Study Guide for Maternal-Child Nursing
- E-Book (5th Edition)
CHAPTER 2
Choose the correct answer.
A pregnant woman tells the nurse, “I’m so confused. My husband wants me to have my tubes tied
after the baby comes, but what if something happens to the baby?” The nurse replies, “You are
afraid of having permanent contraception before you know if your baby is well.” The nurse’s
response is an example of:
a. directing.
b. paraphrasing.
c. summarizing.
d. pinpointing.
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1. Therapeutic communication: There are various ways and techniques of effective
communication. These ways include clarifying which refers to clearing the content and
making the content and feelings expressed understand to the other person accurately.
List six roles of maternity and pediatric nurses. a.
b.
c.
d.
e.
f.
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There are various roles performed by the maternity, women’s health, and pediatric nurses.
They are as follows:
1. Care provider
2. Teacher
3. Collaborator
4. Researcher
5. Advocate
7. Manager
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The primary purpose of critical thinking in nursing is
Therapeutic communication:
Critical thinking:
Answer as either true (T) or false (F).
Standards of practice describe the level of performance expected of a
professional nurse.
In the following situations, identify the communication block illustrated by the nurse’s response.
Provide an alternative nursing response.
a. A child is crying and resisting as the nurse is about to administer an intramuscular
injection. The nurse says, “This won’t hurt a bit. You will be just fine.”
Communication
block:
Alternative
response:
b. A pregnant woman, on strict bed rest, tells the nurse, “I don’t think I can stand much more of
this. I didn’t think my pregnancy would be like this.” The nurse responds, “Rest up now. You
won’t get this much rest again in your life.”
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block:
Alternative
response:
1. Communication block and its alternative:
2. a. When the child is crying and resisting the intramuscular injection given by a nurse.
The nurse says to him that it won’t hurt and he or she will be just fine.
Communication Block:
Alternative Response:.
3. b. A pregnant woman said to the nurse that she doesn’t think she can stand more of this
bed rest. She didn’t think her pregnancy would be like this. The nurse responded that
she should rest as much as possible as she won’t get much chance to rest ever again in life.
Communication Block:.
Alternative Response:.
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Identify the five steps in the critical thinking process. a.
b.
c.
d.
e.
Critical thinking: Purpose of critical thinking: Recognition Assumptions: Examining
Biases:
1. Analyzing the need for closure:
2. Managing the data:
3. Evaluating other factors
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Choose the correct answer.
A nursing diagnosis differs from a collaborative problem primarily in terms of whether the
nurse:
a. can prescribe definitive treatment for the problem.
b. identifies a patient strength or weakness.
c. determines that an actual or a potential problem exists.
d. is able to evaluate the patient’s response to treatment.
1. Nurse diagnosis:
2. Collaborative problem:
3. Hence, options b, c, and d are not correct.
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Answer as either true (T) or false (F).
Maternity nurse practitioners usually assist with childbirth.
Answer as either true (T) or false (F).
A body posture that facilitates nurse-patient communication is talking with the arms
crossed over the chest.
1. Guidelines to therapeutic communication
List the factors that influence learning.
1. There are various factors that affect effective learning by people of any age. These factors
are as follows:
1. Development level
2. Language.
3. Culture
4. 4. Previous experience.
5. Physical environment
6.
Organization and skill of the teacher:
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Describe the education and services each type of advanced practice nurse is qualified to deliver.
a. Certified nursemidwives
b. Nurse practitioners
c. Clinical nurse specialists
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1. Guidelines to therapeutic communication
Answer as either true (T) or false (F).
Nonverbal behaviors may communicate a more powerful message to a patient than
spoken words.
1. Guidelines to therapeutic communication:
How does therapeutic communication differ from social communication?
There are two types of interpersonal communication. They are as follows:
1. Therapeutic communication
2. 2. Social communication
Choose the correct answer.
Your friend says she is not sure she wants a doctor to deliver her second baby because she believes
doctors are too busy to talk with her when she has check-ups. The best alternative professional
for you to suggest is the:
a. maternity nurse practitioner.
b. certified nurse-midwife.
c. lay midwife.
d. clinical nurse specialist.
1. The Certified Nurse Midwife (CNM)
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Describe the difference between a screening (database) assessment and a focused assessment.
1. Assessment: Screening assessmenFocused assessment:
Answer as either true (T) or false (F).
The professional nurse has a responsibility to provide high-quality care to all
patients.
When using active listening, the nurse attends to
and
Therapeutic communication
.
Choose the correct answer.
A primary difference between social communication and therapeutic communication is that
therapeutic communication is:
a. designed to obtain information in a minimum amount of time.
b. the only appropriate professional communication.
c. focused on achieving a relevant goal for the patient.
d. limited to the information necessary for safe care.
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