Test Bank for Maternal Child Nursing 4th Edition

1. Which principle of teaching should the nurse use to ensure learning in a family situation? ANS: A Feedback A Praise and positive reinforcement are particularly important when a family is trying to master a frustrating task, such as breastfeeding. B Learning is enhanced when the teaching is structured to present the simple tasks before the complex material. C Even though a family may understand English fairly well, they may not understand the medical terminology or slang terms. D A lively discussion stimulates more learning than a straight lecture, which tends to inhibit questions. PTS: 1 DIF: Cognitive Level: Application REF: p. 28 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 2. When addressing the questions of a newly pregnant woman, the nurse can explain that the certified nurse-midwife is qualified to perform: a. Motivate the family with praise and positive reinforcement. b. Present complex subject material first, while the family is alert and ready to learn. c. Families should be taught by using medical jargon so they will be able to understand the technical language used by physicians. d. Learning is best accomplished using the lecture format. a. Regional anesthesia b. Cesarean deliveries c. Vaginal deliveries d. Internal versions ANS: C Feedback A Regional anesthesia must be performed by a physician. B Cesarean deliveries must be performed by a physician. C The nurse-midwife is qualified to deliver infants vaginally in uncomplicated pregnancies. D Internal versions must be performed by a physician. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 29 OBJ: Nursing Process: Assessment MSC: Client Needs: Safe and Effective Care Environment 3. Which nursing intervention is an independent function of the nurse? a. Administering oral analgesics b. Teaching the woman perineal care c. Requesting diagnostic studies d. Providing wound care to a surgical incision ANS: B Feedback A Administering oral analgesics is a dependent function; it is initiated by a physician and carried out by the nurse. B Nurses are now responsible for various independent functions, including teaching, counseling, and intervening in nonmedical problems. Interventions initiated by the physician and carried out by the nurse are called dependent functions. C Requesting diagnostic studies is a dependent function. D Providing wound care is a dependent function; it is usually initiated by the physician through direct orders or protocol. PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 27 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance