Chapter 32 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 32 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 32_LO01_Q01

The home care nurse is visiting a newborn and mother couplet. Which nursing action has the highest priority?

1. Establish rapport with the family members.
2. Review the hospital medical records.
3. Determine sleeping arrangements of the newborn.
4. Examine the umbilical cord stump.

Correct Answer: 1

Rationale:

1. It is critical to establish rapport with the family members prior to beginning any assessments. A therapeutic relationship must exist to obtain accurate information or provide education.
2. Although this is important, record review should be done prior to arriving at the home, so that the nurse is prepared. Establishing a therapeutic relationship is a higher priority at the onset of the visit.
3. This is less important than establishing a therapeutic relationship at the onset of the visit.
4. This is less important than establishing a therapeutic relationship at the onset of the visit.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 32.1 Identify the main purposes and components of home visits during the postpartal period.

Chapter 32_LO02 _Q02

The nurse is teaching experienced postpartum nurses about home care visits. Which statements indicate that teaching was effective? Select all that apply.

1. “I should tell the family to put any guns or knives away.”
2. “It is best to wear professional street clothes to visits.”
3. “If I encounter a crime in progress, I should leave the area.”
4. “Jewelry is a good way to demonstrate my professionalism.”
5. “Ignoring my ‘gut’ feelings might lead to an unsafe situation.”

Correct Answers: 3, 5

Rationale:

1. The nurse should leave immediately if guns or knives are visible.
2. It is best to wear clothing that identifies the nurse as a health care professional, such as scrubs or a lab coat.
3. Personal safety is paramount. If a crime is encountered, the nurse should leave immediately and call 911.
4. Jewelry should be avoided, as it might make the nurse a target of robbery.
5. When a situation feels instinctually unsafe, the nurse should leave immediately.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Evaluation

Learning Outcome: 32.2 Examine strategies and actions a nurse should take to ensure personal safety during a home visit.

Chapter 32_LO02 _Q03

Which of the following safety devices is most appropriate for the nurse making home visits?

1. Personal handgun
2. Cellular phone
3. Can of mace
4. Map of the area

Answer: 2

Rationale:

1. Personal handguns and mace are not permissible or legal for nurses to carry on home visits.
2. Cellular phones provide a means of contact, and are advisable for the nurse to carry.
3. Personal handguns and mace are not permissible or legal for nurses to carry on home visits.
4. A map of the area should be checked before leaving for a visit, and the route traced.

Cognitive Level: Application

Category of Client Need: Safe, Effective Care Environment: Safety and Infection Control

Nursing Process: Planning

Learning Outcome: 32.2 Examine strategies and actions a nurse should take to ensure personal safety during a home visit.