Child With A Sensory Impairment Chapter 28 Test Bank Answers - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 28: Child With a Sensory Impairment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which rationale for why young children are more prone to otitis media should the nurse include in the teaching session with a parent?
1) | The eustachian tube is longer, wider, and vertical in younger children. |
2) | The eustachian tube is shorter, wider, and horizontal in younger children. |
3) | The eustachian tube is longer, more narrow, and vertical in younger children. |
4) | The eustachian tube is shorter, more narrow, and horizontal in younger children. |
____ 2. Which of the following would not be the responsibility of the nurse in regard to care of a patient with sensory impairment?
1) | Educating families about ways to prevent sensory impairments |
2) | Recommending that children be immunized |
3) | Creating a treatment plan |
4) | Educating families about early detection through screenings |
____ 3. Which medication should the nurse plan to administer to decrease the risk of eye infection for a newborn?
1) | Oral erythromycin |
2) | IV penicillin |
3) | Erythromycin eye drops |
4) | Fluoroquinolone ointment |
____ 4. Which nursing action is appropriate when teaching the family of a child diagnosed with bacterial conjunctivitis regarding medication administration?
1) | Teaching that the drug should be administered one time per day |
2) | Encouraging the child to rub the eye after administration of the drug |
3) | Asking the child to hold the eye open when the drug is administered |
4) | Telling the child to lie down for 1 to 2 minutes after the drug is administered |
____ 5. Which should the nurse include in the discharge instructions for the parents of an infant who is diagnosed with acute otitis media?
1) | Administer a decongestant. |
2) | Place the baby to sleep with a bottle. |
3) | Keep the baby in a flat position during feedings. |
4) | Administer acetaminophen (Tylenol) to relieve discomfort. |
____ 6. Which nursing action is appropriate when providing care to a child with mild hearing loss who reads lips in order to enhance adaptation during hospitalization?
1) | Engaging the child with medical toys and dolls |
2) | Speaking directly to the parents for communication |
3) | Collecting only objective data during the health history |
4) | Providing only physiological support during the acute phase |
____ 7. According to the AOA and the Vision Council of America, what is the percentage of school-aged children in the United States with a significant visual disorder in 2015?
1) | 10% |
2) | 15% |
3) | 25% |
4) | 35% |
____ 8. Which information should the nurse include in order to prevent noise-induced hearing loss (NIHL) for pediatric patients?
1) | Avoid the use of ear plugs. |
2) | Participate in annual screenings. |
3) | Stand close to amplifiers during live music. |
4) | Use a cotton-tipped applicator for wax removal. |
____ 9. Which term should the nurse use when discussing a child with no sight sensory experience with other members of the health-care team?
1) | Deaf |
2) | Blind |
3) | Hard of hearing |
4) | Visually impaired |
____ 10. At what age does an infant acquire the level of visual acuity needed to recognize a face?
1) | 1 month |
2) | 2 months |
3) | 3 months |
4) | 4 months |
____ 11. Which should the nurse include in the plan of care for a pediatric client diagnosed with otitis media with effusion?
1) | Assessing for visual acuity |
2) | Assessing for speech delays |
3) | Administering prescribed aspirin for pain relief |
4) | Administering prescribed IV antibiotics |
____ 12. Abnormal alignment of the eyes that interferes with binocular vision is known as what visual impairment?
1) | Amblyopia |
2) | Nystagmus |
3) | Strabismus |
4) | Esotropia |
____ 13. The mother of a toddler with a congenital visual impairment asked the nurse what caused the visual impairment. How should the nurse respond?
1) | “Have you ever shaken your baby?” |
2) | “It is likely due to some kind of trauma to the eye.” |
3) | “Your child probably has some kind of disease that caused this.” |
4) | “The impairment may be genetic.” |
____ 14. The nurse is explaining the 20-20-20 rule for screen time. Which of the following is the correct explanation?
1) | Every 20 minutes you should take a 20-minute break from screen time and focus on something 20 feet away. |
2) | Every 20 minutes you should take a 20-second break and focus on something 20 feet away. |
3) | Every 20 minutes you should take a 20-minute break from screen time and blink 20 times. |
4) | Every 20 minutes you should take a 20-second break from screen time and blink 20 times. |
____ 15. Which vitamin deficiency is the leading cause of preventable blindness?
1) | Vitamin A |
2) | Vitamin B |
3) | Vitamin D |
4) | Vitamin K |
____ 16. A child with a refractive error in which the light rays fall in front of the retina would have what issue?
1) | Inability to see colors |
2) | Inability to see close up |
3) | Inability to see far away |
4) | Inability to see in his or her periphery |
____ 17. What visual testing is used for preschool-aged children?
1) | Unilateral cover test |
2) | Corneal light reflex test |
3) | LEA symbol chart |
4) | Snellen’s test |
____ 18. Which of the following accurately describes how to conduct the Snellen's test?
1) | The child is assessed for his or her ability to follow an object when one eye is covered. |
2) | The child covers one eye, stands back 20 feet, and vocally names the letters, shapes, or figures to the testing personnel. |
3) | The child stands at a distance of 10 feet and matches common symbols on a response card. |
4) | The child’s light reflex is examined for symmetry and to make sure that the light shines in the same spot on both of the child’s eyes. |
____ 19. Leukocoria is a sign associated with what visual disorder?
1) | Conjunctivitis |
2) | Myopia |
3) | Retinoblastoma |
4) | Hyperopia |
____ 20. At what age of gestation does the sense of hearing begin?
1) | 12 weeks |
2) | 16 weeks |
3) | 18 weeks |
4) | 20 weeks |
____ 21. The parents of a child with a newly diagnosed sensory impairment will likely experience what feelings?
1) | Relief and anxiety |
2) | Fear and anxiety |
3) | Relief and anger |
4) | Anger and frustration |
____ 22. What is the correct sequence of the process of hearing in the human ear?
1) | Sound vibrations – sound waves – fluid vibrations – electrical signal |
2) | Electrical signal – sound vibrations – fluid vibrations – sound waves |
3) | Electrical signal – fluid vibrations – sound vibrations – sound waves |
4) | Sound waves – sound vibrations – fluid vibrations – electrical signal |
____ 23. A child is experiencing ringing and buzzing sounds in his/her ears. This sensation can be caused by all of the following except ________.
1) | Antibiotics |
2) | Prolonged loud music exposure |
3) | Nausea |
4) | Severe anemia |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 24. Which parental statements indicate correct understanding of the care that is needed for a pediatric patient after the insertion of tympanostomy tubes? (Select all that apply.)
1) | “I should restrict my child to quiet activities after surgery.” |
2) | “It is important for my child to drink plenty of fluids after the procedure.” |
3) | “I will remind my child to use ear plugs prior to showering and swimming.” |
4) | “It is important to limit my child’s diet after surgery and allow only soft, bland foods.” |
5) | “I should plan to administer a decongestant to my child for 1 to 2 weeks following surgery.” |
____ 25. Which topics should the nurse include in a teaching session for the parents of a 10-month-old infant who experiences frequent ear infections? (Select all that apply.)
1) | Continuing to breastfeed |
2) | Avoiding use of woodburning stoves |
3) | Prohibiting tobacco smoke in the home |
4) | Cleaning the child’s ears nightly with peroxide |
5) | Avoiding use of a pacifier while the child is sleeping |
Chapter 28: Child With a Sensory Impairment
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer