Chapter 10 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 10

Question 1

Type: MCMA

The nurse working with a family has observed that the older children have a large number of dental caries, so the nurse plans to provide the mother with information to prevent the development of dental caries in her new infant. What instructions will the nurse include in the teaching provided to the mother?

Standard Text: Select all that apply.

1. Wiping the infant’s gums with soft, moist gauze once or twice daily
2. Giving foods high in sugar only at breakfast time
3. Not allowing the infant to sleep with a bottle in the bed
4. Reminding the mother that dental care is not needed until the permanent teeth erupt
5. Using a topical anesthetic daily, beginning as soon as the first tooth begins to erupt

Correct Answer: 1,3

Rationale 1: Wiping the infant’s gums with soft, moist gauze will help remove food particles from the gums.

Rationale 2: Foods high in sugar should be avoided in the infant period.

Rationale 3: Babies who are put to bed with a bottle often fall asleep with a mouth full of formula or juice. This fluid remains in contact with the upper teeth, making them susceptible to “bottle mouth syndrome.”

Rationale 4: Dental decay in the “baby” teeth can lead to oral health issues with the permanent teeth.

Rationale 5: Topical anesthetic should not be applied daily and does not improve oral health. Topical anesthetics will only reduce the pain of teething.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-2

 

Question 2

Type: MCSA

A nurse asks the mother to undress her four-month-old infant. The nurse observes the mother taking off several layers of clothing, knowing that the outdoor temperature is 70°F. Which of these statements should the nurse make to the mother?

1. “When you leave the office, only put one layer of clothing on your baby.”
2. “My, you are dressing your infant warmly today.”
3. “Did you think it was it cold when you left your home this morning?”
4. “I see that you have many layers of clothing on your baby. This could cause your baby’s temperature to rise.”

Correct Answer: 4

Rationale 1: Telling the mother to only put one layer of clothing on the child does not provide a rationale for the mother to make a better decision the next time; this statement is not helpful to the mother.

Rationale 2: Making a statement on how warmly the child is dressed will not necessarily accomplish the goal of informing the mother that she has overdressed the infant.

Rationale 3: This comment might cause the mother to become defensive, so it is not helpful to the mother.

Rationale 4: In this scenario, the mother has overdressed the infant. The nurse needs to inform the mother of this problem gently, and provide information to the mother on why it is a problem.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-4

 

Question 3

Type: MCSA

The parents of an eight-month-old infant are very distressed that the infant cries for at least one hour when they go out on Friday nights. Which of these statements should the nurse make to the parents?

1. “Your infant is attached to you. This is an expected infant response.”
2. “Your baby seems to be afraid of the sitter. Why don’t you try another sitter?”
3. “Your infant is too young to be experiencing stranger anxiety; however, you might need to stop going out on Friday nights for a while.”
4. “Oh, don’t worry. All infants and toddlers display these behaviors until at least 2½ years old.”

Correct Answer: 1

Rationale 1: The best response is to explain to the parents about attachment behaviors and to provide assurance that this is a normal infant response.

Rationale 2: At eight months, separation anxiety is normal. There is no indication that the baby fears the sitter.

Rationale 3: Eight-month-old infants do experience stranger anxiety. Parents who take a break from parenting can be effective when they are with their infant, and they should not be encouraged to change this behavior.

Rationale 4: This is a non-therapeutic response. Infants usually stop experiencing stranger anxiety before 2½ years of age.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-4

 

Question 4

Type: MCSA

The nurse is working with first-time parents. Which of these activities will the nurse suggest to encourage the development of good muscle tone?

1. Placing the infant in an infant seat rather than lying down in a crib
2. Surrounding the infant with toys and other stimulating items to encourage motor movement
3. Swaddling the infant
4. Putting the infant to bed each night at 8 p.m., even if the infant protests with crying

Correct Answer: 2

Rationale 1: An infant seat restricts movement, which would not encourage muscle tone development.

Rationale 2: Encouraging movement best assists the infant to obtain good muscle tone.

Rationale 3: Swaddling the infant, while calming for a young infant, restricts movement.

Rationale 4: The bedtime has nothing to do with development of infant muscle tone.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10-5