Question 1
See full question
25m 18s
What information should be included in the teaching plan for a child with varicella?
You Selected:

Remind the child not to scratch the lesions.
Correct response:

Remind the child not to scratch the lesions.
Explanation:
Varicella lesions appear first on the scalp. They spead to the face, the trunk and then to
the extremities. There may be various stage of the lesions present at any one time. The
lesions are intensely pruritic. The teaching plan for varicella should include that the child
not scratch the lesions. Opening the lesions gives access for secondary infection to
occur and causes acarring. Acetaminophen should be administered for fever, not
aspirin, due to the link with Reye syndrome. The best treatment for skin discomfort is a
cool bath with soothing colloidal oatmeal every 3 to 4 hours for the first few days. Warm
baths cause more itching and dry the skin.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1208
Add a Note
Question 2
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19s
A nurse is instructing the parents of a child who is suspected of having pinworms how to
check the child. Which of the following instructions would be most appropriate?
You Selected:

Inspect the child's anus with a flashlight 2 to 3 hours after he is asleep.
Correct response:

Inspect the child's anus with a flashlight 2 to 3 hours after he is asleep.
Explanation:
Diagnosis is confirmed by direct visualization of worms by the parents or by microscopy.
Tell parents to view the child's anus with a flashlight 2 to 3 hours after the child is
asleep. The worm is white, thin, and about 1/2 inch long, and it moves. Pinworms are
not identified as black dots on bed linens. Specimens are best obtained as the child
awakens before toileting or bathing. Checking the washcloth would be of no benefit.
Pinworms do not change the appearance of the stool.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1225.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1225
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Question 3
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32s
The immune system works to destroy pathogens by helping the body get rid of or resist
the invasion of foreign materials The blood cells that surround, ingest and neutralize the
pathogens are which of the following?
You Selected:

Erythrocytes
Correct response:

Macrophages
Explanation:
When a pathogen enters the body, the immune system works to destroy the pathogen.
This occurs when white blood cells known as macrophages surround, ingest, or
neutralize the pathogen.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1201.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1201
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Question 4
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12s
The nurse caring for children with fungal infections most often administers which of the
following medications?
You Selected:

Griseofulvin
Correct response:

Griseofulvin
Explanation:
Griseofulvin, an oral antifungal, is the medication of choice for fungal infections. In some
infections the treatment may be prolonged (3 months or more), and compliance must be
reinforced.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1226.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1226
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Question 5
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15s
Infectious mononucleosis (“mono”) is caused by which of the following?
You Selected:

Epstein-Barr virus
Correct response:

Epstein-Barr virus
Explanation:
Infectious mononucleosis (“mono”) is caused by the Epstein-Barr virus, one of the
herpes virus groups. The organism is transmitted through saliva.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1215.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1215
Add a Note
Question 6
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13s
The nurse is doing an in-service training on clinical manifestations seen in
communicable diseases. Which skin condition best describes erythema?
You Selected:

Redness of the skin produced by congestion of the capillaries
Correct response:

Redness of the skin produced by congestion of the capillaries
Explanation:
Erythema is redness of the skin produced by congestion of the capillaries.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1200.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1200
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Question 7
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19s
A child is brought to the emergency department by his parents. The parents report that
he stepped on a rusty nail about a week and a half ago. The child is complaining of
cramping in his jaw and some difficulty swallowing. The nurse suspects tetanus. When
assessing the child, the nurse would be alert to which muscle groups being affected
next?
You Selected:

Neck
Correct response:

Neck
Explanation:
Tetanus progresses in a descending fashion to other muscle groups, causing spasms of
the neck, arms, legs, and stomach.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1222.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1222
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Question 8
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13s
A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record,
expecting which medication to be prescribed for this child?
You Selected:

Penicillin V
Correct response:

Penicillin V
Explanation:
Penicillin V is the antibiotic of choice for the treatment of scarlet fever. Ibuprofen is used
to treat fever. Acyclovir is used to treat viral infections. Doxycycline, a tetracycline, is the
drug of choice for treating Rocky Mountain spotted fever.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1216.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1216
Add a Note
Question 9
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15s
After teaching the parents of a child with varicella zoster, the nurse determines that the
parents have understood the teaching when they state that their child can return to
school at which time?
You Selected:

After the lesions have crusted
Correct response:

After the lesions have crusted
Explanation:
Children with chickenpox (varicella zoster) can return to school once the lesions have
crusted.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1206.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1206
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Question 10
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14s
Parents of a child who has been diagnosed with tinea capitis ask how the child got the
infection. Which of the following would the nurse explain as the most likely cause?
You Selected:

Using a friend's comb
Correct response:

Using a friend's comb
Explanation:
Tinea capitis or head lice is commonly transmitted when children share personal items
such as combs, brushes, or other personal objects. Lyme disease and Rocky Mountain
Spotted Fever are transmitted by a tick bite. Tetanus is transmitted through a puncture
wound with a contaminated object. Helminthic infections are often transmitted by not
properly washing hands.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1226.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1226
Add a Note
Question 11
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15s
A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse
finds a swollen parotid gland. The nurse suspects which infectious disease?
You Selected:

Mumps
Correct response:

Mumps
Explanation:
Mumps is an infectious disease with a primary symptom of a swollen parotid gland. It is
a contagious disease spread by droplets. The child is contagious 1 to 7 days prior to the
onset of the swelling and 4 to 9 days after the onset of the swelling. Pertussis is a
respiratory disorder which causes severe paroxysmal coughing which produces a
whooping sound. Measles is recognized by Koplick spots in the mouth and the classic
maculopapular rash that starts on the head and spreads downward. Scabies is a skin
condition where lice lay eggs under the skin. The rash is very puritic and is seen on the
hands, feet, and folds of the skin.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1214.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1214
Add a Note
Question 12
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10s
A nursing instructor is teaching the students about the standard and transmission-based
precautions. What type of precautions require placing a client in an isolated room with
limited access, wearing gloves during contact with the client and all body fluids or
contaminated items, wearing two layers of protective clothing, and avoiding sharing
equipment between clients?
You Selected:

Contact precautions
Correct response:

Contact precautions
Explanation:
Contact precautions means placing the client in an isolation room with limited access,
wearing gloves during contact with the client and all body fluids, wearing two layers of
protective clothing, limiting movement of the client from the room, and avoiding sharing
equipment between clients. Standard precautions are used with every client. They
involve good handwashing and the use of gloves for client contact. Airborne
precautions are used for diseases where small particles are dispersed in the air. They
require the client in a negative pressure room and, in addition to standard personal
protective equipment, the mask should be N95 or higher. Varicella would need airborne
precautions. Droplet precautions are used for diseases such as pertusis which produce
large droplets. They require standard precautions plus a surgical mask, preferably with
a face shield.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1204.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1204
Add a Note
Question 13
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23s
A nursing student learning about childhood infectious diseases correctly identifies which
of the following as the disease related to chickenpox, which tends to occur in older
children or young adults?
You Selected:

Measles
Correct response:

Herpes zoster
Explanation:
Herpes zoster is caused by varicella-zoster virus, the same virus that causes
chickenpox.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1208
Add a Note
Question 14
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12s
A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the
extremities. The parent informs the nurse that the rash started a day before on the
exterior surfaces of the extremities; 2 days before, the child had a really bad rash on the
face. The health care provider diagnoses the child with erythema infectiosum. The nurse
tells the parent that this is also known as:
You Selected:

fifth disease.
Correct response:

fifth disease.
Explanation:
Erythema infectiosum is also known as "fifth disease." It starts with a fever, headache,
and malaise. One week later, a rash appears on the face. A day later, the rash appears
on the extensor surfaces of the extremities. One more day later, the rash appears on
the trunk and flexor surfaces of the extremities. Pityriasis rosea is a skin rash that
begins with a large spot on the chest, abdomen or back that is followed by paatern of
small lesions. It is self limiting and can be treated with steroid creams. Roseacea is a
chronic inflmmatory skin condition that causes redness to the face. An enterovirus
infection can many times cause the same symptoms as the common cold or it can
include the respiratory system. It is contagious.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1209-1210.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1209-1210
Add a Note
Question 15
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26s
A high school football player comes to the clinic with malaise, fever, headache, and
anorexia that have been present for the last few days. Upon physical examination, the
nurse notes that the cervical lymph nodes are firm and tender. Tonsils are red and
enlarged and appear to have a white covering. What should the nurse suspect the
diagnosis to be for this patient?
You Selected:

Mononucleosis
Correct response:

Mononucleosis
Explanation:
Infectious mononucleosis occurs most commonly in adolescents and young adults.
Beginning symptoms include chills, fever, headache, anorexia, and malaise. Children
develop enlarged lymph nodes and a severe sore throat. The cervical lymph nodes feel
tender and firm. The tonsils feel painful and are enlarged and erythematous. A thick,
white membrane may cover the tonsils; often, petechiae appear on the palate. The
spleen may enlarge, which places the child at risk for spontaneous rupture.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1215.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1215
Add a Note
Question 16
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18s
A 3-year-old girl was in the hospital for a week following open heart surgery. By the end
of the week, she had contracted an infection. The nurse recognizes this type of infection
as a:
You Selected:

health care–associated infection (HAI).
Correct response:

health care–associated infection (HAI).
Explanation:
Health care–associated infections (HAI) or nosocomial infections which are contracted
while in a hospital or other health care setting. Children younger than 2 years, children
with a nutritional deficit, those who are immunosuppressed, those who have indwelling
vascular lines or catheters, are receiving multiple antibiotic therapy, or who remain in
the hospital for longer than 72 hours are at highest risk for contracting such an infection.
The infection could be viral, bacterial, or fungal, but not enough information is provided
in the scenario to determine this.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1202.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1202
Add a Note
Question 17
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12s
The parents state they are afraid to have their child vaccinated and ask the nurse for
more information. Which response by the nurse is most appropriate?
You Selected:

“Vaccinations are very effective at preventing serious disease and infection.”
Correct response:

“Vaccinations are very effective at preventing serious disease and infection.”
Explanation:
Nurses should provide education about the effectiveness of vaccines to prevent serious
diseases at every visit. Although state-required vaccinations are needed for the child to
attend school (some states allow medical, religious, and philosophical exemptions), this
statement does not address the parents' concern. The child may not acquire the
disease because others are vaccinated, but this statement could give the parents a
false sense of security. Although most vaccinations do not have serious side effects, the
nurse cannot ensure the child will not have a serious reaction to the vaccine.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1202.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1202
Add a Note
Question 18
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13s
The nurse is caring for a child whose family recently immigrated from a developing
country. While completing the admission history, the parents report all the child’s
immunizations are up to date. Which nursing action is most appropriate?
You Selected:

Ask parents which immunizations have been given.
Correct response:

Ask parents which immunizations have been given.
Explanation:
When caring for a child recently immigrated from a developing country, the nurse should
be aware that WHO recommended vaccinations and U.S. recommended vaccinations
may be different. The most appropriate action is for the nurse to determine which
vaccinations have been given to decide if additional immunizations may be needed.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1202.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1202
Add a Note
Question 19
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11s
Which child will the nurse identify as being at greatest risk for developing a hospitalacquired infection (HAI)?
You Selected:

an 18-month-old child receiving chemotherapy over 5 days
Correct response:

an 18-month-old child receiving chemotherapy over 5 days
Explanation:
The children at highest risk for contracting a healthcare-associated infection include
children younger than 2 years of age, children with a nutritional deficit, those who are
immunosuppressed, those who have indwelling vascular lines or catheters, are
receiving multiple antibiotic therapy, or who remain in the hospital for longer than 72
hours. To determine the child a greatest risk, count risk factors and determine which
child has the most risk factors.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1202.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1202
Add a Note
Question 20
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17s
While assessing a child brought to the hospital with fever and headache, the nurse
notes trismus and swelling above the child’s jawline. Which collaborative interventions
will the nurse begin? Select all that apply.
You Selected:




Begin contact precautions.
Dim any unnecessary lights.
Don a surgical mask.
Ask if vaccinations are current.
Correct response:



Don a surgical mask.
Administer ibuprofen.
Ask if vaccinations are current.
Explanation:
The child is experiencing signs of mumps, which requires droplet and standard
precautions (mask). Mumps is not spread via contact. NSAIDs should be given for fever
and pain. Asking if vaccinations are current can provide useful health information.
Photophobia is a common symptoms of measles, in which case the nurse would dim the
light; however, photophobia is not a symptom of mumps.
Question 1
See full question
2m 4s
Which of the following is the drug of choice for multidrug-resistant strains of infection?
You Selected:

Vancomycin
Correct response:

Vancomycin
Explanation:
Vancomycin is the drug of choice for serious infections involving multiple drug-resistant
strains. Sensitive strains respond to most antibiotics including erythromycin and
clindamycin. Most community-acquired MRSA infections can be treated on an outpatient
basis with trimethoprim-sulfoxazole or clindamycin.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1220.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1220
Add a Note
Question 2
See full question
13s
The nurse is caring for an adolescent diagnosed with genital herpes. The drug of choice
for treating genital herpes is:
You Selected:

Acyclovir
Correct response:

Acyclovir
Explanation:
The drug acyclovir is useful in relieving or suppressing the symptoms of genital herpes.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1211.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1211
Add a Note
Question 3
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11s
The nurse is performing a physical examination of an 8-year-old girl who was bitten by
her kitten. Which assessment would lead the nurse to suspect cat-scratch disease?
You Selected:

Swollen lymph nodes
Correct response:

Swollen lymph nodes
Explanation:
Lymph nodes, especially under the arms, can become painful and swollen due to catscratch disease. Strawberry tongue is typical of scarlet fever. Infected tonsils and an
edematous neck are symptoms of diphtheria.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1218.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1218
Add a Note
Question 4
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14s
A mother brings her 8-year-old son for evaluation because of a rash on his lower leg.
Which finding would support the suspicion that the child has Lyme disease?
You Selected:

Playing in the woods about a week ago
Correct response:

Playing in the woods about a week ago
Explanation:
Lyme disease is caused by the bite of an infected tick, with a rash appearing 7 to 14
days after the tick bite. Ticks are commonly found in wooded areas. Therefore, reports
of the child playing in the woods about 7 days ago would support the diagnosis of Lyme
disease. A papular and vesicular rash is commonly associated with varicella
(chickenpox). A high fever for 3 to 5 days before a rash suggests roseola. Extreme
pruritus with visible nits would suggest pediculosis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1222-1223.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1222-1223
Add a Note
Question 5
See full question
1m 4s
A school-aged child with an infectious disease is placed on transmission-based
precautions. Which nursing diagnosis would be the priority?
You Selected:

Social isolation related to infectivity and inability to go to the playroom
Correct response:

