Chapter 24 The Childbearing Family with Special Needs

Chapter 24  The Childbearing Family with Special Needs

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A pregnant client who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for:
a.
postmature birth.
b.
Sexually transmitted diseases.
c.
Hypotension and vasodilation.
d.
Depression of the central nervous system.

ANS: B
Sex acts exchanged for drugs place the woman at increased risk for sexually transmitted diseases because of having multiple partners and lack of protection. Premature delivery of the infant is one of the most common problems associated with cocaine use during pregnancy. Cocaine causes hypertension and vasoconstriction. Cocaine is a central nervous system stimulant.

PTS: 1 DIF: Cognitive Level: Understanding REF: 487
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance

2. During which phase of the cycle of violence does the batterer become contrite and remorseful?
a.
Battering
b.
Honeymoon
c.
Tension-building
d.
Increased drug taking

ANS: B
During the honeymoon phase, the battered person wants to believe that the battering will never happen again, and the batterer will promise anything to get back into the home. During the battering phase, violence actually occurs, and the victim feels powerless. During the tension-building phase, the batterer becomes increasingly hostile, swears, threatens, throws things, and pushes the battered person. Often, the batterer increases the use of drugs during the tension-building phase.

PTS: 1 DIF: Cognitive Level: Understanding REF: 499
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

3. Which is a major barrier to health care for teen mothers?
a.
Health care workers have a positive attitude.
b.
The hospital or clinic is within walking distance of the girl’s home.
c.
Seeing a different nurse and/or health care provider at every visit.
d.
The institution is open days, evenings, and Saturday by special arrangement.

ANS: C
Whenever possible, the teen should be scheduled to see the same nurses and practitioners for continuity of care. A positive attitude of the health care providers is important in teen pregnancy care. If the hospital or clinic were within walking distance of the girl’s home, it would prevent the teen from missing appointments because of transportation problems. If the institution were open days, evenings, and Saturday by special arrangement, this would be helpful for teens who work, go to school, or have other time of day restrictions. Scheduling conflicts are a major barrier to health care.

PTS: 1 DIF: Cognitive Level: Understanding REF: 480, 482
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity

4. In planning sex education classes for the 12- to 15-year-old age group, more emphasis should be placed on which?
a.
How to set limits for sexual behavior
b.
The inaccuracy of information from peers
c.
The use of oral contraceptives to prevent unwanted pregnancy
d.
The use of condoms to prevent sexually transmitted diseases as well as pregnancy

ANS: A
Setting limits for sexual behavior is particularly important for younger teenagers who may be pressured to become sexually active before they are physically and emotionally ready. Oral contraceptives are not the preferred method of birth control for teenagers because they forget to take them, and they do not protect against STIs. The use of condoms is appropriate and an important concept to discuss but should not be the emphasis.

PTS: 1 DIF: Cognitive Level: Understanding REF: 477
OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance

5. Which should the nurse do when counseling a teenage client who has decided to relinquish her baby for adoption?
a.
Question her about her feelings regarding adoption.
b.
Tell her she can always change her mind about adoption.
c.
Affirm her decision while acknowledging her maturity in making it.
d.
Ask her if anyone is coercing her into the decision to relinquish her baby.

ANS: C
A supportive affirming approach by the nurse will strengthen the client’s resolve and help her appreciate the significance of the event. It is important for the nurse to support and affirm the decision the client has made. This will strengthen the client’s resolve to follow through. Later the client should be given an opportunity to express her feelings. Telling her that she can always change her mind about adoption should not be an option after the baby is born and placed with the adoptive parents. It is important that the teenager be treated as an adult, with the assumption that she is capable of making an important decision on her own.

PTS: 1 DIF: Cognitive Level: Application REF: 496
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Psychosocial Integrity