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 woman who abuses cocaine admits to exchanging sex for her drug habit. This

behavior puts her at a greater risk for which of the following?
a. Depression of the central nervous system
b. Hypotension and vasodilation
c. Sexually transmitted diseases
d. Postmature birth

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

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 508 | Table 24.1 OBJ: Nursing Process: 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 phase
b. Honeymoon phase
c. Tension-building phase
d. Increased drug-taking phase

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. Often the batterer increases the use of drugs during
the tension-building phase; however, this is not an actual phase of the cycle.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 518 | Figure 24.5 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

3. What is a major barrier to health care for teen mothers?

a. The hospital/clinic is within walking distance of the girl’s home.
b. The institution is open days, evenings, and Saturdays by special arrangement.
c. The teen must be prepared to see a different nurse or doctor or both at every visit.
d. The health care workers have a positive attitude.

ANS: C

Whenever possible, the teen should be scheduled to see the same nurses and practitioners
for continuity of care. If the hospital/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 Saturdays by special arrangement, this
availability 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. A negative attitude is
unfortunate, because it discourages families who would benefit most from consistent
prenatal care.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 503 OBJ: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity

4. Of adolescents who become pregnant, what percentage have had a previous birth?

a. 10%
b. 15%
c. 17%
d. 35%

ANS: C
Seventeen percent of pregnant adolescents have had one or more previous births.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 500 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

5. In counseling a patient who has decided to relinquish her baby for adoption, the nurse

should do which of the following?
a. Affirm her decision while acknowledging her maturity in making it.
b. Question her about her feelings regarding adoption.
c. Tell her she can always change her mind about adoption.
d. Ask her if anyone is coercing her into the decision to relinquish her baby.

ANS: A
A supportive, affirming approach by the nurse will strengthen the patient’s resolve and help
her to appreciate the significance of the event. The teen needs help in coping with her
feelings about this decision. It is important for the nurse to support and affirm the decision
the patient has made. This will strengthen the patient’s resolve to follow through. Later the
patient should be given an opportunity to express her feelings. Telling her she can always
change her mind should not be an option after the baby is born and placed with the adoptive
parents. It is important that the teenager is 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/Applying
REF: p. 501 OBJ: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity