Chapter 4 Caring for Women, Families, and Children Across the Life Span

Chapter 4  Caring for Women, Families, and Children Across the Life Span

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The clinic nurse knows that providing an influenza vaccination clinic for patients aged 65 years and older is best described as an example of what kind of health care?
A.
Disease prevention
B.
Health promotion
C.
Health screening
D.
Secondary prevention

ANS: B
Health promotion refers to the advancement of health to the highest degree possible for an individual. One activity is providing vaccination clinics for older adults. Disease prevention focuses on the implementation of strategies to reduce the incidence of disease or the development of comorbid illnesses in individuals with existing diseases. Health screening (secondary prevention) aims to diagnose diseases early and begin effective treatment immediately.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process: Implementation
Difficulty: Easy

PTS: 1

2. The family clinic nurse encourages a patient to continue breastfeeding her 8-month-old infant to facilitate maturation of the infant’s immune system. When does this occur?
A.
12 months
B.
16 months
C.
18 months
D.
24 months

ANS: D
Because an infant’s immune system does not become fully mature until 2 years of age, the maternal transfer of antibodies and immune factors enhances development of the immune system and facilitates the neonate’s immune system response. The longer the time that an infant is breastfed, the stronger the protection again infection and the earlier the maturation of the infant’s immune system.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

3. The clinic nurse is working with a mother who wants to know the best age for teaching children about the names and functions of sexual organs. What should the nurse tell her?
A.
5 to 6 years of age
B.
6 to 7 years of age
C.
8 to 9 years of age
D.
9 to 11 years of age

ANS: C
Between 8 and 11 years of age, children begin to focus on their own development and to contrast it with their friends’ development. At this time, parents should begin to educate their children about the names and functions of the male and female sexual organs, puberty, the menstrual cycle, sexual intercourse, pregnancy, pregnancy prevention, same-sex relationships, masturbation, and the spread of sexually transmitted infections, and encourage dialogue about personal expectations and values regarding sexual activity.

Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

4. The pediatric clinic nurse tells the parents that infants can roll over, presenting a safety hazard, at what age?
A.
1 month
B.
2 months
C.
3 months
D.
4 months

ANS: C
At 3 months, infants begin to roll over from the stomach to the back and to turn toward loud sounds. These activities can pose a safety hazard related to the changing tables used for changing diapers, and parents should be told to keep a hand on their infant at all times.

Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

5. The family clinic nurse reviews nutritional information with a 15-year-old patient. The
patient is concerned about being short and wonders if growth will continue. The nurse explains that the typical increase in height during adolescence is how much?
A.
15%
B.
25%
C.
30%
D.
35%

ANS: B
Diet and nutrition are especially important for facilitating optimal growth and development during adolescence. Adequate nutritional intake is essential to accommodate the growth spurt that occurs during this time. Adolescents gain approximately 25% of their adult height and 50% of their adult weight throughout this time period.

Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1