Chapter 11 Maternal and Child Health Nursing 7th Edition

Chapter 11  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
During a prenatal examination, the nurse learns that a pregnant patient has a supernumerary nipple. What should the nurse teach the patient about this finding?
A)
Such growths fade with menopause.
B)
Bleeding from such growths is not uncommon.
C)
Such growths deepen in color during pregnancy.
D)
The tendency for supernumerary nipples is genetic.
Ans:
C

Feedback:

Breast changes may be one of the first things women notice in pregnancy. Any supernumerary nipples may become darker and enlarge in size. There is no information to support that supernumerary nipples fade with menopause or bleed. There is also no information to support that supernumerary nipples are genetic in origin.

2.
While conducting the first prenatal health history visit, the nurse learns that a pregnant patient is taking various herbal remedies and over-the-counter medications for minor ailments. Which nursing diagnosis should the nurse identify as being appropriate for the patient at this time?
A)
Risk for injury to fetus related to lifestyle choices
B)
Deficient knowledge regarding exposure to teratogens during pregnancy
C)
Health-seeking behaviors related to strong cultural desire to have a healthy child
D)
Health-seeking behaviors related to guidelines for nutrition and activity during pregnancy
Ans:
B

Feedback:

The patient is taking herbal remedies and over-the-counter medications, many of which can be teratogenic to the developing fetus. This is the most appropriate nursing diagnosis for the nurse to select for this assessment finding. There is no enough information to determine if the fetus is at risk because of the patient’s lifestyle choices. The patient has not asked for specific information so health-seeking behavior diagnoses would not be appropriate for the patient at this time.

3.
When explaining what will occur during the first prenatal visit physical examination, a pregnant patient asks why a Papanicolaou smear is being done at this time. What should the nurse respond to the patient?
A)
It helps to date the pregnancy.
B)
It detects if uterine cancer is present.
C)
It predicts whether cervical cancer will occur.
D)
It detects cancer cells of the cervix, vulva, or vagina.
Ans:
D

Feedback:

A Pap smear is taken from the endocervix at a first prenatal visit to be certain a precancerous or cancerous condition of the uterine cervix, vulva, or vagina is not present. A Pap smear is not used to date a pregnancy, detect uterine cancer, or predict if cervical cancer will occur.

4.
The nurse in a community clinic is identifying ways to achieve the 2020 National Health Goals to support prenatal care. Which nursing actions would support the achievement of these goals? (Select all that apply.)
A)
Urge female patients to ingest an adequate intake of folic acid.
B)
Recommend pregnant patients attend developmental childbirth classes.
C)
Discuss strategies to avoid intimate partner violence with every pregnant patient.
D)
Provide a play area in the waiting room for the children of patients waiting to be seen.
E)
Support pregnant patients to achieve the recommended weight gain during pregnancy.
Ans:
A, B, D, E

Feedback:

A number of 2020 National Health Goals speak directly to the importance of prenatal care to include increasing the proportion of pregnant women who attend a series of prepared childbirth classes, increasing the proportion of women of childbearing potential who have an intake of at least 400 mcg of folic acid from fortified foods or dietary supplements before pregnancy, increasing the proportion of mothers who achieve a recommended weight gain during their pregnancies, and making sites for prenatal care “family friendly” or maximally receptive to women and families. Strategies to avoid intimate partner violence will not help the nurse achieve the 2020 National Health Goals for prenatal care.

5.
Which question should the nurse include when conducting a review of systems with a patient during the first prenatal visit?
A)
“Do you have a peptic ulcer?”
B)
“Have you ever had a heart attack?”
C)
“Have you had any neurologic diseases?”
D)
“Have you had any urinary tract infections?”
Ans:
D

Feedback:

Urinary tract infections are associated with preterm birth. If the patient has a history of this type of infection, then interventions can be directed to help the patient avoid a urinary tract infection while pregnant. Although a part of the review of systems, asking about peptic ulcers, heart attacks, and neurologic diseases may not have as significant an impact on the developing fetus as having urinary tract infections.