Chapter 8 Maternal and Child Health Nursing 7th Edition

Chapter 8  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
A couple, in which both members are 22 years of age, wants to know what it can do to improve the chances of conceiving. What should the nurse respond to this couple?
A)
Have coitus every day.
B)
Have coitus every other day.
C)
Consume a high-fat, low-protein diet.
D)
The female-superior position is the best for conception.
Ans:
B

Feedback:

Although frequent intercourse may stimulate sperm production, men need sperm recovery time after ejaculation to maintain an adequate sperm count. This is why coitus every other day, rather than every day, during the fertile period will probably yield faster results. A diet that is low in fat and moderate in protein is recommended. The male-superior position is the best for conception because the sperm will be closer to the cervical opening.

2.
The nurse is assessing a male for sperm count. Which circumstance would be most important to ask about during the health history?
A)
Jogs frequently
B)
Works at a desk job
C)
Eats a low-lipid diet
D)
Takes a vitamin supplement
Ans:
B

Feedback:

Actions that directly increase scrotal heat, such as working at a desk job, may cause sperm counts to be lower compared with men whose occupations allow them to be ambulatory at least part of each day. Jogging, a low-lipid diet, and vitamin supplementation are not as important as physical posturing when beginning an analysis for a low sperm count.

3.
The nurse is planning an education session for couples planning to conceive. What should the nurse include to support the 2020 National Health Goals? (Select all that apply.)
A)
Highlight the importance of good nutrition.
B)
Include health promotion activities for both men and women.
C)
Stress the importance of having coitus every day while trying to conceive.
D)
Remind about safe sex practices to reduce sexually transmitted infections.
E)
Explain that conception rarely occurs in couples during the first year of trying.
Ans:
A, B, D

Feedback:

To support the 2020 National Health Goals, the nurse should focus on health promotion, early identification of problems that could lead to subfertility such as poor nutrition, and teaching patients about safer sex practices so the incidence of sexually transmitted infections and pelvic inflammatory disease can be reduced. It is best to have coitus every other day so that the sperm have adequate time to mature. Ninety percent of couples who have routine unprotected sex conceive within a year.

4.
A male is diagnosed as being infertile, but he wants to have children with his spouse. Which response should the nurse provide to this patient?
A)
“You need to consider donor-alternative insemination.”
B)
“The chance of conception is slight with artificial insemination.”
C)
“You and your sexual partner should consider embryo transfer first because it is safer.”
D)
“Artificial insemination is useful only if your sexual partner has an allergy to your sperm.”
Ans:
A

Feedback:

Donor sperm (alternative insemination by donor) is used if the man has no sperm. There is no evidence to support that the chance of conception is slight with artificial insemination. Embryo transfer is for the female partner who does not produce ova. Artificial insemination is useful for many different situations.

5.
The nurse is teaching a female to take her basal body temperature daily to assess the time of ovulation. What will the patient’s body temperature reflect as the day of ovulation?
A)
Increase a degree.
B)
Decrease a degree.
C)
Fluctuate a degree daily.
D)
Spike one degree then drop.
Ans:
A

Feedback:

At the time of ovulation, the basal body temperature can be seen to dip slightly (about 0.5ºF); it then rises to a level no higher than normal body temperature; it then stays at that level until 3 or 4 days before the next menstrual flow. This increase in basal body temperature marks the time of ovulation because it occurs immediately after ovulation. Upon ovulation, the basal body temperature will not decrease a degree, fluctuate, or spike and then drop.