Chapter 02 The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

Chapter 02  The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which principle of teaching should the nurse use to ensure learning in a family situation?

a. Motivate the family with praise and positive reinforcement.
b. Present complex subject material first, while the family is alert and ready to learn.
c. Families should be taught using medical jargon so they will be able to understand

the technical language used by physicians.
d. Learning is best accomplished using the lecture format.

ANS: A
Praise and positive reinforcement are particularly important when a family is trying to master
a frustrating task, such as breastfeeding. Learning is enhanced when the teaching is structured
to present the simple tasks before the complex material. Even though a family may understand
English fairly well, they may not understand the medical terminology or slang terms. A lively
discussion stimulates more learning than a straight lecture, which tends to inhibit questions.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 25 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance

2. When addressing the questions of a newly pregnant woman, the nurse can explain that the

certified nurse-midwife is qualified to perform
a. regional anesthesia.
b. cesarean deliveries.
c. vaginal deliveries.
d. internal versions.

ANS: C
The nurse-midwife is qualified to deliver infants vaginally in uncomplicated pregnancies. The
other procedures must be performed by a physician or other medical provider.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 26 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment

3. Which nursing intervention is an independent (nurse-driven) function of the nurse?

a. Administering oral analgesics
b. Teaching the woman perineal care
c. Requesting diagnostic studies
d. Providing wound care to a surgical incision

ANS: B

TestBankWorld.org

Nurses are responsible for various independent functions, including teaching, counseling, and
intervening in nonmedical problems. Interventions initiated by the physician and carried out
by the nurse are called dependent functions. Administering oral analgesics is a dependent
function; it is initiated by a physician or other provider and carried out by the nurse.
Requesting diagnostic studies is a dependent function. Providing wound care is a dependent
function; it is usually initiated by the physician or other provider through direct orders or
protocol.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: Box 2.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance

4. Which response by the nurse to the woman’s statement, “I’m afraid to have a cesarean birth,”

would be the most therapeutic?
a. “What concerns you most about a cesarean birth?”
b. “Everything will be OK.”
c. “Don’t worry about it. It will be over soon.”
d. “The doctor will be in later, and you can talk to him.”

ANS: A
Focusing on what the woman is saying and asking for clarification are the most therapeutic
responses. Stating that “everything will be ok” or “don’t worry about it” belittles the woman’s
feelings and might be providing false hope. Telling the patient to talk to the doctor does not
allow the woman to verbalize her feelings when she desires.

PTS: 1 DIF: Cognitive Level: Application/Applying
REF: Box 2.2 OBJ: Integrated Process: Communication and Documentation
MSC: Client Needs: Psychosocial Integrity

5. To evaluate the woman’s learning about performing infant care, the nurse should

a. demonstrate infant care procedures.
b. allow the woman to verbalize the procedure.
c. observe the woman as she performs the procedure.
d. routinely assess the infant for cleanliness.

ANS: C
The woman’s ability to perform the procedure correctly under the nurse’s supervision is the
best method of evaluation. Demonstration is an excellent teaching method but not an
evaluation method. During verbalization of the procedure, the nurse may not pick up on
techniques that are incorrect. It is not the best tool for evaluation. Observing the infant for
cleanliness does not ensure the proper procedure is carried out. The nurse may miss seeing
unsafe techniques being used.

PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating
REF: p. 31 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance