Docsity
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Docsity AI
Docsity AI
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search for your university

Find the specific documents for your university's exams

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

Test Bank - Maternal Child Nursing Care by Perry (6th Edition), Exams of Nursing

California State University (CSU) - StanislausNursing

Test Bank - Maternal Child Nursing Care by Perry (6th Edition)

Typology: Exams

2025/2026

Available from 03/12/2026

DrShirley
DrShirley 🇺🇸

3.3

(4)

4.6K documents

1 / 845

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Table of
Contents
Table of Contents
1
Chapter 01: 21st Century Maternity Nursing
Chapter 02: Community Care: The Family and
Culture Chapter 03: Assessment and Health
Promotion Chapter 04: Reproductive System
Concerns
Chapter 05: Infertility, Contraception, and Abortion
Chapter 06: Genetics, Conception, and Fetal
Development Chapter 07: Anatomy and Physiology of
Pregnancy Chapter 08: Nursing Care of the Family
During Pregnancy Chapter 09: Maternal and Fetal
Nutrition
Chapter 10: Assessment of High Risk Pregnancy
Chapter 11: High Risk Perinatal Care: Preexisting Conditions
Chapter 12: High Risk Perinatal Care: Gestational Conditions
Chapter 13: Labor and Birth Processes
Chapter 14: Pain Management
Chapter 15: Fetal Assessment During Labor
Chapter 16: Nursing Care of the Family During Labor and Birth
Chapter 17: Labor and Birth Complications
Chapter 18: Maternal Physiologic Changes
Chapter 19: Nursing Care of the Family During the Postpartum
Period Chapter 20: Transition to Parenthood
Chapter 21: Postpartum Complications
Chapter 22: Physiologic and Behavioral Adaptations of the
Newborn Chapter 23: Nursing Care of the Newborn and Family
Chapter 24: Newborn Nutrition and
Feeding Chapter 25: The High Risk
Newborn Chapter 26: 21st Century
Pediatric Nursing
3
17
27
44
65
83
99
114
131
148
162
182
204
217
234
252
276
293
307
321
336
354
373
385
402
426
Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion
433
Chapter 28: Developmental and Genetic Influences on Child Health Promotion
Chapter 29: Communication, History, and Physical Assessment
Chapter 30: Pain Assessment and Management in Children
Chapter 31: The Infant and Family
Chapter 32: The Toddler and Family
Chapter 33: The Preschooler and
Family
Chapter 34: The School-Age Child and Family
Chapter 35: The Adolescent and Family
Chapter 36: Impact of Chronic Illness, Disability, and End-of-Life Care for the Child
and Family
Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family
Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization
Chapter 39: Pediatric Variations of Nursing Interventions
Chapter 40: Respiratory Dysfunction
C
h
a
p
t
e
r
4
1
:
G
a
s
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33
pf34
pf35
pf36
pf37
pf38
pf39
pf3a
pf3b
pf3c
pf3d
pf3e
pf3f
pf40
pf41
pf42
pf43
pf44
pf45
pf46
pf47
pf48
pf49
pf4a
pf4b
pf4c
pf4d
pf4e
pf4f
pf50
pf51
pf52
pf53
pf54
pf55
pf56
pf57
pf58
pf59
pf5a
pf5b
pf5c
pf5d
pf5e
pf5f
pf60
pf61
pf62
pf63
pf64

Partial preview of the text

Download Test Bank - Maternal Child Nursing Care by Perry (6th Edition) and more Exams Nursing in PDF only on Docsity!

