Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank Complete Guide.

Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank Complete Guide. The client makes the statement: Im afraid to take the baby home tomorrow. Which response by the nurse would be the most therapeutic? a. Youre afraid to take the baby home? b. Dont you have a mother who can come and help? c. You should read the literature I gave you before you leave. d. I was scared when I took my first baby home, but everything worked out. ANS: A This response uses reflection to show concern and open communication. The other choices are blocks to communication. Asking if the client has a mother who can come and help blocks further communication with the client. Telling the client to read the literature before leaving does not allow the client to express her feelings further. Sharing your feelings about your experience with a new baby blocks further communication with the client. PTS: 1 DIF: Cognitive Level: Application REF: 18, 19 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Psychosocial Integrity 10. The nurse is writing an expected outcome for the nursing diagnosisacute pain related to trauma of tissue, secondary to vaginal birth, as evidenced by client stating pain of 8 on a scale of 10. Which is a correctly stated expected outcome for this problem? a. Client will state that pain is a 2 on a scale of 10. b. Client will have a reduction in pain after administration of the prescribed analgesic. c. Client will state an absence of pain 1 hour after administration of the prescribed analgesic. [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank d. Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic. ANS: D The outcome should be client-centered, measurable, realistic, and attainable and have a time frame. Client stating that pain is now 2 on a scale of 10 lacks a time frame. Client having a reduction in pain after administration of the prescribed analgesic lacks a measurement. Client stating an absence of pain 1 hour after the administration of prescribed analgesic is unrealistic. PTS: 1 DIF: Cognitive Level: Application REF: 25 OBJ: Nursing Process Step: Planning MSC: Client Needs: Physiologic Integrity 11. Which nursing diagnosis should the nurse set as a priority for a laboring client? a. Risk for anxiety related to upcoming birth b. Risk for imbalanced nutrition related to NPO status c. Risk for altered family processes related to new addition to the family d. Risk for injury (maternal) related to altered sensations and positional or physical changes ANS: D The nurse should determine which problem needs immediate attention. Risk for injury is the problem that has the priority at this time because it is a safety problem. Risk for anxiety, imbalanced nutrition, and altered family processes are not the priorities at this time. PTS: 1 DIF: Cognitive Level: Application REF: 24, 25 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Safe and Effective Care Environment 12. Regarding advanced roles of nursing, which statement is true with regard to clinical practice? [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting. b. Clinical nurse specialists provide primary care to obstetric clients. c. Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants. d. A certified nurse midwife (CNM) is not considered to be an advanced practice nurse. ANS: C Neonatal NPs provide care for the high-risk neonate in the birth room and in the neonatal intensive care unit, as needed. FNPs do not participate in childbirth care but can take care of uncomplicated pregnancies and postbirth care outside of the hospital setting. CNSs work in hospital settings but do not provide primary care services to clients. A CNM is an advanced practice nurse who receives additional certification in the specific area of midwifery. PTS: 1 DIF: Cognitive Level: Application REF: 17 OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Management of Care: Legal Rights and Responsibilities 13. You are taking care of a couple postbirth who are very eager to learn about bathing techniques that they can use for their newborn. Which teaching technique could the nurse use to facilitate parents learning about giving a bath to their newborn infant? a. Provide direct, step-by-step demonstration to each parent separately to foster individual retention and comprehension. b. Present information to parents prior to discharge so that the information will be current. c. Have each parent bathe the newborn each time the infant comes to the room and provide commentary after the skill repetition. d. Demonstrate bathing techniques on the newborn infant with parents in attendance.