Chapter 13 The Expectant Family: Needs and Care
1) The nurse is presenting a class to women who are
currently pregnant or are planning pregnancy in the
near future. Which client statement indicates that
additional teaching is required?
1. The older a woman is when she conceives, the safer the pregnancy is.
2. Pregnant teens can have additional nutritional needs.
3. A woman whose sisters all had hypertension will be watched carefully.
4. Pregnancy may be more difficult to achieve in my 40s.
Answer: 1
Explanation: 1. The health risks associated with pregnancy vary by age. The
risk for maternal death is significantly higher for women over age 35 and
even higher for women age 40 and older. The incidence of low-birth-weight
infants, preterm births, miscarriage, stillbirth, and perinatal morbidity and
mortality is higher among women age 35 or older.
Page Ref: 302
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 5 Explain the basic goals of childbirth education in
providing care to expectant couples and their families.
MNL LO: 2.3.1 Determine factors to consider when providing are during the
antepartum period.
1
Copyright 2016 Pearson Education, Inc.
,2) During home care of a low-risk pregnant client, the nurse provides care by
,assessing which of the following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Urine
2. Weight
3. Diet
4. Pelvic measurements
5. Physical activity
Answer: 1, 2, 3, 5
Explanation: 1. Assessment of the clients urine can be done in the home
setting.
2. Obtaining the clients weight can be done in the home setting.
3. Assessing the clients dietary intake can be done in the home setting.
5. The clients physical activity can be assessed in the home setting.
Page Ref: 272
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 1.
Conduct comprehensive and focused physical, behavioral, psychological,
spiritual, socioeconomic, and environmental assessments of health and illness
parameters in patients, using developmentally and culturally appropriate
approaches. | NLN Competencies: Relationship-Centered Care: Respect the
patients dignity, uniqueness, integrity, and self-determination, and his or her
own power and self-healing processes. | Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 1 Describe the significance of using the nursing process
to promote health in the woman and her family during pregnancy.
, MNL LO: 2.3.1 Determine factors to consider when providing are during the
antepartum period.
2
Copyright 2016 Pearson Education, Inc.
3) A couple in their late 30s are pregnant for the first time. In evaluating the
care delivered, the nurse assesses the mother for which of the following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Makes appropriate healthcare choices
2. Receives effective healthcare through the pregnancy
3. Has a partner who is not interested in child care
4. Cannot cope with her life change
5. Wishes to have amniocentesis done
Answer: 1, 2
Explanation: 1. Expected outcomes of nursing care for a pregnant couple
over 35 include that the client and her partner are knowledgeable about the
pregnancy and make appropriate healthcare choices.
2. Expected outcomes of nursing care for a pregnant couple over 35 include the
client and her partner receive effective health care throughout the pregnancy,
birth, and postpartum period.
Page Ref: 303
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 13.
Revise the plan of care based on an ongoing evaluation of patient outcomes. |
NLN Competencies: Relationship-Centered Care: Promote and accept the
patients emotions; accept and respond to distress in patient and self; facilitate
hope, trust, and faith. | Nursing/Integrated Concepts: Nursing Process:
1) The nurse is presenting a class to women who are
currently pregnant or are planning pregnancy in the
near future. Which client statement indicates that
additional teaching is required?
1. The older a woman is when she conceives, the safer the pregnancy is.
2. Pregnant teens can have additional nutritional needs.
3. A woman whose sisters all had hypertension will be watched carefully.
4. Pregnancy may be more difficult to achieve in my 40s.
Answer: 1
Explanation: 1. The health risks associated with pregnancy vary by age. The
risk for maternal death is significantly higher for women over age 35 and
even higher for women age 40 and older. The incidence of low-birth-weight
infants, preterm births, miscarriage, stillbirth, and perinatal morbidity and
mortality is higher among women age 35 or older.
Page Ref: 302
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 5 Explain the basic goals of childbirth education in
providing care to expectant couples and their families.
MNL LO: 2.3.1 Determine factors to consider when providing are during the
antepartum period.
1
Copyright 2016 Pearson Education, Inc.
,2) During home care of a low-risk pregnant client, the nurse provides care by
,assessing which of the following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Urine
2. Weight
3. Diet
4. Pelvic measurements
5. Physical activity
Answer: 1, 2, 3, 5
Explanation: 1. Assessment of the clients urine can be done in the home
setting.
2. Obtaining the clients weight can be done in the home setting.
3. Assessing the clients dietary intake can be done in the home setting.
5. The clients physical activity can be assessed in the home setting.
Page Ref: 272
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 1.
Conduct comprehensive and focused physical, behavioral, psychological,
spiritual, socioeconomic, and environmental assessments of health and illness
parameters in patients, using developmentally and culturally appropriate
approaches. | NLN Competencies: Relationship-Centered Care: Respect the
patients dignity, uniqueness, integrity, and self-determination, and his or her
own power and self-healing processes. | Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 1 Describe the significance of using the nursing process
to promote health in the woman and her family during pregnancy.
, MNL LO: 2.3.1 Determine factors to consider when providing are during the
antepartum period.
2
Copyright 2016 Pearson Education, Inc.
3) A couple in their late 30s are pregnant for the first time. In evaluating the
care delivered, the nurse assesses the mother for which of the following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Makes appropriate healthcare choices
2. Receives effective healthcare through the pregnancy
3. Has a partner who is not interested in child care
4. Cannot cope with her life change
5. Wishes to have amniocentesis done
Answer: 1, 2
Explanation: 1. Expected outcomes of nursing care for a pregnant couple
over 35 include that the client and her partner are knowledgeable about the
pregnancy and make appropriate healthcare choices.
2. Expected outcomes of nursing care for a pregnant couple over 35 include the
client and her partner receive effective health care throughout the pregnancy,
birth, and postpartum period.
Page Ref: 303
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 13.
Revise the plan of care based on an ongoing evaluation of patient outcomes. |
NLN Competencies: Relationship-Centered Care: Promote and accept the
patients emotions; accept and respond to distress in patient and self; facilitate
hope, trust, and faith. | Nursing/Integrated Concepts: Nursing Process:
