Chapter 11 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Chapter 11 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 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.

Rationale 2: During a normal pregnancy, sexual activity is safe for both mother and baby.

Rationale 3: Often, the father wants input into the feeding method.

Rationale 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.

Global Rationale:

 

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO01 – Describe the most appropriate nursing care to help maintain the well-being of the expectant father and siblings during a family’s pregnancy.

 

Question 2

Type: MCSA

The nurse is caring for a pregnant patient. The patient’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?”

Correct Answer: 4

Rationale 1: What kind of work the husband does is not an indicator of his adaptation.

Rationale 2: What furniture has been obtained is not an indicator of his adaptation.

Rationale 3: The husband’s perception of his wife’s moodiness is not an indicator of his adaptation.

Rationale 4: The adaptation of a husband to pregnancy includes his feelings about impending fatherhood.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO01 – Describe the most appropriate nursing care to help maintain the well-being of the expectant father and siblings during a family’s pregnancy.

 

Question 3

Type: MCSA

The nurse is caring for a patient in the prenatal clinic. The patient recently arrived in the United States as a refugee from a country in Africa. This is the first patient from this cultural background with whom the nurse has worked. Which intervention is most appropriate in the care of this patient?

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

Correct Answer:

Rationale 1: Women new to the U.S. will have little or no experience with the U.S. health care system. Culture heavily influences a patient’s behaviors and attitudes during pregnancy, labor, and birth, so determining what the patient wants during her labor and birth will facilitate both a better experience for the family and a calmer situation for the health care team.

Rationale 2: Although tuberculosis is pandemic in refugee camps, and testing for tuberculosis in new arrivals to the U.S. is important, this question is about prenatal care. Testing for tuberculosis is not related to prenatal care.

Rationale 3: The patient 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 patient expects to happen during her labor and birth.

Rationale 4: Providing written handouts in the patient’s primary language is important. But a higher priority for prenatal care would be to assess what the patient’s expectations for labor and birth are.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO02 – Examine the significance of cultural considerations in managing nursing care during pregnancy.

 

Question 4

Type: MCSA

A Hispanic American patient who is 26 weeks pregnant asks if her curandero, or folk healer, may accompany her to all future prenatal appointments. Which response by the nurse reflects respect for the patient’s cultural beliefs?

1. “Yes, we will work as a team as much as possible in taking care of you.”
2. “National law prohibits the inclusion of anyone who is unlicensed to practice health care from giving health-related advice.”
3. “Because of the risks to your baby, we do not recommend that patients use alternative healthcare methods.”
4. “We prefer that only the father of the baby and your relatives accompany you to your prenatal visits.”

Correct Answer: 1

Rationale 1: During pregnancy and birth, cultural and spiritual practices, including alternative healers and caregivers, should be incorporated into prenatal care as much as possible.

Rationale 2: While certain disciplines require licensure and certification, numerous complementary and alternative healers provide health-related advice.

Rationale 3: Cultural competence includes incorporating the patient’s cultural and spiritual beliefs into her care, while evaluating the potential negative health consequences of her healthcare beliefs.

Rationale 4: The patient is free to choose who accompanies her during prenatal visits.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO02 – Examine the significance of cultural considerations in managing nursing care during pregnancy.