Chapter 35 Maternal and Child Health Nursing 7th Edition

Chapter 35  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is planning activities to support the 2020 National Health Goals that address health teaching. Which action should the nurse take to ensure these goals are supported?
A)
Develop a teaching plan for a school-age child.
B)
Examine available teaching materials to use when conducting training sessions.
C)
Work with a school district to develop appropriate health teaching for the students.
D)
Assess the learning leads of parents of a preschool-age child with type 1 diabetes mellitus.
Ans:
C

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals by consulting with schools and health care organizations to develop what health teaching programs are needed and then teaching in such programs. Developing a teaching plan for a child, examining teaching materials, and assessing learning needs of parents will not necessary help achieve the 2020 National Health Goals.

2.
The nurse is preparing to teach a school-age child how to apply gauze wrap to a leg dressing. Which approach is the best for the nurse to use with this patient?
A)
Talk about the procedure.
B)
Demonstrate the procedure.
C)
Show pictures of the procedure.
D)
Review the written steps of the procedure.
Ans:
B

Feedback:

Because of their stage of cognitive development, which is concrete operations, school-age children learn best by demonstration. The nurse needs to do more than talk about the procedure. Showing pictures of the procedure is not enough with this age group. Reviewing the written steps of the procedure is too advanced for this age group.

3.
The nurse provided a preschool-age child with instructions prior to having a surgical procedure. The parents of the child were in attendance, and the child was alert and participated in the education session. During postoperative care, the child is unable to recall anything that was instructed. What does this finding suggest to the nurse about the communication process?
A)
The code was not received.
B)
The feedback was not truthful.
C)
The decoder did not receive the message.
D)
The encoder failed to communicate the message.
Ans:
C

Feedback:

There are several parts to the communication process. The encoder is the person delivering the message. The nurse was the encoder who provided teaching to the child. The code is the message being delivered. This was the teaching for the surgical procedure. Because the child was alert and participated in the education, it appears that the code was received. The decoder is the child. Because the child was unable to recall any of the teaching, it could be because of stress. Under stress, children tend to narrow their ability to receive information to a small area of concern. Children, who are extremely anxious, may not “hear” or be unable to interpret the message because of anxiety, even though excellent instructions were provided. Feedback is the reply the decoder returns to the sender to acknowledge the message has been received and interpreted. Because the child was alert and participated in the education, it is unlikely that the feedback was not truthful.

4.
A school-age child is newly diagnosed with type 1 diabetes mellitus. Which behavior indicates to the nurse that the child might be interested in learning how to self-administer insulin injections?
A)
The child cries and calls for the mother with every insulin injection.
B)
The child watches the nurse fill and asks to hold the insulin syringe.
C)
The child asks how many “shots” are needed before the illness is “all better.”
D)
The child tells the nurse that a parent will give the injection so the parent needs the teaching.
Ans:
B

Feedback:

Designing a teaching plan begins with assessment of the individual child’s needs and how the new knowledge will meld with the child’s and family’s lifestyle, the child’s intellectual and language level, current knowledge level, physical/cognitive capabilities, sociocultural values, and attention span. Because the child is school-age and is a concrete thinker, the child who watches the nurse fill and asks to hold the syringe is the most ready for teaching about self-administration of insulin injections. The child who cries for the mother is not emotionally mature for this teaching. The child who asks how many “shots” are needed before the illness is “all better” is not intellectually prepared for this teaching. The child who expects the parent to provide the medication is also not intellectually prepared for this teaching.

5.
The mother of a child newly diagnosed with muscular dystrophy appears overwhelmed the care the child will need once discharge occurs. Which nursing diagnosis is the most appropriate for the nurse to select to help guide this mother’s learning needs?
A)
Health-seeking behaviors related to ways to care for the child at home
B)
Effective coping related to understanding the home care needs of the child
C)
Deficient knowledge related to type and amount of care needed for the child
D)
Anxiety related to perceived amount of material needed to be learned for home care of child
Ans:
D

Feedback:

The mother appears overwhelmed, which would indicate anxiety related to the amount of learning needed to care for the child at home. This is the diagnosis that the nurse should use to guide the mother’s learning needs. The mother is not asking questions about the care so health-seeking behavior is not appropriate at this time. The mother appears overwhelmed so effective coping is not appropriate at this time. The nurse has not assessed the mother so deficient knowledge is not appropriate at this time.