TestBank ForMaternal-
q q q
Child Nursing 6th Edition Chapter 1-
q q q q q
55 Complete 2024: UPDATED 2025 WIT
q qq q q q
H VERIFIED QUESTIONS AND ANSW
q q q q
ERS
Test Bank Complete For
q q q
Maternal Child Nursing 6th Edition
q q q q
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKi
q q q q q q q q q q q
nney: Evolve Resources for Maternal-Child Nursing, 6th Edition
q q q q q q q
MULTIPLE CHOICE q
1. Which factor significantly contributed to the shift from home births to hospital births in the ea
q q q q q q q q q q q q q q q
rly 20th century?
q q
a. Puerperal sepsis was identified as a risk factor in labor and delivery. q q q q q q q q q q q
b. Forceps were developed to facilitate difficult births. q q q q q q
c. The importance of early parental-infant contact was identified.
q q q q q q q
d. Technologic developments became available to physicians. q q q q q
ANS: D q
Technologic developments were available to physicians, not lay midwives. So in-
q q q q q q q q q q
hospital births increased in order to take advantage of these advancements. Puerperal sepsis has b
q q q q q q q q q q q q q q
een a known problem for generations. In the late 19th century, Semmelweis discovered how it co
q q q q q q q q q q q q q q q
uld be prevented with improved hygienic practices. The development of forceps is an example o
q q q q q q q q q q q q q q
f a technology advance made in the early 20th century but is not the only reason birthplaces mov
q q q q q q q q q q q q q q q q q
ed. Unlike home births, early hospital births hindered bonding between parents and their infants.
q q q q q q q q q q q q q
PTS:1 DIF: q
Cognitive Level: Remembering q q q
OBJ:Integrated Process: Teaching-Learning q q
MSC:Client Needs: Safe and Effective Care Environment q q q q q q
2. Family-centered maternity care developed in response to q q q q q q
a. demands by physicians for family involvement in childbirth. q q q q q q q
b. the Sheppard-Towner Act of 1921. q q q q
c. parental requests that infants be allowed to remain with them rather than in a nu
q q q q q q q q q q q q q q
rsery.
d. changes in pharmacologic management of labor. q q q q q
ANS: C q
As research began to identify the benefits of early extended parent-
q q q q q q q q q q
infant contact, parents began to insist that the infant remain with them. This gradually develope
q q q q q q q q q q q q q q
d into the practice of rooming-in and finally to family-centered maternity care. Family-
q q q q q q q q q q q q
centered care was a request by parents, not physicians. The Sheppard-
q q q q q q q q q q
Towner Act of 1921 provided funds for q q q q q q
state-
managed programs for mothers and children. The changes in pharmacologic management of lab
q q q q q q q q q q q q
or were not a factor in family-centered maternity care.
q q q q q q q q
PTS:1 DIF: q
Cognitive Level: Remembering q q q
OBJ:Integrated Process: Teaching- q q
Learning MSC:Client Needs: Psychosocial Integrityq q q q
3. Which setting for childbirth allows the least amount of parent-infant contact?
q q q q q q q q q q
a. Labor/delivery/recovery/postpartum room q
b. Birth center q
c. Traditional hospital birth q q
d. Home birth q
, ANS: C q
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
q q q q q q q q q q q q q q q q
d the infant is cared for in a separate nursery. While this is slowly changing, to more closely resem
q q q q q q q q q q q q q q q q q q
ble other birthing models, the traditional hospital birth still offers the least amount of parent-
q q q q q q q q q q q q q q
infant contact. The labor/delivery/recovery/postpartum room setting allows increased parent-
q q q q q q q q
infant contact. Birth centers are set up to allow an increase in parent-infant contact.
q q q q q q q q q q q q q
Home births allow an increase in parent-infant contact.
