When caring for pregnant women, the nurse should keep in mind that violence during pregnancy: A) Affects more than 25% of pregnant women in the United States. B) Is associated with complications of pregnancy such as bleeding. C) Increases a pregnant woman's risk for preeclampsia. D) Has decreased in incidence as a result of better assessment techniques and record keeping.
B) Is associated with complications of pregnancy such as bleeding. Feedback: Approximately 8% of pregnant women are battered; the incidence of battering increases during pregnancy. Violence is associated with complications of pregnancy such as bleeding. Violence itself has no correlation to the incidence of preeclampsia. The rates of violence have increased, possibly because of better assessment and reporting mechanisms.
The family structure consisting of parents and their dependent children living together is known as a(n): A) Binuclear family. B) Reconstituted family. C) Nuclear family. D) Extended family.
C) Nuclear family. Feedback: Binuclear refers to the family after divorce. Reconstituted includes stepparents and stepchildren. Nuclear family includes parents and children (natural or adopted) who live in a common household. Extended family includes the nuclear family and other people related by blood.
A woman is giving birth to her third child in a setting that allows her husband and other two children to be actively involved in the process. The nurse caring for the woman must also consider the husband and family as patients and work to meet their needs. This type of setting is termed: A) Family-centered care. B) Emergency care. C) Hospice care. D) Individual care.
A) Family-centered care. Feedback: Family-centered care is any setting in which the pregnant woman and family are treated as one unit. The nurse assumes a major role in teaching, counseling, and supporting the family. In emergency care settings the nurse deals primarily with the patient who is having difficulty. In hospice care settings the nurse deals with patients who have terminal illnesses. Individual care deals only with the patient and does not include the family.
When providing care for the pregnant woman, the nurse should be aware that one of the most frequently reported maternal medical risk factors is: A) Diabetes mellitus. B) Mitral valve prolapse (MVP). C) Chronic hypertension. D) Anemia.
A) Diabetes mellitus. Feedback: The most frequently reported maternal medical risk factors are diabetes and hypertension associated with pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that indicate MVP is among the most frequently reported maternal risk factors. Hypertension associated with pregnancy is one of the most frequently reported maternal medical risk factors, not chronic hypertension. Although anemia is a concern in pregnancy, it is not one of the most frequently reported maternal medical risk factors in pregnancy.
While working in the prenatal clinic, you care for a very diverse group of clients. When planning interventions for these families, you realize that acceptance of the interventions will be most influenced by: A) Educational achievement. B) Income level. C) Subcultural group. D) Individual beliefs.
D) Individual beliefs. Feedback: The client's beliefs are ultimately the key to acceptance of health care interventions. However, these beliefs may be influenced by factors such as educational level, income level, and ethnic background. Educational achievement, income level, and subcultural group are all important factors. However, the nurse must understand that a woman's concerns from her own point of view will have the most influence on her compliance.
The woman's family members are present when the nurse arrives for a postpartum and newborn visit. What should the nurse do? A) Observe the family members’ interactions with the newborn and one another. B) Ask the woman to meet with her and the baby alone. C) Do a brief assessment on all family members present. D) Reschedule the visit for another time so that the mother and infant can be assessed privately.
A) Observe the family members’ interactions with the newborn and one another. Feedback: The nurse should introduce herself to the client and the other family members present. Family members in the home may be providing care and assistance to the mother and infant. However, this care may not be based on sound health practices. Nurses should take the opportunity to dispel myths while family members are present. The responsibility of the home care maternal-child nurse is to provide care to the new postpartum mother and her infant, not to all family members. The nurse can politely ask about the other people in the home and their relationships with the woman. Unless an indication is given that the woman would prefer privacy, the visit may continue.