Chapter 14 The Expectant Family: Needs and Care

Chapter 14   The Expectant Family: Needs and Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) The nurse is presenting a class to women who are currently pregnant or are planning pregnancy in the near future. Which client statement indicates that additional teaching is required?

1. “The older a woman is when she conceives, the safer the pregnancy is.”
2. “Pregnant teens can have additional nutritional needs.”
3. “A woman whose sisters all had hypertension will be watched carefully.”
4. “Pregnancy may be more difficult to achieve in my 40s.”

Answer:  1

Explanation:  1. The health risks associated with pregnancy vary by age. The risk for maternal death is significantly higher for women over age 35 and even higher for women age 40 and older. The incidence of low-birth-weight infants, preterm births, miscarriage, stillbirth, and perinatal morbidity and mortality is higher among women age 35 or older.

Page Ref: 302

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:  5 Explain the basic goals of childbirth education in providing care to expectant couples and their families.

MNL LO:  2.3.1 Determine factors to consider when providing are during the antepartum period.

 

2) During home care of a low-risk pregnant client, the nurse provides care by assessing which of the following?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Urine
2. Weight
3. Diet
4. Pelvic measurements
5. Physical activity

Answer:  1, 2, 3, 5

Explanation:  1. Assessment of the client’s urine can be done in the home setting.

2. Obtaining the client’s weight can be done in the home setting.
3. Assessing the client’s dietary intake can be done in the home setting.
4. The client’s physical activity can be assessed in the home setting.

Page Ref: 272

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Respect the patient’s dignity, uniqueness, integrity, and self-determination, and his or her own power and self-healing processes. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1 Describe the significance of using the nursing process to promote health in the woman and her family during pregnancy.

MNL LO:  2.3.1 Determine factors to consider when providing are during the antepartum period.

 

3) A couple in their late 30s are pregnant for the first time. In evaluating the care delivered, the nurse assesses the mother for which of the following?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Makes appropriate healthcare choices
2. Receives effective healthcare through the pregnancy
3. Has a partner who is not interested in child care
4. Cannot cope with her life change
5. Wishes to have amniocentesis done

Answer:  1, 2

Explanation:  1. Expected outcomes of nursing care for a pregnant couple over 35 include that the client and her partner are knowledgeable about the pregnancy and make appropriate healthcare choices.

2. Expected outcomes of nursing care for a pregnant couple over 35 include the client and her partner receive effective health care throughout the pregnancy, birth, and postpartum period.

Page Ref: 303

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX. 13. Revise the plan of care based on an ongoing evaluation of patient outcomes. | NLN Competencies: Relationship-Centered Care: Promote and accept the patient’s emotions; accept and respond to distress in patient and self; facilitate hope, trust, and faith. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:  11 Compare similarities and differences in the needs of expectant women in various age groups.

MNL LO:  2.3.1 Determine factors to consider when providing are during the antepartum period.

 

 

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

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

Explanation:  4. A husband’s adaptation to pregnancy includes his feelings about impending fatherhood.

Page Ref: 273

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Describe actions the nurse can take to help maintain the well-being of the expectant father and siblings during a family’s pregnancy.

MNL LO:  2.3.3 Implement client teaching that promotes health maintenance during pregnancy.

5) 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.

Answer:  2

Explanation:  2. In a healthy pregnancy, there is no medical reason to limit sexual activity.

Page Ref: 295

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Describe actions the nurse can take to help maintain the well-being of the expectant father and siblings during a family’s pregnancy.

MNL LO:  2.3.3 Implement client teaching that promotes health maintenance during pregnancy.