Chapter 39 Maternal and Child Health Nursing 7th Edition

Chapter 39  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is planning care for a school-age patient experiencing undiagnosed limb pain. Which nursing diagnoses regarding pain should the nurse consider when designing this patient’s plan of care? (Select all that apply.)
A)
Pain related to an invasive procedure
B)
Disturbed sleep pattern related to chronic pain
C)
Fear related to anticipation of painful procedure
D)
Anxiety related to dressing changes that cause pain
E)
Health-seeking behaviors related to the cause of pain
Ans:
A, B, C

Feedback:

Nursing diagnoses for children with pain focus not only on the pain but also on the stress, fear, or anxiety that pain produces. Nursing diagnoses appropriate for the child experiencing undiagnosed limb pain include pain related to an invasive procedure, disturbed sleep pattern related to chronic pain, and fear related to anticipation of painful procedure. It is unknown if the child has a dressing on the limb. The child is demonstrating health-seeking behaviors related to the cause of the pain.

2.
The community nurse is planning a program that focuses on the 2020 National Health Goals to alleviate pain. Which information should the nurse include that focuses on pain control in children? (Select all that apply.)
A)
Encourage all episodes of pain to be treated with narcotics.
B)
Instruct on avoiding unintentional injuries by using safety belts and helmets.
C)
Explain that pain can be managed with medicine or nonmedication measures.
D)
Remind that the use of over-the-counter analgesics like aspirin are recommended.
E)
Recommend that the use of alternative pain medications on the market be used for pain.
Ans:
B, C

Feedback:

Nurses can help the nation reduce pain among children by active management of pain as well as teaching children about the importance of avoiding painful unintentional injures by the use of safety belts and bicycle helmets. One 2020 National Health Goals is to reduce the number of non–FDA-approved pain medications on the market. Another 2020 National Health Goal is to reduce the incidence of injuries caused by pain medication. Over-the-counter analgesics like aspirin are not recommended for all episodes of pain.

3.
Prior to conducting a blood-drawing procedure, the nurse teaches a child to imagine swimming in a cool, shady park with friends and family. Which technique did the nurse use with this patient?
A)
Imagery
B)
Park therapy
C)
Thought stopping
D)
Nerve stimulation
Ans:
A

Feedback:

Substitution of meaning or guided imagery is a distraction technique to help a child place a nonpainful meaning onto a painful procedure. Children are often more adept at imagery than adults because their imagination is less inhibited. This technique works well with quick, simple procedures such as venipunctures or chronic pain. Park therapy is not a pain management technique. This technique is not thought stopping or nerve stimulation.

4.
The nurse is preparing to provide a preschool-age child with an injection. Which technique should the nurse use when applying EMLA cream to the injection site?
A)
Apply it at least 1 hour before the procedure.
B)
Wipe it off at least 15 minutes before the procedure.
C)
Apply it immediately prior to the painful procedure.
D)
Do not cover it after application to prevent it from discoloring.
Ans:
A

Feedback:

EMLA is a topical anesthetic cream containing lidocaine and prilocaine. The nurse should apply a dollop of the cream on the intended site at least 1 hour before the injection. The cream should be removed immediately before the injection. The cream needs time to work so applying immediately before the injection will not help reduce pain. The cream is covered to keep it secure over the intended area. The cream will not discolor when covered.

5.
The nurse is preparing discharge teaching for the parents of a school-age child who was recently receiving patient-controlled analgesia. What should the nurse include when teaching the parents about pain management for this patient? (Select all that apply.)
A)
Dosing of pain medication
B)
Frequency of pain medication
C)
Expected level of pain relief
D)
Contact number to call with questions
E)
Technique to insert an intravenous line
Ans:
A, B, C, D

Feedback:

For ongoing care, the nurse should ensure that children and parents are provided with support and follow-up to the extent necessary to continue adequate pain management in the home. Parents should be given instructions on dosing, administration, frequency, expected outcomes, and expected level of relief. Provide them with the name and telephone number of a health care professional whom they can call if they have questions about pain management. The parents are not responsible for inserting an intravenous line.