Chapter 4 Maternal and Child Health Nursing 7th Edition

Chapter 4  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
Which observation indicates to the nurse that a family is not functioning in a healthy way?
A)
The family pays cash for health care.
B)
The father comforts his crying daughter.
C)
The mother states, “This family couldn’t function without me.”
D)
The father does not share his concerns so his wife will not worry about them.
Ans:
D

Feedback:

Health family functioning includes communication with each other and identifying and sharing feelings about the home situation. The family paying cash for health care does not support a family that is not functioning in a healthy way. The father comforting his crying daughter demonstrates healthy family functioning. The mother who believes the family could not function without could be a statement of frustration or evidence that the family needs her to maintain healthy functioning.

2.
During a home visit, the nurse determines that a family is functioning in a healthy manner. Which behavior did the nurse observe to make this determination?
A)
A mother is angry that the father never helps with housework.
B)
A brother is so jealous of his new sister that he hides her clothes.
C)
A father wishes the family was able to spend more time together.
D)
A mother states she has grown up since giving birth to her children.
Ans:
D

Feedback:

A family that is supportive of all family members and provides an environment conducive to each member’s continued growth and development is more likely to be able to manage home care. The mother’s statement about growing up after giving birth demonstrates growth. The mother that is angry because of no help with housework is demonstrating unrealistic expectations of family members. A brother that hides clothes is not successfully dealing with the stresses within the family. The father wishing the family had more time together might be overwhelmed with the home situation.

3.
A pregnant patient experiencing exacerbation of asthma is prescribed home care. The nurse is planning to assess the patient’s community for resources. On which areas will the nurse focus this assessment? (Select all that apply.)
A)
Religion
B)
Age span
C)
Health care
D)
Recreation
E)
Environment
Ans:
C, E

Feedback:

For a patient with asthma, the community areas that the nurse should assess include environment and access to health care. The environment could exacerbate the patient’s symptoms and health care could influence the patient’s ability to obtain help if necessary. Religion, age span, and recreation will not necessarily impact the maintenance of the patient’s asthma.

4.
The nurse is completing the health histories for twin toddlers. Which statement should the nurse make to the mother that focuses on the 2020 National Health Goals?
A)
Discuss adequate dental care.
B)
Explain the need for the toddlers to have socialization with other children.
C)
Remind the mother that the toddlers need regularly scheduled vaccinations.
D)
Stress the importance of home safety and prevention of accidental poisoning.
Ans:
C

Feedback:

The 2020 National Health Goal applicable to this situation is to reduce or eliminate vaccine-preventable diseases such as measles, pertussis, and varicella. Dental care, socialization, and home safety are not 2020 National Health Goals.

5.
A preschooler, receiving home oxygen therapy, is excited about an upcoming birthday. Which statement by the patient’s mother indicates that additional teaching on the safety of home oxygen therapy is needed for the occasion?
A)
“I’ll be careful that no guest smokes.”
B)
“I’ll be certain he doesn’t get too tired.”
C)
“His brother can help him open presents.”
D)
“I’m baking a cake and we’ll have candles.”
Ans:
D

Feedback:

During the home visit, the nurse should have instructed the mother on home safety with oxygen therapy. This includes knowing not to light candles near oxygen for a birthday. The statement about no guests smoking indicates that teaching has been effective. The statements about fatigue and having help with presents do not evaluate the effectiveness of teaching on home oxygen safety.