Maternal-Child Nursing Ch 1 NCLEX
Questions
A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first
baby was born by cesarean because the baby was too large to fit through the
woman's pelvis. She has also developed gestational diabetes during this pregnancy.
When discussing with the woman her options for places of birth, what is the best
choice for her?
1) Home birth
2) Birth center
3) LDRP in a hospital setting
4) It does not matter. - ------------ANS: 3) LDRP in a hospital setting
Home births and freestanding birthing centers should be used for patients with very
low risk for complications. The woman's past history and present complication with
this pregnancy place her in a high-risk category. Therefore, she needs to be in a
setting where emergency care is quickly available. Because of her complications, the
woman is not a candidate for home birth or a birth center. The woman needs to be in
a setting where emergency care is quickly available.
A 27-year-old woman newly diagnosed with diabetes is admitted to an agency to
regulate her medication and receive patient teaching on diabetes. She is assigned a
case manager on her first day. To best explain this role to the woman, the nurse
states that a case manager will
1) decide which patient teaching is necessary for the woman.
2) manage and collaborate the woman's care to ensure optimal outcomes.
3) be responsible for reviewing the woman's chart for errors.
4) decide which method of treatment is most cost effective for the agency. -
------------ANS: 2) manage and collaborate the woman's care to ensure optimal
outcomes.
, A case manager will focus on both quality and cost outcomes. He or she will
coordinate services needed and manage the care collaboratively to ensure optimal
outcomes.
A 4-year-old is hospitalized for treatment of pneumonia. The nurse informs the child's
mother that the pediatric unit is a Family-Centered Child Care unit. What does this
mean for her?
1) She will be allowed input into her child's care.
2) She will not be able to stay at night with her child but must stay during the day.
3) She will not be allowed to visit her child, because it is considered to cause
emotional distress.
4) She will be responsible for her child's total care. - ------------ANS: 1) She will be
allowed input into her child's care.
Family-Centered Child Care recognizes and respects the pivotal role of the family in
the child's life. It supports families and views parents and professionals as equal
partners. Family-Centered Child Care units encourage parents to stay with the child
around the clock. The child's mother will share care of the child as the parents and
professionals are viewed as equals.
A woman brings her two sons, ages 2 and 4, to the health clinic. She tells the nurse
that they have been in the United States for only 1 year and are homeless. Because
of this history, the nurse will assess the children for infections and
1) congenital defects.
2) allergies.
3) accelerated growth patterns.
4) malnutrition. - ------------ANS: 4) malnutrition.
Homeless women and children are at high risk for poor nutrition and exposure to
various infections. Congenital defects or allergies would not be a result of
homelessness. Most homeless children will have decelerated growth and
development patterns.
Questions
A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first
baby was born by cesarean because the baby was too large to fit through the
woman's pelvis. She has also developed gestational diabetes during this pregnancy.
When discussing with the woman her options for places of birth, what is the best
choice for her?
1) Home birth
2) Birth center
3) LDRP in a hospital setting
4) It does not matter. - ------------ANS: 3) LDRP in a hospital setting
Home births and freestanding birthing centers should be used for patients with very
low risk for complications. The woman's past history and present complication with
this pregnancy place her in a high-risk category. Therefore, she needs to be in a
setting where emergency care is quickly available. Because of her complications, the
woman is not a candidate for home birth or a birth center. The woman needs to be in
a setting where emergency care is quickly available.
A 27-year-old woman newly diagnosed with diabetes is admitted to an agency to
regulate her medication and receive patient teaching on diabetes. She is assigned a
case manager on her first day. To best explain this role to the woman, the nurse
states that a case manager will
1) decide which patient teaching is necessary for the woman.
2) manage and collaborate the woman's care to ensure optimal outcomes.
3) be responsible for reviewing the woman's chart for errors.
4) decide which method of treatment is most cost effective for the agency. -
------------ANS: 2) manage and collaborate the woman's care to ensure optimal
outcomes.
, A case manager will focus on both quality and cost outcomes. He or she will
coordinate services needed and manage the care collaboratively to ensure optimal
outcomes.
A 4-year-old is hospitalized for treatment of pneumonia. The nurse informs the child's
mother that the pediatric unit is a Family-Centered Child Care unit. What does this
mean for her?
1) She will be allowed input into her child's care.
2) She will not be able to stay at night with her child but must stay during the day.
3) She will not be allowed to visit her child, because it is considered to cause
emotional distress.
4) She will be responsible for her child's total care. - ------------ANS: 1) She will be
allowed input into her child's care.
Family-Centered Child Care recognizes and respects the pivotal role of the family in
the child's life. It supports families and views parents and professionals as equal
partners. Family-Centered Child Care units encourage parents to stay with the child
around the clock. The child's mother will share care of the child as the parents and
professionals are viewed as equals.
A woman brings her two sons, ages 2 and 4, to the health clinic. She tells the nurse
that they have been in the United States for only 1 year and are homeless. Because
of this history, the nurse will assess the children for infections and
1) congenital defects.
2) allergies.
3) accelerated growth patterns.
4) malnutrition. - ------------ANS: 4) malnutrition.
Homeless women and children are at high risk for poor nutrition and exposure to
various infections. Congenital defects or allergies would not be a result of
homelessness. Most homeless children will have decelerated growth and
development patterns.
