lOMoARcPSD|26582732
CHAPTER 2 MATERNITY PEDIATRIC NURSING CARE OF
CHILDREN 2025
1. The nurse is providing care to a pregnant woman who speaks a different language from that of
the nurse. When communicating with this client, the nurse demonstrates best practice by which
action?
A. Speaking to the client in a loud voice at a slow pace
B. Standing close to the client while using a strong emphatic tone
C. Having a family member communicate the information to the client
D. Arranging for an interpreter to be present during any communication
Answer: d
Rationale: the nurse should arrange for an interpreter when communicating with a client who
speaks another language. Speaking loudly, standing close to the client, and speaking
emphatically would be of little benefit if the client does not understand the spoken language.
Additionally, it can be interpreted as threatening to the client. Having a family member
communicate the information to the client is inappropriate, violates client confidentiality (if the
client has not given permission for that member to have the information), and does not ensure
that the client will receive the correct information.
Question format: multiple choice
Chapter 2: family-centered community-based care
Cognitive level: apply
Client needs: safe, effective care environment: management of care reference: p.
65
2. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which activity
would deviate from the characteristics of family-centered care?
A. Softening unpleasant information or prognoses
B. Evaluating and changing the nursing plan of care
C. Collaborating with the child and family as equals
D. Showing respect for the family's beliefs and wishes
Answer: a
Rationale: family-centered care requires that the nurse provide open and honest information to
the child and family. It is inappropriate to soften unpleasant information or prognoses.
Evaluating and changing the nursing plan of care to fit the needs of the child and family,
collaborating with them as equals, and showing respect for their beliefs and wishes are
guidelines for family-centered care.
Question format: multiple choice
Chapter 2: family-centered community-based care
Cognitive level: understand
Client needs: psychosocial integrity
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, lOMoARcPSD|26582732
Integrated process: nursing process
Reference: p. 62-63
3. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which activity would be considered the tertiary level of prevention?
A. Arranging for a physical therapy session
B. Teaching parents to administer albuterol
C. Reminding parent to give a full course of antibiotics
D. Giving a dtap vaccination at the proper interval
Answer: a
Rationale: the tertiary level of prevention involves restorative, rehabilitative, or quality of life
care such as arranging for a physical therapy session. Teaching parents to administer albuterol
and reminding a parent to give the full course of antibiotics as prescribed are part of the
secondary level of prevention, which focuses on diagnosis and treatment of illness. Giving a dtap
vaccination at the proper interval is an example of the primary level of prevention, which centers
on health promotion and illness prevention.
Question format: multiple choice
Chapter 2: family-centered community-based care
Cognitive level: understand
Client needs: health promotion and maintenance
Integrated process: nursing process
Reference: p. 72
4. A pregnant client tells her nurse that she is interested in arranging a home birth. After
educating the client on the advantages and disadvantages of a home birth, which statement would
indicate that the client understood the information?
A. "i like having the privacy, but it might be too expensive for me to set up in my home."
B. "i want to have more control, but i am concerned if an emergency would arise."
C. "it is safer because i will have a midwife."
D. "the midwife is trained to resolve any emergency, and she can bring any pain meds."
Answer: b
Rationale: home births have many advantages, such as having more control over the birth, being
the least expensive option, creating a good relationship with a midwife, and having more
flexibility in the comfort of your home. However, the limited availability of pain medication and
danger to the mother and baby if an emergency arises are two of the main disadvantages.
Question format: multiple choice
Chapter 2: family-centered community-based care
Cognitive level: understand
Client needs: health promotion and maintenance
Integrated process: teaching/learning
Reference: p. 84-85
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CHAPTER 2 MATERNITY PEDIATRIC NURSING CARE OF
CHILDREN 2025
1. The nurse is providing care to a pregnant woman who speaks a different language from that of
the nurse. When communicating with this client, the nurse demonstrates best practice by which
action?
A. Speaking to the client in a loud voice at a slow pace
B. Standing close to the client while using a strong emphatic tone
C. Having a family member communicate the information to the client
D. Arranging for an interpreter to be present during any communication
Answer: d
Rationale: the nurse should arrange for an interpreter when communicating with a client who
speaks another language. Speaking loudly, standing close to the client, and speaking
emphatically would be of little benefit if the client does not understand the spoken language.
Additionally, it can be interpreted as threatening to the client. Having a family member
communicate the information to the client is inappropriate, violates client confidentiality (if the
client has not given permission for that member to have the information), and does not ensure
that the client will receive the correct information.
Question format: multiple choice
Chapter 2: family-centered community-based care
Cognitive level: apply
Client needs: safe, effective care environment: management of care reference: p.
65
2. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which activity
would deviate from the characteristics of family-centered care?
A. Softening unpleasant information or prognoses
B. Evaluating and changing the nursing plan of care
C. Collaborating with the child and family as equals
D. Showing respect for the family's beliefs and wishes
Answer: a
Rationale: family-centered care requires that the nurse provide open and honest information to
the child and family. It is inappropriate to soften unpleasant information or prognoses.
Evaluating and changing the nursing plan of care to fit the needs of the child and family,
collaborating with them as equals, and showing respect for their beliefs and wishes are
guidelines for family-centered care.
Question format: multiple choice
Chapter 2: family-centered community-based care
Cognitive level: understand
Client needs: psychosocial integrity
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Integrated process: nursing process
Reference: p. 62-63
3. The nurse is providing home care for a 6-year-old girl with multiple medical challenges.
Which activity would be considered the tertiary level of prevention?
A. Arranging for a physical therapy session
B. Teaching parents to administer albuterol
C. Reminding parent to give a full course of antibiotics
D. Giving a dtap vaccination at the proper interval
Answer: a
Rationale: the tertiary level of prevention involves restorative, rehabilitative, or quality of life
care such as arranging for a physical therapy session. Teaching parents to administer albuterol
and reminding a parent to give the full course of antibiotics as prescribed are part of the
secondary level of prevention, which focuses on diagnosis and treatment of illness. Giving a dtap
vaccination at the proper interval is an example of the primary level of prevention, which centers
on health promotion and illness prevention.
Question format: multiple choice
Chapter 2: family-centered community-based care
Cognitive level: understand
Client needs: health promotion and maintenance
Integrated process: nursing process
Reference: p. 72
4. A pregnant client tells her nurse that she is interested in arranging a home birth. After
educating the client on the advantages and disadvantages of a home birth, which statement would
indicate that the client understood the information?
A. "i like having the privacy, but it might be too expensive for me to set up in my home."
B. "i want to have more control, but i am concerned if an emergency would arise."
C. "it is safer because i will have a midwife."
D. "the midwife is trained to resolve any emergency, and she can bring any pain meds."
Answer: b
Rationale: home births have many advantages, such as having more control over the birth, being
the least expensive option, creating a good relationship with a midwife, and having more
flexibility in the comfort of your home. However, the limited availability of pain medication and
danger to the mother and baby if an emergency arises are two of the main disadvantages.
Question format: multiple choice
Chapter 2: family-centered community-based care
Cognitive level: understand
Client needs: health promotion and maintenance
Integrated process: teaching/learning
Reference: p. 84-85
Downloaded by NELSON KIIRU ()
