Maternal-Child Nursing 6th Questions &Answers| All
Chapters Covered | Complete Guide Newest Version
2023 | Graded A+
A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
nurse administers an analgesic but does not perform any assessments. The woman then
has a tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions
of the nurse be interpreted in relation to standards of care?
Negligent: the nurse failed to assess the woman for possible complications
There are four elements to malpractice, which is negligence in the performance of
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
negligent because she or he did not perform any assessments, which is the first step of the
nursing process and is a standard of care. By not assessing the patient, the nurse did not
meet established standards of care, and thus is guilty of professional negligence, or
malpractice.
A school nurse is working with unlicensed assistive personnel (UAPs). What aspects of
delegation should the nurse incorporate into his or her practice in this setting?
Delegation to UAPs is very common in all health care settings, including schools. When
delegating to a UAP in the school setting, factors for the nurse to consider include that the
RN is always responsible for assessment, supervision is necessary, the complexity of the
child's needs must be considered, and policies must be followed. Medication administration
by the UAP may be allowed.
- Understanding the complexity of the child's needs is a consideration when delegating.
- The nurse must work within school district policies when delegating
- Uncomplicated medication administration can be performed by the UAP.
A couple has been counseled for genetic anomalies. They ask the nurse, "What is
karyotyping?" Which of the following is the nurse's best response?
,Karyotyping will provide information about the number and structure of the chromosomes
Karyotyping provides genetic information, such as gender and chromosomal structure.
Karyotyping is completed by photographing or using computer imaging to arrange
chromosomes in pairs from largest to smallest. The karyotype can then be analyzed.
Karyotyping does not determine lung maturity or if the baby is developing normally.
Although karyotyping can detect genetic anomalies, not all such anomalies display obvious
physical deformities. The term deformities is a nondescriptive word. Furthermore, physical
anomalies may be present that are not detected by genetic studies (e.g., cardiac
malformations).
Both members of an expectant couple are carriers for phenylketonuria (PKU), an
autosomal recessive disorder. In counseling them about the risk to their unborn child, the
nurse should tell them that
the child has a 25% chance of being affected
Each child born to a couple who carries an autosomal recessive trait has a 25% chance of
having the disorder, because the child receives either a normal or an abnormal gene from
each parent. If one member of the couple has the autosomal recessive disorder, all of their
children will be carriers. If both parents are carriers, each child has a 50% chance of being a
carrier. Each child has the identical odds of being affected.
Which statement is true of multifactorial disorders?
They are usually present and detectable at birth
Multifactorial disorders result from an interaction between a person's genetic susceptibility
and environmental conditions that favor development of the defect. They are
characteristically present and detectable at birth. They are usually single isolated defects,
although the primary defect may cause secondary defects. Secondary defects can occur with
multifactorial disorders.
How can a woman avoid exposing her fetus to teratogens?
, Use only class A drugs during her pregnancy.
In well-controlled studies, class A drugs have no demonstrated fetal risk. Immunizations,
such as rubella, are contraindicated in pregnancy. Maternal hyperthermia is an important
teratogen. Alcohol is an environmental substance known to be teratogenic.
A 35-year-old woman has an amniocentesis performed to find out whether her baby has a
chromosome defect. Which statement by this patient indicates that she understands her
situation?
When all the lab results come back, my husband and I will make a decision about the
pregnancy.
The final decision about genetic testing and the future of the pregnancy lies with the
patient. She will involve only those people whom she chooses in her decisions. The final
decision about the future of the pregnancy lies with the patient only. Support groups are
extremely important for parents of a baby with a defect. Insurance will help cover expenses,
but the defect also takes a toll on the emotional, physical, and social aspects of the parents'
lives. The nurse should ensure the woman understands that her care is confidential.
Which statement should a nurse make when telling a couple about the prenatal diagnosis
of genetic disorders?
Diagnosis may be slow and could be inconclusive
Even the best efforts at diagnosis do not always yield the information needed to counsel
patients. They may require many visits over several weeks. Some tests must be sent to a
special laboratory, which requires a longer waiting period for results. There is no quick
blood test available at this time to diagnose genetic disorders. Despite a comprehensive
evaluation, a diagnosis may never be established.
