Chapter 34 Maternal and Child Health Nursing 7th Edition

Chapter 34  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is beginning a health history with a 3-year-old child. Which question should the nurse ask the mother first when beginning the history?
A)
“Is Sarah ill in any way?”
B)
“Tell me about your daughter.”
C)
“Has Sarah been ill in the past?”
D)
“Do you have any concerns about Sarah?”
Ans:
D

Feedback:

The most appropriate question to begin a health history is open ended. This type of question allows the parent to elaborate on the health of the child. Close-ended questions such as asking if the child has been ill or if the child has been ill in the past limit the amount of information learned for the history. Expansive statements such as “tell me about your daughter” are too vague.

2.
The nurse is identifying ways to support the 2020 National Health Goals during the upcoming preschool health screening program. What should the nurse include when conducting the program? (Select all that apply.)
A)
Conduct vision tests.
B)
Conduct hearing tests.
C)
Listen to heart sounds.
D)
Measure gait and balance.
E)
Review immunizations received.
Ans:
A, B, E

Feedback:

To support the 2020 National Health Goals related to health assessment of children, the nurse should participate actively in health assessment, including vision and hearing, and screening for and administering vaccines. Listening to heart sounds and measuring gait and balance do not support the 2020 National Health Goals related to health assessment of children.

3.
The nurse wants to find out how much time a preschooler spends in various activities throughout the day. What should the nurse do to learn this information?
A)
Ask the parents to complete a day history.
B)
Ask the parents to name the games the child knows.
C)
Ask the child how much time the mother is with the child.
D)
Ask the parents how many hours is spent playing with the child each day.
Ans:
A

Feedback:

The child’s current skills, sleep patterns, hygiene practices, eating habits, and interactions with the family can all be elicited by asking a parent to describe a typical day. Day histories are fun to obtain because most parents are eager to describe their day with their child, and information gained this way is surprisingly rich and pertinent, much more so than if parents are just asked how their child sleeps, eats, or plays.

4.
The nurse is preparing to measure the head circumference of a 6-month-old child. How should the nurse make this measurement?
A)
From the hairline in front to the hairline in back
B)
From the center of the forehead to the base of the occiput
C)
Above the eyebrows through the prominent part of the occiput
D)
From the middle of the forehead through the parietal prominences
Ans:
C

Feedback:

Head circumference is measured by placing a tape measure around an infant’s head just above the eyebrows and around the most prominent portion of the back of the head or the occipital prominence. Head circumference is not measured using the hairline or the forehead.

5.
The nurse is preparing to assess the abdomen of a preschool age child. Which technique should the nurse use first?
A)
Palpation
B)
Inspection
C)
Percussion
D)
Auscultation
Ans:
B

Feedback:

To assess an abdomen, first inspect the surface for symmetry and contour. After inspection, the nurse should auscultate for bowel sounds. The examination concludes with percussion and palpation.