A nurse is caring for a hospitalized child and family using a family-centered care approach. Which nursing action best demonstrates the principle that the family is the constant in the child's life?
Limiting family involvement to scheduled visiting hours
Encouraging the family to follow unit routines without modification
Assuming the healthcare team is the primary source of support for the child
Involving the family in care planning and decision-making for the child
The Correct Answer is D
A. Limiting family involvement to scheduled visiting hours is incorrect because family-centered care promotes unrestricted or flexible family presence. Restricting involvement contradicts the idea that the family plays a continuous and central role in the child’s life.
B. Encouraging the family to follow unit routines without modification is incorrect because family-centered care values collaboration and flexibility. Care should be adapted to meet the needs of the child and family, not force the family to conform to rigid hospital routines.
C. Assuming the healthcare team is the primary source of support for the child is incorrect because, in family-centered care, the family—not the healthcare team—is recognized as the primary and constant source of support, comfort, and advocacy for the child.
D. Involving the family in care planning and decision-making for the child is correct because it acknowledges that the family is the constant in the child’s life. This approach respects the family’s knowledge of the child, promotes collaboration, and supports continuity of care across healthcare settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pull the baby out forcefully by the head with forceps is incorrect because forceful traction can cause severe injury to the baby, including brachial plexus injury, clavicle fracture, or intracranial hemorrhage. This is not recommended for shoulder dystocia.
B. Apply gentle upward traction on the baby's head is incorrect because while gentle traction is part of standard delivery, upward traction alone is usually insufficient to resolve shoulder dystocia and may risk injury if used improperly.
C. Wait for the mother to push the shoulders out naturally is incorrect because shoulder dystocia is an obstetric emergency. Delaying intervention can lead to hypoxia, birth asphyxia, or fetal injury, so immediate maneuvers are required.
D. Place the mother in McRoberts maneuver position and apply suprapubic pressure is correct. The McRoberts maneuver involves flexing the mother’s hips tightly toward her abdomen, which flattens the sacral promontory and increases the pelvic diameter. Simultaneously, suprapubic pressure helps dislodge the impacted anterior shoulder. This is the first-line, evidence-based intervention for shoulder dystocia and reduces the risk of fetal and maternal complications.
Correct Answer is A
Explanation
Step 1: Understand GTPAL
G = Gravida (total number of pregnancies, including current)
T = Term births (≥37 weeks)
P = Preterm births (20–36 6/7 weeks)
A = Abortions (spontaneous or elective <20 weeks)
L = Living children
Step 2: Count based on patient history
Gravida (G): Total pregnancies = 1 elective abortion + twins + spontaneous abortion = 3 completed pregnancies + current pregnancy = 4 → G = 4
Term births (T): Birth ≥37 weeks = None → T = 0
Preterm births (P): Birth 20–36 6/7 weeks = twins at 34 weeks → P = 1
Abortions (A): Spontaneous or elective <20 weeks = elective abortion at 12 weeks + spontaneous at 15 weeks → A = 2
Living children (L): Twins survived → L = 2
Step 3: Combine numbers
G = 4, T = 0, P = 1, A = 2, L = 2 → 4-0-1-2-2
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