FULL TEST BANK FOR MATERNAL & CHILD HEALTH NURSING: CARE OF THE
CHILDBEARING & CHILDREARING FAMILY 9TH EDITION FULL CHAPTERS 1-56
GRADED A+
,Contents
Chapter 1 A Framework for Maternal and Child Health Nursing .......................................... 4
Chapter 2 Diversity and Maternal Child Nursing ............................................................... 10
Chapter 3 The Childbearing and Childrearing Family in the Community............................. 16
Chapter 4 Home Care and the Childbearing and Childrearing Family ................................. 23
Chapter 5 The Nursing Role in Reproductive and Sexual Health ........................................ 29
Chapter 6 Nursing Care for the Family in Need of Reproductive Life Planning ................... 34
Chapter 7 Nursing Care of the Family Having Difficulty Conceiving a Child......................... 42
Chapter 8 The Nursing Role in Genetic Assessment and Counseling .................................. 48
Chapter 9 Nursing Care During Normal Pregnancy and Care of the Developing Fetus ........ 53
Chapter 10 Nursing Care Related to Psychological and Physiologic Changes of Pregnancy . 59
Chapter 11 Nursing Care Related to Assessment of a Pregnant Family .............................. 66
Chapter 12 Nursing Care to Promote Fetal and Maternal Health ....................................... 72
Chapter 13 The Nursing Role in Promoting Nutritional Health During Pregnancy ............... 80
Chapter 14 Preparing a Family for Childbirth and Parenting .............................................. 87
Chapter 15 Nursing Care of a Family During Labor and Birth ............................................. 93
Chapter 16 The Nursing Role in Providing Comfort During Labor and Birth ........................ 99
Chapter 17 Nursing Care of a Postpartum Family ............................................................ 106
Chapter 18 Nursing Care of a Family With a Newborn ..................................................... 112
Chapter 19 Nutritional Needs of a Newborn ................................................................... 118
Chapter 20 Nursing Care of a Family Experiencing a Pregnancy Complication From a Pre-
existing .......................................................................................................................... 125
Chapter 21 Nursing Care of a Family Experiencing a Sudden Pregnancy Complication ..... 132
Chapter 22 Nursing Care of a Pregnant Family With Special Needs .................................. 139
Chapter 23 Nursing Care of a Family Experiencing a Complication of Labor or Birth ......... 144
Chapter 24 Nursing Care of a Family During a Surgical Intervention for Birth................... 151
Chapter 25 Nursing Care of a Family Experiencing a Postpartum Complication ................ 157
Chapter 26 Nursing Care of a Family With a High-Risk Newborn ..................................... 164
Chapter 27 Nursing Care of the Child Born With a Physical or Developmental Challenge . 171
Chapter 28 Principles of Growth and Development ........................................................ 176
,Chapter 29 Nursing Care of a Family With an Infant ........................................................ 183
Chapter 30 Nursing Care of a Family With a Toddler ....................................................... 188
Chapter 31 Nursing Care of a Family With a Preschool Child ........................................... 194
Chapter 32 Nursing Care of a Family With a School-Age Child ......................................... 200
Chapter 33 Nursing Care of a Family With an Adolescent ................................................ 206
Chapter 34 Child Health Assessment .............................................................................. 213
Chapter 35 Communication and Teaching With Children and Families ............................ 220
Chapter 36 Nursing Care of a Family With an Ill Child ...................................................... 226
Chapter 37 Nursing Care of a Family When a Child Needs Diagnostic or Therapeutic
Modalities ..................................................................................................................... 232
Chapter 38 Nursing Care of a Family When a Child Needs Medication Administration ..... 239
Chapter 39 Pain Management in Children....................................................................... 244
Chapter 40 Nursing Care of a Family When a Child Has a Respiratory Disorder ................ 251
Chapter 41 Nursing Care of a Family When a Child Has a Cardiovascular Disorder ........... 257
Chapter 42 Nursing Care of a Family When a Child Has an Immune Disorder ................... 263
Chapter 43 Nursing Care of a Family When a Child Has an Infectious Disorder ................ 270
Chapter 44 Nursing Care of a Family When a Child Has a Hematologic Disorder .............. 276
Chapter 45 Nursing Care of a Family When a Child Has a Gastrointestinal Disorder ......... 282
Chapter 46 Nursing Care of a Family When a Child Has a Renal or Urinary Tract Disorder 288
Chapter 47 Nursing Care of a Family When a Child Has a Reproductive Disorder ............. 293
Chapter 48 Nursing Care of a Family When a Child Has an Endocrine or a Metabolic Disorder
...................................................................................................................................... 301
Chapter 49 Nursing Care of a Family When a Child Has a Neurologic Disorder ................. 307
Chapter 50 Nursing Care of a Family When a Child Has a Vision or Hearing Disorder ....... 313
Chapter 51 Nursing Care of a Family When a Child Has a Musculoskeletal Disorder ......... 319
Chapter 52 Nursing Care of a Family When a Child Has an Unintentional Injury .............. 325
Chapter 53 Nursing Care of a Family When a Child Has a Malignancy .............................. 331
Chapter 54 Nursing Care of a Family When a Child Has an Intellectual or Mental Health
Disorder ......................................................................................................................... 336
Chapter 55 Nursing Care of a Family in Crisis: Maltreatment and Violence in the Family . 343
Chapter 56 Nursing Care of a Family When a Child Has a Long-Term or Terminal Illness .. 348
,Chapter 1 A Framework for Maternal and Child Health Nursing
1. For which reasons would a nurse review infant mortality statistic in the United States? (Select all that
apply.)
A) Measures the quality of pregnancy care
B) Reviews information on overall nutrition
C) Compares health with those of other states
D) Determines infant health and available care
E) Provides an index of the country's general health
ANS: A, B, D, E
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the quality of
pregnancy care, provides information on overall nutrition, and determines infant health and available
care. Infant mortality statistics compares the health with those of other countries and not with those of
other states.
2. The nurse is providing care in an organization that supports the maternal and child care
continuum. Which type of patient care area is an example of this approach?
A) Primary care
B) Team nursing
C) Case management
D) Family-centered care
ANS:D
Feedback:
Keeping the family at the center of care is important because the level of a family's functioning is
important to the health status of its members. A healthy family establishes an environment conducive to
growth and health promoting behaviors to sustain family members during crises. A family entered
approach enables nurses to better understand individuals and their effect on others and, in turn, to
provide more holistic care. Primary nursing, team nursing, and case management do not necessary take
into consideration the maternal and child care continuum.
,3. Which actions should the nurse perform when supporting the goals of maternal and child health
care? (Select all that apply.)
A) Advocates protecting the rights of the mother and fetus
B) Teaches family members interventions to improve health
C) Adheres to principles that focus on the needs of the mother
D) Encourages maternal hospitalization to regain strength and stamina
E) Assesses family members for strengths and specific needs or challenges
ANS: A, B, E
Feedback:
Actions that the nurse should perform when supporting the goals of maternal and child health care
include advocating the rights for the mother and fetus, teaching health promotion interventions, and
assessing the family for strengths and specific needs or challenges. Adhering to principles that focus on
the needs of the mother and encouraging maternal hospitalization to regain strength and stamina are
not actions that support the goals of maternal and child health care.
4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus of these
goals?
A) Health promotion and disease prevention
B) Early diagnosis of chronic health problems
C) Effective use of medication to treat disease
D) Reduce the cost of health care and medications
ANS: A
Feedback:
The 2020 National Health Goals are intended to help citizens more easily understand the importance of
health promotion and disease prevention and to encourage wide participation in improving health in the
next decade. These goals do not focus on the early diagnosis of chronic problems, use of medications to
treat disease, or reduce the cost of health care and medications.
5. The nurse has noticed a change in the type of care needed to support maternal and child health
issues. What does the nurse realize as reasons for the changes in care? (Select all that apply.)
A) Smaller families
,B) Less domestic violence
C) More employed mothers
D) Stable home environments
E) More single-parent families
ANS: A, C, E
Feedback:
Nursing care for maternal and child is changing because families are smaller, more mothers are
employed out of the home, and there are more single-parent families. There is an increase in domestic
violence, and families are less stable and more mobile, which influences homelessness.
6. During an assessment, the nurse asks a patient from a non-English-speaking culture which types
of home remedies and herbs the patient uses for health care. What is the purpose of asking the patient
this question?
A) Analyze for herb–drug interactions
B) Understand the patient's philosophy of alternative health care
C) Determine the types of medications the patient will need to be prescribed
D) Explain to the physician the patient's preference for non-traditional medicine approaches
ANS: A
Feedback:
Assessing what alternative measures are being used is important because the action of an herb can
interfere with prescribed medications. Assessing the use of herbal remedies is not done to understand
the patient's philosophy of alternative health care, determine the types of medications the patient will
need to be prescribed, or explain the patient's preferences for non-traditional medicine approaches to
the physician.
7. The nurse notes that statistics on maternal mortality had improved but are again becoming
elevated. What does the nurse realize as a reason for this change in maternal mortality rates? A)
Earlier prenatal care
B) Gestational hypertension
C) Increased vaginal deliveries
D) Treatment for chronic diseases
ANS: B
, Feedback:
This increasing rate in maternal mortality is associated with more cesarean births, more gestational
hypertension related to pre-existing hypertensive disorders, and lack of health insurance for many
Americans. This increase is not because of earlier prenatal care, increased vaginal deliveries, or
treatment for chronic diseases.
8. A new mother asks the nurse if all of the new baby's injections can be given in one visit because
the mother is losing income from missing work because of the office visits.
What does this new mother's issue indicate to the nurse? A) The mother needs to find an alternative
employer.
B) The mother's income is more important that the baby's health.
C) Missing work does not support the baby's health maintenance visits.
D) The federal government needs to do more to support well-baby visits.
ANS:C
Feedback:
An area that needs additional research is finding effective stimuli to encourage women to bring children
for health maintenance visits. The mother losing income because of missing work for well-baby visits will
deter health maintenance visits for the baby going forward. This mother's issue does not indicate that
the mother needs to find another job, that the mother's income is more important that the baby's
health, or that the federal government needs to do more to support well-baby visits.
9. The nurse works in a maternal and child care area that supports health promotion. Which
activities will the nurse perform to support this philosophy of health care? (Select all that apply.)
A) Planning care
B) Patient teaching
C) Family counseling
D) New mother advocacy
E) Identifying nursing diagnoses
ANS: B, C, D
Feedback:
Extensive changes in the scope of maternal and child health nursing have occurred as health promotion
has become a greater priority in care. The nursing activities for health promotion include teaching,
CHILDBEARING & CHILDREARING FAMILY 9TH EDITION FULL CHAPTERS 1-56
GRADED A+
,Contents
Chapter 1 A Framework for Maternal and Child Health Nursing .......................................... 4
Chapter 2 Diversity and Maternal Child Nursing ............................................................... 10
Chapter 3 The Childbearing and Childrearing Family in the Community............................. 16
Chapter 4 Home Care and the Childbearing and Childrearing Family ................................. 23
Chapter 5 The Nursing Role in Reproductive and Sexual Health ........................................ 29
Chapter 6 Nursing Care for the Family in Need of Reproductive Life Planning ................... 34
Chapter 7 Nursing Care of the Family Having Difficulty Conceiving a Child......................... 42
Chapter 8 The Nursing Role in Genetic Assessment and Counseling .................................. 48
Chapter 9 Nursing Care During Normal Pregnancy and Care of the Developing Fetus ........ 53
Chapter 10 Nursing Care Related to Psychological and Physiologic Changes of Pregnancy . 59
Chapter 11 Nursing Care Related to Assessment of a Pregnant Family .............................. 66
Chapter 12 Nursing Care to Promote Fetal and Maternal Health ....................................... 72
Chapter 13 The Nursing Role in Promoting Nutritional Health During Pregnancy ............... 80
Chapter 14 Preparing a Family for Childbirth and Parenting .............................................. 87
Chapter 15 Nursing Care of a Family During Labor and Birth ............................................. 93
Chapter 16 The Nursing Role in Providing Comfort During Labor and Birth ........................ 99
Chapter 17 Nursing Care of a Postpartum Family ............................................................ 106
Chapter 18 Nursing Care of a Family With a Newborn ..................................................... 112
Chapter 19 Nutritional Needs of a Newborn ................................................................... 118
Chapter 20 Nursing Care of a Family Experiencing a Pregnancy Complication From a Pre-
existing .......................................................................................................................... 125
Chapter 21 Nursing Care of a Family Experiencing a Sudden Pregnancy Complication ..... 132
Chapter 22 Nursing Care of a Pregnant Family With Special Needs .................................. 139
Chapter 23 Nursing Care of a Family Experiencing a Complication of Labor or Birth ......... 144
Chapter 24 Nursing Care of a Family During a Surgical Intervention for Birth................... 151
Chapter 25 Nursing Care of a Family Experiencing a Postpartum Complication ................ 157
Chapter 26 Nursing Care of a Family With a High-Risk Newborn ..................................... 164
Chapter 27 Nursing Care of the Child Born With a Physical or Developmental Challenge . 171
Chapter 28 Principles of Growth and Development ........................................................ 176
,Chapter 29 Nursing Care of a Family With an Infant ........................................................ 183
Chapter 30 Nursing Care of a Family With a Toddler ....................................................... 188
Chapter 31 Nursing Care of a Family With a Preschool Child ........................................... 194
Chapter 32 Nursing Care of a Family With a School-Age Child ......................................... 200
Chapter 33 Nursing Care of a Family With an Adolescent ................................................ 206
Chapter 34 Child Health Assessment .............................................................................. 213
Chapter 35 Communication and Teaching With Children and Families ............................ 220
Chapter 36 Nursing Care of a Family With an Ill Child ...................................................... 226
Chapter 37 Nursing Care of a Family When a Child Needs Diagnostic or Therapeutic
Modalities ..................................................................................................................... 232
Chapter 38 Nursing Care of a Family When a Child Needs Medication Administration ..... 239
Chapter 39 Pain Management in Children....................................................................... 244
Chapter 40 Nursing Care of a Family When a Child Has a Respiratory Disorder ................ 251
Chapter 41 Nursing Care of a Family When a Child Has a Cardiovascular Disorder ........... 257
Chapter 42 Nursing Care of a Family When a Child Has an Immune Disorder ................... 263
Chapter 43 Nursing Care of a Family When a Child Has an Infectious Disorder ................ 270
Chapter 44 Nursing Care of a Family When a Child Has a Hematologic Disorder .............. 276
Chapter 45 Nursing Care of a Family When a Child Has a Gastrointestinal Disorder ......... 282
Chapter 46 Nursing Care of a Family When a Child Has a Renal or Urinary Tract Disorder 288
Chapter 47 Nursing Care of a Family When a Child Has a Reproductive Disorder ............. 293
Chapter 48 Nursing Care of a Family When a Child Has an Endocrine or a Metabolic Disorder
...................................................................................................................................... 301
Chapter 49 Nursing Care of a Family When a Child Has a Neurologic Disorder ................. 307
Chapter 50 Nursing Care of a Family When a Child Has a Vision or Hearing Disorder ....... 313
Chapter 51 Nursing Care of a Family When a Child Has a Musculoskeletal Disorder ......... 319
Chapter 52 Nursing Care of a Family When a Child Has an Unintentional Injury .............. 325
Chapter 53 Nursing Care of a Family When a Child Has a Malignancy .............................. 331
Chapter 54 Nursing Care of a Family When a Child Has an Intellectual or Mental Health
Disorder ......................................................................................................................... 336
Chapter 55 Nursing Care of a Family in Crisis: Maltreatment and Violence in the Family . 343
Chapter 56 Nursing Care of a Family When a Child Has a Long-Term or Terminal Illness .. 348
,Chapter 1 A Framework for Maternal and Child Health Nursing
1. For which reasons would a nurse review infant mortality statistic in the United States? (Select all that
apply.)
A) Measures the quality of pregnancy care
B) Reviews information on overall nutrition
C) Compares health with those of other states
D) Determines infant health and available care
E) Provides an index of the country's general health
ANS: A, B, D, E
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the quality of
pregnancy care, provides information on overall nutrition, and determines infant health and available
care. Infant mortality statistics compares the health with those of other countries and not with those of
other states.
2. The nurse is providing care in an organization that supports the maternal and child care
continuum. Which type of patient care area is an example of this approach?
A) Primary care
B) Team nursing
C) Case management
D) Family-centered care
ANS:D
Feedback:
Keeping the family at the center of care is important because the level of a family's functioning is
important to the health status of its members. A healthy family establishes an environment conducive to
growth and health promoting behaviors to sustain family members during crises. A family entered
approach enables nurses to better understand individuals and their effect on others and, in turn, to
provide more holistic care. Primary nursing, team nursing, and case management do not necessary take
into consideration the maternal and child care continuum.
,3. Which actions should the nurse perform when supporting the goals of maternal and child health
care? (Select all that apply.)
A) Advocates protecting the rights of the mother and fetus
B) Teaches family members interventions to improve health
C) Adheres to principles that focus on the needs of the mother
D) Encourages maternal hospitalization to regain strength and stamina
E) Assesses family members for strengths and specific needs or challenges
ANS: A, B, E
Feedback:
Actions that the nurse should perform when supporting the goals of maternal and child health care
include advocating the rights for the mother and fetus, teaching health promotion interventions, and
assessing the family for strengths and specific needs or challenges. Adhering to principles that focus on
the needs of the mother and encouraging maternal hospitalization to regain strength and stamina are
not actions that support the goals of maternal and child health care.
4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus of these
goals?
A) Health promotion and disease prevention
B) Early diagnosis of chronic health problems
C) Effective use of medication to treat disease
D) Reduce the cost of health care and medications
ANS: A
Feedback:
The 2020 National Health Goals are intended to help citizens more easily understand the importance of
health promotion and disease prevention and to encourage wide participation in improving health in the
next decade. These goals do not focus on the early diagnosis of chronic problems, use of medications to
treat disease, or reduce the cost of health care and medications.
5. The nurse has noticed a change in the type of care needed to support maternal and child health
issues. What does the nurse realize as reasons for the changes in care? (Select all that apply.)
A) Smaller families
,B) Less domestic violence
C) More employed mothers
D) Stable home environments
E) More single-parent families
ANS: A, C, E
Feedback:
Nursing care for maternal and child is changing because families are smaller, more mothers are
employed out of the home, and there are more single-parent families. There is an increase in domestic
violence, and families are less stable and more mobile, which influences homelessness.
6. During an assessment, the nurse asks a patient from a non-English-speaking culture which types
of home remedies and herbs the patient uses for health care. What is the purpose of asking the patient
this question?
A) Analyze for herb–drug interactions
B) Understand the patient's philosophy of alternative health care
C) Determine the types of medications the patient will need to be prescribed
D) Explain to the physician the patient's preference for non-traditional medicine approaches
ANS: A
Feedback:
Assessing what alternative measures are being used is important because the action of an herb can
interfere with prescribed medications. Assessing the use of herbal remedies is not done to understand
the patient's philosophy of alternative health care, determine the types of medications the patient will
need to be prescribed, or explain the patient's preferences for non-traditional medicine approaches to
the physician.
7. The nurse notes that statistics on maternal mortality had improved but are again becoming
elevated. What does the nurse realize as a reason for this change in maternal mortality rates? A)
Earlier prenatal care
B) Gestational hypertension
C) Increased vaginal deliveries
D) Treatment for chronic diseases
ANS: B
, Feedback:
This increasing rate in maternal mortality is associated with more cesarean births, more gestational
hypertension related to pre-existing hypertensive disorders, and lack of health insurance for many
Americans. This increase is not because of earlier prenatal care, increased vaginal deliveries, or
treatment for chronic diseases.
8. A new mother asks the nurse if all of the new baby's injections can be given in one visit because
the mother is losing income from missing work because of the office visits.
What does this new mother's issue indicate to the nurse? A) The mother needs to find an alternative
employer.
B) The mother's income is more important that the baby's health.
C) Missing work does not support the baby's health maintenance visits.
D) The federal government needs to do more to support well-baby visits.
ANS:C
Feedback:
An area that needs additional research is finding effective stimuli to encourage women to bring children
for health maintenance visits. The mother losing income because of missing work for well-baby visits will
deter health maintenance visits for the baby going forward. This mother's issue does not indicate that
the mother needs to find another job, that the mother's income is more important that the baby's
health, or that the federal government needs to do more to support well-baby visits.
9. The nurse works in a maternal and child care area that supports health promotion. Which
activities will the nurse perform to support this philosophy of health care? (Select all that apply.)
A) Planning care
B) Patient teaching
C) Family counseling
D) New mother advocacy
E) Identifying nursing diagnoses
ANS: B, C, D
Feedback:
Extensive changes in the scope of maternal and child health nursing have occurred as health promotion
has become a greater priority in care. The nursing activities for health promotion include teaching,
