Chapter 56 Maternal and Child Health Nursing 7th Edition

Chapter 56  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is caring for an infant born with a congenital anomaly. Which of the following factors is likely to have the most influence on the mother’s ability to cope with the infant’s handicap?
A)
The mother’s age
B)
The gender of the infant
C)
The parent’s amount of support
D)
The fact that this is a mental and not a physical challenge
Ans:
C

Feedback:

Availability of support people to help the mother cope with the infant’s handicap will have a major influence. A family that has few close friends and lives some distance from relatives is apt to have more difficulty adjusting to illness in a child than a family that has close support people. People who can locate secondary support systems in their community usually do better than parents who are without these resources. The mother’s age, gender of the infant, and type of handicap will not have the most influence on the mother’s ability to cope with the infant’s needs.

2.
The hospice nurse is planning a community program that emphasizes the 2020 National Health Goals to reduce long-term illness and early death in children. Which information should the nurse include in this program? (Select all that apply.)
A)
Strategies to prevent unintentional injury
B)
Seeking early prenatal care when pregnant
C)
Following recommended immunization schedules
D)
Supporting childhood physical activity expectations
E)
Following recommended dietary intake requirements
Ans:
A, B, C

Feedback:

Nurses can help the nation achieve the 2020 National Health Goals to reduce long-term illness and early death in children by educating women to seek care during pregnancy so that congenital anomalies are less frequent and to teach unintentional injury prevention and the importance of immunizations so unintentional injuries and infectious diseases that can lead to long-term illness can be reduced. Physical activity expectations and dietary intake requirements are not strategies to achieve the 2020 National Health Goals to reduce long-term illness and early death in children.

3.
The community nurse is caring for a family who has a child with a long-term illness. At which point in life should the nurse anticipate the parents having the least difficult time accepting the child’s condition?
A)
On the child’s first birthday
B)
The day the child starts kindergarten
C)
The day the child is toilet trained
D)
The day the child would have graduated college
Ans:
D

Feedback:

A child’s illness usually appears to be more acute at times when the child would normally reach developmental milestones. When the child does not reach these traditional milestones, it reminds parents about their child’s illness in a particularly painful way. The first birthday, starting kindergarten, and being toilet trained are momentous occasions for families raising children. The family may or may not view attending college as a priority.

4.
The parents of a school-age child are informed that their child has muscular dystrophy and will be wheelchair bound going forward. Which nursing diagnosis should the nurse identify as appropriate for the parents at this time?
A)
Hopelessness related to steady progression of child’s disease
B)
Interrupted family processes related to recent diagnosis of chronic illness in a child
C)
Decisional conflict related to treatment options and choice of setting for child’s final care
D)
Risk for delayed growth and development related to lack of age-appropriate stimulation because of disability
Ans:
B

Feedback:

Because the parents are just learning of the diagnosis of muscular dystrophy, this news will interrupt family processes. There is no enough information to determine if the parents are hopeless. The child is not diagnosed with a terminal illness. There is no enough information to determine if the child is at risk for delayed growth and development.

5.
The parents of a 6-year-old have just been told that their child will die shortly. At which age does the nurse realize that children are capable of understanding death?
A)
3 years
B)
6 years
C)
9 years
D)
12 years
Ans:
C

Feedback:

As children near 8 or 9 years of age, they begin to appreciate that death is permanent. Younger children are not able to conceptualize the permanence of death. A 12-year-old child is able to conceptualize the permanence of death.