Maternal and Child Health Nursing 7th Edition By Pillitteri
Maternal and Child Health Nursing 7th Edition By Pillitteri
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Chapter 55 Maternal and Child Health Nursing 7th Edition By Pillitteri
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A 3-month-old infant is diagnosed with failure to thrive. For which cause should the nurse include interventions when planning care for this patient? | |
| A) | A reaction to severe stress | |
| B) | Limited calcium metabolism | |
| C) | Poor parent–child relationship | |
| D) | Interference with gastrointestinal absorption | |
| Ans: | C | |
| Feedback: | ||
| Failure to thrive is a syndrome in which an infant falls below the 5th percentile for weight and height on a standard growth chart or is falling in percentiles on a growth chart. One category of this syndrome occurs because of a disturbance in the parent–child relationship, resulting in maternal role insufficiency or a nonorganic cause. Failure to thrive is not caused by a reaction to severe stress, limited calcium metabolism, or interference with gastrointestinal absorption. | ||
| 2. | The nurse manager of an urban health care clinic is designing a series of presentations for staff to address the 2020 National Health Goals to reduce child maltreatment and intimate partner violence. Which topics should the manager include in these presentations? (Select all that apply.) | |
| A) | Caring for victims of rape | |
| B) | Indications of child neglect | |
| C) | Recognizing victims of violence | |
| D) | Environments where rape occurs | |
| E) | Manifestations of child maltreatment | |
| Ans: | B, C, E | |
| Feedback: | ||
| Nurses can help the nation achieve the 2020 National Health Goals to reduce child maltreatment and intimate partner violence by identifying children or women in school or health care agency settings who have been maltreated, neglected, or a victim of violence. Caring for rape victims and environments where rape occurs are not strategies to achieve the 2020 National Health Goals to reduce child maltreatment and intimate partner violence. | ||
| 3. | At the completion of a health interview, the nurse is concerned that a newborn is at risk for maltreatment. Which observation caused the nurse to come to this conclusion? | |
| A) | Mother does not look at the baby. | |
| B) | Mother helps the nurse loosen the baby’s clothing for a physical examination. | |
| C) | Mother explains that the husband helps with feeding the baby during the night. | |
| D) | Mother quickly changes a dirty diaper and uses personal supplies to cleanse the child. | |
| Ans: | A | |
| Feedback: | ||
| The mother’s inability to establish eye contact, or maintain a direct en face position with the baby, can indicate the potential for child maltreatment. Helping the nurse loosen clothing for an examination, identifying someone to help with child care, and prompt attention to the baby’s needs when changing a soiled diaper indicate the mother is bonding with the child, and the child is not at risk for maltreatment. | ||
| 4. | When beginning care for a victim of rape, the nurse asks the patient to “talk about what happened” to her. For which nursing diagnosis is the nurse using this approach? | |
| A) | Anxiety related to recent rape | |
| B) | Fear related to repeated episodes of maltreatment | |
| C) | Disabling family coping related to recent rape of family member | |
| D) | Risk for other-directed violence related to admitted poor self-control | |
| Ans: | A | |
| Feedback: | ||
| One need of any victim after a violent act is to talk about what happened because a person who can describe an incident can also begin to “put a fence around” or bring the event down from “something terrible has happened,” a situation which leaves the person with a continuing high anxiety level, to “this specific thing has happened,” a situation that allows the traumatic event to be examined and managed. Asking the victim to describe the incident to with an introduction such as “Most people find it helps to talk about what happened to them” helps the victim begin to put a fence around the incident. The nurse is not asking the patient to “talk about what happened” because of fear of maltreatment, disabling family coping related to the rape, or risk for violence related to poor self-control. | ||
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