Maternal-Child Nursing Chapter 1 NCLEX practice Questions with correct answers

A woman is giving birth to her third child in a setting that allows her husband and children to be actively involved in the process. The nurse caring for her must also consider the husband and the two children as patients and work to meet their needs. This type of setting is termed: 1) family-centered care. 2) emergency care. 3) hospice care. 4) individual care. 1) family-centered care. Family-centered care is any setting where the pregnant woman and her 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. A 4-year-old is hospitalized for treatment of pneumonia. The nurse informs the child's mother that the pediatric unit is a Family-Centered Child Care unit. What does this mean for her? 1) She will be allowed input into her child's care. 2) She will not be able to stay at night with her child but must stay during the day. 3) She will not be allowed to visit her child, because it is considered to cause emotional distress. 4) She will be responsible for her child's total care. 1) She will be allowed input into her child's care. Family-Centered Child Care recognizes and respects the pivotal role of the family in the child's life. It supports families and views parents and professionals as equal partners. Family-Centered Child Care units encourage parents to stay with the child around the clock. The child's mother will share care of the child as the parents and professionals are viewed as equals. A 27-year-old pregnant woman is seeing a nurse-midwife for prenatal care. Her first baby was born by cesarean because the baby was too large to fit through the woman's pelvis. She has also developed gestational diabetes during this pregnancy. When discussing with the woman her options for places of birth, what is the best choice for her? 1) Home birth 2) Birth center 3) LDRP in a hospital setting 4) It does not matter. 3) LDRP in a hospital setting Home births and freestanding birthing centers should be used for patients with very low risk for complications. The woman's past history and present complication with this pregnancy place her in a high-risk category. Therefore, she needs to be in a setting where emergency care is quickly available. Because of her complications, the woman is not a candidate for home birth or a birth center. The woman needs to be in a setting where emergency care is quickly available. The nurse has been assigned to care for a patient during the night shift. The patient's medication to prevent seizures was due at 6 AM. At that time the nurse was involved with another patient and did not administer the medication. At 10 AM, the patient ambulated to the bathroom, had a seizure, fell, and later developed brain damage as a result of the fall. The nurse can be sued for 1) abandonment. 2) malpractice. 3) a civil tort. 4) nothing, the nurse is immune because she was assisting another patient. 2) malpractice. Malpractice has four elements that must be proved: a duty (the nurse was assigned to care for the patient), breach of duty (the nurse did not render care by neglecting the medication); damage (the patient suffered brain damage); proximate cause (brain damage was due to the fall during the seizure). Abandonment would have occurred if the nurse had not provided any care for the patient or if the nurse had walked away from his or her job. A civil tort is a civil wrong or injury. The nurse is not immune if she neglects one patient for another. Some problems associated with hospital births in the early 1960s include the following issues. Pick all that apply. 1) Patient teaching was not valued. 2) Bonding was hindered due to strong medications given to the mother. 3) There was an increased use of midwives. 4) The father was not included in the process. 1,2,4 The nurse's primary function was to follow medical orders, so teaching was not valued. Strong medications were given to the patient that left her heavily sedated. Fathers were usually sent to the waiting room. The use of lay midwives was declining at this time and nurse-midwives were not well established. A 27-year-old woman newly diagnosed with diabetes is admitted to an agency to regulate her medication and receive patient teaching on diabetes. She is assigned a case manager on her first day. To best explain this role to the woman, the nurse states that a case manager will 1) decide which patient teaching is necessary for the woman. 2) manage and collaborate the woman's care to ensure optimal outcomes. 3) be responsible for reviewing the woman's chart for errors. 4) decide which method of treatment is most cost effective for the agency. 2) manage and collaborate the woman's care to ensure optimal outcomes. A case manager will focus on both quality and cost outcomes. He or she will coordinate services needed and manage the care collaboratively to ensure optimal outcomes.