Table of

Contents

Table of Contents

Chapter 01: 21st Century Maternity Nursing

Chapter 02: Community Care: The Family and

Culture Chapter 03: Assessment and Health

Promotion Chapter 04: Reproductive System

Concerns

Chapter 05: Infertility, Contraception, and Abortion

Chapter 06: Genetics, Conception, and Fetal

Development Chapter 07: Anatomy and Physiology of

Pregnancy Chapter 08: Nursing Care of the Family

During Pregnancy Chapter 09: Maternal and Fetal

Nutrition

Chapter 10: Assessment of High Risk Pregnancy

Chapter 11: High Risk Perinatal Care: Preexisting Conditions

Chapter 12: High Risk Perinatal Care: Gestational Conditions

Chapter 13: Labor and Birth Processes

Chapter 14: Pain Management

Chapter 15: Fetal Assessment During Labor

Chapter 16: Nursing Care of the Family During Labor and Birth

Chapter 17: Labor and Birth Complications

Chapter 18: Maternal Physiologic Changes

Chapter 19: Nursing Care of the Family During the Postpartum

Period Chapter 20: Transition to Parenthood

Chapter 21: Postpartum Complications

Chapter 22: Physiologic and Behavioral Adaptations of the

Newborn Chapter 23: Nursing Care of the Newborn and Family

Chapter 24: Newborn Nutrition and

Feeding Chapter 25: The High Risk

Newborn Chapter 26: 21st Century

Pediatric Nursing

Chapter 27: Family, Social, Cultural, and Religious Influences on Child Health Promotion

Chapter 28: Developmental and Genetic Influences on Child Health Promotion

Chapter 29: Communication, History, and Physical Assessment

Chapter 30: Pain Assessment and Management in Children

Chapter 31: The Infant and Family

Chapter 32: The Toddler and Family

Chapter 33: The Preschooler and

Family

Chapter 34: The School-Age Child and Family

Chapter 35: The Adolescent and Family

Chapter 36: Impact of Chronic Illness, Disability, and End-of-Life Care for the Child

and Family

Chapter 37: Impact of Cognitive or Sensory Impairment on the Child and Family

Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization

Chapter 39: Pediatric Variations of Nursing Interventions

Chapter 40: Respiratory Dysfunction

C h a p t e r 4 1 : G a s

trointestinal Dysfunction Chapter 42:

Cardiovascular Dysfunction

Chapter 43: Hematologic and Immunologic Dysfunction

Chapter 44: Cancer

Chapter 45: Genitourinary Dysfunction

Chapter 46: Cerebral Dysfunction

Chapter 47: Endocrine Dysfunction

Chapter 48: Musculoskeletal or Articular Dysfunction

b. Primarily hospital care of maternity patients. c. Practice using an evidence-based approach. d. Planning patient care to cover longer hospital stays. ANS: C Professional nurses are part of the team of health care providers who collaboratively care for patients throughout the childbearing cycle. Providing care to patients directly at the bedside is one of the nurses tasks; however, it does not encompass the concept of the evolved professional nurse. Throughout the prenatal period, nurses care for women in clinics and physicians offices and teach classes to help families prepare for childbirth. Nurses also care for childbearing families in birthing centers and in the home. Nurses have been critically important in developing strategies to improve the well-being of women and their infants and have led the efforts to implement clinical practice guidelines using an evidence-based approach. Maternity patients have experienced a decreased, rather than an increased, length of stay over the past 2 decades. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment

  1. A 23-year-old African-American woman is pregnant with her first child. Based on the statistics for infant mortality, which plan is most important for the nurse to implement? a. Perform a nutrition assessment. b. Refer the woman to a social worker. c. Advise the woman to see an obstetrician, not a midwife. d. Explain to the woman the importance of keeping her prenatal care appointments. ANS: D Consistent prenatal care is the best method of preventing or controlling risk factors associated with infant mortality. Nutritional status is an important modifiable risk factor, but a nutrition assessment is not the most important action a nurse should take in this situation. The patient may need assistance from a social worker at some time during her pregnancy, but a referral to a social worker is not the most important aspect the nurse should address at this time. If the woman has identifiable high-risk problems, her health care may need to be provided by a physician. However, it cannot be assumed that all African-American women have high-risk issues. In addition, advising the woman to see an obstetrician is not the most important aspect on which the nurse should focus at this time, and it is not appropriate for a nurse to advise or manage the type of care a patient is to receive. PTS: 1 DIF: Cognitive Level: Comprehension REF: 6 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
  2. During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21- year- old Hispanic patient with limited English proficiency. It is important for the nurse to:

a. Use maternity jargon in order for the patient to become familiar with these terms. b. Speak quickly and efficiently to expedite the visit. c. Provide the patient with handouts. d. Assess whether the patient understands the discussion. ANS: D Nurses contribute to health literacy by using simple, common words; avoiding jargon; and evaluating whether the patient understands the discussion. Speaking slowly and clearly and focusing on what is important increase understanding. Most patient education materials are written at too high a level for the average adult and may not be useful for a client with limited English proficiency. PTS: 1 DIF: Cognitive Level: Application REF: 5 OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance

  1. When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the most significant barrier to access to care is the pregnant womans: a. Age. c. Educational level. b. Minority status. d. Inability to pay. ANS: D The most significant barrier to health care access is the inability to pay for services; this is compounded by the fact that many physicians refuse to care for women who cannot pay. Although adolescent pregnant clients statistically receive less prenatal care, age is not the most significant barrier. Significant disparities in morbidity and mortality rates exist for minority women; however, minority status is not the most significant barrier to access of care. Disparities in educational level are associated with morbidity and mortality rates; however, educational level is not the most significant barrier to access of care. PTS: 1 DIF: Cognitive Level: Knowledge REF: 5 OBJ: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment
  2. What is the primary role of practicing nurses in the research process? a. Designing research studies b. Collecting data for other researchers c. Identifying researchable problems d. Seeking funding to support research studies

mortality. An increased length of stay has been shown to foster improved self-care and parental education. However, it does not prevent the incidence of leading causes of infant mortality rates, such as low birth weight. Early prevention and diagnosis reduce the rate of infant mortality. NICUs offer care to high-risk infants after they are born. Expanding the number of NICUs would offer better access for high-risk care, but this factor is not the primary focus for further reduction of infant mortality rates. A mandate that all pregnant women receive obstetric care would be nearly impossible to enforce. Furthermore, certified nurse-midwives (CNMs) have demonstrated reliable, safe care for pregnant women. PTS: 1 DIF: Cognitive Level: Comprehension REF: 10 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance

  1. Alternative and complementary therapies: a. Replace conventional Western modalities of treatment. b. Are used by only a small number of American adults. c. Recognize the value of clients input into their health care. d. Focus primarily on the disease an individual is experiencing. ANS: C Many popular alternative healing modalities offer human-centered care based on philosophies that recognize the value of the patients input and honor the individuals beliefs, values, and desires. Alternative and complementary therapies are part of an integrative approach to health care. An increasing number of American adults are seeking alternative and complementary health care options. Alternative healing modalities offer an holistic approach to health, focusing on the whole person, not just the disease. PTS: 1 DIF: Cognitive Level: Comprehension REF: 4 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity
  2. A 38-year-old Hispanic woman delivered a 9-pound, 6-ounce girl vaginally after being in labor for 43 hours. The baby died 3 days later from sepsis. On what grounds would the woman potentially have a legitimate legal case for negligence? a. She is Hispanic. c. The standards of care were not met. b. She delivered a girl. d. She refused fetal monitoring. ANS: C Not meeting the standards of care is a legitimate factor for a case of negligence. The clients race is not a factor for a case of negligence. The infants gender is not a factor for a case of negligence. Although fetal monitoring is the standard of care, the client has the right to refuse treatment. This refusal is not a case for negligence; however, informed consent should be properly obtained, and the client should sign an against medical advice form for refusal of any treatment that is within the standard of care. PTS: 1 DIF: Cognitive Level: Comprehension REF: 12 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
  1. A newly graduated nurse is attempting to understand the reason for increasing health care spending in the United States. Her research finds that these costs are much higher compared with other developed countries as a result of: a. A higher rate of obesity among pregnant women. b. Limited access to technology. c. Increased usage of health care services along with lower prices. d. Homogeneity of the population. ANS: A Health care is one of the fastest growing sectors of the U.S. economy. Currently, 17.4% of the gross domestic product is spent on health care. Higher spending in the United States compared with 12 other industrialized countries is related to higher prices and readily accessible technology along with greater obesity rates among women. More than one third of women in the United States are obese. Of the U.S. population, 16% is uninsured and has limited access to health care. Maternal morbidity and mortality are directly related to racial disparities. PTS: 1 DIF: Cognitive Level: Analysis REF: 5 OBJ: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Environment
  2. The term used to describe legal and professional responsibility for practice for maternity nurses is: a. Collegiality. c. Evaluation. b. Ethics. d. Accountability. ANS: D Accountability refers to legal and professional responsibility for practice. Collegiality refers to a working relationship with ones colleagues. Ethics refers to a code to guide practice. Evaluation refers to examination of the effectiveness of interventions in relation to expected outcomes. PTS: 1 DIF: Cognitive Level: Evaluation REF: 12 OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
  3. Through the use of social media technology, nurses can link with other nurses who may share similar interests, insights about practice, and advocate for patients. The most concerning pitfall for nurses using this technology is: a. Violation of patient privacy and confidentiality. b. Institutions and colleagues may be cast in an unfavorable light.

