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Test 15: Communication

  1. Communication with parents can be improved by:
    • Giving them complicated explanations
    • Speaking to them separately
    • Telling them not to worry
    • Allowing them to ask questions
  2. When an infant is sick it is best:
    • To tell the parents the truth
    • Not to give the parents all the information so that they do not worry
    • To only tell the father that the infant is sick
    • To avoid the parents and thereby give the infant time to recover before the parents realise that the infant was sick
  3. What is bonding?
    • It is the emotional relationship between a husband and wife.
    • It is the love that a mother develops for her infant only after the infant is born.
    • It is the memory that parents have after their infant has died.
    • It is the emotional relationship that parents develop with their infant during pregnancy and the first weeks of life.
  4. How can bonding be encouraged?
    • Allow the mother to have a good sleep before letting her put her infant to the breast for the first time.
    • Allow the mother to room-in with her infant.
    • Do not allow the other children to visit the mother and infant in hospital.
    • Allow the father to see his infant through the nursery window.
  5. The following should be able to visit a preterm infant that has to stay in the nursery for many weeks:
    • Only the mother
    • Only the mother and the father
    • Only the parents and the grandparents
    • The parents, their other children, and the grandparents
  6. Bad news should be given to parents:
    • Only when the mother has fully recovered from her delivery
    • Only by a doctor
    • As soon as possible
    • Only after they have been given a sedative
  7. Parents who visit a sick infant in the nursery should:
    • Wash their hands before touching the infant.
    • Not touch the infant to prevent the spread of infection.
    • Always wear masks.
    • Put on a sterile gown.
  8. The bereavement process:
    • Is normal.
    • Is only seen in very emotional people.
    • Is not experienced by well-educated people.
    • Should be prevented if possible to help the parents get over the death of their infant.
  9. What is usually the first stage in the bereavement process?
    • Anger
    • Denial
    • Depression
    • Bargaining
  10. A common sign of depression after an infant dies is:
    • Wanting to talk about the infant all the time
    • Being unable to sleep
    • An increased appetite
    • Headaches
  11. After an infant has died the nursing staff should:
    • Always put the mother in a single room.
    • Avoid speaking to the mother about the dead infant.
    • Force the parents to see the infant’s body.
    • Allow the parents to keep a memento, such as the name band, for the mother.
  12. What should you say to a mother who has had a stillbirth?
    • You are sorry that the infant died.
    • She should fall pregnant again as soon as possible.
    • She should try and forget about the infant.
    • She is lucky that the infant did not die after suffering for a few weeks in the nursery.
  13. How can communication between a clinic and the referral hospital be improved?
    • Only doctors should discuss transfers.
    • Do not ask for advice after hours.
    • Ask the ambulance service to decide when infants need to be transported.
    • Write good notes when infants are transferred.
  14. Which infants should be transferred to hospital?
    • All low birth weight infants
    • Preterm infants, especially infants below 36 weeks
    • All twins
    • All jaundiced infants
  15. What is the best method of keeping an infant warm during transfer?
    • Allow the nurse to hold the infant in her arms.
    • Put the infant into a box with hot water bottles.
    • Wrap the infant in plastic sheeting.
    • Allow parents to provide kangaroo mother care.
  16. What is one of the greatest dangers during transfer?
    • Vomiting
    • Hypoglycaemia
    • Hyperthermia (getting too hot)
    • Cot death
  17. What is the expected low birth weight rate in a developing country?
    • Less than 5%
    • Less than 10%
    • More than 10%
    • More than 50%
  18. What is the early neonatal mortality rate in most developing countries?
    • About 1/1000
    • About 5/1000
    • More than 10/1000
    • At least 50/1000
  19. Why is it important to know the low birth weight rate and mortality rates in the area where you work?
    • Many low birth weight infants indicates that the antenatal care is poor.
    • Few low birth weight infants suggests that health services are adequate.
    • A similar number of stillbirths and early neonatal deaths suggests that the community is poor and undeveloped.
    • Few low birth weight infants but a high early neonatal mortality rate suggests that the perinatal health services are inadequate.
  20. What is a common cause of early neonatal death in a developing country?
    • Intrapartum hypoxia
    • Acquired immunodeficiency syndrome (AIDS)
    • Postterm pregnancy
    • Cot death