Social isolation related to infectivity and inability to go to the playroom
Explanation:
Children who are placed on transmission-based precautions are not allowed to leave
their rooms and are not allowed to go to common areas such as the playroom or
schoolroom. Thus, they are at risk for social isolation. Impaired skin integrity, fluid
volume deficit, and deficient knowledge may be appropriate but would depend on the
infectious disease diagnosed.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1198.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1198
Add a Note
Question 6
See full question
10s
A nurse practitioner suspects that a child has scarlet fever based on which assessment
finding?
You Selected:

Red, strawberry tongue
Correct response:

Red, strawberry tongue
Explanation:
The characteristic assessment finding that distinguishes scarlet fever from other
disorders is the appearance of the red, strawberry tongue. Sore throat, an
enanthematous and exanthematous rash, and white exudate on the tonsils are also
seen with scarlet fever, but it is the strawberry tongue that helps to confirm the
diagnosis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1216.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1216
Add a Note
Question 7
See full question
12s
A nurse is preparing a presentation for parents about common childhood infectious
diseases. What conditions would the nurse include as being caused by a tick bite?
Select all that apply.
You Selected:


Lyme disease
Rocky Mountain spotted fever
Correct response:


Lyme disease
Rocky Mountain spotted fever
Explanation:
Infectious diseases caused by tick bites include Lyme disease and Rocky Mountain
spotted fever. Psittacosis is transmitted to children by birds. Ascariasis is a roundworm
infection. Scabies is a parasitic infection caused by a female mite.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1227.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1227
Add a Note
Question 8
See full question
22s
A child is diagnosed with giardiasis. The physician prescribes medication to treat the
infection. Which of the following would the nurse anticipate being prescribed?
You Selected:

Griseofulvin
Correct response:

Metronidazole
Explanation:
Treatment of giardiasis is with metronidazole for 7 days. Griseofulvin is used to treat
tinea capitis. Mebendazole is used to treat pinworms. Clotrimazole is used to treat tinea
curis and tinea corporis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1225.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1225
Add a Note
Question 9
See full question
1m 22s
Which child will the nurse identify as at greatest risk for developing a urinary tract
infection?
You Selected:

a 2-year-old male with otitis media
Correct response:

an 8-month-old bottle-fed female with HIV
Explanation:
Factors that make an individual more prone to a urinary tract infection include young
age, female gender, and immunosuppression. Infants who are formula-fed are at
greater risk than infants who are breastfed. To determine the child at greatest risk, the
nurse should count risk factors and determine which child has the most risk factors.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family When a Child Has an Infectious Disorder,
p. 1201.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1201
Add a Note
Question 10
See full question
11s
When providing care for a child with herpes zoster (shingles), the parents ask the nurse
how the child contracted this infectious disorder. Which response by the nurse
is most appropriate?
You Selected:

“Herpes zoster is a reactivation of a previous varicella zoster infection.”
Correct response:

“Herpes zoster is a reactivation of a previous varicella zoster infection.”
Explanation:
Herpes zoster (shingles) is reactivation of the latent varicella zoster (chicken pox)
infection that occurs during times of immunosuppression and aging. Although it is
possible to contract the varicella zoster virus from a person with herpes zoster or
varicella zoster, a child diagnosed with herpes zoster has already been exposed to
varicella zoster. Handwashing will not directly prevent herpes zoster.
Reference:
Question 1
See full question
11s
The most common complication of varicella is:
You Selected:

pneumonia.
Correct response:

secondary bacterial infections.
Explanation:
Varicella starts with lesions that appear first on the scalp, face, trunk and then
extremities. The lesions begin as macules then develop into papules and finally clear
fuild filled vesicles. These lesions are intensely pruritic. The most common complication
of varicella is secondary bacterial infection caused by the child scratching the lesions.
Other complications include pneumonia, scarring, and encephalitis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1208
Add a Note
Question 2
See full question
11s
A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the
parents to be alert for signs and symptoms of:
You Selected:

scarlet fever.
Correct response:

scarlet fever.
Explanation:
Group A streptococcal pharyngitis can progress to scarlet fever with the rash appearing
in about 12 hours after the onset of the disease. Group A streptococcal pharyngitis is
not associated with pneumonia. Impetigo is a group A strep infection involving the skin.
Osteomyelitis can occur with an infection by group B streptococcus.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1216.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1216
Add a Note
Question 3
See full question
28s
A nursing instructor has presented a class on the stages of an infectious disease to a
group of students and asks the students to place the stages in their proper sequence
from beginning to end. Place the stages in their proper sequence.
You Selected:




Incubation
Prodrome
Illness
Convalescence
Correct response:




Incubation
Prodrome
Illness
Convalescence
Explanation:
An infectious disease begins with incubation, then progresses to the prodrome stage,
then to illness, and finally to convalescence.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1199.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1199
Add a Note
Question 4
See full question
11s
After teaching a class on the role of white blood cells in infection, the instructor
determines that the teaching was successful when the class identifies which type of
white blood cells as important in combating bacterial infections?
You Selected:

Neutrophils
Correct response:

Neutrophils
Explanation:
Elevations in certain portions of the white blood cell count reflect different processes
occurring in the body. Neutrophils function to combat bacterial infection. Eosinophils
function in allergic disorders and parasitic infections. Basophils combat parasitic
infections and some allergic disorders. Lymphocytes function in viral infections.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1201.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1201
Add a Note
Question 5
See full question
19s
When reviewing infectious diseases in the pediatric population, nursing students identify
which disease as a common childhood exanthema?
You Selected:

Rubella
Correct response:

Rubella
Explanation:
Rubella is a common childhood exanthema. Mumps is a viral infection. Rabies is a
zoonotic infection. West Nile virus is a vector-borne disease.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1207.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1207
Add a Note
Question 6
See full question
19s
The nurse is caring for a child newly diagnosed with diphtheria. Which nursing
interventions would the nurse include in the child's plan of care? Select all that apply.
You Selected:




Monitoring for airway obstruction
Administering antitoxin intravenously
Ensuring complete bedrest
Adhering to droplet precautions
Correct response:




Administering antitoxin intravenously
Monitoring for airway obstruction
Adhering to droplet precautions
Ensuring complete bedrest
Explanation:
Treatment of diphtheria involves intravenous administration of antitoxin in large doses.
In addition, children are given penicillin or erythromycin intravenously. Complete bedrest
is crucial during the acute stage of the illness. Droplet precautions must be followed
until cultures are negative. Children need careful observation at all times to prevent
airway obstruction. If obstruction occurs, endotracheal intubation may be necessary.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1220.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1220
Add a Note
Question 7
See full question
19s
Parents bring their 9-year-old child to the clinic for a well-child visit. They are concerned
because several children in the neighborhood have developed Lyme disease and ask
for suggestions on what to do to reduce their child's risk. What would be appropriate for
the nurse to suggest? Select all that apply.
You Selected:



Wearing protective clothing when playing in wooded areas.
Inspecting the skin closely for ticks after the child plays in wooded areas.
Contacting the health care provider if there is any area of inflammation that
might be a bite.
Correct response:


Wearing protective clothing when playing in wooded areas.
Inspecting the skin closely for ticks after the child plays in wooded areas.

Contacting the health care provider if there is any area of inflammation that
might be a bite.
Explanation:
The nurse should teach the parents to have the child wear protective clothing and dress
the child in light clothing when playing in wooded areas or going outdoors. The parents
should inspect the child's skin closely for ticks after being outside in wooded areas and
if any ticks are found, remove them with a tweezer, not rub them with a credit card. The
parents also should be instructed to contact their health care provider if they notice any
area of inflammation that might be a tick bite.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1223.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1223
Add a Note
Question 8
See full question
14s
A teenage patient active on the high school football team comes to the clinic with a cut
on his leg that looks infected. The culture report returns information that leads to a
diagnosis of MRSA. What should the nurse use as preventive measures in this case?
You Selected:



Gloves
Handwashing
Contact precautions
Correct response:



Handwashing
Contact precautions
Gloves
Explanation:
Because MRSA is spread through the skin, contact precautions, gloves, and strict
handwashing are recommended to prevent the spread to others.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1220.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1220
Add a Note
Question 9
See full question
13s
A 13-year-old boy who recently immigrated to the United States from India is found to
be infected by a strain of the poliovirus. After initial symptoms of fever, headache,
nausea, vomiting and abdominal pain subside, the virus proceeds to his central nervous
system. Which of the following would be the best intervention for this client at this point?
You Selected:

Bed rest, analgesia, and application of moist hot packs
Correct response:

Bed rest, analgesia, and application of moist hot packs
Explanation:
Treatment for poliomyelitis is bed rest with analgesia and moist hot packs to relieve
pain. Vaccination would be too late, at this point, as the infection has already occurred.
Antibiotics would be ineffective as this is a viral, not a bacterial, infection. Salicylic acid
solution is used to treat warts.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1211.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1211
Add a Note
Question 10
See full question
11s
The nurse is assessing a child brought to the emergency department for cough, nasal
discharge, and fever. During the assessment, the nurse notes raised papules with an
erythematous base on the buccal mucosa and a temperature of 102.5ºF (39°C). What
will the nurse do next?
You Selected:

“Place the child in a negative pressure room.”
Correct response:

“Place the child in a negative pressure room.”
Explanation:
Coughing, coryza, fever, and Koplik spots are signs of measles (rubeola). If measles is
suspected, the nurse's first action is to prevent the spread of this airborne virus to others
by placing the child in a negative pressure room. Next, the nurse will administer
acetaminophen, close curtains, and educate the parents about comfort measures for
measles and associated rash.
Reference:
Question 1
See full question
1m 43s
What is a true statement regarding varicella zoster virus infection?
You Selected:

Secondary bacterial infections of the skin can occur.
Correct response:

Secondary bacterial infections of the skin can occur.
Explanation:
Varicella zoster virus infection carries with it the complication of a secondary bacterial
infection of the skin. The lesions are intensely puritic making the child want to scratch
the lesions opening them to a variety of organisms to invade. The incubation period is
10 to 21 days. It is transmitted by direct contact with the vesicles and by airborne route.
It tends to be more severe in adolescents and adults.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1202-1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1202-1208
Add a Note
Question 2
See full question
15s
A nurse is promoting vaccine administration. When instructing on the physiological
changes, which statement best explains what occurs in the child when vaccines are
administered?
You Selected:

The child develops an active immunity.
Correct response:

The child develops an active immunity.
Explanation:
When a vaccine is given, active immunity occurs which then stimulates the development
of antibodies to destroy infective agents without causing the disease.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1202.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1202
Add a Note
Question 3
See full question
14s
The nurse is caring for a child hospitalized with pertussis. Which nursing intervention
would be the highest priority for this child?
You Selected:

The nurse will administer oxygen.
Correct response:

The nurse will administer oxygen.
Explanation:
The major complication of pertussis (whooping cough) is pneumonia and respiratory
complications. Oxygen, bed rest, and monitoring for airway obstruction are nursing
interventions. The highest priority is administering oxygen to maintain adequate
oxygenation of cells.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1221.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1221
Add a Note
Question 4
See full question
14s
The nurse is caring for a child diagnosed with Hepatitis B. Which system is most likely
to have complications from this diagnosis?
You Selected:

Gastrointestinal
Correct response:

Gastrointestinal
Explanation:
Complications of Hepatitis B can be fatal; in particular, issues related to the liver and
chronic conditions are concerns.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1210.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1210
Add a Note
Question 5
See full question
6m 46s
When the nurse is instructing on disease transmission, which is noted as the smallest
infectious agent known?
You Selected:

Virus
Correct response:

Virus
Explanation:
Viruses are the smallest infectious agents known, so small they cannot be seen through
an ordinary microscope.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1203.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1203
Add a Note
Question 6
See full question
12s
A young client in the clinic has a rash, cough, and fever that the parent says spiked on
day 5 of the rash. The client also had conjunctivitis. What illness would the nurse expect
the health care provider to diagnose?
You Selected:

Measles
Correct response:

Measles
Explanation:
Measles are diagnosed based on the symptoms. Measles is a vrial illness. The
prodromal period includes 2 to 4 days of rising fevers, cough, coryza, and conjunctivitis.
Following this, Koplick spots develop followed by an erythematous maculopaular rash.
The rash starts on the head and spreads downward and outward. Rubella, also viral,
begins with the rash starting first and the child will have a low grade fever. Scarlet fever
is a bacterial illness generally occurring after a strep throat. It is accompanied by high
fevers and a generalized rash over entire body. Varicella is also caused by a virus but
the rash differs in that it is fluid filled vesicles.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1206.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1206
Add a Note
Question 7
See full question
12s
A nursing instructor is teaching students about childhood infectious diseases. Which of
the following would the instructor identify as the cause of warts in children?
You Selected:

Papilloma virus
Correct response:

Papilloma virus
Explanation:
Warts, one of the most common dermatologic diseases in children, are caused by the
papillomavirus.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1211-1212.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1211-1212
Add a Note
Question 8
See full question
11s
A 7-year-old child with an earache comes to the clinic. The child's parent reports that 1
day ago the child had a fever and headache and did not want to play. When the nurse
asks where it hurts, the child points to the jawline in front of the earlobe. What does the
nurse expect the diagnosis will be for this child?
You Selected:

Mumps
Correct response:

Mumps
Explanation:
Mumps begin with a fever, headache, anorexia, and malaise. Within 24 hours an
earache occurs. When pointing to the site of pain, however, the child points to the
jawline just in front of the earlobe. Mumps is contagious 1 to 7 days prior to the onset of
symptoms and 4 to 9 days after the parotid swelling begins. Fifth disease is also known
as the slapping disease as the rash on the cheeks look like someone slapped the child's
face. Measles does not involve parotid swelling or earaches. Mononucleosis does
involve swollen lymph nodes but they are in the neck and the axillary area.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1214.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1214
Add a Note
Question 9
See full question
17s
A 6-month-old boy is brought to the doctor's office with a high fever. The physician
diagnoses the child as having a viral infection of some kind and recommends
acetaminophen to reduce the fever. After 3 days, the mother returns with the child. The
fever is gone, but a rash of discrete, rose-pink macules approximately 2 to 3 mm and
flat with the skin surface appears. Which condition should the nurse suspect?
You Selected:

Roseola
Correct response:

Roseola
Explanation:
Roseola begins with a high fever; after 3 or 4 days, the fever falls abruptly and a
distinctive rash of discrete, rose-pink macules approximately 2 to 3 mm in size and flat
with the skin surface appears. With rubella, after the 1 to 5 days of prodromal signs, a
discrete pink-red maculopapular rash begins on the face, then spreads downward to the
trunk and extremities. On the third day, the rash disappears. Measles feature Koplik
spots (small, irregular, bright-red spots with a blue-white center point), which appear on
the buccal membrane. Chickenpox is marked by a low-grade fever, malaise, and, in 24
hours, the appearance of a distinctive rash. Varicella lesions first begin as a macula,
then progress rapidly within 6 to 8 hours to a papule, then a vesicle that becomes
umbilicated and then forms a crust.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1205.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1205
Add a Note
Question 10
See full question
1m 7s
The nurse is caring for multiple clients on the pediatric unit. Which child will the nurse
see first?
You Selected:

a child diagnosed with chicken pox reporting nausea and malaise
Correct response:

a child with erythema infectiosum experiencing fatigue and confusion
Explanation:
A child with erythema infectiosum experiencing fatigue and confusion is showing signs
of decreased oxygenation, possibly related to aplasia of erythrocytes caused by the
virus. A child with signs and symptoms of decreased oxygenation should be seen first.
Nausea and malaise are symptoms of chicken pox. A child with herpes simplex will most
likely report pain an pruritis. Signs and symptoms of measles include photophobia and
coryza.
Question 1
See full question
42s
A child diagnosed with AIDS comes to the clinic for routine immunizations. In giving
immunizations to the child who has AIDS, the nurse can safely administer the injectable
vaccine given for which disease?
You Selected:

Chickenpox
Correct response:

Poliomyelitis
Explanation:
Live vaccines can not be given to the child with AIDS because of the child's
compromised immune system. Inactivated oral poliovirus vaccine (IPV) is not a live
vaccine and therefore could be given.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1208
Add a Note
Question 2
See full question
12s
After teaching nursing students about childhood exanthems, the instructor determines
that the teaching was successful when the students identify what as the primary cause?
You Selected:

Viruses
Correct response:

Viruses
Explanation:
Most childhood exanthems are caused by viruses.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1203.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1203
Add a Note
Question 3
See full question
30s
A child is diagnosed with giardiasis. The physician prescribes medication to treat the
infection. Which of the following would the nurse anticipate being prescribed?
You Selected:

Griseofulvin
Correct response:

Metronidazole
Explanation:
Treatment of giardiasis is with metronidazole for 7 days. Griseofulvin is used to treat
tinea capitis. Mebendazole is used to treat pinworms. Clotrimazole is used to treat tinea
curis and tinea corporis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1225.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1225
Add a Note
Question 4
See full question
11s
Parents of a child who has been diagnosed with tinea capitis ask how the child got the
infection. Which of the following would the nurse explain as the most likely cause?
You Selected:

Using a friend's comb
Correct response:

Using a friend's comb
Explanation:
Tinea capitis or head lice is commonly transmitted when children share personal items
such as combs, brushes, or other personal objects. Lyme disease and Rocky Mountain
Spotted Fever are transmitted by a tick bite. Tetanus is transmitted through a puncture
wound with a contaminated object. Helminthic infections are often transmitted by not
properly washing hands.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1226.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1226
Add a Note
Question 5
See full question
14s
A nursing instructor is teaching students about the chain of infection. What does the
instructor tell students is responsible for allowing the pathogen to enter?
You Selected:

Portal of entry
Correct response:

Portal of entry
Explanation:
The chain of infection is the process by which orgaims are spread. An infectious agent
is any organism capable of causing an infection. It can be bacteria, viruses, or
funguses. The reservoir is the place where these organisms thrive and reproduce. After
reproduction the organism must leave the reservoir. This area is the portal of exit.
Pathogens can be transmitted via either direct or indirect methods. Direct method would
be close contact with the infected person. Indirect transmission occurs with things like
droplets in the air from being sneezed or coughed. The portal of entry is the way for a
pathogen to enter the body. It can be through inhalation, ingestion, or breaks in the skin.
Any person who cannot resist the pathogen is the susceptible host.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1201.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1201
Add a Note
Question 6
See full question
12s
The nurse is caring for a child admitted to the hospital for sepsis. Which assessment
finding is the most concerning?
You Selected:

urine output of 10 ml over 3 hours
Correct response:

urine output of 10 ml over 3 hours
Explanation:
Children with sepsis will show alteration in temperature, heart rate, respiratory rate, and
white blood cell count. Septic shock with organ dysfunction is more serious as can be
manifested by decreased urine output.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family When a Child Has an Infectious Disorder,
p. 1198.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1198
Add a Note
Question 7
See full question
12s
The nurse is educating parents of a child admitted to the hospital with rubella (German
measles). Which statement by the parents indicates the further education is needed?
You Selected:

“Antibiotics are needed to help our child recover from rubella.”
Correct response:

“Antibiotics are needed to help our child recover from rubella.”
Explanation:
Rubella (German measles) is caused by the rubella virus. Children will be contagious
for 1 week before to approximately 1 week after the rash appears. Acetaminophen or
ibuprofen can be given to help with pain or fever, and the child will be on droplet
precautions (mask) while in the hospital.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1206.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1206
Add a Note
Question 8
See full question
13s
The nurse is caring for a child diagnosed with hand-foot-mouth disease. When
educating the family about this disease, which education by the nurse
is most important?
You Selected:

“Make sure your child drinks plenty of nonirritating fluid.”
Correct response:

“Make sure your child drinks plenty of nonirritating fluid.”
Explanation:
Children with hand-foot-mouth disease can experience dehydration related to the high
fever, anorexia, and painful mouth lesions. The nurse should educate the family to
provide nonirritating fluids to encourage the child to drink to avoid dehydration. Handfoot-mouth disease is associated with a high fever, and parents can provide
acetaminophen. The lesions should disappear in a few days; however, the most
important education is aimed at prevention of dehydration.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1210.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1210
Add a Note
Question 9
See full question
43s
The nurse is triaging a child diagnosed with poliomyelitis. After ensuring appropriate
precautions are in place, what will the nurse do next?
You Selected:

Begin physical therapy.
Correct response:

Auscultate the child's lungs.
Explanation:
Because poliomyelitis can cause motor paralysis of the respiratory muscles, assessing
respiratory status is priority. Once the nurse has ensured respiratory function is intact,
the nurse can place the child on bedrest, administer an antipyretic, and begin physical
therapy.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1211.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1211
Add a Note
Question 10
See full question
12s
The nurse is telephone triaging multiple pediatric calls. Which telephone call will the
nurse return first?
You Selected:

a parent who is concerned that her adolescent diagnosed with mononucleosis
has abdominal pain
Correct response:

a parent whose infant was diagnosed with hand-foot-mouth disease and is now
lethargic
Explanation:
An infant with hand-foot-mouth disease is at risk for dehydration. Lethargy is not a
typical sign/symptom of hand-foot-mouth disease; however, it is a sign of dehydration. A
child with scarlet fever would be expected to have a strawberry tongue. A child with
current cat scratch disease is unlikely to contract this again from another cat. Abdominal
pain is a common symptom of mononucleosis.
Reference:
Question 1
See full question
17s
The most common complication of varicella is:
You Selected:

pneumonia.
Correct response:

secondary bacterial infections.
Explanation:
Varicella starts with lesions that appear first on the scalp, face, trunk and then
extremities. The lesions begin as macules then develop into papules and finally clear
fuild filled vesicles. These lesions are intensely pruritic. The most common complication
of varicella is secondary bacterial infection caused by the child scratching the lesions.
Other complications include pneumonia, scarring, and encephalitis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1208
Add a Note
Question 2
See full question
14s
A child is diagnosed with an enterovirus infection. Which type of infection control
precaution would be most important for the nurse to use?
You Selected:

Contact
Correct response:

Contact
Explanation:
For the child with an enterovirus infection, contact precautions are used during the
illness. Standard precautions are followed at all times and are appropriate for any child.
Droplet precautions would be used for a child infected with pertussis. Airborne
precautions would be indicated for the child with varicella.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1210.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1210
Add a Note
Question 3
See full question
33s
A nurse is teaching parents of a child with a nursing diagnosis of pain related to pruritus
from skin lesions. Which of the following would the nurse include in the instructions?
Select all that apply.
You Selected:



"Wrap your child up snugly with blankets."
"Bathe the child in lukewarm water and baking soda."
"Keep the child's fingernails short."
Correct response:



"Keep the child's fingernails short."
"Bathe the child in lukewarm water and baking soda."
"Have the child press on the itching area instead of scratching it."
Explanation:
Measures to reduce pruritus include keeping the child's fingernails short to prevent
injury from scratching; bathing the child in lukewarm water with oatmeal or baking soda;
dressing the child in loose, light cotton clothing to prevent overheating and perspiration,
which can intensify the itching; having the child press on the itching area rather than
scratching it; and avoiding wool, which can irritate the skin and worsen the itching.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1205.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1205
Add a Note
Question 4
See full question
14s
A 5-year-old girl catches the flu from a friend at day care after the friend sneezed and
wiped mucus on a toy that the girl played then with. In this case, what is the portal of
exit in the chain of infection?
You Selected:

Upper respiratory excretion
Correct response:

Upper respiratory excretion
Explanation:
The portal of exit is the route by which an organism leaves an infected child's body to be
spread to others. Organism can be carried out of the body by upper respiratory
excretions, feces, vomitus, saliva, urine, vaginal secretions, blood, or lesion secretions.
The friend would be the reservoir, which is the container or place in which an organism
grows and reproduces. The toy would be the means of transmission. The 5-year-old girl
would be the susceptible host.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1200.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1200
Add a Note
Question 5
See full question
17s
A 15-year-old boy visits his primary care physician's office with fever, headache, and
malaise, along with complaints of pain on chewing and pain in the jawline just in front of
the ear lobe. The boy asks his mother to leave the exam room for a minute and then
tells the nurse that he is also experiencing testicular pain and swelling. The nurse
recognizes that this client most likely has which condition?
You Selected:

Mumps
Correct response:

Mumps
Explanation:
Initial symptoms of mumps include fever, headache, anorexia, and malaise. Within 24
hours, pain on chewing and an "earache" occurs. When the child points to the site of the
earache, however, he points to the jawline just in front of the ear lobe, the site of the
parotid gland. By the next day, the gland appears swollen and feels tender; the ear
becomes displaced upward and backward. Boys may also develop testicular pain and
swelling (orchitis). None of the other conditions listed matches the symptoms indicated.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1214.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1214
Add a Note
Question 6
See full question
17s
Tinea cruris (jock itch) is a protozoan infection.
You Selected:

True
Correct response:

False
Explanation:
Tinea cruris (jock itch) is a fungal infection that occurs on the inner aspects of the thighs
and scrotum.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1226.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1226
Add a Note
Question 7
See full question
15s
A 17-year-old is diagnosed with infectious mononucleosis. The nurse should discuss
which intervention with the teenager's caregiver to best assure an uncomplicated
recovery?
You Selected:

Precautions to avoid secondary infections
Correct response:

Precautions to avoid secondary infections
Explanation:
No cure exists for infectious mononucleosis; treatment is based on symptoms. An
analgesic-antipyretic, such as acetaminophen, usually is recommended for the fever
and headaches. Fluids and a soft, bland diet are encouraged to reduce throat irritation.
Because the immune system is weakened, the child must take precautions to avoid
secondary infections.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1215.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1215
Add a Note
Question 8
See full question
57s
Which interventions will the nurse include when caring for a child with an infectious
disorder? Select all that apply.
You Selected:


Provide information about disease transmission.
Ensure immunization status is current.
Correct response:




Ensure immunization status is current.
Use appropriate personal protective equipment.
Provide information about disease transmission.
Educate the child and family about infection control.
Explanation:
Nursing interventions for care of children with infectious disorders center around
preventing disease through immunization and preventing further spread by practicing
good infection control measures. Educating parents about infection control measures
and teaching them about how the particular infectious agent is spread remains critical to
preventing the spread of disease once the child leaves the hospital. Although antibiotics
are used for bacterial infections, antibiotics are not needed for other types of infections
(viral, fungal, etc.).
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family When a Child Has an Infectious Disorder,
p. 1198.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1198
Add a Note
Question 9
See full question
20s
Which collaborative interventions will the nurse implement for a child with acute herpetic
gingivostomatitis? Select all that apply.
You Selected:

Administer acetaminophen.


Give an oral dose of acyclovir.
Assess intake and output.
Correct response:





Assess intake and output.
Provide popsicles and ice.
Administer acetaminophen.
Initiate contact precautions.
Give an oral dose of acyclovir.
Explanation:
A child with acute herpetic gingivostomatitis will have painful mouth ulcers, drooling,
anorexia, and a high fever. The nurse will provide acetaminophen for fever and pain,
administer acyclovir to shorten the course of the illness, and offer popsicles and ice to
help with mouth pain. Contact precautions will be initiated to prevent spreading the
illness to others, and because the child is at risk for dehydration from a high fever and
painful mouth, the nurse will assess intake/output.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1211.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1211
Add a Note
Question 10
See full question
45s
The nurse is caring for a child who weighs 44 lb (20 kg). The health care provider has
prescribed amoxicillin 50 mg/kg/day in equally divided doses every 6 hours. How many
milligrams will the nurse administer for the 0600 dose? Record your answer using a
whole number.
Your Response:

3500
Correct response:

250
Explanation:
To determine the needed mg, use the child’s weight in kilograms. Then, multiply 50 mg
by 20 kg to determine the appropriate milligrams per day for the child (1000 mg). Then
divide 1000 mg by 4, because the provider has prescribed the daily dose to be given
every 6 hours (6 hours will divide into 24 hours 4 times), which results in 250 mg to be
given at 0600.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care o
Question 1
See full question
16s
A child is diagnosed with group A streptococcal pharyngitis. The nurse would teach the
parents to be alert for signs and symptoms of:
You Selected:

scarlet fever.
Correct response:

scarlet fever.
Explanation:
Group A streptococcal pharyngitis can progress to scarlet fever with the rash appearing
in about 12 hours after the onset of the disease. Group A streptococcal pharyngitis is
not associated with pneumonia. Impetigo is a group A strep infection involving the skin.
Osteomyelitis can occur with an infection by group B streptococcus.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1216.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1216
Add a Note
Question 2
See full question
12s
The nurse caring for children with fungal infections most often administers which of the
following medications?
You Selected:

Griseofulvin
Correct response:

Griseofulvin
Explanation:
Griseofulvin, an oral antifungal, is the medication of choice for fungal infections. In some
infections the treatment may be prolonged (3 months or more), and compliance must be
reinforced.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1226.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1226
Add a Note
Question 3
See full question
14s
Infectious mononucleosis (“mono”) is caused by which of the following?
You Selected:

Epstein-Barr virus
Correct response:

Epstein-Barr virus
Explanation:
Infectious mononucleosis (“mono”) is caused by the Epstein-Barr virus, one of the
herpes virus groups. The organism is transmitted through saliva.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1215.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1215
Add a Note
Question 4
See full question
39s
A nursing instructor has presented a class on the stages of an infectious disease to a
group of students and asks the students to place the stages in their proper sequence
from beginning to end. Place the stages in their proper sequence.
You Selected:




Incubation
Prodrome
Illness
Convalescence
Correct response:




Incubation
Prodrome
Illness
Convalescence
Explanation:
An infectious disease begins with incubation, then progresses to the prodrome stage,
then to illness, and finally to convalescence.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1199.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1199
Add a Note
Question 5
See full question
13s
The nurse determines that it is necessary to implement airborne precautions for children
with which infection?
You Selected:

Measles
Correct response:

