Maternal and Child Health Nursing 7th Edition By Pillitteri
Maternal and Child Health Nursing 7th Edition By Pillitteri
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Chapter 14 Maternal and Child Health Nursing 7th Edition By Pillitteri
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is instructing a pregnant patient on tailor sitting. What is the purpose of this exercise in pregnancy? | |
| A) | Stretches perineal muscles | |
| B) | Decreases respiratory effort | |
| C) | Strengthens abdominal muscles | |
| D) | Improves the blood supply to the uterus | |
| Ans: | A | |
| Feedback: | ||
| : Tailor sitting stretches perineal muscles without occluding the blood supply to the lower legs. This exercise stretches perineal muscles to aid in the delivery process. Tailor sitting does not help with respiratory effort, strengthening abdominal muscles, or improving blood supply to the uterus. | ||
| 2. | During prenatal classes, the nurse teaches pregnant patients how to perform pelvic rocking. What should the nurse explain to the class as being the purpose of this action? | |
| A) | Helps to relieve backache | |
| B) | Stretches perineal muscles | |
| C) | Enhances respiratory excursion | |
| D) | Improves abdominal muscle tone | |
| Ans: | A | |
| Feedback: | ||
| Pelvic rocking helps relieve backache during pregnancy and early labor by making the lumbar spine more flexible. This exercise does not stretch perineal muscles, enhance respiratory excursion, or improve abdominal muscle tone. | ||
| 3. | The nurse identifies the diagnosis of “Anxiety related to absence of significant other” as appropriate for a pregnant patient. For which assessment finding is this diagnosis appropriate? | |
| A) | Spouse works the night shift. | |
| B) | Mother is recovering from a total hip replacement. | |
| C) | Oldest daughter is preparing for a school dance recital. | |
| D) | Spouse is in the military and is stationed in the Middle East. | |
| Ans: | D | |
| Feedback: | ||
| The diagnosis “Anxiety related to absence of significant other” is appropriate for the spouse who is in the military and is stationed somewhere out of the country. The spouse working the night shift does not mean that the spouse is not available to help the patient. Other children are not typically identified as support people for a pregnant patient. The patient’s mother is recovering from a surgical procedure and most likely is not identified as being a support person for the pregnant patient. | ||
| 4. | A pregnant patient tells the nurse about practicing different positions to use when labor begins. What should the nurse counsel the patient to avoid during these practice sessions? | |
| A) | Pushing | |
| B) | Bending over | |
| C) | Pointing the toes | |
| D) | Breathing normally | |
| Ans: | A | |
| Feedback: | ||
| Pregnant patients should not practice pushing during pregnancy because the possibility they could rupture membranes by doing this is too great. They can practice assuming a good position for pushing such as squatting, sitting upright, or leaning on a partner but should always be cautioned not to actually bear down and push. Bending over, pointing the toes, and breathing normally do not need to be avoided when practicing different positions to use when labor begins. | ||
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