MATERNAL CHILD NURSING CHAPTER 55
EXAM SCRIPT 2026 TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ Recognize the influence of genetic and genomic factors on
childrearing families.
Answer: Genetic and genomic factors can affect pregnancy planning,
newborn screening, family stress, future pregnancy risks, and long-
term child care. Nurses should ask about family history, explain
testing simply, avoid blame, support emotions, and refer to genetic
counseling when needed.
◉ Sickle cell disease and newborn diagnostic testing.
Answer: Sickle cell disease is autosomal recessive, meaning the child
must inherit an affected gene from both parents. Newborn screening
can detect risk, and hemoglobin electrophoresis confirms the
diagnosis. Symptoms often begin around 6 months as fetal
hemoglobin decreases.
◉ Analyze social, cultural, and religious factors in maternal and child
health.
Answer: Social, cultural, and religious factors can affect family
planning, prenatal care, birth practices, breastfeeding, diet, modesty,
parenting, discipline, and treatment choices. Nurses should assess
,beliefs respectfully, support safe practices, use teach-back, and
connect families with resources.
◉ Therapeutic communication with diverse family structures.
Answer: Use open-ended questions, active listening, validation,
reflection, privacy, inclusive language, and teach-back. Ask who the
family wants involved, identify legal guardians, avoid assumptions,
and provide private time for sensitive topics like genetics, abuse,
sexual health, or IPV.
◉ Therapeutic communication about genetics.
Answer: Use calm, nonjudgmental language and explain that genetic
results are not the family's fault. Clarify that screening shows risk
while diagnostic testing confirms. Offer genetic counseling and ask,
"What questions do you have right now?"
◉ Therapeutic communication about abuse.
Answer: Screen privately, speak calmly, avoid blame, validate the
client, and use direct questions. Say things like, "You do not deserve
to be hurt," "I am concerned about your safety," and "There are
resources available."
◉ Nurse's role in violence against women and child abuse.
Answer: The nurse prevents, recognizes, and intervenes by
screening privately, identifying red flags, ensuring safety,
, documenting objective findings and exact quotes, reporting
suspected child abuse, providing resources, and collaborating with
social work, providers, CPS, and law enforcement when needed.
◉ Cost containment, technology, home care, and outcome
management in maternal-child care.
Answer: Cost containment uses resources wisely while maintaining
safety. Technology can improve access through telehealth, portals,
and remote monitoring. Home care supports postpartum, newborn,
and complex pediatric needs. Outcome management tracks data like
readmissions, breastfeeding, safe sleep teaching, and follow-up
attendance.
◉ Investigate women's health alterations related to reproduction,
preconception, and genetics.
Answer: Relevant alterations include breast cancer, ovarian cancer,
ovarian cysts, STIs, infertility, and genetic risks. Nurses promote
early screening, preconception care, STI prevention, folic acid use,
medication review, and genetic counseling when indicated.
◉ Breast cancer and reproductive/genetic health.
Answer: Breast cancer may present as a painless, hard, immobile,
irregular mass with possible dimpling or axillary nodes. BRCA1 and
BRCA2 mutations increase breast and ovarian cancer risk, so family
history and genetic counseling are important.
EXAM SCRIPT 2026 TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ Recognize the influence of genetic and genomic factors on
childrearing families.
Answer: Genetic and genomic factors can affect pregnancy planning,
newborn screening, family stress, future pregnancy risks, and long-
term child care. Nurses should ask about family history, explain
testing simply, avoid blame, support emotions, and refer to genetic
counseling when needed.
◉ Sickle cell disease and newborn diagnostic testing.
Answer: Sickle cell disease is autosomal recessive, meaning the child
must inherit an affected gene from both parents. Newborn screening
can detect risk, and hemoglobin electrophoresis confirms the
diagnosis. Symptoms often begin around 6 months as fetal
hemoglobin decreases.
◉ Analyze social, cultural, and religious factors in maternal and child
health.
Answer: Social, cultural, and religious factors can affect family
planning, prenatal care, birth practices, breastfeeding, diet, modesty,
parenting, discipline, and treatment choices. Nurses should assess
,beliefs respectfully, support safe practices, use teach-back, and
connect families with resources.
◉ Therapeutic communication with diverse family structures.
Answer: Use open-ended questions, active listening, validation,
reflection, privacy, inclusive language, and teach-back. Ask who the
family wants involved, identify legal guardians, avoid assumptions,
and provide private time for sensitive topics like genetics, abuse,
sexual health, or IPV.
◉ Therapeutic communication about genetics.
Answer: Use calm, nonjudgmental language and explain that genetic
results are not the family's fault. Clarify that screening shows risk
while diagnostic testing confirms. Offer genetic counseling and ask,
"What questions do you have right now?"
◉ Therapeutic communication about abuse.
Answer: Screen privately, speak calmly, avoid blame, validate the
client, and use direct questions. Say things like, "You do not deserve
to be hurt," "I am concerned about your safety," and "There are
resources available."
◉ Nurse's role in violence against women and child abuse.
Answer: The nurse prevents, recognizes, and intervenes by
screening privately, identifying red flags, ensuring safety,
, documenting objective findings and exact quotes, reporting
suspected child abuse, providing resources, and collaborating with
social work, providers, CPS, and law enforcement when needed.
◉ Cost containment, technology, home care, and outcome
management in maternal-child care.
Answer: Cost containment uses resources wisely while maintaining
safety. Technology can improve access through telehealth, portals,
and remote monitoring. Home care supports postpartum, newborn,
and complex pediatric needs. Outcome management tracks data like
readmissions, breastfeeding, safe sleep teaching, and follow-up
attendance.
◉ Investigate women's health alterations related to reproduction,
preconception, and genetics.
Answer: Relevant alterations include breast cancer, ovarian cancer,
ovarian cysts, STIs, infertility, and genetic risks. Nurses promote
early screening, preconception care, STI prevention, folic acid use,
medication review, and genetic counseling when indicated.
◉ Breast cancer and reproductive/genetic health.
Answer: Breast cancer may present as a painless, hard, immobile,
irregular mass with possible dimpling or axillary nodes. BRCA1 and
BRCA2 mutations increase breast and ovarian cancer risk, so family
history and genetic counseling are important.
