
- Child's clothing no longer smells of cigarette smoke
- Father states he has quit smoking; mother has cut down
- Parents state they smoke only in the basement now
- Significant decrease in asthma "attacks" over a year - ANSWER-ANS: D
An important goal for this family is understanding how to avoid exposing their child to second- hand smoke. The only objective assessment data to show that the child is not exposed to smoke is the decrease in asthma "attacks" the child has had in the last year. New clothing will not smell like smoke; if the mother continues to smoke even in lesser amounts, the child will still be exposed; and smoking anywhere in the house pollutes all the air in the house.
A 4-year-old girl is brought to the emergency department. She has a "frog-like" croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. Which nursing action is the priority for this patient?
- Maintain the airway.
- Obtain a throat culture.
- Start an intravenous line.
D. Transport for a chest x-ray. - ANSWER-ANS: A
Airway, breathing, and circulation are the primary concerns for all patients. When a patient has acute respiratory distress, the most important nursing intervention is maintaining an airway.Starting an IV is important, but it is not the primary concern. Obtaining a throat culture would
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