CH 2 Introductory Maternity and Pediatric Nursing

A nurse is working at a community women's health clinic. The nurse is involved in primary prevention activities. Which activity would the nurse be performing?

immunizations

The mother of an adopted child asks the nurse when she should tell her child that he/she was adopted. What is the best response by the nurse?

"As early as the child can understand or by 4 years of age, when the child is old enough to begin to understand the story of adoption."

A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages of a home birth, which statement would indicate that the client understood the information?

"I want to have more control, but I am concerned if an emergency would arise."

A pregnant woman reports she does not see the value in attending prepared childbirth classes because she plans to have an epidural to manage the discomfort from the contractions. What information should be included in responses by the nurse? Select all that apply.

"Preparation for labor and birth can enhance your experience and coping abilities." "There are many different topics included in prepared childbirth classes aside from pain management." "You can learn tools to assist you in the labor process both before and after your epidural."

The nurse is caring for a newborn client and parents whose admission chart notes that they belong to and identify with an Old-Order Amish community. Which action should the nurse take while caring for the client?

Assess which forms of modern medicine are acceptable in the community.

Which action should a nurse perform to avoid disrupting family routine when visiting to provide home care?

Avoid coming during mealtimes.

he nurse interviews a family that consists of a husband and wife. Both have been married previously and are living with two children. The children are the biological children of the mother and were born before the remarriage. The nurse would document this family structure as which of the following?

Blended family

The attending nurse is teaching the student nurse how to communicate effectively with children. Which method would the attending nurse recommend?

Direct questions and explanations to the child.

A married couple has 3-year-old twins. They own a dog. The father's mother lives with them. The father is a professor; the mother has resigned from her position as a legal secretary to be the children's primary caregiver. Which type of family does this represent?

Exrended

Assessment of family structure has become an important part of the nursing assessment in the provision of quality care. A child who presents in the clinic has a mother, father, sister, brother, and maternal grandmother living within the family unit. The nurse correctly assesses this to be what type of family structure?

Extended

A nurse is teaching a group of pregnant woman about home care and its benefits and drawbacks. The nurse determines that the teaching was successful when the group identifies which aspect as a benefit?

Family disruption is minimized.

he functions of the family are important in preserving our society with its beliefs, norms, and values. There are five major functions of the family unit; what is one of them? You Selected:

Giving and teaching emotional support

A nurse is providing care for a child diagnosed with beta-thalassemia who is receiving a blood transfusion. The child reports being bored and asks to go to the playroom. What is the best action for the nurse to take?

Have a child-life specialist find an appropriate activity to occupy the child during the transfusion.

A primary care provider tells a pregnant woman with slightly elevated blood pressure to return home on bed rest until her next scheduled checkup. This is an example of which type of care?

Homecare

A client who is currently 30 weeks' gestation with three small children is placed on bed rest at home due to preeclampsia. Which is the priority nursing diagnosis for this client?

Ineffective role performance

What strategies can the nurse use to help enhance family-centered care? Select all that apply.

Involve parents in playroom activities. Aim for diversity in health care staff. Incorporate the family into interdisciplinary conferences regarding the child's care.

A nursing instructor is teaching a class about the basic functions of families. The instructor determines the class is successful when the students correctly choose which statement as a basic function of the family?

Reproduction remains an important function of many families.

The nurse visits a pediatric client at home for complications of sickle cell anemia. Upon entering the home, the nurse notices a significant number of candles being burned, statues surrounding the client, and herbs around the room. What is the most appropriate response by the nurse?

Proceed with the visit.

The nurse recognizes that which factors contribute to the increase in single-parent families?

Rising divorce rates

The nurse is evaluating teaching provided to a school-age child and parents about the medication pancrelipase for cystic fibrosis. Which observation indicates that the teaching has been effective?

The child takes a dose before having an afternoon snack.

Suppose a client has several large dogs that you are concerned have fleas. Where would you plan to sit to interview the client during a home visit?

a kitchen chair

A couple with infertility has decided to adopt an infant and receive a call several months later that an infant is available. The social worker gives them the history of the biological mom, a teenager who tried to conceal her pregnancy by dieting and taking laxatives. However, at 26 weeks' gestation, the teenager shared her pregnancy with the family and received prenatal care. Given this history, the couple should be counseled to observe the infant for which possible abnormality?

abnormal neurologic development

The nurse is preparing to obtain a health history from a client with preeclampsia who is at home. In which area should the nurse conduct the assessment?

bedroom, where it is quiet and private

A family of dual-parent employment with two school-age children has moved into a community. During the home visit, the nurse overhears the children talking about something on the Internet being more interesting than school work. What type of information would be beneficial for the nurse to share with the parents at this time?

community activities planned specifically for after school

A nurse is teaching a new mother from Latin America about breastfeeding before discharge. The proper language translation service is used, and the client smiles to acknowledge her understanding. On the second day after discharge, a home health nurse visits the family and discovers that the mother is pumping her milk and discarding it. The hospital nurse did not take what aspect into her teaching of this new mother?

cultural differences and beliefs regarding breastfeeding

A nurse working in a busy urban family clinic has noted a high percentage of single mothers. What should the nurses in this clinic be prepared to offer these single mothers?

support when a problem related to childrearing occurs

A nurse working in the community is involved in providing primary prevention. Which intervention would be most appropriate to implement?

teaching parents of toddlers about ways to prevent poisoning

Providing certain aspects of health care in the home has reduced the cost of such care. This reduced cost is most beneficial for:

the health care plan.