Chapter 10 The Expectant Family: Needs and Care

Chapter 10   The Expectant Family: Needs and Care

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The nurse is assisting an expectant couple in developing a birth plan. Which of the following instructions would the nurse include in the teaching plan?

1. The birth plan includes only patient choices and does not take into account standard choices of the healthcare provider.
2. The birth plan allows the patient to make choices about the birth process; however, these choices cannot be altered.
3. The birth plan is a legally binding contract between the patient and the healthcare provider.
4. The birth plan is a communication tool between the patient and the healthcare provider.

Answer:  4

Explanation:  1. The birth plan is used as a tool for communication among the expectant parents, the healthcare provider, and the healthcare professionals at the birth setting.

2. The written plan identifies options that are available; thus, it can be altered.
3. It is not a legal document.
4. The birth plan is used as a tool for communication among the expectant parents, the healthcare provider, and the healthcare professionals at the birth setting.

Page Ref: 180

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion

Learning Outcome:  LO 10.4-Identify information that expectant parents may need to assist them in making the best decisions possible about issues related to pregnancy, labor, and birth.

MNL LO:  Assess the childbearing family’s psychosocial adaptation to pregnancy.

2) A couple would like their 5-year-old to attend the birth. Which statement by the nurse would assist in the family’s plan to include their 5-year-old in the birth?

1. “You should let your child stay home because you will be focusing on the birth.”
2. “Children under 12 are not allowed to be present at the birth.”
3. “You should bring someone who will tend to any specific needs of your child.”
4. “Bring some toys to keep your child occupied.”

Answer:  3

Explanation:  1. A sibling should have his own support person whose primary responsibility is to take care of the child’s needs so that the child will have support if anxiety develops over the birth process, and the mother can concentrate on the labor and birth.

2. Children are allowed to be present at births.
3. A sibling should have his own support person whose primary responsibility is to take care of the child’s needs so that the child will have support if anxiety develops over the birth process, and the mother can concentrate on the labor and birth.
4. Preparing the child on what to expect is beneficial. Toys will not sustain a 5-year-old’s attention for an extended time period.

Page Ref: 183

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Implementation/Health teaching and health promotion

Learning Outcome:  LO 10.4-Identify information that expectant parents may need to assist them in making the best decisions possible about issues related to pregnancy, labor, and birth.

MNL LO:  Relate various factors to their effect on pregnancy outcomes.

3) The nurse is presenting a prenatal class for couples beginning prenatal care. What information is most important for the nurse to include?

1. You can have a certified nurse-midwife or a physician for your provider.
2. You can give birth in either of two different types of rooms, each with different equipment.
3. The birthing unit was remodeled and redecorated last year.
4. Some of the providers recommend circumcision for the male child.

Answer:  1

Explanation:  1. This statement is the most important. The nurse should inform clients what their options are, including the types of providers available.

2. This statement is too vague to facilitate decision making by the couple.
3. This information does not help clients understand their options or make decisions.
4. Because not all clients will be having males, this statement is only helpful to those clients who give birth to males and see a provider who recommends circumcision. This statement is too narrowly focused to be helpful to all clients.

Page Ref: 180, 181

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Evidence-based practice | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion

Learning Outcome:  LO 10.4-Identify information that expectant parents may need to assist them in making the best decisions possible about issues related to pregnancy, labor, and birth.

MNL LO:  Assess the childbearing family’s psychosocial adaptation to pregnancy.

4) An expectant couple desires to determine compatibility with a care provider. They ask the nurse for assistance. Which of the following questions should the nurse encourage the couple to ask first?

1. “Can my children attend the birth?”
2. “If I have a cesarean birth, can my husband attend?”
3. “What is your philosophy of birth?”
4. “What percentage of your patients have episiotomies?”

Answer:  3

Explanation:  1. Children’s attendance is a complement to the provider’s philosophy.

2. A husband’s presence for a cesarean birth is a complement to the provider’s philosophy.
3. A thorough understanding of the provider’s philosophy is essential to determining compatibility.
4. Episiotomy percentages are a complement to the provider’s philosophy.

Page Ref: 179, 180

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Quality Improvement | AACN Essential Competencies: Essential II: Basic Organizational and systems leadership for quality care and patient safety | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Quality of practice

Learning Outcome:  LO 10.4-Identify information that expectant parents may need to assist them in making the best decisions possible about issues related to pregnancy, labor, and birth.

MNL LO:  Relate various factors to their effect on pregnancy outcomes.

5) The prenatal clinic nurse has presented information on prenatal class options to a couple pregnant for the first time. Which statement made by the couple indicates that additional information is necessary? Prenatal classes:

1. Eliminate the risk of needing a vacuum extraction or cesarean birth.
2. Help parents cope with the discomforts and unknowns of childbirth.
3. Facilitate better communication between both partners.
4. Encourage participants to write a list of their requests for labor and birth.

Answer:  1

Explanation:  1. This is false reassurance. There is no guarantee that an operative birth can be avoided, even if a couple attends prenatal classes.

2. This is one of the main goals of prenatal classes: learning skills to help get through the discomforts of childbirth. Participants also learn how the birthing process progresses. This does not imply that students of prenatal classes don’t get epidurals. But participants will learn new skills that will facilitate the birthing process.
3. A secondary goal of prenatal classes is to facilitate communication between the pregnant woman and her partner. The primary goals are to inform participants of the birth process and teach them skills to cope with labor and birth.
4. One of the strategies used in prenatal classes is to have participants write a birth plan that lists their requests for how they want their birthing experience to be. But putting their desires down in writing is less important than learning about the birth process and learning skills to cope with labor and delivery.

Page Ref: 183, 184

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Evaluation/Health teaching and health promotion

Learning Outcome:  LO 10.5-Explain the basic goals of childbirth education in providing care to expectant couples and their families.

MNL LO:  Compare the various methods of prepared childbirth education.