Chapter 12 Maternal and Child Health Nursing 7th Edition

Chapter 12  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is planning a seminar that focuses on the 2020 National Health Goals during pregnancy for patients who are in the first trimester of pregnancy. Which information should the nurse include in this seminar? (Select all that apply.)
A)
Refusing alcohol
B)
Importance to stop smoking
C)
Maintaining health appointments
D)
Seeking alternative care approaches
E)
Abstaining from drugs and substances
Ans:
A, B, C, E

Feedback:

The 2020 National Health Goals for pregnancy include objectives to abstain from social and binge alcohol intake, avoid smoking, receive prenatal care, and abstain from illicit drugs. Seeking alternative care approaches is not a 2020 National Health Goal for pregnancy.

2.
A pregnant patient is experiencing a vaginal discharge and wants to douche. What should the nurse instruct the patient about this health practice?
A)
Avoid routine douching.
B)
Use an alkaline solution.
C)
Use only a commercial solution.
D)
Use a solution that has been chilled.
Ans:
A

Feedback:

Douching while pregnant is contraindicated because the force of the irrigating fluid could cause the solution to enter the cervix and lead to uterine infection. In addition, douching alters the pH of the vagina, leading to an increased risk of vaginal bacterial growth. The alkalinity, purchase type, or temperature of the solution does not matter. The pregnant patient should not douche.

3.
The nurse is emphasizing the importance of adequate rest and sleep with a pregnant patient. Which position should the nurse suggest the patient use?
A)
On the back with a pillow under the head
B)
On the stomach with a pillow under her breasts
C)
On the back with a pillow under the knees and hips
D)
On the side with the weight of the uterus on the bed
Ans:
D

Feedback:

A good resting or sleeping position for a pregnant patient is a left-sided Sims’ position, with the top leg forward. This position puts the weight of the fetus on the bed, not on the woman, and allows good circulation in lower extremities. Lying on the back could cause the weight of the uterus to occlude the inferior vena cava impeding blood flow to the patient and fetus. Stomach lying is not a reasonable option with the size of the uterus.

4.
A pregnant patient is experiencing leg cramps. What should the nurse include in the patient’s teaching plan as a relief measure? (Select all that apply.)
A)
Avoid full leg extension.
B)
Elevate lower extremities.
C)
Elevate the legs on two pillows.
D)
Stand on each leg and perform a squat.
E)
Bend the knee and perform dorsiflexion.
Ans:
A, B

Feedback:

If a pregnant woman is experiencing frequent leg cramps, she may be advised to elevate lower extremities frequently during the day to improve circulation and avoiding full leg extension. Elevating the legs on two pillows may or may not help the patient. The patient should not be instructed to perform squats or dorsiflexion to help with the leg cramps.

5.
A pregnant patient is concerned that orgasm will be harmful to the developing fetus. What should the nurse include when responding to this patient’s concern?
A)
Orgasm during pregnancy is potentially harmful.
B)
Venous congestion in the pelvis makes orgasm painful.
C)
Most women do not experience orgasm during pregnancy.
D)
Some women experience orgasm intensely during pregnancy.
Ans:
D

Feedback:

Because of increased pelvic congestion from the additional uterine blood supply at midpregnancy, most women notice increased clitoral sensation and may experience orgasm for the first time during pregnancy because of this. Orgasm during pregnancy is not harmful. Pelvic congestion does not make orgasm painful.