Maternal and Child Health Nursing 7th Edition By Pillitteri
Maternal and Child Health Nursing 7th Edition By Pillitteri
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Chapter 47 Maternal and Child Health Nursing 7th Edition By Pillitteri
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A preschool-age child recovering from a surgery to correct undescended testes expresses fear about having a “body part cut off.” Which nursing diagnosis should the nurse use to guide care while addressing this child’s concern? | |
| A) | Risk for insufficient fluid balance | |
| B) | Ineffective coping related to altered physical appearance | |
| C) | Disturbed body image related to change in physical appearance | |
| D) | Deficient knowledge related to child’s inexperience with surgical procedure | |
| Ans: | C | |
| Feedback: | ||
| The postoperative evaluation after surgery to correct undescended testes should address the boy’s feelings about the surgery and the changes in his body. He may need an opportunity to express his fears about mutilation or castration by playing with puppets or dolls after surgery. This surgery is not associated with fluid balance. The child will not have an altered physical appearance after the surgery. The child’s fear is more than a knowledge deficit about the surgical procedure. | ||
| 2. | The nurse reviews the 2020 National Health Goals for sexual health prior to preparing a presentation for high school students. On what should the nurse focus when preparing this teaching for the students? | |
| A) | Prevention of sexually transmitted infections | |
| B) | Communicating health needs to the primary care physician | |
| C) | Importance of staying current with recommended immunizations | |
| D) | Creating a work–life balance between school and extracurricular activities | |
| Ans: | A | |
| Feedback: | ||
| The 2020 National Health Goals for sexual health focus on the prevention and early treatment of sexually transmitted infections. This is the topic in which the nurse should focus during the presentation with adolescent students. The 2020 National Health Goals for sexual health do not address communication with primary care physicians, immunizations, or creating a work–life balance. | ||
| 3. | A baby is born with ambiguous genitalia. What should the nurse emphasize when discussing this with the parents? | |
| A) | Ambiguous genitalia result from hypothalamus stimulation. | |
| B) | The child’s true sex can be determined by a genetic karyotype. | |
| C) | Ambiguous genitalia will develop fully with estrogen therapy. | |
| D) | All children with ambiguous genitalia are chromosomally female. | |
| Ans: | B | |
| Feedback: | ||
| If there is any question about a child’s gender, karyotyping or DNA analysis establishes whether the child is genetically male or female. Ambiguous genitalia do not result from hypothalamus stimulation. Ambiguous genitalia do not develop fully with estrogen therapy. Ambiguous genitalia can occur in either gender. | ||
| 4. | An adolescent female is experiencing dysmenorrhea. What should the nurse teach the patient to help with this disorder? | |
| A) | Take acetaminophen (Tylenol). | |
| B) | Restrict fluid when having pain. | |
| C) | Take over-the-counter ibuprofen. | |
| D) | Use ice to help in reducing inflammation and pain. | |
| Ans: | C | |
| Feedback: | ||
| Dysmenorrhea can usually be controlled by a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen. Tylenol is not identified as a medication to help with the pain of dysmenorrhea. Fluids do not need to be restricted with dysmenorrhea. Applying heat to the abdomen with a heating pad, hot shower, or tub bath may relax muscle tension and relieve pain. | ||
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