Question 1

Which key point is important for the nurse to understand regarding the perinatal continuum of care?

Accepted Answer

A)  Begins with conception and ends with the 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 
A)  Begins with conception and ends with the 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 B

Question 2

Which term is an accurate description of the process by which people retain some of their own culture while adopting the practices of the dominant society?

Accepted Answer

A)  Acculturation 
B)  Assimilation 
C)  Ethnocentrism 
D)  Cultural relativism 
A)  Acculturation 
B)  Assimilation 
C)  Ethnocentrism 
D)  Cultural relativism A

Question 3

Which traditional family structure is decreasing in numbers and attributable to societal changes?

Accepted Answer

A)  Extended family 
B)  Binuclear family 
C)  Nuclear family 
D)  Blended family 
A)  Extended family 
B)  Binuclear family 
C)  Nuclear family 
D)  Blended family C

Question 4

Which statement about the development of cultural competence is inaccurate?

Accepted Answer

A)  Local health care workers and community advocates can help extend health care to underserved populations. 
B)  Nursing care is delivered in the context of the client's culture but not in the context of the nurse's culture. 
C)  Nurses must develop an awareness of and a sensitivity to various cultures. 
D)  Culture's economic,religious,and political structures influence practices that affect childbearing. 
A)  Local health care workers and community advocates can help extend health care to underserved populations. 
B)  Nursing care is delivered in the context of the client's culture but not in the context of the nurse's culture. 
C)  Nurses must develop an awareness of and a sensitivity to various cultures. 
D)  Culture's economic,religious,and political structures influence practices that affect childbearing.

Question 5

When attempting to communicate with a client who speaks a different language,which action is the most appropriate?

Accepted Answer

A)  Promptly and positively respond 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. 
A)  Promptly and positively respond 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.

Question 6

A client's household consists of her husband,his mother,and another child.To which family configuration does this client belong?

Accepted Answer

A)  Multigenerational family 
B)  Single-parent family 
C)  Married-blended family 
D)  Nuclear family 
A)  Multigenerational family 
B)  Single-parent family 
C)  Married-blended family 
D)  Nuclear family

Question 7

When the services of an interpreter are needed,which is the most important factor for the nurse to consider?

Accepted Answer

A)  Using a family member who is fluent in both languages 
B)  Using an interpreter who is certified,and documenting the person's name in the nursing notes 
C)  Directing questions only to the interpreter 
D)  Using an interpreter only in an emergency 
A)  Using a family member who is fluent in both languages 
B)  Using an interpreter who is certified,and documenting the person's name in the nursing notes 
C)  Directing questions only to the interpreter 
D)  Using an interpreter only in an emergency

Question 8

While completing an assessment of a homeless woman,the nurse should be aware of which of the following ailments this client is at a higher risk to develop? (Select all that apply. )

Accepted Answer

A)  Infectious diseases 
B)  Chronic illness 
C)  Anemia 
D)  Hyperthermia 
E)  Substance abuse 
A)  Infectious diseases 
B)  Chronic illness 
C)  Anemia 
D)  Hyperthermia 
E)  Substance abuse

Question 9

The woman's family members are present when the nurse arrives for a postpartum and newborn visit.What should the nurse do?

Accepted Answer

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)  Perform a brief assessment on all family members who are present. 
D)  Reschedule the visit for another time so that the mother and infant can be privately assessed. 
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)  Perform a brief assessment on all family members who are present. 
D)  Reschedule the visit for another time so that the mother and infant can be privately assessed.

Question 10

What is the primary difference between hospital care and home health care?

Accepted Answer

A)  Home care is routinely and continuously delivered 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. 
A)  Home care is routinely and continuously delivered 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.

Question 11

When weighing the advantages and disadvantages of planning home care for perinatal services,what information should the nurse use in making the decision?

Accepted Answer

A)  Home care for perinatal services is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse. 
B)  Home care for perinatal services is more cost-effective for the nurse than office visits. 
C)  Home care for perinatal services allows the nurse to interact with and include family members in teaching. 
D)  Home care for perinatal services is made possible by the ready supply of nurses with expertise in maternity care. 
A)  Home care for perinatal services is more dangerous for vulnerable neonates at risk of acquiring an infection from the nurse. 
B)  Home care for perinatal services is more cost-effective for the nurse than office visits. 
C)  Home care for perinatal services allows the nurse to interact with and include family members in teaching. 
D)  Home care for perinatal services is made possible by the ready supply of nurses with expertise in maternity care.

