Lowdermilk: Maternity & Women's Health Care 10th Edition

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  1. A married couple lives in a single-family house with their newborn son and the husband’s daughter from a previous marriage. Based on the information given, what family form best describes this family?
    a. married-blended family
    b. extended family
    c. nuclear family
    d. same sex family
    Married-blended family
  2. The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family:
    a. rituals and customs
    b. values and beliefs
    c. boundaries and channels
    d. socialization processes
    Values and beliefs
  3. Using the family stress theory as an intervention approach for working with families experiencing parenting, the nurse can help the family change internal context factors. These include:
    a. biologic and genetic makeup
    b. maturation of family members
    c. the family's perception of the event
    d. the prevailing cultural beliefs of society
    The family’s perception of the event
  4. The nurse’s care of a Hispanic family includes teaching about infant care. When developing a plan of care, the nurse bases interventions on the knowledge that in traditional Hispanic families:
    a. breastfeeding is encourages immediately after birth
    b. male infants typically are circumcised
    c. The maternal grandmother participates in the care of the mother and her infant
    d. special herbs mixed in water are used to stimulate the passage of meconium
    The maternal grandmother participates in the care of the mother and her infant
  5. Which health care service represents the primary level of prevention?
    a. immunizations
    b.breast self exam
    c. home care for high risk pregnancies
    d. blood pressure screening
    Immunizations
  6. What is the primary difference between hospital care and home health care?
    a. home care is delivered continuously by professional staff.
    b. Home care is delivered on an intermittent basis by professional staff.
    c. Home care is delivered for emergency conditions.
    d. Home care is not available 24 hours a day.
    Home care is delivered on an intermittent basis by professional staff.
  7. To provide competent care to an Asian-American family, the nurse should include the following question during the assessment interview:
    a. "Do you prefer hot or cold beverages?"
    b. "Do you want some milk to drink?"
    c. "Do you want music playing while you are in labor?"
    d. "Do you have a name selected for the baby?"
    “Do you prefer hot or cold beverages?”
  8. 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.
    Observe the family members’ interactions with the newborn and one another.
  9. What is a limitation of a home postpartum visit?
    a. The nurse's ability to teach is limited by many distractions.
    b. Identified problems cannot be resolved in the home settings.
    c. Necessary items for infant care are not available.
    d. Home visits to different families may require the nurse to travel a great distance.
    Home visits to different families may require the nurse to travel a great distance.
  10. The nurse should be aware that during the childbearing experience, an African-American woman will most likely:
    a.Seek prenatal care early in her pregnancy
    b.Avoid self-treatment of pregnancy-related discomfort
    c.Request liver in the postpartum period to prevent anemia
    d.Arrive at the hospital in advanced labor
    Arrive at the hospital in advanced labor
  11. A health care service representing the tertiary level of prevention includes:
    a.Stress management seminars
    b.Childbirth education classes for single parents
    c.A breast self-examination (BSE) pamphlet and teaching
    d.A premenstrual syndrome (PMS) support group
    A premenstrual syndrome (PMS) support group
  12. Which area is appropriate to include in a physical assessment of the home?a.Bathtub, toilets, sinks, countertops, inside china cabinet drawers
    b.Baby’s bed, changing table, baby’s clothes, inside diaper bag, inside keepsake box
    c.Bedroom closets, inside jewelry boxes, under beds
    d.Electrical wall outlets, telephones, bathroom sink and faucets, stove, and refrigerator
    Electrical wall outlets, telephones, bathroom sink and faucets, stove, and refrigerator
  13. When the services of an interpreter are used, it is important for the nurse to:
    a.Use any family member who can interpret
    b.Use an interpreter who is certified and document the person’s name in the nursing notes
    c.Speak only to the interpreter
    d.Use an interpreter only in an emergency
    Use an interpreter who is certified and document the person’s name in the nursing notes
  14. A traditional family structure in which male and female partners and their children live as an independent unit is known as a/an:a.Extended family
    b.Binuclear family
    c.Nuclear family
    d.Blended family
    Nuclear family
  15. According to Friedman’s classifications, providing such physical necessities as food, clothing, and shelter is the:
    a.Economic family function
    b.Socialization family function
    c.Reproductive family function
    d.Health care family function
    Health care family function
  16. Which statement about family systems theory is inaccurate?
    a.A family system is part of a larger suprasystem.
    b.A family as a whole is equal to the sum of the individual members.
    c.A change in one family member affects all family members.
    d.A family is able to create a balance between change and stability.
