Chapter 14 Maternal and Child Health Nursing 7th Edition

Chapter 14  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is instructing a pregnant patient on tailor sitting. What is the purpose of this exercise in pregnancy?
A)
Stretches perineal muscles
B)
Decreases respiratory effort
C)
Strengthens abdominal muscles
D)
Improves the blood supply to the uterus
Ans:
A

Feedback:

: Tailor sitting stretches perineal muscles without occluding the blood supply to the lower legs. This exercise stretches perineal muscles to aid in the delivery process. Tailor sitting does not help with respiratory effort, strengthening abdominal muscles, or improving blood supply to the uterus.

2.
During prenatal classes, the nurse teaches pregnant patients how to perform pelvic rocking. What should the nurse explain to the class as being the purpose of this action?
A)
Helps to relieve backache
B)
Stretches perineal muscles
C)
Enhances respiratory excursion
D)
Improves abdominal muscle tone
Ans:
A

Feedback:

Pelvic rocking helps relieve backache during pregnancy and early labor by making the lumbar spine more flexible. This exercise does not stretch perineal muscles, enhance respiratory excursion, or improve abdominal muscle tone.

3.
The nurse identifies the diagnosis of “Anxiety related to absence of significant other” as appropriate for a pregnant patient. For which assessment finding is this diagnosis appropriate?
A)
Spouse works the night shift.
B)
Mother is recovering from a total hip replacement.
C)
Oldest daughter is preparing for a school dance recital.
D)
Spouse is in the military and is stationed in the Middle East.
Ans:
D

Feedback:

The diagnosis “Anxiety related to absence of significant other” is appropriate for the spouse who is in the military and is stationed somewhere out of the country. The spouse working the night shift does not mean that the spouse is not available to help the patient. Other children are not typically identified as support people for a pregnant patient. The patient’s mother is recovering from a surgical procedure and most likely is not identified as being a support person for the pregnant patient.

4.
A pregnant patient tells the nurse about practicing different positions to use when labor begins. What should the nurse counsel the patient to avoid during these practice sessions?
A)
Pushing
B)
Bending over
C)
Pointing the toes
D)
Breathing normally
Ans:
A

Feedback:

Pregnant patients should not practice pushing during pregnancy because the possibility they could rupture membranes by doing this is too great. They can practice assuming a good position for pushing such as squatting, sitting upright, or leaning on a partner but should always be cautioned not to actually bear down and push. Bending over, pointing the toes, and breathing normally do not need to be avoided when practicing different positions to use when labor begins.

5.
A pregnant patient asks the nurse to explain the Lamaze philosophy of childbirth. What should the nurse include when responding to this patient’s request? (Select all that apply.)
A)
Labor should be induced.
B)
Breathing patterns block pain sensations.
C)
It is based on the gating control theory of pain relief.
D)
Patients should be maintained on bed rest during labor.
E)
Actions that are not medically necessary should be avoided.
Ans:
B, C, E

Feedback:

The Lamaze philosophy of childbirth teaches that concentrating on breathing patterns can block incoming pain sensations. This philosophy is based on the gating control theory of pain relief. And any actions that are not medically necessary for the patient and fetus should be avoided. The Lamaze philosophy of childbirth believes that labor should not be induced and that patients should walk, move around, and change positions throughout labor.