Measles
Explanation:
Airborne precautions are designed to reduce the risk of infectious agents transmitted by
airborne droplet nuclei or dust particles such as for children with measles, varicella, or
tuberculosis. Droplet precautions would be used for children with streptococcal group A
infections, rubella, and scarlet fever.
Reference:

Silbert-Flagg, J., Pillitteri, A. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1207.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1207
Add a Note
Question 6
See full question
28s
A mother brings her 8-year-old son for evaluation because of a rash on his lower leg.
Which finding would support the suspicion that the child has Lyme disease?
You Selected:

Playing in the woods about a week ago
Correct response:

Playing in the woods about a week ago
Explanation:
Lyme disease is caused by the bite of an infected tick, with a rash appearing 7 to 14
days after the tick bite. Ticks are commonly found in wooded areas. Therefore, reports
of the child playing in the woods about 7 days ago would support the diagnosis of Lyme
disease. A papular and vesicular rash is commonly associated with varicella
(chickenpox). A high fever for 3 to 5 days before a rash suggests roseola. Extreme
pruritus with visible nits would suggest pediculosis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1222-1223.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1222-1223
Add a Note
Question 7
See full question
15s
After teaching a class on the role of white blood cells in infection, the instructor
determines that the teaching was successful when the class identifies which type of
white blood cells as important in combating bacterial infections?
You Selected:

Neutrophils
Correct response:

Neutrophils
Explanation:
Elevations in certain portions of the white blood cell count reflect different processes
occurring in the body. Neutrophils function to combat bacterial infection. Eosinophils
function in allergic disorders and parasitic infections. Basophils combat parasitic
infections and some allergic disorders. Lymphocytes function in viral infections.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1201.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1201
Add a Note
Question 8
See full question
14s
A teenage patient active on the high school football team comes to the clinic with a cut
on his leg that looks infected. The culture report returns information that leads to a
diagnosis of MRSA. What should the nurse use as preventive measures in this case?
You Selected:



Handwashing
Gloves
Contact precautions
Correct response:



Handwashing
Contact precautions
Gloves
Explanation:
Because MRSA is spread through the skin, contact precautions, gloves, and strict
handwashing are recommended to prevent the spread to others.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1220.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1220
Add a Note
Question 9
See full question
21s
When providing care for a child with herpes zoster (shingles), the parents ask the nurse
how the child contracted this infectious disorder. Which response by the nurse
is most appropriate?
You Selected:

“Herpes zoster is a reactivation of a previous varicella zoster infection.”
Correct response:

“Herpes zoster is a reactivation of a previous varicella zoster infection.”
Explanation:
Herpes zoster (shingles) is reactivation of the latent varicella zoster (chicken pox)
infection that occurs during times of immunosuppression and aging. Although it is
possible to contract the varicella zoster virus from a person with herpes zoster or
varicella zoster, a child diagnosed with herpes zoster has already been exposed to
varicella zoster. Handwashing will not directly prevent herpes zoster.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1208
Add a Note
Question 10
See full question
34s
The nurse is caring for multiple clients on the pediatric unit. Which child will the nurse
see first?
You Selected:

a child with erythema infectiosum experiencing fatigue and confusion
Correct response:

a child with erythema infectiosum experiencing fatigue and confusion
Explanation:
A child with erythema infectiosum experiencing fatigue and confusion is showing signs
of decreased oxygenation, possibly related to aplasia of erythrocytes caused by the
virus. A child with signs and symptoms of decreased oxygenation should be seen first.
Nausea and malaise are symptoms of chicken pox. A child with herpes simplex will most
likely report pain an pruritis. Signs and symptoms of measles include photophobia and
coryza.
Reference:
Question 1
See full question
38s
What is a true statement regarding varicella zoster virus infection?
You Selected:

Secondary bacterial infections of the skin can occur.
Correct response:

Secondary bacterial infections of the skin can occur.
Explanation:
Varicella zoster virus infection carries with it the complication of a secondary bacterial
infection of the skin. The lesions are intensely puritic making the child want to scratch
the lesions opening them to a variety of organisms to invade. The incubation period is
10 to 21 days. It is transmitted by direct contact with the vesicles and by airborne route.
It tends to be more severe in adolescents and adults.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1202-1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1202-1208
Add a Note
Question 2
See full question
7s
Which of the following is the drug of choice for multidrug-resistant strains of infection?
You Selected:

Vancomycin
Correct response:

Vancomycin
Explanation:
Vancomycin is the drug of choice for serious infections involving multiple drug-resistant
strains. Sensitive strains respond to most antibiotics including erythromycin and
clindamycin. Most community-acquired MRSA infections can be treated on an outpatient
basis with trimethoprim-sulfoxazole or clindamycin.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1220.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1220
Add a Note
Question 3
See full question
14s
The nurse is caring for a child diagnosed with Hepatitis B. Which system is most likely
to have complications from this diagnosis?
You Selected:

Gastrointestinal
Correct response:

Gastrointestinal
Explanation:
Complications of Hepatitis B can be fatal; in particular, issues related to the liver and
chronic conditions are concerns.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1210.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1210
Add a Note
Question 4
See full question
35s
When reviewing infectious diseases in the pediatric population, nursing students identify
which disease as a common childhood exanthema?
You Selected:

Rubella
Correct response:

Rubella
Explanation:
Rubella is a common childhood exanthema. Mumps is a viral infection. Rabies is a
zoonotic infection. West Nile virus is a vector-borne disease.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1207.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1207
Add a Note
Question 5
See full question
43s
A child is diagnosed with giardiasis. The physician prescribes medication to treat the
infection. Which of the following would the nurse anticipate being prescribed?
You Selected:

Metronidazole
Correct response:

Metronidazole
Explanation:
Treatment of giardiasis is with metronidazole for 7 days. Griseofulvin is used to treat
tinea capitis. Mebendazole is used to treat pinworms. Clotrimazole is used to treat tinea
curis and tinea corporis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1225.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1225
Add a Note
Question 6
See full question
52s
When the nurse is instructing on disease transmission, which is noted as the smallest
infectious agent known?
You Selected:

Virus
Correct response:

Virus
Explanation:
Viruses are the smallest infectious agents known, so small they cannot be seen through
an ordinary microscope.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1203.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1203
Add a Note
Question 7
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11s
A nursing instructor is teaching students about childhood infectious diseases. Which of
the following would the instructor identify as the cause of warts in children?
You Selected:

Papilloma virus
Correct response:

Papilloma virus
Explanation:
Warts, one of the most common dermatologic diseases in children, are caused by the
papillomavirus.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1211-1212.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1211-1212
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Question 8
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14s
A 7-year-old child with an earache comes to the clinic. The child's parent reports that 1
day ago the child had a fever and headache and did not want to play. When the nurse
asks where it hurts, the child points to the jawline in front of the earlobe. What does the
nurse expect the diagnosis will be for this child?
You Selected:

Mumps
Correct response:

Mumps
Explanation:
Mumps begin with a fever, headache, anorexia, and malaise. Within 24 hours an
earache occurs. When pointing to the site of pain, however, the child points to the
jawline just in front of the earlobe. Mumps is contagious 1 to 7 days prior to the onset of
symptoms and 4 to 9 days after the parotid swelling begins. Fifth disease is also known
as the slapping disease as the rash on the cheeks look like someone slapped the child's
face. Measles does not involve parotid swelling or earaches. Mononucleosis does
involve swollen lymph nodes but they are in the neck and the axillary area.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1214.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1214
Add a Note
Question 9
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34s
A 13-year-old boy who recently immigrated to the United States from India is found to
be infected by a strain of the poliovirus. After initial symptoms of fever, headache,
nausea, vomiting and abdominal pain subside, the virus proceeds to his central nervous
system. Which of the following would be the best intervention for this client at this point?
You Selected:

Bed rest, analgesia, and application of moist hot packs
Correct response:

Bed rest, analgesia, and application of moist hot packs
Explanation:
Treatment for poliomyelitis is bed rest with analgesia and moist hot packs to relieve
pain. Vaccination would be too late, at this point, as the infection has already occurred.
Antibiotics would be ineffective as this is a viral, not a bacterial, infection. Salicylic acid
solution is used to treat warts.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1211.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1211
Add a Note
Question 10
See full question
34s
The nurse is caring for an infant brought to the clinic for a rash. The nurse notes a
blanchable, rose-pink macular rash on the trunk. The nurse obtains the following vital
signs: temperature 99.0°F (37°C), pulse 100 bpm, respiratory rate 22 breaths/minute,
and oxygen saturation 100% on room air. Which question by the nurse will
be most helpful when planning interventions?
You Selected:

“Are your child’s vaccinations up to date?”
Correct response:

“Has your child had a recent fever?”
Explanation:
For a child with a rash resembling roseola, it is important to ask about recent fever
because the hallmark rash appears suddenly after the sharp decline in fever. This can
be useful in helping the nurse determine the child needs only standard precautions.
Asking about fussiness may not be helpful because many illnesses can cause the child
to be more fussy than normal. Asking about history of seizures is useful, but it not the
most important question to ask when the rash of roseola appears because once the
fever subsides there is minimal risk of febrile seizures. Because there is not
immunization for roseola, asking about vaccination status is not the most helpful.
Reference:
Question 1
See full question
13s
The most common complication of varicella is:
You Selected:

pneumonia.
Correct response:

secondary bacterial infections.
Explanation:
Varicella starts with lesions that appear first on the scalp, face, trunk and then
extremities. The lesions begin as macules then develop into papules and finally clear
fuild filled vesicles. These lesions are intensely pruritic. The most common complication
of varicella is secondary bacterial infection caused by the child scratching the lesions.
Other complications include pneumonia, scarring, and encephalitis.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1208
Add a Note
Question 2
See full question
12s
The nurse is caring for a child hospitalized with pertussis. Which nursing intervention
would be the highest priority for this child?
You Selected:

The nurse will administer oxygen.
Correct response:

The nurse will administer oxygen.
Explanation:
The major complication of pertussis (whooping cough) is pneumonia and respiratory
complications. Oxygen, bed rest, and monitoring for airway obstruction are nursing
interventions. The highest priority is administering oxygen to maintain adequate
oxygenation of cells.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1221.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1221
Add a Note
Question 3
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40s
A nurse is teaching parents of a child with a nursing diagnosis of pain related to pruritus
from skin lesions. Which of the following would the nurse include in the instructions?
Select all that apply.
You Selected:



"Bathe the child in lukewarm water and baking soda."
"Have the child press on the itching area instead of scratching it."
"Keep the child's fingernails short."
Correct response:



"Keep the child's fingernails short."
"Bathe the child in lukewarm water and baking soda."
"Have the child press on the itching area instead of scratching it."
Explanation:
Measures to reduce pruritus include keeping the child's fingernails short to prevent
injury from scratching; bathing the child in lukewarm water with oatmeal or baking soda;
dressing the child in loose, light cotton clothing to prevent overheating and perspiration,
which can intensify the itching; having the child press on the itching area rather than
scratching it; and avoiding wool, which can irritate the skin and worsen the itching.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1205.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1205
Add a Note
Question 4
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14s
After teaching nursing students about childhood exanthems, the instructor determines
that the teaching was successful when the students identify what as the primary cause?
You Selected:

Viruses
Correct response:

Viruses
Explanation:
Most childhood exanthems are caused by viruses.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1203.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1203
Add a Note
Question 5
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12s
A nurse is providing care to an infant who develops roseola during hospitalization. The
nurse would institute which infection control precaution?
You Selected:

Standard
Correct response:

Standard
Explanation:
If an infant develops roseola infantum in the hospital, the nurse would follow standard
precautions. There is no need for airborne, droplet, or contact precautions.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1205.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1205
Add a Note
Question 6
See full question
34s
A young child who has been reporting fatigue and having a low-grade fever for 4 days
begins to have pustules over the entire body. The health care provider diagnoses
chickenpox. When considering transmission to others, during which period would the
nurse assess?
You Selected:

During the prodromal period
Correct response:

During the prodromal period
Explanation:
The prodromal period is the period of time where the child develops fever, malaise,
headache and mild abdominal pain. This period occurs about 24 hours before the onset
of the rash. The client is contagious at this point.The disease is communicable from 1 to
2 days before rash development and until all vesicles have crusted over. The incubation
period for varicella lasts between 10 and 21 days. The predisease period would be
before the child has been exposed. The convalescent period would be during the time
the lesions are crusting over. This takes about 3 to 7 days. Following this, the child is no
longer contagious.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1199-1208.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1199-1208
Add a Note
Question 7
See full question
17s
Tinea cruris (jock itch) is a protozoan infection.
You Selected:

False
Correct response:

False
Explanation:
Tinea cruris (jock itch) is a fungal infection that occurs on the inner aspects of the thighs
and scrotum.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed. Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1226.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1226
Add a Note
Question 8
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13s
The nurse is caring for a child diagnosed with hand-foot-mouth disease. When
educating the family about this disease, which education by the nurse
is most important?
You Selected:

“Make sure your child drinks plenty of nonirritating fluid.”
Correct response:

“Make sure your child drinks plenty of nonirritating fluid.”
Explanation:
Children with hand-foot-mouth disease can experience dehydration related to the high
fever, anorexia, and painful mouth lesions. The nurse should educate the family to
provide nonirritating fluids to encourage the child to drink to avoid dehydration. Handfoot-mouth disease is associated with a high fever, and parents can provide
acetaminophen. The lesions should disappear in a few days; however, the most
important education is aimed at prevention of dehydration.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1210.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1210
Add a Note
Question 9
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24s
The nurse is triaging a child diagnosed with poliomyelitis. After ensuring appropriate
precautions are in place, what will the nurse do next?
You Selected:

Auscultate the child's lungs.
Correct response:

Auscultate the child's lungs.
Explanation:
Because poliomyelitis can cause motor paralysis of the respiratory muscles, assessing
respiratory status is priority. Once the nurse has ensured respiratory function is intact,
the nurse can place the child on bedrest, administer an antipyretic, and begin physical
therapy.
Reference:

Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing: Care of the
Childbearing & Childrearing Family, 8th ed, Philadelphia: Wolters Kluwer,
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder, p.
1211.
Chapter 43: Nursing Care of a Family when a Child has an Infectious Disorder Page 1211
Add a Note
Question 10
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13s
The nurse is caring for a child who weighs 44 lb (20 kg). The health care provider has
prescribed amoxicillin 50 mg/kg/day in equally divided doses every 6 hours. How many
milligrams will the nurse administer for the 0600 dose? Record your answer using a
whole number.
Your Response:

2.5
Correct response:

250
Explanation:
To determine the needed mg, use the child’s weight in kilograms. Then, multiply 50 mg
by 20 kg to determine the appropriate milligrams per day for the child (1000 mg). Then
divide 1000 mg by 4, because the provider has prescribed the daily dose to be given
every 6 hours (6 hours will divide into 24 hours 4 times), which results in 250 mg to be
given at 0600.
Reference: