Chapter 05 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Chapter 05 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

The clinic nurse is returning phone calls. Which call should the nurse return first?

1. 22-year-old reporting that she has menstrual cramps and vomiting every month
2. 17-year-old asking if there is a problem with using one tampon for a whole day
3. 46-year-old mother of a teen wondering if her daughter should be on birth control
4. 34-year-old requesting information on douching after intercourse

Correct Answer: 2

Rationale 1: Because vomiting can lead to dehydration, this patient will require further assessment. Because her symptoms are not life-threatening, this patient’s assessment is not the first priority.

Rationale 2: Using a single tampon for an entire day can lead to toxic shock syndrome, a potentially life-threatening condition. This patient needs education on the danger of using one tampon more than 3–6 hours.

Rationale 3: A sexually active teen could be at risk for unintended pregnancy, as well as sexually transmitted infections. However, it is unclear whether the daughter is sexually active. This call is a low priority.

Rationale 4: Douching is not recommended, because the practice causes a change in the pH of the vagina and impacts the normal flora, predisposing patients to candidiasis and bacterial vaginosis. This patient requires education but is not the first priority.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO01 – Identify appropriate nursing care based on the results of the patient’s sexual history.

Question 2

Type: MCSA

When taking a sexual history from a patient, the nurse should:

1. Ask questions that the patient can answer with a “yes” or “no.”
2. Ask mostly open-ended questions.
3. Have the patient fill out a comprehensive questionnaire and review it after the patient leaves.
4. Try not to make much direct eye contact.

Correct Answer: 2

Rationale 1: “Yes-or-no” answers indicate closed-ended questions that will not encourage the patient to share the necessary information.

Rationale 2: Open-ended questions are often useful in eliciting information because they encourage more than a one-word answer.

Rationale 3: Filling out a questionnaire and reviewing it after the patient leaves is not appropriate. It should be reviewed in the presence of the patient, encouraging conversation regarding the results.

Rationale 4: It is helpful to use direct eye contact as much as possible, unless culturally unacceptable. Eye contact encourages a connection between the involved parties and shows care and concern.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO01 – Identify appropriate nursing care based on the results of the patient’s sexual history.

Question 3

Type: MCSA

Which patient would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?

1. 17-year-old, has never had a menstrual cycle
2. 16-year-old, had regular menses for 4 years, but has had no menses in four months
3. 19-year-old, regular menses for 5 years that have suddenly become painful
4. 14-year-old, irregular menses for one year, experiences cramping every cycle

Correct Answer: 4

Rationale 1: This is primary amenorrhea, or the lack of menses.

Rationale 2: Secondary amenorrhea is the term used when a patient has had regular cycles that cease.

Rationale 3: Secondary dysmenorrheal is the sudden onset of pain and discomfort with menses.

Rationale 4: Primary dysmenorrhea is when menstruation has been painful from the first menstrual cycle and consistently continues to be painful each month.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO02 – Describe accurate information to be provided to girls and women so that they can implement effective self-care measures for dealing with menstruation.

Question 4

Type: MCSA

A patient asks her nurse, “Is it okay for me to use a vaginal douche each day when I’m on my period?” The nurse’s correct response is:

1. “Douching should be avoided when you’re on your period.”
2. “Using a douche each day will help prevent vaginal infections from occurring.”
3. “During your period, douching will help promote the flow of menstrual secretions.”
4. “Regular douching is necessary in order to promote good hygiene.”

Correct Answer: 1

Rationale 1: Women should avoid douching during menstruation because the cervix is dilated to permit the downward flow of menstrual fluids from the uterine lining.

Rationale 2: Douching washes away the natural mucus and upsets the vaginal flora, which can make the vagina more susceptible to infection.

Rationale 3: During menstruation, douching may interfere with downward flow of menstrual fluids from the uterine lining.

Rationale 4: Douching as a hygiene practice is unnecessary because the vagina cleanses itself.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO02 – Describe accurate information to be provided to girls and women so that they can implement effective self-care measures for dealing with menstruation.