ANS: C

Almost all births occur within the hospital setting. Only 5.2% of Caucasians mothers had either late care or no care. There are disparities in the receipt of prenatal care by ethnicity: 12.2% of Hispanic women and 11.8% of non-Hispanic black women received either late or no prenatal care. The percentage of cesarean births is increasing. PTS: 1 DIF: Cognitive Level: Knowledge REF: 7 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity

  1. Recent trends in childbirth practice indicate that: a. Delayed pushing is now discouraged in the second stage of labor. b. Episiotomy rates are increasing. c. Midwives perform more episiotomies than physicians. d. Newborn infants remain with the mother and are encouraged to breastfeed. ANS: D Breastfeeding is encouraged for newborns immediately after birth. Delayed pushing is encouraged for several reasons. Episiotomy rates are declining. Midwives perform fewer episiotomies than physicians. PTS: 1 DIF: Cognitive Level: Knowledge REF: 8 OBJ: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Environment
  2. The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend? a. Births to unmarried women are more likely to have less favorable outcomes. b. Birth rates for women 40 to 44 years old are beginning to decline. c. Cigarette smoking among pregnant women continues to increase. d. The rates of maternal death owing to racial disparity are elevated in the United States. ANS: A Low-birth-weight infants and preterm birth are more likely because of the large number of teenagers in the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer pregnant women smoke. In the United States, there is significant racial disparity in the rates of maternal death. PTS: 1 DIF: Cognitive Level: Comprehension REF: 6 OBJ: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment
  1. Maternity nursing care that is based on knowledge gained through research and clinical trials is: a. Derived from the Nursing Intervention Classification. b. Known as evidence-based practice. c. At odds with the Cochrane School of traditional nursing. d. An outgrowth of telemedicine. ANS: B Evidence-based practice is based on knowledge gained from research and clinical trials. The Nursing Intervention Classification is a method of standardizing language and categorizing care. Dr. Cochrane systematically reviewed research trials and is part of the evidence-based practice movement. Telemedicine use communication technologies to support health care. PTS: 1 DIF: Cognitive Level: Comprehension REF: 9 OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
  2. The level of practice a reasonably prudent nurse provides is called: a. The standard of care. c. A sentinel event. b. Risk management. d. Failure to rescue. ANS: A Guidelines for standards of care are published by various professional nursing organizations. Risk management identifies risks and establishes preventive practices, but it does not define the standard of care. Sentinel events are unexpected negative occurrences. They do not establish the standard of care. Failure to rescue is an evaluative process for nursing, but it does not define the standard of care. PTS: 1 DIF: Cognitive Level: Comprehension REF: 11 OBJ: Nursing Process: Diagnosis MSC: Client Needs: Safe and Effective Care Environment
  3. During a prenatal intake interview, the client informs the nurse that she would prefer a midwife to provide her care during pregnancy and deliver her infant. What information would be most appropriate for the nurse to share with this patient? a. Midwifery care is available only to clients who are uninsured because their services are less expensive than an obstetrician. Costs are often lower than an obstetric provider. b. The client will receive fewer interventions during the birth process. c. The client should be aware that midwives are not certified.