Question 12

A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.Based on this information,what family form best describes this family?

Accepted Answer

A)  Married-blended family 
B)  Extended family 
C)  Nuclear family 
D)  Same-sex family 
A)  Married-blended family 
B)  Extended family 
C)  Nuclear family 
D)  Same-sex family

Question 13

Which key factors play the most powerful role in the behaviors of individuals and families?

Accepted Answer

A)  Rituals and customs 
B)  Beliefs and values 
C)  Boundaries and channels 
D)  Socialization processes 
A)  Rituals and customs 
B)  Beliefs and values 
C)  Boundaries and channels 
D)  Socialization processes

Question 14

What information should the nurse be aware of regarding telephonic nursing care such as warm lines?

Accepted Answer

A)  Were developed as a reaction to impersonal telephonic nursing care 
B)  Were set up to take complaints concerning health maintenance organizations (HMOs) 
C)  Are the second option when 9-1-1 hotlines are busy 
D)  Refer to community service telephone lines designed to provide new parents with encouragement and basic information 
A)  Were developed as a reaction to impersonal telephonic nursing care 
B)  Were set up to take complaints concerning health maintenance organizations (HMOs) 
C)  Are the second option when 9-1-1 hotlines are busy 
D)  Refer to community service telephone lines designed to provide new parents with encouragement and basic information

Question 15

Which pictorial tool can assist the nurse in assessing the aspects of family life related to health care?

Accepted Answer

A)  Genogram 
B)  Ecomap 
C)  Life-cycle model 
D)  Human development wheel 
A)  Genogram 
B)  Ecomap 
C)  Life-cycle model 
D)  Human development wheel

Question 16

What is a limitation of a home postpartum visit?

Accepted Answer

A)  Distractions limit the nurse's ability to teach. 
B)  Identified problems cannot be resolved in the home setting. 
C)  Necessary items for infant care are not available. 
D)  Home visits to different families may require the nurse to travel a great distance. 
A)  Distractions limit the nurse's ability to teach. 
B)  Identified problems cannot be resolved in the home setting. 
C)  Necessary items for infant care are not available. 
D)  Home visits to different families may require the nurse to travel a great distance.

Question 17

In what form do families tend to be the most socially vulnerable?

Accepted Answer

A)  Married-blended family 
B)  Extended family 
C)  Nuclear family 
D)  Single-parent family 
A)  Married-blended family 
B)  Extended family 
C)  Nuclear family 
D)  Single-parent family

Exam 2: Community Care: the Family and Culture

Which key point is important for the nurse to understand regarding the perinatal continuum of care?

Which term is an accurate description of the process by which people retain some of their own culture while adopting the practices of the dominant society?

Which traditional family structure is decreasing in numbers and attributable to societal changes?

Which statement about the development of cultural competence is inaccurate?

When attempting to communicate with a client who speaks a different language,which action is the most appropriate?

A client's household consists of her husband,his mother,and another child.To which family configuration does this client belong?

When the services of an interpreter are needed,which is the most important factor for the nurse to consider?

While completing an assessment of a homeless woman,the nurse should be aware of which of the following ailments this client is at a higher risk to develop? (Select all that apply. )

The woman's family members are present when the nurse arrives for a postpartum and newborn visit.What should the nurse do?

What is the primary difference between hospital care and home health care?

When weighing the advantages and disadvantages of planning home care for perinatal services,what information should the nurse use in making the decision?

A married couple lives in a single-family house with their newborn son and the husband's daughter from a previous marriage.Based on this information,what family form best describes this family?

Which key factors play the most powerful role in the behaviors of individuals and families?

What information should the nurse be aware of regarding telephonic nursing care such as warm lines?

Which pictorial tool can assist the nurse in assessing the aspects of family life related to health care?

What is a limitation of a home postpartum visit?

In what form do families tend to be the most socially vulnerable?

21st Century Maternity and Womens Health Nursing

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

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