Chapter 17 Maternal and Child Health Nursing 7th Edition

Chapter 17  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse notices that a new mother who is beginning postpartum day 2 handles the newborn tentatively and does not kiss the child when holding him. What should the nurse suspect as the probable reason for this behavior?
A)
Disappointment with the child’s sex
B)
Difficulty accepting the role changes
C)
Reacting normally to accepting a new child
D)
Cultural customs do not include kissing children
Ans:
C

Feedback:

More often, a woman enters into a relationship with her newborn tentatively and with qualms and conflicts that must be addressed before the relationship can be meaningful. This is because parental love is only partly instinctive. The tentative behavior does not indicate disappointment with the child’s sex, difficulty accepting role changes, or cultural customs that do not include kissing children.

2.
While documenting patient care, the nurse notes that a postpartum patient is accepting the birth of the child well. What did the nurse most likely observe to come to this conclusion?
A)
Names the child after a well-loved friend
B)
Asks the nurse to take a photo of the child
C)
Turns the face to meet the infant’s eyes when holding the baby
D)
Comments that the baby has the most hair of any in the nursery
Ans:
C

Feedback:

Looking directly at the newborn’s face, with direct eye contact or the en face position, is a sign a woman is beginning effective attachment. Naming the child after a well-loved friend, taking a photo of the child, or commenting on the child’s hair are not indications that the postpartum patient is accepting the birth of the child well.

3.
The nurse assesses a postpartum patient’s discharge as being moderate in amount and red in color. How should the nurse document the appearance of the lochia?
A)
Lochia alba
B)
Lochia rubra
C)
Lochia serosa
D)
Lochia normalia
Ans:
B

Feedback:

Lochia that is red in color, or bloody, is termed lochia rubra. Lochia alba is colorless flow that occurs around postpartum day 10. Lochia serosa is pink or brown in color and appears around postpartum day 4. Lochia normalia is not a term used to describe lochia.

4.
While observing care being provided to an infant, the new mother looks at the nurse repeatedly and asks, “Am I doing this the right way?” Which nursing diagnosis should the nurse select to guide the care needs of the mother at this time?
A)
Health-seeking behaviors related to care of newborn
B)
Ineffective coping related to expectation to provide newborn care
C)
Risk for altered family coping related to an additional family member
D)
Risk for impaired parenting related to disappointment in the sex of the child
Ans:
A

Feedback:

The new mother is asking the nurse to validate actions being performed while providing newborn care. The nursing diagnosis most appropriate for the new mother at this time would be health-seeking behaviors related to care of the newborn. The new mother is not demonstrating signs of ineffective coping. There is no information to support a risk for altered family coping or risk for impaired parenting.

5.
A postpartum patient is reluctant to begin taking warm sitz baths. What should the nurse emphasize when teaching the patient about this treatment approach?
A)
Sitz baths may lead to increased postpartal infection.
B)
Sitz baths increase the blood supply to the perineal area.
C)
Sitz baths cause perineal vasoconstriction and decreased bleeding.
D)
The longer a sitz bath is continued, the more therapeutic it becomes.
Ans:
B

Feedback:

Moist heat with a sitz bath is an effective way to increase circulation to the perineum, provide comfort, reduce edema, and promote healing. Sitz baths do not cause postpartal infections. Sitz baths do not cause perineal vasoconstriction and decreased bleeding. Every use of a sitz bath is therapeutic.