q q q q q q q
PTS:1 DIF: q Cognitive Level: Remembering q q
OBJ:Nursing Process: Planning MSC:Client Needs: Health Promotion and M q q q q q q q q
aintenance
4. The
maternity nurse should have a clear understanding of the correct use of a clinical pathw
q q q q q q q q q q q q q q q
ay. One characteristic of clinical pathways is that they
q q q q q q q q
a. are developed and implemented by nurses.
q q q q q
b. are used primarily in the pediatric setting.
q q q q q q
c. set specific time lines for sequencing interventions.
q q q q q q
d. are part of the nursing process. q q q q q
ANS: C q
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a part
q q q q q q q q q q q q q
icular health problem. They are used to identify patient outcomes, specify timelines to achieve th
q q q q q q q q q q q q q q
ose outcomes, direct appropriate interventions and sequencing of interventions, include interven
q q q q q q q q q q
tions from a variety of disciplines, promote collaboration, and involve a comprehensive approac
q q q q q q q q q q q q
h to care. They are developed by multiple health care professionals and reflect interdisciplinary
q q q q q q q q q q q q q q
care. They can be used in multiple settings and for patients throughout the life span. They are not
q q q q q q q q q q q q q q q q q q
part of the nursing process but can be used in conjunction with the nursing process to provide car
q q q q q q q q q q q q q q q q q
e to patients.
q q
PTS:1 DIF: q Cognitive Level: Remembering q q
OBJ:Nursing Process: Planning MSC:Client Needs: Safe and Effective Care q q q q q q q q q
Environment
5. A nurse wishes to work to reduce infant mortality in the United States. Which activity would thi
q q q q q q q q q q q q q q q q
s nurse most likely participate in?
q q q q q
a. Creating pamphlets in several different languages using an interpreter.
q q q q q q q q
b. Assisting women to enroll in Medicaid by their third trimester. q q q q q q q q q
c. Volunteering to provide prenatal care at community centers. q q q q q q q
d. Working as an intake counselor at a women‘s shelter. q q q q q q q q
ANS: C q
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most likel
q q q q q q q q q q q q q q q
y participate in community service providing prenatal care outreach activities in community cen
q q q q q q q q q q q q
ters, particularly in low-
q q q
income areas. Pamphlets in other languages, enrolling in Medicaid, and working at a women‘s sh
q q q q q q q q q q q q q q
elter all might impact infant mortality, but the greatest effect would be from assisting women to
q q q q q q q q q q q q q q q q
get consistent prenatal care.
q q q
PTS:1 DIF: Cognitive Level: Applying
q q q
OBJ:Nursing Process: Implementation MSC:Client Needs: Health Promotion and Maintenance
q q q q q q q
6. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
q q q q q q q q q q
a. The report assures the legal department that no problem exists.
q q q q q q q q q
b. Reports are a permanent part of the patient‘s chart. q q q q q q q q
, c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
q q q q q q q q q q q q
d. This report is a form of documentation of an event that may result in legal action.
q q q q q q q q q q q q q q q
ANS: D q
An incident report is used when something occurs that might result in legal action, such as a patie
q q q q q q q q q q q q q q q q q
nt fall or medication error. It warns the legal department that there may be a problem in a particula
q q q q q q q q q q q q q q q q q q
r patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘ notes should n
q q q q q q q q q q q q q q q q q
ot contain any reference to them.
q q q q q
PTS:1 DIF: q
Cognitive Level: Remembering OBJ:I q q q
ntegrated Process: Communication and Documentation MSC:
q q q q q
Client Needs: Safe and Effective Care Environment
q q q q q q
7. Which woman would be most likely to seek prenatal care?
q q q q q q q q q
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
q q q q q q q q q q
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
q q q q q q q q q q q q q q q
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
q q q q q q q q q q q q
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
q q q q q q q q q q q q q q
ANS: B q
The patient who acknowledges the pregnancy early, has access to health care, and has no reason
q q q q q q q q q q q q q q q q
to avoid health care is most likely to seek prenatal care. Being in denial about the pregnancy incr
q q q q q q q q q q q q q q q q q
eases the risk of not seeking care. This patient is also 15, and other social factors may discourage
q q q q q q q q q q q q q q q q q q
her from seeking care as well. Women who abuse substances are less likely to receive prenatal ca
q q q q q q q q q q q q q q q q
re. Some women see pregnancy and delivery as a natural occurrence and do not seek health care.
q q q q q q q q q q q q q q q q
PTS:1 DIF: Cognitive Level: Understanding
q q q
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
q q q q q q q
8. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The nurse
q q q q q q q q q q q q q q q
administers an analgesic but does not perform any assessments. The woman then has a tonic-
q q q q q q q q q q q q q q q
clonic seizure, falls out of bed, and fractures her femur. How would the actions of the nurse be
q q q q q q q q q q q q q q q q q q
interpreted in relation to standards of care? q q q q q q
a. Negligent: the nurse failed to assess the woman for possible complications q q q q q q q q q q
b. Negligent: because the nurse medicated the woman q q q q q q
c. Not negligent: the woman had signed a waiver concerning the use of side rails
q q q q q q q q q q q q q
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as th
q q q q q q q q q q q q q q q
ey occurred q
ANS: A q
There are four elements to malpractice, which is negligence in the performance of professional
q q q q q q q q q q q q q q
duties: duty, breach of duty, damage, and proximate cause. The nurse was negligent because sh
q q q q q q q q q q q q q q
e or he did not perform any assessments, which is the first step of the nursing process and is a sta
q q q q q q q q q q q q q q q q q q q q
ndard of care. By not assessing the patient, the nurse did not meet established standards of care,
q q q q q q q q q q q q q q q q q
and thus is guilty of professional negligence, or malpractice.
q q q q q q q q
PTS:1 DIF: q Cognitive Level: Remembering q q
OBJ:Nursing Process: Evaluation MSC:Client Needs: Safe and Effective Care q q q q q q q q q
Environment
9. Which patient situation fails to meet the first requirement of informed consent?
q q q q q q q q q q q
a. The patient does not understand the physician‘s explanations.
q q q q q q q
q q q
Child Nursing 6th Edition Chapter 1-
q q q q q
55 Complete 2024: UPDATED 2025 WIT
q qq q q q
H VERIFIED QUESTIONS AND ANSW
q q q q
ERS
Test Bank Complete For
q q q
Maternal Child Nursing 6th Edition
q q q q
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKi
q q q q q q q q q q q
nney: Evolve Resources for Maternal-Child Nursing, 6th Edition
q q q q q q q
MULTIPLE CHOICE q
1. Which factor significantly contributed to the shift from home births to hospital births in the ea
q q q q q q q q q q q q q q q
rly 20th century?
q q
a. Puerperal sepsis was identified as a risk factor in labor and delivery. q q q q q q q q q q q
b. Forceps were developed to facilitate difficult births. q q q q q q
c. The importance of early parental-infant contact was identified.
q q q q q q q
d. Technologic developments became available to physicians. q q q q q
ANS: D q
Technologic developments were available to physicians, not lay midwives. So in-
q q q q q q q q q q
hospital births increased in order to take advantage of these advancements. Puerperal sepsis has b
q q q q q q q q q q q q q q
een a known problem for generations. In the late 19th century, Semmelweis discovered how it co
q q q q q q q q q q q q q q q
uld be prevented with improved hygienic practices. The development of forceps is an example o
q q q q q q q q q q q q q q
f a technology advance made in the early 20th century but is not the only reason birthplaces mov
q q q q q q q q q q q q q q q q q
ed. Unlike home births, early hospital births hindered bonding between parents and their infants.
q q q q q q q q q q q q q
PTS:1 DIF: q
Cognitive Level: Remembering q q q
OBJ:Integrated Process: Teaching-Learning q q
MSC:Client Needs: Safe and Effective Care Environment q q q q q q
2. Family-centered maternity care developed in response to q q q q q q
a. demands by physicians for family involvement in childbirth. q q q q q q q
b. the Sheppard-Towner Act of 1921. q q q q
c. parental requests that infants be allowed to remain with them rather than in a nu
q q q q q q q q q q q q q q
rsery.
d. changes in pharmacologic management of labor. q q q q q
ANS: C q
As research began to identify the benefits of early extended parent-
q q q q q q q q q q
infant contact, parents began to insist that the infant remain with them. This gradually develope
q q q q q q q q q q q q q q
d into the practice of rooming-in and finally to family-centered maternity care. Family-
q q q q q q q q q q q q
centered care was a request by parents, not physicians. The Sheppard-
q q q q q q q q q q
Towner Act of 1921 provided funds for q q q q q q
state-
managed programs for mothers and children. The changes in pharmacologic management of lab
q q q q q q q q q q q q
or were not a factor in family-centered maternity care.
q q q q q q q q
PTS:1 DIF: q
Cognitive Level: Remembering q q q
OBJ:Integrated Process: Teaching- q q
Learning MSC:Client Needs: Psychosocial Integrityq q q q
3. Which setting for childbirth allows the least amount of parent-infant contact?
q q q q q q q q q q
a. Labor/delivery/recovery/postpartum room q
b. Birth center q
c. Traditional hospital birth q q
d. Home birth q
, ANS: C q
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
q q q q q q q q q q q q q q q q
d the infant is cared for in a separate nursery. While this is slowly changing, to more closely resem
q q q q q q q q q q q q q q q q q q
ble other birthing models, the traditional hospital birth still offers the least amount of parent-
q q q q q q q q q q q q q q
infant contact. The labor/delivery/recovery/postpartum room setting allows increased parent-
q q q q q q q q
infant contact. Birth centers are set up to allow an increase in parent-infant contact.
q q q q q q q q q q q q q
Home births allow an increase in parent-infant contact.
q q q q q q q
PTS:1 DIF: q Cognitive Level: Remembering q q
OBJ:Nursing Process: Planning MSC:Client Needs: Health Promotion and M q q q q q q q q
aintenance
4. The
maternity nurse should have a clear understanding of the correct use of a clinical pathw
q q q q q q q q q q q q q q q
ay. One characteristic of clinical pathways is that they
q q q q q q q q
a. are developed and implemented by nurses.
q q q q q
b. are used primarily in the pediatric setting.
q q q q q q
c. set specific time lines for sequencing interventions.
q q q q q q
d. are part of the nursing process. q q q q q
ANS: C q
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a part
q q q q q q q q q q q q q
icular health problem. They are used to identify patient outcomes, specify timelines to achieve th
q q q q q q q q q q q q q q
ose outcomes, direct appropriate interventions and sequencing of interventions, include interven
q q q q q q q q q q
tions from a variety of disciplines, promote collaboration, and involve a comprehensive approac
q q q q q q q q q q q q
h to care. They are developed by multiple health care professionals and reflect interdisciplinary
q q q q q q q q q q q q q q
care. They can be used in multiple settings and for patients throughout the life span. They are not
q q q q q q q q q q q q q q q q q q
part of the nursing process but can be used in conjunction with the nursing process to provide car
q q q q q q q q q q q q q q q q q
e to patients.
q q
PTS:1 DIF: q Cognitive Level: Remembering q q
OBJ:Nursing Process: Planning MSC:Client Needs: Safe and Effective Care q q q q q q q q q
Environment
5. A nurse wishes to work to reduce infant mortality in the United States. Which activity would thi
q q q q q q q q q q q q q q q q
s nurse most likely participate in?
q q q q q
a. Creating pamphlets in several different languages using an interpreter.
q q q q q q q q
b. Assisting women to enroll in Medicaid by their third trimester. q q q q q q q q q
c. Volunteering to provide prenatal care at community centers. q q q q q q q
d. Working as an intake counselor at a women‘s shelter. q q q q q q q q
ANS: C q
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most likel
q q q q q q q q q q q q q q q
y participate in community service providing prenatal care outreach activities in community cen
q q q q q q q q q q q q
ters, particularly in low-
q q q
income areas. Pamphlets in other languages, enrolling in Medicaid, and working at a women‘s sh
q q q q q q q q q q q q q q
elter all might impact infant mortality, but the greatest effect would be from assisting women to
q q q q q q q q q q q q q q q q
get consistent prenatal care.