ANS: C

The abbreviations i.u. and I.U. are no longer acceptable because they could be misread as I.V. or the number

  1. The abbreviation q.o.d. or Q.O.D. should be written out as every other day. The period after the Q could be mistaken for an I; the o could also be mistaken for an i. With MSO 4 or MgSO 4 , it is too easy to confuse one medication for another. These medications are used for very different purposes and could put a client at risk for an adverse outcome. They should be written as morphine sulfate and magnesium sulfate. The decimal point should never be missed before a number to avoid confusion (i.e., 0.4 rather than .4). PTS: 1 DIF: Cognitive Level: Analysis REF: 13 OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
  2. Healthy People 2020 has established national health priorities that focus on a number of maternal-child health indicators. Nurses are assuming greater roles in assessing family health and providing care across the perinatal continuum. Therefore it is important for the nurse to be aware that significant progress has been made in: a. The reduction of fetal deaths and use of prenatal care. b. Low birth weight and preterm birth. c. Elimination of health disparities based on race. d. Infant mortality and the prevention of birth defects. ANS: A Trends in maternal child health indicate that progress has been made in relation to reduced infant and fetal deaths and increased prenatal care. Notable gaps remain in the rates of low birth weight and preterm births. According to the March of Dimes, persistent disparities still exist between African Americans and non- Hispanic Caucasians. Many of these negative outcomes are preventable through access to prenatal care and the use of preventive health practices. This demonstrates the need for comprehensive community-based care for all mothers, infants, and families. PTS: 1 DIF: Cognitive Level: Knowledge REF: 3 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment MULTIPLE RESPONSE
  3. Which interventions would help alleviate the problems associated with access to health care for maternity patients (Select all that apply)? a. Provide transportation to prenatal visits. b. Provide childcare so that a pregnant woman may keep prenatal visits. c. Mandate that physicians make house calls.

d. Provide low-cost or no-cost health care insurance. e. Provide job training. ANS: A, B, D Lack of transportation to visits, lack of childcare, and lack of affordable health insurance are prohibitive factors associated with lack of prenatal care. House calls are not a cost-effective approach to health care. Although job training may result in employment and income, the likelihood of significant changes during the time frame of the pregnancy is remote. PTS: 1 DIF: Cognitive Level: Implementation REF: 5 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance

  1. Which of the following statements indicate that the nurse is practicing appropriate family-centered care techniques (Select all that apply)? a. The nurse commands the mother to do as she is told. b. The nurse allows time for the partner to ask questions. c. The nurse allows the mother and father to make choices when possible. d. The nurse informs the family about what is going to happen. e. The nurse tells the patients sister, who is a nurse, that she cannot be in the room during the delivery. ANS: B, C Including the partner in the care process and allowing the couple to make choices are important elements of family-centered care. The nurse should never tell the mother what to do. Family-centered care involves collaboration between the health care team and the client. Unless an institutional policy limits the number of attendants at a delivery, the client should be allowed to have whomever she wants present (except when the situation is an emergency and guests are asked to leave). PTS: 1 DIF: Cognitive Level: Analysis REF: 8 OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity MATCHING Medical errors are a leading cause of death in the United States. The National Quality Forum has recommended numerous safe practices that nursing can promote to reduce errors. Match each safe practice with the correct statement. a. Ask the patient to teach back. b. Comply with CDC guidelines.

environment of care, processes, and systems. These are only a few of the recommended practices; however, nurses should be familiar with these guidelines.

