Chapter 22 Maternal and Child Health Nursing 7th Edition

Chapter 22  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is planning an education session for pregnant adolescents. Which topics should the nurse include that incorporate the 2020 National Health Goals for pregnant women with special needs? (Select all that apply.)
A)
Importance of an adequate fluid intake
B)
Effects of alcohol on the developing fetus
C)
Use of complementary therapy for delivery
D)
Abstinence from illicit drugs while pregnant
E)
Impact of cigarette smoking on the developing fetus
Ans:
B, D, E

Feedback:

The 2020 National Health Goals for pregnant women with special needs focus on teaching unintentional injury prevention, the dangers and complications of substance dependency, and both the psychological and physical concerns of teenage pregnancy. The nurse should include the topics that focus on alcohol, illicit drugs, and cigarette smoking. An adequate fluid intake is not a topic specific to a pregnant woman with special needs. The use of complementary therapy for delivery might not be appropriate for a pregnant adolescent because of cephalopelvic disproportion.

2.
A pregnant adolescent asks if the father of the baby can come into the room during the examination. Based on both the pregnant adolescent’s and the father’s needs, which is the best response for the nurse to make?
A)
“If your parents approve.”
B)
“If you want him to come in.”
C)
“Adolescent fathers have no legal right in regard to a child.”
D)
“Not participating will help him be more responsible in the future.”
Ans:
B

Feedback:

If the baby’s father attends prenatal care, help him to feel welcome. Because he is not married, he does not have a legal right to participate in decisions concerning the pregnancy, abortion, or adoption, but he may not be devoid of feelings for the girl or the baby. If a complication occurs, he may feel genuine grief things are not going well. Allowing him to offer support in the current pregnancy can help him learn more about himself as well as better define his role. In addition, be sure he receives compassionate education on preventing further pregnancies until he is more mature. The nurse does not need the parent’s approval for the father of the baby to be present during the examination.

3.
The nurse is identifying nursing diagnoses appropriate for a pregnant patient who is substance dependent. Which diagnosis should the nurse identify as applicable to this patient’s needs?
A)
Impaired home maintenance related to a sensory challenge
B)
Risk for disruption of social interaction related to unclear speech
C)
Risk for injury to self and fetus related to chronic substance dependency
D)
Readiness for enhanced family coping, related to commitment to have a child in the face of a disabling condition
Ans:
C

Feedback:

Illicit drugs can pass through the placenta and affect the developing fetus. The patient is also being harmed by the drugs. The most appropriate diagnosis for the patient would be risk for injury to self and fetus related to chronic substance dependency. Impaired home maintenance, risk for disruption of social interaction, and readiness for enhanced family coping would be appropriate for the pregnant patient who is physically or cognitively challenged.

4.
When planning care for a pregnant adolescent, what nursing action supports the developmental task of this age group?
A)
Allow to weigh self at clinic visits.
B)
Insist that no further sexual relations occur during pregnancy.
C)
Suggest that schooling be delayed until the pregnancy is over.
D)
Encourage deciding on the total weight gain for her pregnancy.
Ans:
A

Feedback:

Helping adolescents to make their own health care decisions at health care visits helps to foster a sense of independence. During a visit, the adolescent can weigh herself to feel independent. Insisting that no further sexual relations occur and delaying school do not foster a sense of independence. Permitting the pregnant adolescent to determine the total weight gain for the pregnancy would not be safe considering the patient is still developing physically.

5.
The nurse is reviewing nutritional needs with a pregnant adolescent. Which topic should the nurse include in the teaching plan for this patient?
A)
Ways to remember to take an iron supplement daily
B)
Ways to obtain good pregnancy nutrition in restaurants
C)
Nutritional advantages of fresh foods over frozen foods
D)
Ways the pregnant adolescent can learn to cook her own food
Ans:
A

Feedback:

Adolescents traditionally do not take medicine conscientiously, so they may need frequent reminders to take their vitamin or iron supplement. Stress these are intended to complement nutrition during pregnancy. For a reminder system, girls may need to post a medication reminder chart at home or in her school locker or set a reminder on her phone in order to increase adherence. Obtaining good pregnancy nutrition in restaurants, advantages of fresh foods, and learning to cook may or may not be appropriate to meet the nutritional needs of the pregnant adolescent.