NUR 315 EXAM 3 OB CH 18
QUESTIONS WITH COMPLETE
ANSWERS
While the nurse is demonstrating a baby bath, the client states, "The other nurse told
me to do it a different way." Which response should the nurse make?
a. Tell her to do the procedure whichever way works best for her.
b. Confront the other nurse about her knowledge of the procedure.
c. Reassure her that procedures are based on standard principles and may vary.
d. Tell her that the other nurse does not have much experience in caring for
newborns. - ANSWER-ANS: C
Procedures may vary as long as basic principles are included. There is no evidence
that the other nurse gave incorrect information. Telling her whichever way works best
or the other nurse does not have much experience do not answer her concerns.
PTS: 1 DIF: Cognitive Level: Application REF: 361
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Health Promotion and Maintenance
A new mother states, "My mother-in-law will be here from out of town for a few
weeks. I'm afraid she will take over the care of the baby." Which response should the
nurse make?
a. Tell the client that everything will be okay.
b. Tell the client how lucky she is to have someone to help her.
c. Encourage the client to allow her mother-in-law to take care of the newborn.
d. Encourage the client to tell her mother-in-law that she (the new mother) wants to
care for her infant. - ANSWER-ANS: D
Before the mother-in-law has the opportunity to take over, the mother needs to state
her own desire to care for the infant. Telling the client everything will be okay or she
is lucky does not address the client's concern and are dismissive. The new mother
needs to believe that she can care for her baby and should express this to the
mother-in-law so she will not feel resentful in the future.
PTS: 1 DIF: Cognitive Level: Application REF: 360
OBJ: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity
Which client is most likely to have the least stress adjusting to her role as a mother?
a. A 26-year-old woman who is returning to work in 10 weeks
b. A 35-year-old anxious mother who has had no contact with babies or children
c. A 16-year-old teenager who lives with her parents and has a strained relationship
with her mother
d. A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant
with twins, who were delivered by cesarean birth - ANSWER-ANS: A
The woman who has the least amount of stress in her life will adjust more quickly to
her role as a mother. The anxious mother with no real experience with babies may
have a difficult time adjusting to motherhood. The teenager has a significant amount
of stress in her life, which could make adjusting to her role as a mother more difficult.
The 25-year-old mother has the added stress of twins, which may make motherhood
adjustment more difficult.
, PTS: 1 DIF: Cognitive Level: Understanding REF: 356
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
Which anticipatory guidance action by the nurse makes role transition to parenthood
easier?
a. Helps the new parents identify resources
b. Recommends employing babysitters frequently
c. Tells the parents about the realities of parenthood
d. Offers a home phone number and tells parents to call if they have a question -
ANSWER-ANS: A
Available resources within the community can assist the parents in role transition.
Some parents may not be able to afford babysitters. Also, this removes them from
the parenthood role. Each adult sees parenthood in a different light. They cannot be
compared. Searching out resources for the parents is an important task. However,
the nurse should not give her personal number to clients.
PTS: 1 DIF: Cognitive Level: Application REF: 354
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Psychosocial Integrity
Which action should the nurse do to provide support and encouragement to the new
postpartum client?
a. Recount how she solved her own problems.
b. Correct the new mother at every opportunity.
c. Praise the mother's early attempts at infant care.
d. Explain to the new mother that everything will be fine. - ANSWER-ANS: C
Positive reinforcement of the mother's attempt to provide care to the newborn will
promote a healthy self-concept. The mother needs to learn how to solve problems on
her own. Each person may use different techniques that work for that person.
Correcting her actions would be discouraging to a new mother. She needs
encouragement. Saying everything will be fine is blocking communication and further
teaching.
PTS: 1 DIF: Cognitive Level: Application REF: 360
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Health Promotion and Maintenance
Which should the nurse do to provide support to a new client who must return to full-
time employment 6 weeks after a vaginal birth?
a. Discuss child care arrangements with her.
b. Allow her to solve the problem on her own.
c. Reassure her that she'll get used to leaving her baby.
d. Allow her to express her positive and negative feelings freely. - ANSWER-ANS: D
Allowing the client to express feelings will provide positive support in her process of
maternal adjustment. Discussing child care arrangements is an important step in
anticipatory guidance but is not the best way to offer support. She should be
instrumental in solving the problem; however, allowing her time to express her
feelings and talk the problem over will assist her in making this decision. Reassuring
her that she will get used to leaving the baby blocks communication and belittles the
client's feelings.
