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NUR259 BUDER > Multiple Choice > Flashcards

Multiple Choice Flashcards

1
Q

Which of the following are signs of dehydration in an infant?

a. Lethargic
b. Dry mucous membrane
c. Sunken anterior fontanel
d. All of the above

A

d. All of the above

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2
Q

If a child is chocking and has the ability to cough, you should carry out the following:

a. Perform the Heimlich Manoeuvre
b. Commence DRSABCD
c. Encourage the child to cough and continuously assess
d. Give 5 back blows and 5 chest thrust

A

d. Give 5 back blows and 5 chest thrust

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3
Q

A CEWT score of 4-5 requires action ?

a. Ward doctor review within 30mins and notify the shift coordinator
b. Increase frequency of observations and consider a. Ward doctor review within 30mins and notify the shift coordinator notifying shift coordinator
c. Register review within 15mins and consider notifying shift coordinator
d. MET call, with review from MET team within 5mins

A

a. Ward doctor review within 30mins and notify the shift coordinator

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4
Q

A CEWT score of 8 requires action ?

a. Ward doctor review within 30mins and notify the shift coordinator
b. Increase frequency of observations and consider notifying shift coordinator
c. Register review within 15mins and consider notifying shift coordinator
d. MET call, with review from MET team within 5mins

A

d. MET call, with review from MET team within 5mins

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5
Q

What is the most appropriate pain assessment tool for 18months old child?

a. Faces pain scales
b. Numerical pain scales
c. FLACC pain assessment tool
d. Visual analogue scales

A

c. FLACC pain assessment tool

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6
Q

Which position is the recommended sleeping position for an infant?

a. Prone
b. On the side being supported by pillow
c. On the back with pillows each side to prevent rolling onto sides
d. On the back, no surrounding toys/ pillows

A

d. On the back, no surrounding toys/ pillows

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7
Q

The WHO state that exclusive breastfeeding is recommended for what period?

a. 12 months
b. 9 months
c. 6 months
d. 3 months

A

c. 6 months

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8
Q

Failure to thrive, can be caused by which of the following?

a. Poor breast feeding technique
b. Congenital heart disease
c. Chronic Respiratory disease
d. All of the above

A

d. All of the above

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9
Q

P in the AVPU scale means which of the following?

a. Responsive to parents voice
b. Responsive o painful stimuli
c. Orientated to place
d. Oriented to person

A

b. Responsive o painful stimuli

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10
Q

Mandatory reporting of child sexual
abuse is in all Australian states and
territories

true
false

A

true

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11
Q 
Who is required by law to report a
belief of child sexual abuse in Western
Australia?
a) psychologists
b) nurses, midwives and doctors
c) teachers, police officers and boarding supervisors
d) both (b) and (c)
e) all of the above.
A

d) both (b) and (c)

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12
Q

Under the legislation, everyone in
Western Australia is mandated by
law to report a belief of child sexual
abuse

true
false

A

false

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13
Q

The legislation only applies to
government-funded doctors, nurses,
midwives, teachers and boarding
supervisors

  • true
  • false
A

false

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14
Q

Failure to make a mandatory report
carries what penalty?

a) a prison term
b) community service
c) a $6,000 fine
d) none of the above

A

c) a $6,000 fine

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15
Q

Which of the following could be
interpreted as an act of child
sexual abuse?

a) All sexual activity between children.
b) When a child has less power than another person involved in the sexual activity.
c) Young children exploring their own bodies.
d) None of the above.

A

b) When a child has less power than another person involved in the sexual activity.

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16
Q

A child must tell you if he or she
is being abused before you can
make a report

  • true
  • false
A

false

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17
Q

If a child discloses sexual abuse, you
need to make a report

  • true
  • false
A

true

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18
Q

If a child discloses sexual abuse,
what is the best approach to take?

a) Take the child to more senior staff and encourage them to repeat their story.
b) Remain calm and believe the child.
c) Suggest the child makes a report to the necessary authorities.

A

b) Remain calm and believe the child.

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19
Q

When should child sexual abuse be
reported

a) When you are sure the child is telling the truth.
b) When you have a belief based on reasonable grounds that child sexual abuse has occurred or is occurring.
c) After you have contacted the parents.
d) Only when you have proof of the abuse.

