Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition By Patricia W. Ladewig-Test Bank
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Ladewig, Contemporary Maternal-Newborn Nursing, 8/E
While conducting a family assessment, the nurse determines that a particular family’s structure is binuclear. Some potential challenges inherently faced by binuclear families include:
- Challenges related to co-parenting and joint custody, including negotiation and compromise between the parents about childrearing decisions.
- Issues related to both parents being employed, including child care, household chores, and spending time together.
- Challenges related to children interacting with peers and when revealing their parents’ sexual orientation.
- Issues related to single parenting, including lack of social and emotional support, need for assistance with childrearing, and financial strain.
The nurse is preparing a community presentation on family development. Which of the following statements should the nurse include?
- The youngest child’s age determines the family’s current stage.
- A family does not experience overlapping of stages.
- Family development ends when the youngest child leaves home.
- The stages describe the family’s progression over time.
The nurse is preparing to assess the development of a family new to the clinic. The nurse understands that the primary use of a family assessment tool is to:
- Obtain a comprehensive medical history of family members.
- Determine which clinic the patient should be referred to.
- Predict how a family will likely change with the addition of children.
- Understand the physical, emotional, and spiritual needs of members.
The registered nurse is caring for a pregnant Muslim patient who is anticipating delivery within the next few days. The nurse asks if she and her husband have chosen a name for their baby. The patient quietly shakes her head, “no.” Based upon the patient’s response, the nurse understands that:
- The patient is not happily anticipating the arrival of her baby.
- Cultural beliefs may require the couple to choose the baby’s name following the birth.
- The patient does not speak English.
- Cultural beliefs may require that the baby’s name be kept secret until after the delivery.
A woman of Korean descent has just given birth to a son. Her partner wishes to give her sips of hot broth from a thermos he brought from home. The patient has refused your offer of ice chips or other cold drinks. The nurse should:
- Explain to the patient that she can have the broth if she will also drink cold water or juice.
- Encourage the partner to feed the patient sips of broth. Ask if the patient would like you to bring her some warm water to drink as well.
- Explain to the couple that food can’t be brought from home but that the nurse will make hot broth for the patient.
- Encourage the patient to have the broth after the nurse takes it to the kitchen and boils it first.
The nurse works in a facility that cares for patients from a broad range of racial, ethnic, cultural, and religious backgrounds. Which statement should the nurse include in a presentation for nurses new to the facility on the patient population of the facility?
- “Our patients come from a broad range of backgrounds, but we have a good interpreter service.”
- “Many of our patients come from backgrounds different from your own, but it doesn’t cause problems for the nurses.”
- “Because most of the doctors are bilingual, we don’t have to deal with the differences in cultural backgrounds of our patients.”
- “Understanding the common values and health practices of our diverse patients will facilitate better care and health outcomes.”
The nurse manager in a hospital with a large immigrant population is planning an in-service. The nurse manager is aware of how ethnocentrism affects nursing care. Which statement should the nurse manager include? “The belief that one’s own values and beliefs are the only or the best values:
- “Means that newcomers to the United States should adopt U.S. norms and values.”
- “Can create barriers to communication through misunderstanding.”
- “Leads to an expectation that patients will exhibit pain the same way.”
- “Improves the quality of care provided to culturally diverse patient bases.”
When preparing to teach a culturally diverse group of childbearing families about hospital birthing options, in order to be culturally competent, the nurse should:
- Understand that the families have the same values as the nurse.
- Teach the families how childbearing takes place in the United States.
- Insist that the clients answer questions instead of their husbands.
- Learn about the cultural groups that are likely to attend the class.
The nurse is admitting a Mexican woman scheduled for a cholecystectomy. The nurse uses a cultural assessment tool during the admission. Which question would be most important for the nurse to ask?
- “What other treatments have you used for your abdominal pain?”
- “What is your country of origin; where were you were born?”
- “When you talk to family members, how close do you stand?”
- “How would you describe your role within your family?”
The labor and delivery nurse is caring for a laboring patient who has asked for a priest to visit her during labor. The patient’s mother died during childbirth, and although there are no complications during the patient’s pregnancy, she is fearful of her own death during labor. What is the best response of the nurse?
- “Nothing is going to happen to you. We’ll take very good care of you during your birth.”
- “Would you like to have an epidural so that you won’t feel the pain of the contractions?”
- “The priest won’t be able to prevent complications and might get in the way of your providers.”
- “Would you like me to contact your parish or our hospital chaplain to come see you?”
A pregnant patient reports experiencing occasional gastroesophageal reflux. She explains that she relieves her symptoms through acupressure treatments, as well as by taking an over-the-counter medication recommended by her obstetrician. The nurse recognizes acupressure to be a form of:
- Alternative therapy.
- Complementary therapy.
A patient reports using “homeopathic remedies” to ease her back pain. In order to more fully explore the patient’s use of complementary and alternative medicine (CAM), the nurse should ask:
- “Will you tell me more about the homeopathic remedies you’re using?”
- “Are you aware that some complementary and alternative therapies can be dangerous?”
- “Does your physician approve of your use of homeopathic remedies?”
- “Have you prioritized your need for comfort above your concern for your baby’s health?”
The patient pregnant with her first child reports that her husband wants her to visit a homeopath for help with her nausea and vomiting. The patient asks what the nurse’s opinion of homeopathy is. The best response by the nurse is:
- “Homeopathy is unproven and potentially dangerous. Avoid using homeopathic remedies.”
- “The FDA has approved homeopathic remedies, and practitioners undergo education and certification.”
- “I can’t give you advice about what alternatives to try. Go online and do some research to get information.”
- “Homeopathy is the same as herbal remedies. Some are safe during pregnancy and some are not.”
Complementary and alternative therapies have many benefits for the childbearing family and others. However, many of these remedies have associated risks. Which of the following situations would be considered risks?
Standard Text: Select all that apply.
- Getting a massage from a licensed massage therapist for back pain, prescribed by the primary caregiver
- Trying out a homeopathic medicine from a friend to reduce swelling in the legs
- Getting a chiropractic treatment for low back pain due to discomforts of pregnancy without telling the primary health care provider
- Taking an herbal preparation suggested by a health food store worker for treatment of leg pain
- Joining a group that practices tai chi weekly to help with physical fitness and movement
The labor and delivery unit nurse manager is incorporating complementary and alternative therapies into the unit’s policies and procedures. Which statement should the nurse manager include during an in-service educational presentation for the nursing staff?
- “Policies have been developed for using massage and aromatherapy.”
- “When patients ask questions you don’t know, tell them to look online.”
- “Because herbs are dangerous during pregnancy, we will not use them.”
- “Be sure to ask patients what alternative therapies they have used.”
Ladewig, Contemporary Maternal-Newborn Nursing, 8/E
The nurse is explaining the difference between meiosis and mitosis. Which statement does the nurse include?
Standard Text: Select all that apply.
- Meiosis is the division of a cell into two exact copies of the original cell.
- Mitosis is splitting one cell into two, each with half the chromosomes of the original cell.
- Meiosis is the process by which gametes, or the sperm and ova, are formed.
- Mitosis occurs in most of the cells of the body.
- Meiotic division leads to cells that halve the original genetic material.
The nurse has completed a presentation on reproduction. Which participant’s statement indicates that the teaching has been successful?
- “A male is born with all the sperm he will ever produce.”
- “Females create new ova throughout their reproductive life.”
- “Ova separate into two unequally sized cells.”
- “Each primary spermatocyte divides into four haploid cells.”
After teaching a class about the female reproductive system, the nurse asks the attendees to describe the process of meiosis. Which student response suggests successful comprehension of the material?
- “Completion of the second meiotic division results in formation of three polar bodies and one ovum.”
- “At the time of ovulation, the first meiotic division begins.”
- “Completion of the first meiotic division produces three polar bodies and one primary oocyte.”
- “At the time of puberty, the second meiotic division begins.”
You are counseling a young woman regarding contraception. When asked if she currently uses any form of contraception, she replies, “I can’t get pregnant because I don’t have intercourse on the day I ovulate.” Based upon her response, what information should you include in your teaching?
- Refraining from intercourse on the day of ovulation will effectively prevent pregnancy.
- Sperm are believed to be healthy and highly fertile for at least five days.
- After ovulation, ova are considered fertile for about 72-96 hours.
- Sperm survive 48-72 hours in the female reproductive tract.
When evaluating information taught about conception and fetal development, the patient verbalizes understanding about transportation time of the zygote through the fallopian tube and into the cavity of the uterus with which statement?
- “It will take at least three days for the egg to reach the uterus.”
- “It will take eight days for the egg to reach the uterus.”
- “It will only take 12 hours for the egg to go through the fallopian tube.”
- “It will take 18 hours for the fertilized egg to implant in the uterus.”
If only a small volume of sperm is discharged into the vagina, an insufficient amount of enzymes might be released when sperm encounters the ovum. In that case, pregnancy would probably not result because:
- Peristalsis of the fallopian tube would decrease, making it difficult for the ovum to enter the uterus.
- The block to polyspermy (cortical reaction) would not occur.
- The fertilized ovum would be unable to implant in the uterus.
- Sperm would be unable to penetrate the zona pellucida of the ovum.
The nurse is caring for a patient who is pregnant with twins. Which statement indicates the patient needs additional information?
- “Because both of my twins are boys, I know that they are identical.”
- “If my twins came from one fertilized egg that split, they are identical.”
- “If I have one boy and one girl, I will know they came from two eggs.”
- “It is rare for twins to both be within the same amniotic sac.”
A pregnant patient asks you to describe the differences between monozygotic and dizygotic twins. Which statement should you include in your teaching?
- Dizygotic twinning occurs less frequently than does monozygotic twinning.
- Monozygotic twins originate from division of the fertilized ovum at different stages.
- Dizygotic twins share one placenta and one chorion.
- Monozygotic twins are also referred to as “fraternal” twins.
Which statement by a pregnant patient would indicate that additional teaching was necessary?
- “Because of their birth relationship, fraternal twins are more similar to each other than if they had been born singly.”
- “Identical twins can be the same or different sex.”
- “Congenital abnormalities are more prevalent in identical twins.”
- “Identical twins occur more frequently than fraternal twins.”
The nurse is creating a poster for pregnant mothers. Which description of fetal development does the nurse include?
- Four layers of cells form after the embryo is at the ball stage.
- After fertilization, the cells only become larger for several weeks.
- Most organs are formed by 8 weeks after fertilization.
- The embryonic stage is from fertilization until 5 months.
The nurse is presenting an early pregnancy class to a group of pregnant women. Which statement indicates a need for further education? “The placenta:
- “Develops and grows larger until about 20 weeks’ gestation.”
- “Creates hormones and enzymes that are necessary during pregnancy.”
- “Ages and becomes less permeable during the last month of pregnancy.”
- “Floats in the amniotic sac and filters waste products from the fetus.”
The nurse is working with a patient who has experienced a fetal death in utero at 20 weeks. The patient asks what her baby will look like when it is delivered. Which statement by the nurse is the best response?
- “Your baby will be covered in fine hair called lanugo.”
- “Your child will have arm and leg buds, but not fully formed limbs.”
- “A white, cheesy substance called vernix caseosa will be on the skin.”
- “The genitals of the baby will be ambiguous.”
At her first prenatal visit, the patient states, “I’m five weeks’ pregnant now and I would like to hear my baby’s heartbeat today.” How should the nurse respond?
- Prepare to assist with auscultation of the fetal heartbeat using a fetoscope.
- Explain to the patient that the fetal heart does not begin to beat until approximately 7 weeks’ gestation.
- Anticipate that the patient will be scheduled for Doppler ultrasound.
- Explain to the patient that the fetal heartbeat is not yet detectable at 5 weeks’ gestation.
The patient at 18 weeks’ gestation thinks she might have been exposed to a toxin at work that could affect fetal development. The patient asks the nurse what organs might be affected at this point in pregnancy. The best response of the nurse is:
- “The brain is developing now and could be affected.”
- “Because you are in the second trimester, there is no danger.”
- “The internal organs like the heart and lungs could be impacted.”
- “It’s best to not worry about possible problems with your baby.”
The nurse is preparing a preconception information class. Information about causes of fetal organ malformation in the first trimester will be presented. What prenatal influences on the intrauterine environment should be included in the instruction?
Standard Text: Select all that apply.
- The use of saunas or hot tubs
- The use of drugs
- The quality of the sperm or ovum
- Maternal nutrition
- Age of the mother at conception
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