Chapter 1 Perspectives on Maternal and Child Health Care

Chapter 1 Perspectives on Maternal and Child Health Care Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman

42. The nurse working in a maternity clinic suspects that a client and her children are in a violent relationship. While waiting for test results, the nurse decides to teach the client about intimate partner violence. What wao b iu r b l .d c o mb /e t e s t t he best rationale for the nurse's decision? A. The nurse knows that the woman may be weak and controlled by her partner. B. The nurse has a legal responsibility to protect clients. C. The nurse understands there is an ethical responsibility to protect clients. D. The nurse knows that children exposed to family violence are likely to be victims of abuse. Answer: D Rationale: Children exposed to family violence are moreabliirkbe.cloym/tteost be physically, sexually, or emotionally abused themselves. Children have died from family violence and neglect when no one has intervened on their behalf. Children who are exposed to stressors such as family violence or who are victims of childhood violence or neglect are at high risk for short- and long-teabrimrb.copmr/otebstlems. Witnessing and being exposed to violence in childhood results in a higher tolerance, and greater use, of violence as an adult. The nurse may feel an ethical responsibility towards clients, but the nurse does not have a legal responsibility to protect clients. Women being the weaker sex is a myth. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Analyze Client Needs: Psychosocial Integrity Integrated Process: Nursing Process Reference: p. 29 43. A public health nurse is developing programs to eduacbairtbe.copma/terset nts on infant mortality. Which complications would the nurse include in the education? Select all that apply. A. Tricuspid atresia B. 39-week gestation birth C. 3,6 kg birth weight D. Anencephalus E. Spina bifida Answer: A, D, E Rationale: The main causes of early infant death in this ac bo iru b.cn o t mr /y tes i tnclude problems occurring at birth or shortly thereafter. These include prematurity, low birth weight, congenital anomalies, sudden infant death syndrome (SIDS), and respiratory distress syndrome. A pregnancy at 39 weeks would be caobirbs.ciodme/treestd a term pregnancy. A birth weight of 3.6 kg would be considered appropriate. Question format: Multiple Select Chapter 1: Perspectives on Maternal and Child Health Care Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Reference: p. 10 44. The pediatric nurse would be participating in the role of advocate when completing which action? A. Instructing parents on the side effects of vaccinationsabtirhb.ecoyma/terset requesting for their child B. Contributing input on a task force with the aim to reduce the rate of mortality of infants and children C. Teaching parents to keep their prescribed medicationabs ia rbf .ce o l my /teo su t t of reach of children D. Explaining to parents the reason for each medication their child was recently prescribed Answer : B Rationale: The role of advocacy is being fulfulled when tahbei rb .nc oumr/stees t works to safeguard and advance the interest of children and infants through many means, including contributing to the learning and application of a task force aimed at reducing infant and children mortality. The actions of instructing about side effects, explaining the purposes of medications, and teaching ab ao biu rb t m/e ted stication safelty would fall under the role of educator. Question format: Multiple Choice Chapter 1: Perspectives on Maternal and Child Health Caabrierb Cognitive Level: Apply a birb .c o m/ te st Client Needs: Safe, Effective Care Environment: Managem ent of Care Integrated Process: Caring Reference: p. 50