Quiz 15: Communication

Please choose the one, most correct answer to each question or statement.

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