q q q
PTS:1 DIF: Cognitive Level: Applying
q q q
OBJ:Nursing Process: Implementation MSC:Client Needs: Health Promotion and Maintenance
q q q q q q q
6. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
q q q q q q q q q q
a. The report assures the legal department that no problem exists.
q q q q q q q q q
b. Reports are a permanent part of the patient‘s chart. q q q q q q q q
, c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
q q q q q q q q q q q q
d. This report is a form of documentation of an event that may result in legal action.
q q q q q q q q q q q q q q q
ANS: D q
An incident report is used when something occurs that might result in legal action, such as a patie
q q q q q q q q q q q q q q q q q
nt fall or medication error. It warns the legal department that there may be a problem in a particula
q q q q q q q q q q q q q q q q q q
r patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘ notes should n
q q q q q q q q q q q q q q q q q
ot contain any reference to them.
q q q q q
PTS:1 DIF: q
Cognitive Level: Remembering OBJ:I q q q
ntegrated Process: Communication and Documentation MSC:
q q q q q
Client Needs: Safe and Effective Care Environment
q q q q q q
7. Which woman would be most likely to seek prenatal care?
q q q q q q q q q
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
q q q q q q q q q q
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
q q q q q q q q q q q q q q q
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
q q q q q q q q q q q q
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
q q q q q q q q q q q q q q
ANS: B q
The patient who acknowledges the pregnancy early, has access to health care, and has no reason
q q q q q q q q q q q q q q q q
to avoid health care is most likely to seek prenatal care. Being in denial about the pregnancy incr
q q q q q q q q q q q q q q q q q
eases the risk of not seeking care. This patient is also 15, and other social factors may discourage
q q q q q q q q q q q q q q q q q q
her from seeking care as well. Women who abuse substances are less likely to receive prenatal ca
q q q q q q q q q q q q q q q q
re. Some women see pregnancy and delivery as a natural occurrence and do not seek health care.
q q q q q q q q q q q q q q q q
PTS:1 DIF: Cognitive Level: Understanding
q q q
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
q q q q q q q
8. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The nurse
q q q q q q q q q q q q q q q
administers an analgesic but does not perform any assessments. The woman then has a tonic-
q q q q q q q q q q q q q q q
clonic seizure, falls out of bed, and fractures her femur. How would the actions of the nurse be
q q q q q q q q q q q q q q q q q q
interpreted in relation to standards of care? q q q q q q
a. Negligent: the nurse failed to assess the woman for possible complications q q q q q q q q q q
b. Negligent: because the nurse medicated the woman q q q q q q
c. Not negligent: the woman had signed a waiver concerning the use of side rails
q q q q q q q q q q q q q
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as th
q q q q q q q q q q q q q q q
ey occurred q
ANS: A q
There are four elements to malpractice, which is negligence in the performance of professional
q q q q q q q q q q q q q q
duties: duty, breach of duty, damage, and proximate cause. The nurse was negligent because sh
q q q q q q q q q q q q q q
e or he did not perform any assessments, which is the first step of the nursing process and is a sta
q q q q q q q q q q q q q q q q q q q q
ndard of care. By not assessing the patient, the nurse did not meet established standards of care,
q q q q q q q q q q q q q q q q q
and thus is guilty of professional negligence, or malpractice.
q q q q q q q q
PTS:1 DIF: q Cognitive Level: Remembering q q
OBJ:Nursing Process: Evaluation MSC:Client Needs: Safe and Effective Care q q q q q q q q q
Environment
9. Which patient situation fails to meet the first requirement of informed consent?
q q q q q q q q q q q
a. The patient does not understand the physician‘s explanations.
q q q q q q q
