Chapter 9 Maternal and Child Health Nursing 7th Edition

Chapter 9  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is explaining the process of fertilization to a patient who has just learned of being pregnant. On which day during pregnancy should the nurse explain that the embryo implants on the uterine surface?
A)
Four days after fertilization
B)
Eight to 10 days after fertilization
C)
The 14th day of a “typical” menstrual cycle
D)
Ten days after the start of the menstrual flow
Ans:
B

Feedback:

Implantation, or contact between the growing structure and the uterine endometrium, occurs approximately 8 to 10 days after fertilization. Four days after fertilization the structure is a zygote. Implantation does not occur on the 14th day of a typical menstrual cycle or 10 days after the start of a menstrual flow.

2.
A patient who learns of being 9 weeks pregnant asks the nurse to explain the changes that are occurring with her body. Which nursing diagnosis should the nurse identify as being appropriate for the patient at this time?
A)
Anxiety
B)
Impaired coping
C)
Deficient knowledge
D)
Readiness for enhanced knowledge
Ans:
D

Feedback:

The patient asks the nurse to explain the changes that are occurring, which indicates that the patient is ready for more information or enhanced knowledge. Deficient knowledge would be appropriate if the patient where participating in some action or activity that would be harmful and would need information to correct that action. The patient’s request for more information is not consistent with the diagnoses of anxiety or impaired coping.

3.
The nurse is teaching a patient in the first trimester of pregnancy about the importance of folic acid in the diet and how folic acid supplements might be beneficial. For which reason is the nurse teaching the patient about this vitamin?
A)
Maintains energy throughout the pregnancy
B)
Controls the risk of hypertension while pregnant
C)
Prevents neural tube disorders in the developing fetus
D)
Sustains a slow and steady weight gain while pregnant
Ans:
C

Feedback:

Folic acid deficiency in pregnancy can lead to midline closure defects such neural tube disorders. One of the 2020 National Health Goals addresses an adequate folic acid intake while pregnant, and the nurse can help the nation achieve this goal by urging women to have an optimum folic acid level. Folic acid is not encouraged in the pregnant patient to maintain energy, control the risk of hypertension, or sustain a slow and steady weight gain while pregnant.

4.
A pregnant patient asks why an α-fetoprotein serum level has been ordered. What should the nurse explain to the patient about this test?
A)
It screens for placenta function.
B)
It measures the fetal liver function.
C)
It may reveal chromosomal abnormalities.
D)
It tests the ability of the patient’s heart to accommodate the pregnancy.
Ans:
C

Feedback:

α-Fetoprotein (AFP) is a substance produced by the fetal liver that can be found in both amniotic fluid and maternal serum. The level is abnormally high if the fetus has an open spinal or abdominal wall defect because the open defect allows more AFP to enter the mother’s circulation. Although the reason is unclear, the level is low if the fetus has a chromosomal defect such as Down syndrome. Between 85% and 90% of neural tube anomalies, and 80% of Down syndrome babies can be detected by this method. The α-fetoprotein level is not used to screen for placenta functioning, measure fetal liver function, or test the ability of the patient’s heart to accommodate the pregnancy.

5.
The nurse teaches the importance of avoiding nonessential substances to a young adult female who is 6 weeks pregnant. Which patient statement indicates that teaching has been effective?
A)
“I can drink on weekends only.”
B)
“Smoking is bad for me and my baby.”
C)
“Smoking is permitted as long as I do it outdoors.”
D)
“Only one beer or one glass of wine is permitted while pregnant.”
Ans:
B

Feedback:

Because almost all drugs are able to cross into the fetal circulation, it is important that a woman take no nonessential drugs, including alcohol and nicotine, during pregnancy. Alcohol perfuses across the placenta and can cause fetal alcohol sequence disorders. Because it is difficult to tell what quantity is “safe,” pregnant women are advised to drink no alcohol during pregnancy. The statement that “smoking is bad for me and my baby” indicates that teaching has been effective. The patient should be instructed to avoid all alcohol intakes while pregnant and to not smoke.