PTS: 1 DIF: Cognitive Level: Application REF: 356
OBJ: Nursing Process Step: Implementation
QUESTIONS WITH COMPLETE
ANSWERS
While the nurse is demonstrating a baby bath, the client states, "The other nurse told
me to do it a different way." Which response should the nurse make?
a. Tell her to do the procedure whichever way works best for her.
b. Confront the other nurse about her knowledge of the procedure.
c. Reassure her that procedures are based on standard principles and may vary.
d. Tell her that the other nurse does not have much experience in caring for
newborns. - ANSWER-ANS: C
Procedures may vary as long as basic principles are included. There is no evidence
that the other nurse gave incorrect information. Telling her whichever way works best
or the other nurse does not have much experience do not answer her concerns.
PTS: 1 DIF: Cognitive Level: Application REF: 361
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Health Promotion and Maintenance
A new mother states, "My mother-in-law will be here from out of town for a few
weeks. I'm afraid she will take over the care of the baby." Which response should the
nurse make?
a. Tell the client that everything will be okay.
b. Tell the client how lucky she is to have someone to help her.
c. Encourage the client to allow her mother-in-law to take care of the newborn.
d. Encourage the client to tell her mother-in-law that she (the new mother) wants to
care for her infant. - ANSWER-ANS: D
Before the mother-in-law has the opportunity to take over, the mother needs to state
her own desire to care for the infant. Telling the client everything will be okay or she
is lucky does not address the client's concern and are dismissive. The new mother
needs to believe that she can care for her baby and should express this to the
mother-in-law so she will not feel resentful in the future.
PTS: 1 DIF: Cognitive Level: Application REF: 360
OBJ: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity
Which client is most likely to have the least stress adjusting to her role as a mother?
a. A 26-year-old woman who is returning to work in 10 weeks
b. A 35-year-old anxious mother who has had no contact with babies or children
c. A 16-year-old teenager who lives with her parents and has a strained relationship
with her mother
d. A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant
with twins, who were delivered by cesarean birth - ANSWER-ANS: A
The woman who has the least amount of stress in her life will adjust more quickly to
her role as a mother. The anxious mother with no real experience with babies may
have a difficult time adjusting to motherhood. The teenager has a significant amount
of stress in her life, which could make adjusting to her role as a mother more difficult.
The 25-year-old mother has the added stress of twins, which may make motherhood
adjustment more difficult.
, PTS: 1 DIF: Cognitive Level: Understanding REF: 356
OBJ: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
Which anticipatory guidance action by the nurse makes role transition to parenthood
easier?
a. Helps the new parents identify resources
b. Recommends employing babysitters frequently
c. Tells the parents about the realities of parenthood
d. Offers a home phone number and tells parents to call if they have a question -
ANSWER-ANS: A
Available resources within the community can assist the parents in role transition.
Some parents may not be able to afford babysitters. Also, this removes them from
the parenthood role. Each adult sees parenthood in a different light. They cannot be
compared. Searching out resources for the parents is an important task. However,
the nurse should not give her personal number to clients.
PTS: 1 DIF: Cognitive Level: Application REF: 354
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Psychosocial Integrity
Which action should the nurse do to provide support and encouragement to the new
postpartum client?
a. Recount how she solved her own problems.
b. Correct the new mother at every opportunity.
c. Praise the mother's early attempts at infant care.
d. Explain to the new mother that everything will be fine. - ANSWER-ANS: C
Positive reinforcement of the mother's attempt to provide care to the newborn will
promote a healthy self-concept. The mother needs to learn how to solve problems on
her own. Each person may use different techniques that work for that person.
Correcting her actions would be discouraging to a new mother. She needs
encouragement. Saying everything will be fine is blocking communication and further
teaching.
PTS: 1 DIF: Cognitive Level: Application REF: 360
OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Health Promotion and Maintenance
Which should the nurse do to provide support to a new client who must return to full-
time employment 6 weeks after a vaginal birth?
a. Discuss child care arrangements with her.
b. Allow her to solve the problem on her own.
c. Reassure her that she'll get used to leaving her baby.
d. Allow her to express her positive and negative feelings freely. - ANSWER-ANS: D
Allowing the client to express feelings will provide positive support in her process of
maternal adjustment. Discussing child care arrangements is an important step in
anticipatory guidance but is not the best way to offer support. She should be
instrumental in solving the problem; however, allowing her time to express her
feelings and talk the problem over will assist her in making this decision. Reassuring
her that she will get used to leaving the baby blocks communication and belittles the
client's feelings.
PTS: 1 DIF: Cognitive Level: Application REF: 356
OBJ: Nursing Process Step: Implementation
