Chapter 21 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 21 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A client comes to the women’s clinic, stating she has had a positive home pregnancy test. The client states that her last menstrual cycle was 2 months ago. According to this time frame, the nurse determines that the client is in which stage of pregnancy?

1. Fetal phase
2. Second trimester
3. Third trimester
4. Embryonic phase

Correct Answer: 4

Rationale 1: The fetal phase of development is characterized by a period of rapid growth in the size of the fetus and corresponds to the second trimester of pregnancy.

Rationale 2: The fetal phase of development is characterized by a period of rapid growth in the size of the fetus and corresponds to the second trimester of pregnancy.

Rationale 3: The third trimester is the last 3 months of the pregnancy period.

Rationale 4: Traditionally, pregnancy has been divided into three periods called trimesters, each of which lasts 3 months. The embryonic phase is the period during which the fertilized ovum develops into an organism with most of the features of the human. This period is considered to encompass the first 8 weeks of pregnancy.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered 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: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1. Describe usual physical development from infancy through adolescence.

MNL Learning Outcome: 2.1.1. Analyze the infant, toddler, and preschooler’s physiologic and psychosocial development.

Page Number: 328

Question 2

Type: MCSA

The parents of a baby born prematurely during the sixth month of pregnancy question the nurse about the hair all over their baby. What is the nurse’s best response?

1. “All babies are hairy. It is more noticeable on preemies.”
2. “Fine downy hair helps keep the baby insulated in utero.”
3. “You should be more concerned with the baby’s respiratory function.”
4. “Don’t worry about how the baby looks. All preemies look funny.”

Correct Answer: 2

Rationale 1: This option, although not incorrect, doesn’t adequately address the parents’ question.

Rationale 2: Lanugo, a fine downy hair, covers the body of the baby and usually disappears by the time gestation is full term. Because this baby was born early, the lanugo is more noticeable and will disappear as the baby nears full term.

Rationale 3: This option dismisses the parents’ question.

Rationale 4: This option is insensitive and does not answer the parents’ question.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 4. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Describe usual physical development from infancy through adolescence.

MNL Learning Outcome: 2.1.1. Analyze the infant, toddler, and preschooler’s physiologic and psychosocial development.

Page Number: 329

Question 3

Type: MCSA

The nurse is preparing to instruct a client about nutritional needs before and during pregnancy. What should the nurse encourage the patient to consume in order to meet the requirements for folic acid?

1. Meats, fish, and poultry
2. A mix of vegetables and fiber
3. Oranges and green leafy vegetables
4. Low-fat and high-protein foods

Correct Answer: 3

Rationale 1: Protein sources are important for overall health but do not increase intake of folic acid.

Rationale 2: Folic acid is important to prevent neural tube defects in the fetus. Neural tube defects occur in the first few weeks of fetal development. Folic acid–rich foods include green leafy vegetables, oranges, and dried beans.

Rationale 3: Folic acid is important to prevent neural tube defects in the fetus. Neural tube defects occur in the first few weeks of fetal development. Folic acid–rich foods include green leafy vegetables, oranges, and dried beans.

Rationale 4: Protein sources and low-fat foods are important for overall health but do not increase intake of folic acid.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

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: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 8. Identify essential activities of health promotion and protection to meet the needs of infants, toddlers, preschoolers, school-age children, and adolescents.

MNL Learning Outcome: 2.1.1. Analyze the infant, toddler, and preschooler’s physiologic and psychosocial development.

Page Number: 329