A

b) When you have a belief based on reasonable grounds that child sexual abuse has occurred or is occurring.

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20
Q

If you are working in your professional
capacity but are engaged in unpaid work,
are you legally required to report child
sexual abuse?

yes
no

A

yes

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21
Q

How can reports of child sexual abuse
be reported to the Mandatory
Reporting Service?

a) by phone
b) by website
c) by email
d) by letter
e) all of the above

A

e) all of the above

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22
Q

After submission of a written report,
you will receive:

a) A standardised letter with a receipt number.
b) A letter thanking you for your report.
c) No acknowledgement.
d) Details of the investigation.

A

a) A standardised letter with a receipt number.

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23
Q

A mandatory reporter only has to
make a verbal report to fulfil their
legislative obligations

true
false

A

false

24
Q

Mandatory reporters can remain
anonymous when making a report

true
false

A

false

25
Q

The identity of a mandatory reporter
who has reported a belief of child
sexual abuse has no legal protection

true
false

A

false

26
Q

What proof can a mandatory reporter
provide to show a written report has
been made?

a) Standardised letter with a receipt number from the Mandatory Reporting Service.
b) Proof of contact by telephone.
c) Report made to a senior officer.
d) A written receipt number from your organisation.
e) All of the above.

A

a) Standardised letter with a receipt number from the Mandatory Reporting Service.

27
Q

What is the penalty for disclosing the
identity of a mandatory reporter?

a) $3,000
b) no penalty
c) $6,000
d) $24,000 and 2 years imprisonment
e) $50,000 and 5 years imprisonment

A

d) $24,000 and 2 years imprisonment

28
Q

When can a mandatory reporter’s
identity be released?

a) It can never be released.
b) If consent is given by the mandatory reporter.
c) By a child protection officer in child protection
proceedings.
d) Both b and c.

A

d) Both b and c.

29
Q

Fertility depends on the ability of the ovaries to produce one dominant follicle per cycle, this process is called?

a. Spermatogenesis
b. Folliculogenesis
c. Oogenesis
d. Granulogenesis

A

b. Folliculogenesis

30
Q

Which of the following best describes the term Gravida?

a. How many multiple pregnancies
b. how many pregnancies
c. How many miscarriages/ stillbirths
d. How many live births

A

b. how many pregnancies

31
Q

During which trimester are teratogens a major concern?

a. 1
b. 2
c. 3
d. All of the above

A

a. 1

32
Q

Which of the following blood test is not a standard investigation at the first antenatal assessment?

a. Blood group and Rhesus factor
b. Rubella Immunity
c. Fasting blood sugars
d. VDRL

A

d. VDRL

33
Q

The APGAR score done at 1 and 5 minutes post-delivery assesses newborns?

a. Appearance, pulse, grimace, activity and respiration
b. Appearance, pulse, grasps, activity and respiration
c. Appearance, pulse, grip, activity and respiration
d. Appearance, pulse, grunt, activity and respiration

A

a. Appearance, pulse, grimace, activity and respiration

34
Q

Palpation done by the midwife can assess all of the following except?

a. The size of the fetus
b. The position of the fetus
c. The degree of the presenting part
d. The fetal heart

A

d. The fetal heart

35
Q

When would Anti D be given in the antenatal periods to a pregnant woman?

a. Routinely at 28 and 34 weeks
b. Threatened or spontaneous miscarriage
c. Termination of pregnancy
d. All of the above

A

d. All of the above

36
Q

During the antenatal period women are screened for Group B strep (GBS) because?

a. 25% of woman without knowing have GBS in their vagina
b. Group B strep is an infection which can lead to infant mortality or morbidity
c. GBS can be treated by oral antibiotics in the antenatal period
d. All of the above

A

d. All of the above

37
Q

Which of the following is considered a normal presentation?

a. Breech
b. Face
c. Vertex
d. Transverse

A

c. Vertex

38
Q

An increased BMI in pregnancy is associated with all the following except?

a. Hypertensive disorder
b. Gestational diabetes
c. Hyperemesis
d. Caesarean section

A

c. Hyperemesis

39
Q

The midwife excepts to administer an oxytocic to a woman after expulsion of her placenta to?

