Ladewig, Contemporary Maternal-Newborn
Nursing, 8/E
Chapter 02
Question 1
Type: MCSA
While conducting a family assessment, the nurse determines that a particular family's structure is binuclear. Some
potential challenges inherently faced by binuclear families include:
1. Challenges related to co-parenting and joint custody, including negotiation and compromise between the
parents about childrearing decisions.
2. Issues related to both parents being employed, including child care, household chores, and spending time
together.
3. Challenges related to children interacting with peers and when revealing their parents’ sexual orientation.
4. Issues related to single parenting, including lack of social and emotional support, need for assistance with
childrearing, and financial strain.
Correct Answer: 1
Rationale 1: Because both parents have equal responsibility and legal rights regarding their biologic child,
binuclear families may inherently face challenges related to co-parenting and joint custody, including negotiation
and compromise between the parents about childrearing decisions.
Rationale 2: Issues inherently faced by the dual-career/dual-earner family include child care, household chores,
and spending time together.
Rationale 3: Children raised in gay and lesbian families may face challenges related to interacting with peers and
when revealing their parents’ sexual orientation.
Rationale 4: Binuclear families incorporate co-parenting, whereas with single parenting, one parent is responsible
for child care. Issues inherently related to single parenting may include lack of social and emotional support, need
for assistance with childrearing, and financial strain.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
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, Learning Outcome: LO01 - Describe how family type may influence nursing care of the childbearing family.
Question 2
Type: MCSA
The nurse is preparing a community presentation on family development. Which of the following statements
should the nurse include?
1. The youngest child’s age determines the family’s current stage.
2. A family does not experience overlapping of stages.
3. Family development ends when the youngest child leaves home.
4. The stages describe the family’s progression over time.
Correct Answer: 4
Rationale 1: The oldest child’s age is the marker for which stage the family is in, except for the two last stages,
which occur after the children have left home.
Rationale 2: Families with more than one child can experience multiple stages simultaneously.
Rationale 3: Families with more than one child can experience multiple stages simultaneously.
Rationale 4: Family development stages describe the changes and adaptations that a family goes through over
time as children are added to the family.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Explain the changes that a childbearing family will undergo based on the
developmental tasks to be completed.
Question 3
Type: MCSA
The nurse is preparing to assess the development of a family new to the clinic. The nurse understands that the
primary use of a family assessment tool is to:
1. Obtain a comprehensive medical history of family members.
2. Determine which clinic the patient should be referred to.
3. Predict how a family will likely change with the addition of children.
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Nursing, 8/E
Chapter 02
Question 1
Type: MCSA
While conducting a family assessment, the nurse determines that a particular family's structure is binuclear. Some
potential challenges inherently faced by binuclear families include:
1. Challenges related to co-parenting and joint custody, including negotiation and compromise between the
parents about childrearing decisions.
2. Issues related to both parents being employed, including child care, household chores, and spending time
together.
3. Challenges related to children interacting with peers and when revealing their parents’ sexual orientation.
4. Issues related to single parenting, including lack of social and emotional support, need for assistance with
childrearing, and financial strain.
Correct Answer: 1
Rationale 1: Because both parents have equal responsibility and legal rights regarding their biologic child,
binuclear families may inherently face challenges related to co-parenting and joint custody, including negotiation
and compromise between the parents about childrearing decisions.
Rationale 2: Issues inherently faced by the dual-career/dual-earner family include child care, household chores,
and spending time together.
Rationale 3: Children raised in gay and lesbian families may face challenges related to interacting with peers and
when revealing their parents’ sexual orientation.
Rationale 4: Binuclear families incorporate co-parenting, whereas with single parenting, one parent is responsible
for child care. Issues inherently related to single parenting may include lack of social and emotional support, need
for assistance with childrearing, and financial strain.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
download instant at www.easysemester.com
, Learning Outcome: LO01 - Describe how family type may influence nursing care of the childbearing family.
Question 2
Type: MCSA
The nurse is preparing a community presentation on family development. Which of the following statements
should the nurse include?
1. The youngest child’s age determines the family’s current stage.
2. A family does not experience overlapping of stages.
3. Family development ends when the youngest child leaves home.
4. The stages describe the family’s progression over time.
Correct Answer: 4
Rationale 1: The oldest child’s age is the marker for which stage the family is in, except for the two last stages,
which occur after the children have left home.
Rationale 2: Families with more than one child can experience multiple stages simultaneously.
Rationale 3: Families with more than one child can experience multiple stages simultaneously.
Rationale 4: Family development stages describe the changes and adaptations that a family goes through over
time as children are added to the family.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO02 - Explain the changes that a childbearing family will undergo based on the
developmental tasks to be completed.
Question 3
Type: MCSA
The nurse is preparing to assess the development of a family new to the clinic. The nurse understands that the
primary use of a family assessment tool is to:
1. Obtain a comprehensive medical history of family members.
2. Determine which clinic the patient should be referred to.
3. Predict how a family will likely change with the addition of children.
download instant at www.easysemester.com
