Test Bank for Maternal-Child Nursing, Latest Updated Graded A

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Chapter 2: The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing Test Bank MULTIPLE CHOICE 1. Which principle of teaching should the nurse use to ensure learning in a family si... tuation? a. Motivate the family with praise and positive reinforcement. b. Present complex subject material first, while the family is alert and ready to learn. c. Families should be taught by using medical jargon so they will be able to understand the technical language used by physicians. d. Learning is best accomplished using the lecture format. ANS: A Feedback A Praise and positive reinforcement are particularly important when a family is trying to master a frustrating task, such as breastfeeding. B Learning is enhanced when the teaching is structured to present the simple tasks before the complex material. C Even though a family may understand English fairly well, they may not understand the medical terminology or slang terms. D A lively discussion stimulates more learning than a straight lecture, which tends to inhibit questions. PTS: 1 DIF: Cognitive Level: Application REF: p. 28 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 2. When addressing the questions of a newly pregnant woman, the nurse can explain that the certified nurse-midwife is qualified to perform: a. Regional anesthesia b. Cesarean deliveries c. Vaginal deliveries d. Internal versions ANS: C Feedback A Regional anesthesia must be performed by a physician. B Cesarean deliveries must be performed by a physician. C The nurse-midwife is qualified to deliver infants vaginally in uncomplicated pregnancies. D Internal versions must be performed by a physician. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 29 OBJ: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment 3. Which nursing intervention is an independent function of the nurse? a. Administering oral analgesics b. Teaching the woman perineal care c. Requesting diagnostic studies d. Providing wound care to a surgical incision ANS: B Feedback A Administering oral analgesics is a dependent function; it is initiated by a physician and carried out by the nurse. B Nurses are now responsible for various independent functions, including teaching, counseling, and intervening in nonmedical problems. Interventions initiated by the physician and carried out by the nurse are called dependent functions. C Requesting diagnostic studies is a dependent function. D Providing wound care is a dependent function; it is usually initiated by the physician through direct orders or protocol. PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 27 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 4. Which response by the nurse to the woman’s statement, “I’m afraid to have a cesarean birth,” would be the most therapeutic? a. “What concerns you most about a cesarean birth?” b. “Everything will be OK.” c. “Don’t worry about it. It will be over soon.” d. “The doctor will be in later, and you can talk to him.” ANS: A Feedback A Focusing on what the woman is saying and asking for clarification is the most therapeutic response. B This response belittles the woman’s feelings. C This response will indicate that the woman’s feelings are not important. D This response does not allow the woman to verbalize her feelings when she desires. PTS: 1 DIF: Cognitive Level: Application REF: pp. 30-31 OBJ: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 5. To evaluate the woman’s learning about performing infant care, the nurse should: a. Demonstrate infant care procedures. b. Allow the woman to verbalize the procedure. c. Observe the woman as she performs the procedure. d. Routinely assess the infant for cleanliness. ANS: C Feedback A Demonstration is an excellent teaching method, but not an evaluation method. B During verbalization of the procedure, the nurse may not pick up on techniques that are incorrect. It is not the best tool for evaluation. C The woman’s ability to perform the procedure correctly under the nurse’s supervision is the best method of evaluation. D This will not ensure that the proper procedure is carried out. The nurse may miss seeing unsafe techniques being used. [Show More]

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