Chapter 10 Maternal and Child Health Nursing 7th Edition

Chapter 10  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
A pregnant patient tells the nurse that she is not happy to learn about the pregnancy. At which point in the pregnancy does the nurse realize that the patient will change her mind about the pregnancy?
A)
Around the third month
B)
After the seventh month
C)
When quickening occurs
D)
After lightening happens
Ans:
C

Feedback:

Quickening or feeling the baby move inside the body is a dramatic event and causes the pregnant woman’s feelings about the pregnancy to change. Quickening occurs during the second trimester of the pregnancy, which is after the third but before the seventh month. Lightening occurs near the end of the pregnancy.

2.
The nurse determines that a pregnant patient is working through developmental tasks. Which statement did the patient make to the nurse?
A)
“My mother and I are closer than ever before.”
B)
“I’m thinking about everything I eat these days.”
C)
“There are a lot of allergies in my husband’s family.”
D)
“I don’t care what sex baby I have as long as it’s healthy.”
Ans:
A

Feedback:

For the first time in her life, a woman during pregnancy can begin to empathize with the way her mother used to worry. This can make her own mother become more important to her and a new, more equal relationship develops. Thinking about diet, allergies, and the baby’s sex are not developmental tasks for the pregnant patient.

3.
A newly wed young adult patient tells the nurse that she hopes to become pregnant soon. What should the nurse recommend to this patient to support the 2020 National Health Goals for pregnancy? (Select all that apply.)
A)
Stop smoking.
B)
Increase exercise.
C)
Eat a healthy diet.
D)
Reduce work hours.
E)
Limit alcohol intake.
Ans:
A, C, E

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals for pregnancy by being certain women receive counseling in nutrition and low uses of alcohol and tobacco before pregnancy so they can enter intended pregnancies in the best health possible. Increasing exercise and reducing work hours are not interventions that would support the 2020 National Health Goals for pregnancy.

4.
The nurse is planning to instruct a patient who is 6 weeks pregnant about increasing the intake of milk each day. Which statement should the nurse make as the most effective health teaching measure?
A)
“The fetus needs milk to build strong bones and teeth.”
B)
“Your future baby will benefit from a high milk intake.”
C)
“Milk is a rich source of calcium that is important for fetal growth.”
D)
“Milk will strengthen your fingernails as well as be good for the baby.”
Ans:
D

Feedback:

There is a tendency to organize health instructions during pregnancy around the baby; however, this approach may be inappropriate early in pregnancy, before the fetus stirs, and before a woman is convinced not only she is pregnant but also there is a baby inside her. At early stages, a woman may be much more interested in doing things for herself because it is her body, her tiredness, and her well-being that will be directly affected. The nurse should instruct the patient to drink more milk to improve fingernail strength. The statements that address fetal development are inappropriate for the nurse to use for health teaching at this time.

5.
The spouse of a pregnant patient is quiet during prenatal visits but is demonstrating emotional involvement in the pregnancy. What action did the spouse perform?
A)
States he definitely wants a girl
B)
Refuses to paint the baby’s room blue
C)
States he is concerned about the loss of his free time
D)
Walks around furniture as if his abdomen is enlarged
Ans:
D

Feedback:

Many men experience physical symptoms and may begin to gain weight along with their partner. As a woman’s abdomen begins to grow, the partner may perceive himself as growing larger too, as if he were the one who was experiencing changing boundaries the same as his partner. This indicates emotional involvement in the pregnancy. Stating a specific sex for the baby, losing free time, and refusing to paint the baby’s room blue are not indications that the spouse is emotionally involved in the pregnancy.