Maternity and Pediatric Nursing 9th
Edition By Gloria Leifer (All
Chapters 1-34, 100% Original
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,Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric
Nursing
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. A pregnant woman tells the nurse that she got relief from nausea when she had a therapy that
involves pressure and massage on meridian sites. What type of therapy does this describe?
a. Acupuncture
b. Acupressure
c. Aromatherapy
d. Ayurveda
ANS: B
Acupressure uses finger pressure and massage on the meridian sites. It can be used during
pregnancy to control nausea, backache, and pain. It has been useful for minor postpartum
problems such as constipation.
DIF: Cognitive Level: Knowledge REF: p. 784 OBJ: 2
TOP: Acupressure KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Which child should not receive massage therapy?
a. 15-year-old with a fractured femur
b. 12-year-old with diabetes mellitus
c. 8-year-old with Down syndrome
d. 17-year-old with an eating disorder
ANS: C
Children with Down syndrome are prone particularly to cervical spine anomalies and may be
injured by massage therapy.
DIF: Cognitive Level: Comprehension REF: p. 783 OBJ: 3
TOP: Massage KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. A 12-year-old with rheumatoid arthritis finds aromatherapy helpful for relieving her joint
discomfort. Which essential oil is useful for children with chronic pain?
a. Lavender
b. Ephedra
c. Ginseng
d. Kava-kava
ANS: A
Lavender, chamomile, and sandalwood essential oils are useful in aromatherapy for children
with chronic pain.
DIF: Cognitive Level: Knowledge REF: p. 785 | Nursing Tip
OBJ: 2 TOP: Alternative Health Practices—Aromatherapy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
,4. A pregnant woman wishes to use aromatherapy during her labor and delivery. What is the
most appropriate essential oil for the nurse to recommend?
a.Juniper
b.Wintergreen
c.Thyme
d.Citrus
ANS: D
Citrus is one essential oil that has been shown to be useful during labor and delivery.
DIF: Cognitive Level: Comprehension REF: p. 785 OBJ: 10
TOP: Aromatherapy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. A parent asks the nurse, “What is guided imagery?” Which statement is the most accurate
response?
a. “It is a technique where the patient focuses on an image to relieve stress.”
b. “It involves using water to promote relaxation.”
c. “The patient enters a hypnotic state of sleep to promote relaxation.”
d. “It helps the patient recognize tension in the muscles with responses on an
electronic machine.”
ANS: A
In guided imagery, by focusing on a specific image, stress reduction and improved
performance can result.
DIF: Cognitive Level: Knowledge REF: pp. 785-786 OBJ: 9
TOP: Guided Imagery KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
6. A woman taking St. John’s wort and ginseng daily is scheduled to have a hysterectomy in 3
weeks. What instruction should the nurse provide?
a. The herbs are not likely to cause any problems during the surgery.
b. The St. John’s wort must be stopped prior to surgery, but she can continue the
ginseng.
c. The ginseng should be stopped 1 week before surgery.
d. She should discontinue taking both herbs 2 weeks before surgery.
ANS: D
Both St. John’s wort and ginseng can cause problems during surgery, and their use should be
discontinued 2 weeks before surgery.
DIF: Cognitive Level: Application REF: p. 782 | Table 34.1
OBJ: 6 TOP: Herbal Remedies
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
7. Which herb can the nurse suggest to be used for discomforts associated with menopause, such
as hot flashes?
a. Evening primrose oil
b. Echinacea
, c. Milk thistle
d. Black cohosh
ANS: D
Black cohosh diminishes hot flashes by reducing luteinizing hormone. It also reduces joint
pain and other menopausal discomforts.
DIF: Cognitive Level: Knowledge REF: p. 790 | Table 34.4
OBJ: 12 TOP: Herbal Remedies
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
8. A young mother asks, “Is there an alternative medicine for children with asthma?” Which
form of alternative medicine would be the most helpful for the nurse to suggest?
a. Reflexology
b. Rolfing
c. Guided imagery
d. Acupressure
ANS: C
The use of guided imagery has helped relieve some of the symptoms of asthma.
DIF: Cognitive Level: Comprehension REF: pp. 780-781 OBJ: 3 | 9
TOP: Guided Imagery KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
9. What is the difference between complementary therapy and alternative therapy?
a. Complementary therapy must be administered by a medical doctor.
b. Complementary therapy is administered with conventional therapy.
c. Complementary therapy replaces conventional therapy.
d. Complementary therapy is administered to a group of patients at the same time.
ANS: B
Complementary therapy is administered with conventional therapy, such as massage with
muscle relaxants for low back pain.
DIF: Cognitive Level: Comprehension REF: p. 780 OBJ: 2
TOP: CAM KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
10. The nurse uses a diagram to show the location of meridians. How will the nurse explain the
definition of meridians?
a. They are lymph nodes.
b. They are invisible pathways for energy.
c. They are lines that divide the body into 10 zones.
d. They are areas of skin that are specifically innervated.
ANS: B
Meridians are invisible pathways through which energy travels to effect acupuncture
treatment.
DIF: Cognitive Level: Knowledge REF: p. 784 | Figure 34.4
OBJ: 8 TOP: Herbal Remedies: CAM