Chapter 11 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 11 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 11_LO01_Q01

The nurse is preparing a class for expectant fathers. Which information should the nurse include?

1. Siblings adjust readily to the new baby.
2. Sexual activity is safe for normal pregnancy.
3. The expectant mother decides the feeding method.
4. Fathers are expected to be involved in labor and birth.

Correct Answer: 2

Rationale:

1. Siblings often have difficulty adapting to the arrival of a new baby. Regression is often seen in siblings’ behaviors.
2. During a normal pregnancy, sexual activity is safe for both mother and baby.
3. Often, the father wants input into the feeding method.
4. In some cultures, labor and birth are only for women, and it is inappropriate for fathers to be involved with the labor and birth.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 11.1 Describe the most appropriate nursing care to help maintain the well-being of the expectant father and siblings during a family’s pregnancy.

Chapter 11_LO01_Q02

The nurse is caring for a pregnant client. The client’s husband has come to the prenatal visit. Which question is best for the nurse to use to assess the adaptation to pregnancy by the father-to-be?

1. “What kind of work do you do?”
2. “What furniture have you gotten for the baby?”
3. “How moody has your wife been lately?”
4. “How are you feeling about becoming a father?”

Answer: 4

Rationale:

1. What kind of work the husband does is not an indicator of his adaptation.
2. What furniture has been obtained is not an indicator of his adaptation.
3. The husband’s perception of his wife’s moodiness is not an indicator of his adaptation.
4. The adaptation of a husband to pregnancy includes his feelings about impending fatherhood.

Cognitive Level: Application

Category of Client of Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome 11.1 Describe the most appropriate nursing care to help maintain the well-being of the expectant father and siblings during a family’s pregnancy.

Chapter 11_LO02 _Q03

The nurse is caring for a client in the prenatal clinic. The client recently arrived in the U.S. as a refugee from a country in Africa. This is the first client from this cultural background with whom the nurse has worked. What is the best method for the nurse to provide care for this client?

1. Ask the client about her expectations during the labor and birth.
2. Determine if the client has been tested for tuberculosis.
3. Help the client into the paper dressing gown prior to her exam.
4. Look for written handouts on prenatal care in the client’s language.

Correct Answer: 1

Rationale:

1. Women new to the S. will have little or no experience with the U.S. health care system. Culture heavily influences a client’s behaviors and attitudes during pregnancy, labor, and birth, so determining what the client wants during her labor and birth will facilitate both a better experience for the family and a calmer situation for the health care team.
2. Although tuberculosis is pandemic in refugee camps, and testing for tuberculosis in new arrivals to the S. is important, this question is about prenatal care. Testing for tuberculosis is not related to prenatal care.
3. The client is probably unfamiliar with paper dressing gowns, and will need some instruction (often through demonstration). But this is not the highest priority. It is more important to find out what the client expects to happen during her labor and birth.
4. Providing written handouts in the client’s primary language is important. But a higher priority for prenatal care would be to assess what the client’s expectations for labor and birth are.

Cognitive level:  Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 11.2 Examine the significance of cultural considerations in managing nursing care during pregnancy.