  1. ANS: C PTS: 1 DIF: Cognitive Level: Application REF: 5 OBJ: Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment NOT: The National Quality Forum updated its publication Safe Practices for Better Healthcare in 2010, outlining 24 safe practices that should be used in all health care settings to reduce the risk of harm from the environment of care, processes, and systems. These are only a few of the recommended practices; however, nurses should be familiar with these guidelines.

Meeting nutritional requirements is a fundamental health promotion behavior. Although creating a family budget may be helpful, it does not indicate that funds will be allotted to meet health needs if money is scarce. Often families cannot afford preventive care and rely on emergency departments for their health care needs. Socialization of children may be important, but it is not directly related to the health care of individuals in a family unit. Birth control may be important, but it is not a basic survival health care function. PTS: 1 DIF: Cognitive Level: Comprehension REF: 28 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity

  1. The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family: a. Rituals and customs. c. Boundaries and channels. b. Values and beliefs. d. Socialization processes. ANS: B Values and beliefs are the most prevalent factors in the decision-making and problem-solving techniques of families. Although culture may play a part in the decision-making process of a family, ultimately values and beliefs dictate the course of action taken by family members. Boundaries and channels affect the relationship between the family members and the health care team, not the decisions within the family. Socialization processes may help families with interactions with the community, but they are not the criteria used for decision making within the family. PTS: 1 DIF: Cognitive Level: Comprehension REF: 25 OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
  2. Using the family stress theory as an intervention approach for working with families experiencing parenting, the nurse can help the family change internal context factors. These include: a. Biologic and genetic makeup. b. Maturation of family members. c. The familys perception of the event. d. The prevailing cultural beliefs of society. ANS: C The family stress theory is concerned with the familys reaction to stressful events; internal context factors include elements that a family can control such as psychologic defenses. It is not concerned with biologic and genetic makeup, maturation of family members, or the prevailing cultural beliefs of society. PTS: 1 DIF: Cognitive Level: Comprehension REF: 20 OBJ: Nursing Process: Diagnosis MSC: Client Needs: Psychosocial Integrity
  3. While working in the prenatal clinic, you care for a very diverse group of patients. When planning interventions for these families, you realize that acceptance of the interventions will be most influenced by:

a. Educational achievement. c. Subcultural group. b. Income level. d. Individual beliefs. ANS: D The patients beliefs are ultimately the key to acceptance of health care interventions. However, these beliefs may be influenced by factors such as educational level, income level, and ethnic background. Educational achievement, income level, and subcultural group all are important factors. However, the nurse must understand that a womans concerns from her own point of view will have the most influence on her compliance. PTS: 1 DIF: Cognitive Level: Application REF: 22 OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity

  1. The nurses care of a Hispanic family includes teaching about infant care. When developing a plan of care, the nurse bases interventions on the knowledge that in traditional Hispanic families: a. Breastfeeding is encouraged immediately after birth. b. Male infants typically are circumcised. c. The maternal grandmother participates in the care of the mother and her infant. d. Special herbs mixed in water are used to stimulate the passage of meconium. ANS: C In Hispanic families, the expectant mother is influenced strongly by her mother or mother-in-law. Breastfeeding often is delayed until the third postpartum day. Hispanic male infants usually are not circumcised. Olive or castor oil may be given to stimulate the passage of meconium. PTS: 1 DIF: Cognitive Level: Application REF: 26 OBJ: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
  2. The womans family members are present when the home care maternal-child nurse arrives for a postpartum and newborn visit. What should the nurse do? a. Observe the family members interactions with the newborn and one another. b. Ask the woman to meet with her and the baby alone. c. Do a brief assessment on all family members present. d. Reschedule the visit for another time so that the mother and infant can be assessed privately. ANS: A