    A family as a whole is equal to the sum of the individual members.
  17. Which situation would be considered safest by a nurse who is making a home visit?
    a.A group of teens is sitting on the stairs in front of the client’s apartment.
    b.Parking is only possible 3 blocks from the client’s house because no space is available in front of the house.
    c.The family dog is on a chain in the front yard.
    d.The door of the home is open when the nurse arrives.
    The family dog is on a chain in the front yard.
  18. A pictorial tool that can assist the nurse in assessing aspects of family life related to health care is the:
    a.Genogram
    b.Family values construct
    c.Life cycle model
    d.Human development wheel
    Genogram
  19. When attempting to communicate with a client who speaks a different language, the nurse should:
    a.Respond promptly and positively to project authority
    b.Never use a family member as an interpreter
    c.Talk to the interpreter to avoid confusing the client
    d.Provide as much privacy as possible
    Provide as much privacy as possible
  20. Providing various methods of health screening for early detection of disease is part of:
    a.Primary preventive care
    b.Secondary preventive care
    c.Tertiary preventive care
    d.Primordial preventive care
    Secondary preventive care
  21. To assist the client in optimizing healthy outcomes, the nurse must understand that the perinatal continuum of care:
    a.Begins with conception and ends with birth
    b.Begins with family planning and continues until the infant is 1 year old
    c.Begins with prenatal care and continues until the newborn is 24 weeks old
    d.Refers to home care only
    Begins with family planning and continues until the infant is 1 year old
  22. The nurse should be aware that the well-known program “warm lines”:
    a.Was developed as a reaction to impersonal telephonic nursing care
    b.Was set up to take complaints about health maintenance organizations (HMOs)
    c.Is the second option when 911 hotlines are busy
    d.Refers to community service telephone lines designed to provide new parents with encouragement and basic information
    Refers to community service telephone lines designed to provide new parents with encouragement and basic information
  23. When weighing the advantages and disadvantages of home care for perinatal services, nurses should keep in mind that home care:
    a.Is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse
    b.Is more cost-effective for the nurse than office visits
    c.Allows the nurse to interact with and include family members in teaching
    d.Is made possible by the ready supply of nurses with expertise in maternity care
    Allows the nurse to interact with and include family members in teaching
  24. Healthy People 2010 has established national health priorities that focus on a number of maternal-child health indicators. Nurses are assuming greater roles in assessing family health and providing care across the perinatal continuum. Therefore, it is important for the nurse to be aware that significant progress has been made in:
    a.The reduction of fetal deaths and use of prenatal care
    b.Low birth weight and preterm birth
    c.Elimination of health disparities based on race
    d.Infant mortality and the prevention of birth defects
    The reduction of fetal deaths and use of prenatal care
  25. A nurse is planning care for a client with a different cultural background. What is an appropriate goal?
    a.Strive to keep the client's cultural background from influencing health needs.
    b.Encourage the continuation of cultural practices in the hospital setting.
    c.In a nonjudgmental way attempt to change the client’s cultural beliefs.
    d.As necessary adapt the client’s cultural practices to her health needs.
    As necessary adapt the client’s cultural practices to her health needs.
  26. While completing an assessment, the nurse should be aware of ailments for which homeless women are at higher risk. Choose all that apply.
    a.Tuberculosis
    b.Chlamydia
    c.Anemia
    d.Hypothermia
    e.Alcoholism
    • Tuberculosis
    • Chlamydia
    • Anemia
    • Hypothermia
    • Alcoholism
  27. _________________________  refers to the view that one’s own cultures way of doing things is always the best.
    Ethnocentrism
Author:
jesselizabeth07
ID:
314207
Card Set:
Lowdermilk: Maternity & Women's Health Care 10th Edition
Updated:
2016-01-18 00:46:04
Tags:
nursing
Folders:
exam 1
Description:
Chapter 02: Community Care: The Family and Culture
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