CMCA q and a Study Guide Exam.

Chapter 1 correct answer - A Framework for Maternal and Child Health Nursing A nursing assistant informed the nurse that Mr. Chung asked why the hospital where his baby is being cared for is termed a "Magnet Hospital". You would want to know which rationale? correct answer - The hospital has met high standards for nursing competency Mr. Chung's doctor has told her that her baby's most dangerous time will be until the perinatal period ends. When does the perinatal period take place? correct answer - From the 20th week of pregnancy to 4 to 6 weeks after birth Nurse must always be aware of quality improvement because as society changes with new situations , nursing care must make responding adjustments. Which of the ff. is a trend that will influence the care that the Chung's family's new baby is apt to receive? correct answer - The use of multiple technologies can make parents feel overwhelmed unless they receive nursing support A growing body of knowledge suggests skin-to-skin contact between mother and baby immediately after birth provides numerous benefits, including regulating heartbeat and temp. for the baby and promoting feelings of calm and well-being in both mother and baby. To see if fathers were interested in participating in this form of care (often called kangaroo care), researchers interviewed seven new fathers who had spent time in skin-to-skin interaction with their newborn. Findings showed kangaroo care allowed fathers to feel more in control and also that they were doing something good for their infant (Blomqvist, Rubertsson, Kyleberg, et al., 2012) Based on the previous study, what action would you take? correct answer - Asses whether Mr. Chung is willing to try skin-to-skin care Mrs. Chung waited until she was 42 to have her second baby. She asks you if that is the reason her baby was born prematurely. Which of the ff. would be the best reassuring statement for her? correct answer - "No one can say for certain. You did all you could to ensure a heathy pregnancy". Melissa Chung is concerned as to how she will give consent for procedures for her newborn baby because the baby is hospitalized so far away. Which statement would be best to reassure her? correct answer - "Consent is required: you can be contacted by telephone or e-mail for a long distance consultation". Chapter 5 correct answer - Nursing Role in Reproductive and Sexual Health Suzzane Matthews tells you she's worried she might be subfertile because both breast development and her first menstrual period occurred later than most of her friends. To increase her self-esteem and meet her learning needs, you could assure her of what fact? correct answer - The time for development of breast varies a great deal and is termed thelarche Suppose Kevin Matthews tells you he is planning on having a vasectomy after the birth of his new child, but is worried about having his testes removed this way. You would want your clinic's educational material on vasectomy to clearly state that this procedure involves which of the following structures? correct answer - The vas deferens On physical examination, Suzzane Matthews is found to have a cystocele. You should confirm that the vocational nurse who is contributing to Suzzane's care knows that a cystocele can cause which of the following? correct answer - Urinary infection from the pocket caused by pressure against the anterior vaginal wall You document the fact that Suzanne Matthews typically has a menstrual cycle of 34 days. If she had coitus on days 8, 10, 15, and 20 of her last cycle, which is the day on which she most likely conceived? correct answer - . Day 20 Chapter 9 correct answer - Nursing Care of the Growing Fetus Liz Calhorn, 18 years of age, asks how much longer her women's nurse practitioner will refer to the baby inside her as an embryo. So your team members will use terms consistently you would want them to know the conceptus is classified as an embryo at what time? correct answer - From implantation until 5 to 8 weeks Suppose Liz Calhorn tells you she is worried her baby will be born with a congenital heart disease. What assessment of the umbilical cord at birth would be most important to help detect congenital heart defects? correct answer - Assessing whether the umbilical cord has two arteries and one vein Liz Calhorn asks you why her nurse midwife is concerned whether her fetus's lungs are producing surfactant. Your best answer would be: correct answer - "Surfactant keeps lungs from collapsing at birth, so it aids newborn breathing." To investigate what the risk factors are that lead to women smoking, researchers surveyed 570 women from Appalachian Ohio as to social, demographic, and psychological factors and whether they smoked. Findings revealed women with low socioeconomic status, those who scored high on a depression assessment score, and those who had their first baby before they were 17 years of age were more likely to smoke. Almost 50% of women with both low socioeconomic status and rated as depressed smoked (Wewers, Salsberry, Ferketich, et al., 2012). Based on the previous study, which statement by Liz Calhorn would make you most worried she might have difficulty quitting smoking during the remainder of her pregnancy? correct answer - "I don't have a lot of spare cash, just like everyone else in my family." Liz Calhorn is scheduled to have an ultrasound examination and you want to ensure that she understands and is prepared for this procedure to mitigate her anxiety. What instruction would you give her before her examination? correct answer - "You will need to drink at least three glasses of water before the procedure." Liz Calhorn is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure is successful, what instruction would be best to give her before this procedure? correct answer - "Void (pee) immediately before the procedure to reduce the size of your bladder." Chapter 10 correct answer - Nursing Care Related to Psychological and Physiologic Changes of Pregnancy How women feel about being pregnant has a great deal to do with how anxious they are about becoming pregnant. To investigate whether women look forward to a second birth or whether anxiety about their first birth makes them reluctant to have a second child, researchers interviewed 908 women who had given birth to at least one child, asking them to "please describe your feelings when you think about giving birth in the future." Results showed that two thirds of women who responded had mostly positive feelings; one third of women stated they were frightened of future childbirth. The qualitative analysis resulted in an overall theme of women feeling a mixture of both dread and delight at the thought of a second pregnancy