Chapter 37 Maternal and Child Health Nursing 7th Edition

Chapter 37  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
Which intervention should the nurse use when collecting a urine specimen from an 8-month-old patient?
A)
Place a urine collector on the baby just prior to feeding.
B)
Wait an hour after a feeding and then apply a collection bag.
C)
Wait until the baby voids and attempt to obtain a clean-catch specimen.
D)
Place a diaper on the baby; when it is wet then send the diaper to the laboratory.
Ans:
A

Feedback:

An infant who has not been toilet trained cannot be expected to urinate on command so a collecting device must be attached to the genitalia to collect their next voiding. Most infants void shortly after a feeding, so if the collector is applied just before a regular feeding, voiding will probably result soon afterward. Remove the collector as soon as the infant voids and transfer the specimen to a specimen cup by cutting a bottom corner of the bag. Waiting an hour after a feeding might not produce the needed urine for the specimen. It would be difficult to obtain a clean-catch specimen from a baby. It is inappropriate to send a saturated diaper to the laboratory for a urine specimen.

2.
The nurse needs to obtain a blood sample from a 7-year-old child. How should the nurse explain this procedure to the patient?
A)
“The doctor needs some of your blood; trust me, it won’t hurt.”
B)
“I need to draw some blood from you. Will you hold still for me?”
C)
“The technician will draw your blood; it will just hurt for a minute.”
D)
“The doctor needs to look at your blood to see why you are sick; it will hurt for a second.”
Ans:
D

Feedback:

The nurse should offer the child a simple explanation of the procedure such as, “The doctor needs to look at your blood to see why you are sick; it will only hurt for a second.” The nurse needs to let the child know you understand how difficult it is to agree to the procedure. Saying that the procedure does not hurt is not being truthful. Asking the patient to hold still does not provide enough of an explanation about the venipuncture. Saying that the technician is going to draw the blood and that it will only hurt for a minute does not explain why the blood is needed.

3.
The nurse is preparing a community program for parents and children that focus on the 2020 National Health Goals to reduce the number of diagnostic or therapeutic procedures. Which topics should the nurse include in this program? (Select all that apply.)
A)
Explain the importance of good nutrition.
B)
Emphasize the importance of avoiding unintentional injuries.
C)
Include interventions to help prevent children from becoming ill.
D)
Discuss the value of having diagnostic testing completed annually.
E)
Relate how immunizations continue to be controversial for children.
Ans:
A, B, C

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals to reduce the number of diagnostic or therapeutic procedures for children by providing health counseling to both parent and child on ways to prevent children from becoming ill and subsequently requiring hospitalization, such as teaching sound nutrition and instructing on practices on avoiding unintentional injury. The goal is to reduce the number of diagnostic tests and not encourage them to be done annually. Focusing on the controversy with immunizations will not support the 2020 National Health Goals.

4.
The nurse is caring for an infant recovering from surgery for a cleft palate. Which type of restraint would be appropriate for the nurse to use when caring for this infant?
A)
Elbow
B)
Jacket
C)
Mummy
D)
Clove hitch
Ans:
A

Feedback:

The elbow restraint is indicated to prevent children from touching the head or face after facial surgery. The jacket restraint is to restrain children younger than 6 months in a supine position. This will not prevent the baby from touching the face. The mummy restraint temporarily immobilizes young children for a procedure involving the head, neck, or throat. This might be the restraint used for the surgery but not for the postoperative care. The clove hitch restraint is used to secure one arm or leg for a procedure, such as an intravenous infusion.

5.
The nurse needs to assess the temperature of a 12-month-old infant. Which site should the nurse use for this assessment?
A)
Axilla
B)
Mouth
C)
Rectum
D)
Tympanic membrane
Ans:
D

Feedback:

Thermometers that assess tympanic membrane temperature are ideal for assessment in children because they register within 2 seconds and therefore cause less fear because a child only has to be restrained for a few seconds. The axilla is the preferred site for temperature assessment for a newborn. The baby is too young to be able to keep an oral thermometer in the mouth. It is not necessary to use the rectum to measure the temperature on this child. This approach is too intrusive.