Question 1

The nurse plans care to address the communication pattern within a family with a new infant. What intervention should the nurse select for this family?&#10;A) Encourage talking when the baby is sleeping&#10;B) Hold the baby while talking with each other&#10;C) Teach how to recognize and respond to the baby's cues&#10;D) Keep voice tone low when discussing a difficult situation&#10;

Accepted Answer

Teaching the family how to recognize and respond to the baby's cues can improve communication and bonding between family members. It also helps to meet the baby's needs, leading to increased trust and comfort. Encouraging talking when the baby is sleeping may lead to misunderstanding and miscommunication, as well as disrupting the baby's sleep. Holding the baby while talking may promote bonding but does not directly address communication patterns. Keeping voice tone low when discussing a difficult situation may be helpful in avoiding conflict but does not address communication patterns in general.

Question 2

When should the nurse consider that a new mother is developing postpartum depression?&#10;A) Feeling blue the day after delivery&#10;B) Crying 3 to 5 days after returning home&#10;C) Sitting in a dark room ignoring the baby after 6 months&#10;D) Not interested in caring for the baby a week after delivery&#10;

Accepted Answer

Postpartum depression is more severe and long-lasting than the "baby blues" and can occur anytime within the first year after delivery. Ignoring the baby after 6 months is a significant indicator.

Question 3

The nurse assesses a family's ability to transition to having a baby. To which concept is transition the most similar?&#10;A) Stress&#10;B) System&#10;C) Change&#10;D) Communication&#10;

Accepted Answer

Transition is similar to the concept of change, as it involves moving from one state or situation to another. While stress and communication may be involved in a transition, they are not the main concept being described. The concept of system is not directly related to transition.

Question 4

Although the nurse desires to use Duvall's Family Developmental Theory to guide the care of a family, the nurse decides against it. Which is the major reason for the nurse to make this decision?&#10;A) The theory does not use the life-span approach.&#10;B) The theory is based on individuals rather than families.&#10;C) The theory does not include family life before having children.&#10;D) The theory is based on traditional nuclear families and does not address diverse family structures.&#10;

Accepted Answer

The major reason for the nurse to decide against using Duvall's Family Developmental Theory is that it is based on traditional nuclear families and does not address diverse family structures. As families have become more diverse and complex, it is important for nurses to use theories that are applicable to a wider range of family structures.

Question 5

The parents of a new baby are both 19 years old. Which intervention should the nurse identify to help this family with realigning the intergenerational pattern?&#10;A) Remind to limit time away from the baby&#10;B) Instruct on ways to move from dependence to independence&#10;C) Limit exposure to extended family members&#10;D) Ask the new mother the feeding approach that is best for her&#10;

Accepted Answer

Instructing the parents on ways to move from dependence to independence can help break the intergenerational pattern and promote healthy development of the family unit. This can include discussing financial independence, decision-making skills, and problem-solving skills. The other options do not necessarily address the underlying issue of intergenerational patterns.

Question 6

The nurse asks a family about space arrangements for an expected baby. What is the nurse assessing about the family at this time? Select all that apply.&#10;A) The ability to meet the baby's basic needs&#10;B) The fear about the survival of the baby&#10;C) The acceptance of the reality of having a baby&#10;D) The support from extended family&#10;E) The ability to afford the financial obligations of a baby&#10;

Accepted Answer

The answer of The nurse asks a family about space...

Question 7

The nurse is planning care for a family with a new baby. Which reason should the nurse identify as a risk for conflict between the nurse and the client during this time?&#10;A) Acute illness occurring in the new mother&#10;B) Agreement between the father, or partner, and the mother&#10;C) Agreement between grandparents and the nurse&#10;D) Different advice from family members versus the nurse&#10;

Accepted Answer

The answer of The nurse is planning care for a...

Question 8

The nurse plans care for a postpartum client arriving for a wellness visit. What should the nurse tell the client about postpartum depression?&#10;A) Most mothers recognize the symptoms.&#10;B) Most mothers are reluctant to ask for professional help.&#10;C) Most fathers and mothers become depressed after the birth of a child.&#10;D) Most health care providers confuse postpartum depression with anxiety.&#10;

Accepted Answer

It is important to educate postpartum clients about postpartum depression and encourage them to seek professional help if they experience its symptoms. However, many mothers are reluctant to ask for help due to stigma or fear of being judged as a bad mother. Therefore, the nurse should inform the client that many mothers are hesitant to ask for help and reassure them that seeking help is a sign of strength and responsible parenting. Option A is incorrect because many mothers may not recognize the symptoms of postpartum depression, especially if they are not well-informed about it. Option C is incorrect because not all fathers and mothers become depressed after the birth of a child, and it is important not to generalize. Option D is incorrect because postpartum depression and anxiety are two separate conditions that have different causes and symptoms. It is essential to differentiate between them to provide appropriate care.

Question 9

The nurse learns that a family has not planned a space for an expected infant. For which reason should the nurse assess the family about this lack of planning? Select all that apply.&#10;A) Denying that the birth is pending&#10;B) Viewing a birth as a routine occurrence that does not need special planning&#10;C) A cultural belief that space planning occurs after the birth of a healthy infant&#10;D) Too busy with other responsibilities to allow time to plan for the baby's space&#10;E) Inability to please all members of the family regarding the location of the space&#10;

Accepted Answer

The answer of The nurse learns that a family has...

Question 10

The nurse suspects that a family has closed boundaries. Why will this family not be amenable to nursing interventions?&#10;A) They are unstable.&#10;B) They do not have children.&#10;C) They do not interact with each other.&#10;D) They reject influences from the outside environment.&#10;

Accepted Answer

A family with closed boundaries rejects any external influence or intervention, including from nursing interventions. They believe in maintaining their privacy and tight control over their family dynamics, which makes it challenging for external sources to provide any assistance.

Question 11

The nurse plans to discuss an expectant client's decision regarding infant feeding. What is important for the nurse to do when considering feeding management for this family?&#10;A) Inform the client that she should breastfeed&#10;B) Assist the parents to form a nurturing relationship surrounding the feeding of the infant&#10;C) Encourage bottle-feeding because this will guarantee proper nutrition for the infant&#10;D) Encourage the father, or partner, to leave the feeding decision up to the mother&#10;

Accepted Answer

The answer of The nurse plans to discuss an expectant...

Question 12

The female partner of a family is upset because the spouse will not talk about the inability to conceive. Which response should the nurse make to this client?&#10;A) &#34;Talking about the problem can increase your spouse's anxiety about it.&#34;&#10;B) &#34;Men deny the amount of emotional distress they experience.&#34;&#10;C) &#34;Most men do not share their feelings.&#34;&#10;D) &#34;Men only want to talk to other men and won't do that unless they know someone else has the same problem.&#34;&#10;

Accepted Answer

The answer of The female partner of a family is...

Question 13

The nurse suspects that a new mother is at risk for poor attachment with the newborn. What could be a reason for poor attachment? Select all that apply.&#10;A) Family stress&#10;B) Poor self-image&#10;C) Family violence&#10;D) Low self-esteem&#10;E) Maternal depression&#10;

Accepted Answer

The answer of The nurse suspects that a new mother...

Deck 12: Family Nursing With Childbearing Families