Chapter 31 Maternal and Child Health Nursing 7th Edition

Chapter 31  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is identifying outcomes for a family with a preschool-age child who has broken fluency. Which outcome would be the most appropriate for this family?
A)
The parents will not call attention to the child’s broken fluency.
B)
The mother will encourage the child to practice speaking in the home.
C)
The other children will help the child by finishing words and sentences.
D)
The mother will correct the child only when other family members are absent.
Ans:
A

Feedback:

Calling attention to broken fluency can make the situation worse. The child should not be encouraged to speak if he or she does not want to. The parents should intercept any children who desire to finish the child with broken fluency’s words or sentences. The child should not be punished or corrected for broken fluency because this is a normal part of speech development.

2.
The nurse is helping parents develop the developmental task of initiative in their preschool-age child. Which activity should the nurse suggest the parents implement?
A)
Teach the child street-crossing safety.
B)
Help the child learn how to follow rules.
C)
Allow the child to experiment with molding clay.
D)
Provide the child with clothes that snap rather than button.
Ans:
C

Feedback:

To gain a sense of initiative, preschoolers need exposure to a wide variety of play materials so they can learn as much about how things work as possible. The parents should be urged to provide play materials that encourage creative play such as modeling clay. Any experience with free-form play is helpful. Street-crossing safety, following rules, and providing clothes that snap will not support the developmental task of initiative as much as providing a substance to experiment during play.

3.
The nurse is preparing an educational program for parents of preschool-age children to promote personal safety. Which information should the nurse include in this program? (Select all that apply.)
A)
Reducing the intake of fast-food items
B)
Limiting exposure to household chores
C)
Chewing food thoroughly before swallowing
D)
Explaining who police are and what they look like
E)
Teaching to never talk with or accept a ride from a stranger
Ans:
D, E

Feedback:

To promote personal safety in the preschool-age child, the nurse should instruct families to explain the role and purpose of police to the child and teach to never talk to or accept a ride from a stranger. Reducing the intake of fast-food items will help with weight control. Limiting exposure to household chores has no identified value. Chewing food thoroughly before swallowing can help with digestion and weight control.

4.
The nurse is caring for a preschool-age child who needs a CT scan. Which action should the nurse use to best prepare the child for this diagnostic test?
A)
Tell the child to follow directions to avoid being hurt.
B)
Help the child to pretend that the CT scan machine is a camera.
C)
Explain that the child must behave because the technician is busy.
D)
Tell the child that the CT scan is a picture of the dark parts inside the body.
Ans:
B

Feedback:

Because preschoolers’ imagination is so active, this leads to several fears such as fear of the dark and mutilation. The nurse needs to help the child understand that the CT scanner is like a camera to take pictures of the body parts. Threatening the child to follow directions or becoming hurt plays into the child’s fear of mutilation. Telling the child to behave creates a fear of punishment. Telling the child that the CT scan is a picture of the body’s dark parts plays into the child’s fear of the dark.

5.
Which type of play should the nurse encourage for a preschool-age child that is hospitalized?
A)
Playing an electronic handheld game
B)
Dressing in the mother’s coat to play house
C)
Turning out the lights to play hide and seek
D)
Planting flower bulbs that can be watched growing next spring
Ans:
B

Feedback:

Preschool-age children have active imaginations and dressing up to play house would be an appropriate play activity for the nurse to encourage. The child’s fine motor skills are not developed to play an electronic handheld game. Children of this age are afraid of the dark so turning out the lights to play hide and seek is not appropriate. Planting flower bulbs is an activity that is too long-term for this age range.