Chapter 02 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Chapter 02 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

While conducting a family assessment, the nurse determines that a particular family’s structure is binuclear. Some potential challenges inherently faced by binuclear families include:

1. Challenges related to co-parenting and joint custody, including negotiation and compromise between the parents about childrearing decisions.
2. Issues related to both parents being employed, including child care, household chores, and spending time together.
3. Challenges related to children interacting with peers and when revealing their parents’ sexual orientation.
4. Issues related to single parenting, including lack of social and emotional support, need for assistance with childrearing, and financial strain.

Correct Answer: 1

Rationale 1: Because both parents have equal responsibility and legal rights regarding their biologic child, binuclear families may inherently face challenges related to co-parenting and joint custody, including negotiation and compromise between the parents about childrearing decisions.

Rationale 2: Issues inherently faced by the dual-career/dual-earner family include child care, household chores, and spending time together.

Rationale 3: Children raised in gay and lesbian families may face challenges related to interacting with peers and when revealing their parents’ sexual orientation.

Rationale 4: Binuclear families incorporate co-parenting, whereas with single parenting, one parent is responsible for child care. Issues inherently related to single parenting may include lack of social and emotional support, need for assistance with childrearing, and financial strain.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO01 – Describe how family type may influence nursing care of the childbearing family.

 

Question 2

Type: MCSA

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.

Correct 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.

Rationale 2: Families with more than one child can experience multiple stages simultaneously.

Rationale 3: Families with more than one child can experience multiple stages simultaneously.

Rationale 4: Family development stages describe the changes and adaptations that a family goes through over time as children are added to the family.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO02 – Explain the changes that a childbearing family will undergo based on the developmental tasks to be completed.

 

Question 3

Type: MCSA

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 patient 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.

Rationale 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.

Rationale 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.

Rationale 4: This is the main reason for using a family assessment tool.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO03 – Identify information that would be useful to collect when performing a family assessment.

 

Question 4

Type: MCSA

The registered nurse is caring for a pregnant Muslim patient who is anticipating delivery within the next few days. The nurse asks if she and her husband have chosen a name for their baby. The patient quietly shakes her head, “no.” Based upon the patient’s response, the nurse understands that:

1. The patient is not happily anticipating the arrival of her baby.
2. Cultural beliefs may require the couple to choose the baby’s name following the birth.
3. The patient does not speak English.
4. Cultural beliefs may require that the baby’s name be kept secret until after the delivery.

Correct Answer: 2

Rationale 1: There is no evidence to support that the patient is not happily anticipating her baby’s arrival.

Rationale 2: In the Muslim culture, it is common to avoid naming the baby until after the baby is born.

Rationale 3: The patient has been conversing with the nurse; no prior interaction suggested a language barrier.

Rationale 4: Rather than keeping the baby’s name secret, in the Muslim culture, it is common to avoid naming the baby until the baby is born.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO04 – Integrate the prevalent cultural norms that affect childbearing and childrearing when providing care to that family.