a. Relieve pain
b. Stimulate uterine contraction
c. Prevent infection
d. Facilitate rest and relaxation

A

b. Stimulate uterine contraction

40
Q

WHO/ NHMRC Exclusive breastfeeding is recommended for what period of time?

a. 12months
b. 9months
c. 6months
d. 3months

A

c. 6months

41
Q

Which of the following is recommended for the newborn following birth>

a. Hep A
b. Vitamin D
c. Vitamin K
d. Hep B

A

c. Vitamin K

42
Q

Gastroenteritis is best described as?

a. Diarrhoea and vomiting
b. Cramps and fever
c. Diarrhoea, vomiting and cramps
d. Diarrhoea, vomiting, cramps and fever

A

d. Diarrhoea, vomiting, cramps and fever

43
Q

Which is the most common cause of asthma in children?

a. Exercise
b. Irritants
c. Allergies
d. Viral respiratory illness

A

d. Viral respiratory illness

44
Q

Development is defined as?

a. Development is cephalocaudal
b. Development progress from proximal to distal
c. Development progresses from gross to fine proceeds
d. Development is an increase in a skill or the ability to function

A

d. Development is an increase in a skill or the ability to function

45
Q

You are caring fro a family whose 6 months old baby is hospitalised. The mother is complaining that the child is only settled when sucking. What did Freud call this stage?

a. Anal
b. Phallic
c. Oral
d. Sensorimotor

A

c. Oral

46
Q

which is the most common infectious organism to cause acute gastrointeritis in an infant or child

a. Viral
b. Bacteria
c. Protozoa
d. Parasitic worms

A

a. Viral

47
Q

Which method of oxygenation is recommended for a 9 month infant with severe bronchiolitis requires 3l of oxygen?

a. Nasal prongs
d. Hudson mask
c. Non-rebreather bag
d. Headbox

A

a. Nasal prongs

48
Q

Which of the following best describes the phase of the second stage of labour?

a. Latent phase: Feels sleep, duration is 30-45 minutes
b. Active phase: Overwhelming strong contractions
c. Descent phase: Significant increase in contractions
d. Transitional phase: Woman ‘labouring down’. duration is 15 minutes

A

c. Descent phase: Significant increase in contractions

49
Q

You are caring for a family who’s 3 year old is in hospital. The parents are concerned because he “doesn’t talk too much.” Which other developmental area maybe affecting his speech?

a. Auditory
b. Social/ Emotional
c. Visual
d. Cognitive

A

a. Auditory

50
Q

You are to assess and admit a 12 month old who is suspected to gave severe bronchiolitis when you auscultated the chest what sound will you expect to hear?

a. Grunting
b. Crackles
c. Stridor
d. Wheeze

A

d. Wheeze

51
Q

Routine midwifery anttenatal care is to able to detect all of the following except?

a. Ectopic pregnancy
b. Pre eclampsia
c. Vaginal bleeding
d. Gestational Diabetes

A

a. Ectopic pregnancy

52
Q

When assessing a women in the first stage of labour, the midwife recognises that the most conclusive sign that the uterine contractions are effective would be?

a. Dilation of the cervix
b. Descent of the fetus
c. Rupture of the amniotic membranes
d. Increase in bloody show

A

a. Dilation of the cervix

53
Q

The modified Paediatric Glasgow coma scale assesses?

a. Eyes opening
b. Best verbal and non verbal response
c. Best motor response
d. Al of the above

A

d. Al of the above

54
Q

Which of the following is he most reliable observation for compartment syndrome?

a. Pallor
b. Paraesthesia
c. Paralysis
d. Pain

A

d. Pain

55
Q

Which is the most effective control measure when caring for a child with gastroenteritis?

a. Isolation
b. Hand washing
c. Gown and glove
d. All of the above

A

d. All of the above

56
Q

Which two electrolytes are most affected by gastroenteritis?

a. Sodium and calcium
b. Potassium and magnesium
c. Calcium and magnesium
d. Sodium and potassium

A

d. Sodium and potassium

57
Q

A child with a chronic condition in this century is most likely?

a. To improve over time
b. To get worse over time
c. To be hospitalised
d. To live longer

A

d. To live longer

NUR259 BUDER (9 decks)

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