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Maternal and Child Vol 1 & 2 Custom Edition Ball London Test Bank

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Maternal and Child  Vol 1 & 2 Custom Edition Ball London Test Bank

ISBN-10: 0558770614  ISBN-13: 978-0558770617

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Maternal and Child  Vol 1 & 2 Custom Edition Ball London Test Bank

ISBN-10: 0558770614  ISBN-13: 978-0558770617

 

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Below you will find some free nursing test bank questions from this test bank:

Chapter 8: Preparation for Parenthood

 

Chapter 08_LO01_Q01

During a preconception counseling meeting with the nurse, a couple asks what changes they will need to make to their lifestyle. The nurse’s best response is:

  1. “You can no longer use over-the-counter medications.”
  2. “Your partner will have to give up smoking.”
  3. “Start taking a multivitamin now.”
  4. “You should stop exercising until you see the doctor.”

Correct Answer: 3

Rationale:

  1. A woman who uses over-the-counter medications needs to discuss their usage with her doctor.
  2. A woman should avoid areas where secondhand smoke is common.
  3. It is important prior to conception to have adequate amounts of nutrients, particularly folic acid.
  4. A regular exercise program should be established at least 3 months prior to becoming pregnant.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 8.1 Determine the most appropriate nursing care for couples during preconception to help ensure their best possible health state.

 

Chapter 08_LO02_Q02

An expectant couple desires to determine compatibility with a care provider. They ask the nurse for assistance. Which of the following questions should be addressed first?

  1. “Can my children attend the birth?”
  2. “If I have a cesarean birth, can my husband attend?”
  3. “What is your philosophy of birth?”
  4. “What percentage of your clients have episiotomies?”

Correct Answer: 3

Rationale:

  1. Children attendance, a husband’s presence for a cesarean birth, and episiotomy percentages are complements of the provider’s philosophy.
  2. Children attendance, a husband’s presence for a cesarean birth, and episiotomy percentages are complements of the provider’s philosophy.
  3. A thorough understanding of the provider’s philosophy is essential to determining compatibility.
  4. Children attendance, a husband’s presence for a cesarean birth, and episiotomy percentages are complements of the provider’s philosophy.

Cognitive Level: Analysis

Category of Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

Learning Outcome: 8.2 Identify ways to assist expectant parents in making the best decisions possible about issues related to pregnancy, labor, and birth.

 

 

Chapter 08_LO02_Q03

The nurse is assisting an expectant couple in developing a birth plan. Which of the following instructions would the nurse include in the teaching plan?

  1. The birth plan includes only client choices, and does not take into account standard choices of the health care provider.
  2. The birth plan allows the client to make choices about the birth process; however, these choices cannot be altered.
  3. The birth plan is a legally binding contract between the client and the health care provider.
  4. The birth plan is a communication tool between the client and the health care provider.

Correct Answer: 4

Rationale:

  1. The birth plan is used as a tool for communication among the expectant parents, the health care provider, and the health care professionals at the birth setting.
  2. The birth plan is used as a tool for communication among the expectant parents, the health care provider, and the health care professionals at the birth setting.
  3. The birth plan is used as a tool for communication among the expectant parents, the health care provider, and the health care professionals at the birth setting. It is not a legal document. The written plan identifies options that are available; thus, it can be altered.
  4. The birth plan is used as a tool for communication among the expectant parents, the health care provider, and the health care professionals at the birth setting.

Cognitive Level: Knowledge/Comprehension

Category of Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Learning Outcome: 8.2 Identify ways to assist expectant parents in making the best decisions possible about issues related to pregnancy, labor, and birth.

 

Chapter 08_LO03_Q04

While teaching a preconception class, the nurse includes which of the following recommendations to decrease the risk of neural tube defects?

  1. 500 mg vitamin C every day
  2. 4 mg folate every day
  3. 1500 mg calcium every day
  4. 600 mg vitamin A every day

Correct Answer: 2

Rationale:

  1. This nutrient does not decrease the risk of neural tube defects.
  2. Folic acid supplementation prior to conception is recommended, since this decreases the risk of neural tube defects.
  3. This nutrient does not decrease the risk of neural tube defects.
  4. This nutrient does not decrease the risk of neural tube defects.

Cognitive Level: Knowledge/Comprehension

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Implementation

Learning Outcome: 8.3 Summarize the goals and content of the various types of antepartal education programs when providing nursing care for expectant couples and their families.

 

Chapter 08_LO03_Q05

The nurse is teaching a class to prenatal clients about the benefits of a doula. Which statement by a client demonstrates the need for further teaching?

  1. “The doula will deliver the baby.”
  2. “The doula will assist with the birth.”
  3. “The doula will provide guidance and encouragement.”
  4. “The doula will attend to my comfort needs.”

Correct Answer: 1

Rationale:

  1. The doula is trained to assist with births, but she does not deliver the baby.
  2. The doula is trained to assist with births, but she does not deliver the baby.
  3. The doula offers guidance and encouragement and attends to the many comfort needs of the laboring mother and her family.
  4. The doula offers guidance and encouragement and attends to the many comfort needs of the laboring mother and her family.

Cognitive Level: Analysis

Category of Client Need: Psychosocial Integrity

Nursing Process: Evaluation

Learning Outcome: 8.3 Summarize the goals and content of the various types of antepartal education programs when providing nursing care for expectant couples and their families.

 

Chapter 08_LO03_Q06

The nurse is planning for an adolescent parenting class. Which topics would be priorities for the nurse to include in the adolescent class? Select all that apply.

  1. Sexuality in pregnancy
  2. Newborn care
  3. Birth settings
  4. Health dangers for the baby
  5. How to be a good parent

Correct Answers: 2; 4; 5

Rationale:

  1. Sexuality in pregnancy and birth settings are not a priority.
  2. Areas of concern for teens include how to be a good parent, how to care for the new baby, and health dangers to the baby.
  3. Sexuality in pregnancy and birth settings are not a priority.
  4. Areas of concern for teens include how to be a good parent, how to care for the new baby, and health dangers to the baby.
  5. Areas of concern for teens include how to be a good parent, how to care for the new baby, and health dangers to the baby.

Cognitive Level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 8.3 Summarize the goals and content of the various types of antepartal education programs when providing nursing care for expectant couples and their families.

 

Chapter 08_LO03_Q07

During a breastfeeding class, the nurse discusses ways to include the father in the breastfeeding process. The nurse knows further teaching is necessary when a prospective father states:

  1. “I can feed the baby a bottle.”
  2. “I can burp the baby between breasts.”
  3. “I can rock the baby to sleep after breastfeeding.”
  4. “When the baby wakes up, I can bring the baby to her mother.”

Correct Answer: 1

Rationale:

  1. Feeding the baby a bottle is not an option. Breastfeeding has to be established.
  2. Including the father in the breastfeeding process involves bringing the baby to the mother for feedings, burping the baby between breasts and/or after feeding, and rocking the baby back to sleep.
  3. Including the father in the breastfeeding process involves bringing the baby to the mother for feedings, burping the baby between breasts and/or after feeding, and rocking the baby back to sleep.
  4. Including the father in the breastfeeding process involves bringing the baby to the mother for feedings, burping the baby between breasts and/or after feeding, and rocking the baby back to sleep.

Cognitive Level: Analysis

Category of Client Need: Psychosocial Integrity

Nursing Process: Evaluation

Learning Outcome: 8.3 Summarize the goals and content of the various types of antepartal education programs when providing nursing care for expectant couples and their families.

 

Chapter 08_LO03_Q08

A client states that she is not interested in Lamaze classes because she is single and does not want to have natural childbirth. The nurse’s best response would be:

  1. “Lamaze classes promise painless childbirth. If you learn their methods, your pain is minimal.”
  2. “Lamaze classes can teach you relaxation methods and also the benefits and risks of pain-relief methods. This assists you in making the best decision for you.”
  3. “You are very nervous. I think these classes would be best for you.”
  4. “Lamaze classes are geared toward couples. You might want to find a different class.”

Correct Answer: 2

Rationale:

  1. This is an inappropriate response.
  2. Lamaze teaches relaxation methods by utilizing patterned breathing. Those who are able to use the method require little if any anesthesia during delivery.
  3. This is an inappropriate response.
  4. This is an inappropriate response.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 8.3 Summarize the goals and content of the various types of antepartal education programs when providing nursing care for expectant couples and their families.

 

Chapter 08_LO03_Q09

Which content would be appropriate for a nurse to include in an early-pregnancy class?

  1. The father’s role in breastfeeding
  2. Purchasing of a car seat
  3. How to care for an episiotomy
  4. Methods to cope with stress

Correct Answer: 4

Rationale:

  1. The father’s role in breastfeeding is a topic for a breastfeeding class.
  2. Purchasing a car seat is a topic for later classes (second and third trimesters).
  3. Episiotomy care is a topic for later classes (second and third trimesters).
  4. Coping with stress is a topic appropriate for an early-pregnancy class.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 8.3 Summarize the goals and content of the various types of antepartal education programs when providing nursing care for expectant couples and their families.

 

Chapter 08_LO03_Q10

A nurse conducts a class on relaxation exercises. Which couple is demonstrating the appropriate technique for touch relaxation?

  1. The expectant mother relaxes her muscles in response to her partner’s touch.
  2. The expectant mother relaxes one muscle group at a time as her partner observes.
  3. The expectant mother and her partner perform light abdominal stroking.
  4. The expectant mother relaxes the rest of her body while tensing a specific muscle under the direction of her partner.

Correct Answer: 1

Rationale:

  1. Touch relaxation increases cooperation and teamwork between the woman and her coach during labor.
  2. Progressive relaxation relaxes one muscle group at a time.
  3. Effleurage involves performing light abdominal stroking.
  4. Disassociation relaxation involves relaxing the rest of the body while tensing a specific muscle group.

Cognitive Level: Analysis

Category of Client Need: Physiological Integrity

Nursing Process: Evaluation

Learning Outcome: 8.3 Summarize the goals and content of the various types of antepartal education programs when providing nursing care for expectant couples and their families.

 

Chapter 08_LO04_Q11

A primigravida is admitted to the labor unit with contractions every 7–8 minutes. She is 3 cm dilated, 70% effaced, and 0 station. She is very anxious, is having difficulty coping with contractions, and states she did not attend prenatal classes. Which of the following would be the most effective nursing intervention?

  1. Instruct the client in abdominal breathing and progressive relaxation.
  2. Instruct the client in patterned paced breathing and touch relaxation.
  3. Instruct the client in pelvic tilt and pelvic rock exercises.
  4. Call the physician and request a sedative.

Correct Answer: 1

Rationale:

  1. Abdominal breathing and progressive relaxation assist the client in relaxing and allow the uterine muscles to work more efficiently.
  2. Patterned paced breathing and touch relaxation are exercises taught in childbirth preparation classes, and involve the use of a partner.
  3. Pelvic tilt and rock exercises are body-conditioning exercises.
  4. Providing sedatives would not allow the client to participate actively in the process.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Implementation

Learning Outcome: 8.4 Compare methods of childbirth preparation and the nursing interventions for each.

 

Chapter 08_LO04_Q12

Parents planning on a vaginal birth after a cesarean birth (VBAC) should prepare:

  1. Exclusively for a vaginal delivery.
  2. Two birth plans: one for vaginal and one for cesarean.
  3. For a long labor.
  4. For a short labor.

Correct Answer: 2

Rationale:

  1. Preparing exclusively for a vaginal delivery will decrease a parent’s sense of control over the birth experience if a cesarean needs to be performed.
  2. In the care of vaginal birth after cesarean birth (VBAC), two birth plans should be prepared: one for vaginal delivery and one for cesarean birth.
  3. The length of labor (short or long) cannot be determined for a VBAC delivery.
  4. The length of labor (short or long) cannot be determined for a VBAC delivery.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 8.4 Compare methods of childbirth preparation and the nursing interventions for each.

 

Chapter 08_LO04_Q13

An expectant mother asks a nurse, “Why do I need to learn breathing patterns I can use during labor?” The nurse relates to the client that the primary reason for using controlled breathing patterns during labor is to:

  1. Promote adequate oxygen to the laboring mother and the baby.
  2. Keep the laboring mother distracted.
  3. Keep the laboring mother awake.
  4. Involve the partner in the birth process.

Correct Answer: 1

Rationale:

  1. Breathing techniques help keep the mother and her unborn baby adequately oxygenated.
  2. Breathing techniques are not intended to distract the laboring mother but to focus her attention.
  3. Breathing techniques are not done keep the laboring mother awake or to involve the partner in the birth process.
  4. Breathing techniques are not done keep the laboring mother awake or to involve the partner in the birth process.

Cognitive Level: Analysis

Category of Client Need: Physiological Integrity

Nursing Process: Assessment

Learning Outcome: 8.4 Compare methods of childbirth preparation and the nursing interventions for each.

 

Chapter 08_LO05_Q14

A couple would like their 5-year-old to attend the birth. Which statement by the nurse would assist in the plan of care for the 5-year-old?

  1. “You should let your child stay home, because you will be focusing on the birth.”
  2. “Children under 12 are not allowed to be present at the birth.”
  3. “You should bring someone who can tend solely to any specific needs of your child.”
  4. “Bring some toys to keep your child occupied.”

Correct Answer: 3

Rationale:

  1. Preparing the child on what to expect is beneficial.
  2. Children are allowed to be present at births.
  3. A sibling should have her own support person whose primary responsibility is to take care of the child’s needs.
  4. A sibling should have her own support person whose primary responsibility is to take care of the child’s needs.

Cognitive Level: Application

Category of Client Need: Psychosocial Integrity

Nursing Process: Planning

Learning Outcome: 8.5 Explore ways in which the nurse conveys respect for client individuality in preparing for childbirth.

 

Chapter 08_LO05_Q15

A couple discusses their childbirth-preparation options with the nurse. They want the father to be actively involved, and for the expectant mother to avoid medications during the birthing process. The nurse’s best response is:

  1. “The hospital will follow your wishes.”
  2. “The Leboyer method will provide what you want.”
  3. “The Bradley method will provide your needs.”
  4. “The Lamaze method will be easy to follow.”

Correct Answer: 3

Rationale:

  1. The hospital method is not an option for preparation.
  2. The Leboyer method emphasizes the provision of a gentle and peaceful environment for the birth process.
  3. The Bradley method is referred to as partner- or husband-coached natural childbirth.
  4. The Lamaze method involves the breathing technique that facilitates delivery by relaxing at the proper time.

Cognitive Level: Knowledge/Comprehension

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 8.5 Explore ways in which the nurse conveys respect for client individuality in preparing for childbirth.