In describing the size and shape of the nonpregnant uterus to a patient, the nurse would
say it is approximately the size and shape of a
Chapters Covered | Complete Guide Newest Version
2023 | Graded A+
A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
nurse administers an analgesic but does not perform any assessments. The woman then
has a tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions
of the nurse be interpreted in relation to standards of care?
Negligent: the nurse failed to assess the woman for possible complications
There are four elements to malpractice, which is negligence in the performance of
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
negligent because she or he did not perform any assessments, which is the first step of the
nursing process and is a standard of care. By not assessing the patient, the nurse did not
meet established standards of care, and thus is guilty of professional negligence, or
malpractice.
A school nurse is working with unlicensed assistive personnel (UAPs). What aspects of
delegation should the nurse incorporate into his or her practice in this setting?
Delegation to UAPs is very common in all health care settings, including schools. When
delegating to a UAP in the school setting, factors for the nurse to consider include that the
RN is always responsible for assessment, supervision is necessary, the complexity of the
child's needs must be considered, and policies must be followed. Medication administration
by the UAP may be allowed.
- Understanding the complexity of the child's needs is a consideration when delegating.
- The nurse must work within school district policies when delegating
- Uncomplicated medication administration can be performed by the UAP.
A couple has been counseled for genetic anomalies. They ask the nurse, "What is
karyotyping?" Which of the following is the nurse's best response?
,Karyotyping will provide information about the number and structure of the chromosomes
Karyotyping provides genetic information, such as gender and chromosomal structure.
Karyotyping is completed by photographing or using computer imaging to arrange
chromosomes in pairs from largest to smallest. The karyotype can then be analyzed.
Karyotyping does not determine lung maturity or if the baby is developing normally.
Although karyotyping can detect genetic anomalies, not all such anomalies display obvious
physical deformities. The term deformities is a nondescriptive word. Furthermore, physical
anomalies may be present that are not detected by genetic studies (e.g., cardiac
malformations).
Both members of an expectant couple are carriers for phenylketonuria (PKU), an
autosomal recessive disorder. In counseling them about the risk to their unborn child, the
nurse should tell them that
the child has a 25% chance of being affected
Each child born to a couple who carries an autosomal recessive trait has a 25% chance of
having the disorder, because the child receives either a normal or an abnormal gene from
each parent. If one member of the couple has the autosomal recessive disorder, all of their
children will be carriers. If both parents are carriers, each child has a 50% chance of being a
carrier. Each child has the identical odds of being affected.
Which statement is true of multifactorial disorders?
They are usually present and detectable at birth
Multifactorial disorders result from an interaction between a person's genetic susceptibility
and environmental conditions that favor development of the defect. They are
characteristically present and detectable at birth. They are usually single isolated defects,
although the primary defect may cause secondary defects. Secondary defects can occur with
multifactorial disorders.
How can a woman avoid exposing her fetus to teratogens?
, Use only class A drugs during her pregnancy.
In well-controlled studies, class A drugs have no demonstrated fetal risk. Immunizations,
such as rubella, are contraindicated in pregnancy. Maternal hyperthermia is an important
teratogen. Alcohol is an environmental substance known to be teratogenic.
A 35-year-old woman has an amniocentesis performed to find out whether her baby has a
chromosome defect. Which statement by this patient indicates that she understands her
situation?
When all the lab results come back, my husband and I will make a decision about the
pregnancy.
The final decision about genetic testing and the future of the pregnancy lies with the
patient. She will involve only those people whom she chooses in her decisions. The final
decision about the future of the pregnancy lies with the patient only. Support groups are
extremely important for parents of a baby with a defect. Insurance will help cover expenses,
but the defect also takes a toll on the emotional, physical, and social aspects of the parents'
lives. The nurse should ensure the woman understands that her care is confidential.
Which statement should a nurse make when telling a couple about the prenatal diagnosis
of genetic disorders?
Diagnosis may be slow and could be inconclusive
Even the best efforts at diagnosis do not always yield the information needed to counsel
patients. They may require many visits over several weeks. Some tests must be sent to a
special laboratory, which requires a longer waiting period for results. There is no quick
blood test available at this time to diagnose genetic disorders. Despite a comprehensive
evaluation, a diagnosis may never be established.
In describing the size and shape of the nonpregnant uterus to a patient, the nurse would
say it is approximately the size and shape of a
