Chapter 02 Contemporary Maternal Newborn Nursing 7th Edition

Chapter 02 Contemporary Maternal Newborn Nursing 7th Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 02_LO 01_Q01

Why is it important for the nurse to understand the type of family that a client comes from? Select all that apply.

1. Family structure can influence finances and the ability to purchase nutritious foods.
2. Many types of families exist, and it is important to address the persons who hold power within the family.
3. The nurse can anticipate which problems a client will experience based on the type of family the client has.
4. Understanding if the client’s family is nuclear or blended will help the nurse teach the client the appropriate information.
5. The values of the family will be predictable if the nurse knows what type of family the client is a part of.

Correct Answers: 1, 2

Rationale:

1. Dual-career/dual-earner families tend to have more stable finances, while single-parent families tend to have lower incomes. Nutrition impacts fetal growth and development, and nutritious foods tend to be more costly than nutrient-poor or junk food. Thus understanding the type of family can help the nurse determine the best education for the client.
2. Understanding the family power is important so that the nurse will address the appropriate person(s). This will facilitate effective communication, as the nurse will be perceived as respectful of the family.
3. Each client and family must be assessed as individuals, without making assumptions. Although generalities can be drawn based on the type of family that a client comes from or currently is part of, stereotypes must be avoided.
4. Each client and family must be assessed as individuals, without making assumptions. Although generalities can be drawn based on the type of family that a client comes from or currently is part of, stereotypes must be avoided.
5. Each client and family must be assessed as individuals, without making assumptions. Although generalities can be drawn based on the type of family that a client comes from or currently is part of, stereotypes must be avoided.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 2.1 Describe how family type can influence nursing care of the childbearing family.

Chapter 02_LO2 _Q02

The nurse is preparing a community presentation on family development. Which of the following statements should the nurse include?

1. The youngest child’s age determines the family’s current stage.
2. A family does not experience overlapping of stages.
3. Family development ends when the youngest child leaves home.
4. The stages describe the family’s progression over time.

Answer: 4

Rationale:

1. The oldest child’s age is the marker for which stage the family is in, except for the two last stages, which occur after the children have left home.
2. Families with more than one child can experience multiple stages simultaneously.
3. Families with more than one child can experience multiple stages simultaneously.
4. Family development stages describe the changes and adaptations that a family goes through over time as children are added to the family.

Assessment

Health Promotion and Maintenance

Application

Learning Outcome 2.2  Explain the changes that a childbearing family will undergo based on the developmental tasks to be completed.

Chapter 02_LO03 _Q03

The nurse is preparing to assess the development of a family new to the clinic. The nurse understands that the primary use of a family assessment tool is to:

1. Obtain a comprehensive medical history of family members.
2. Determine which clinic the client should be referred to.
3. Predict how a family will likely change with the addition of children.
4. Understand the physical, emotional, and spiritual needs of members.

Correct Answer: 4

Rationale:

1. The focus of a family assessment is the family as one entity. Health of the family is one area that is explored using a family assessment tool.
2. The family assessment tool facilitates understanding of the physical, emotional, and spiritual needs of members. Although referrals might take place as a result of the family assessment findings, understanding of the family is the primary reason the tool is used.
3. The family assessment tool facilitates understanding of the physical, emotional, and spiritual needs of members. Family development models help predict how a family will likely change with the addition of children.
4. This is the main reason for using a family assessment tool.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 2.3 Identify information that would be useful to collect when performing a family assessment.

Chapter 02_LO 04_Q04

A laboring client has been very quiet during labor, and has made no noise during contractions during the past four hours. The client is of Chinese descent. The nurse understands that this indicates that the client:

1. Believes pain should be endured and not expressed.
2. Is not in the active phase of labor yet.
3. Will not need pain medication during her hospitalization.
4. Has been abused by her husband and is afraid to verbalize fear.

Correct Answer: 1

Rationale:

1. This is a common traditional Chinese belief.
2. Because it is a common traditional Chinese belief to not express pain verbally, the nurse must assess for the progression of labor in other ways.
3. Although it is a common traditional Chinese belief to not express pain verbally, the assumption cannot be made that no pain relief medication will be needed either during the labor and birth or the postpartum period.
4. It is a common traditional Chinese belief to not express pain verbally, and does not indicate domestic abuse.

Cognitive level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Diagnosis

Learning Outcome: 2.4 Integrate the prevalent cultural norms of a family that affect childbearing and child rearing when providing care to that family.