[Type here]
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
1. Which principle\ of\teaching\ should\ the\ nurse\ use\ to\ ensure\ learning\ in\ a\ family\ situation?
a. Motivate\ the\ family\with\ praise\ and\ positive\ feedback.
b. Learning\ is\ best\ accomplished\ with\the\ lecture\ format.
c. Present\ complex\ subject\ material\ first\ while\ the\ family\ is\ alert\ and\ ready\to\ learn.
d. Families\should\ be\ taught\ using\ medical\ jargon\ so\ they\will\ be\ able\ to\ understand\
the\ technical\ language\ used\ by\ physicians.
ANS:\ A
Praise\ and\ positive\ feedback\ are\ particularly\ important\ when\ a\ family\ is\ trying\ to\ master\ a\
frustrating\ task\ such\ as\ breastfeeding.\ A\ lively\ discussion\ stimulates\ more\ learning\ than\ a\
straight\ lecture,\ which\ tends\ to\ inhibit\ questions.\ Learning\ is\ enhanced\ when\ the\ teaching\ is\
structured\ to\ present\ the\ simple\ tasks\ before\ the\ complex\ material.\ Even\ though\ a\ family\ may\
understand\ English\ fairly\well,\ they\ may\ not\ understand\ the\ medical\terminology\or\ slang\ terms\
that\ are\ used.
PTS:\ 1\ DIF:\ Cognitive\ Level:\ Application\ REF:\ 18,\ 19
OBJ:\ Nursing\ Process\ Step:\ Planning\ MSC:\ Client\ Needs:\ Health\Promotion\ and\ Maintenance
2. Which\nursing\ intervention\ is\ an\ independent\ function\ of\the\ nurse?
a. Administering\ oral\analgesics
b. Requesting\diagnostic\studies
c. Teaching\ the\ client\ perineal\care
d. Providing\ wound\ care\ to\ a\ surgical\ incision
,[Type here]
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
ANS:\ C
Nurses\ are\ now\ responsible\ for\ various\ independent\ functions,\ including\ teaching,\ counseling,\
and\ intervening\ in\ nonmedical\ problems.\ Interventions\ initiated\ by\ the\ physician\ and\ carried\ out\
by\ the\ nurse\ are\ called\ dependent\ functions.\ Administrating\ oral\ analgesics\ is\ a\ dependent\
function;\ it\ is\ initiated\ by\a\ physician\ and\ carried\ out\ by\a\ nurse.\ Requesting\ diagnostic\ studies\ is\
a\ dependent\ function.\ Providing\ wound\ care\ is\ a\ dependent\ function;\ it\ is\ usually\ initiated\ by\the\
physician\ through\ direct\ orders\ or\ protocol.
PTS:\ 1\ DIF:\ Cognitive\ Level:\ Understanding\ REF:\ 24\
OBJ:\ Nursing\ Process\ Step:\ Assessment
MSC:\ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment
3. Which\ most\ therapeutic\ response\ to\ the\ clients\ statement,\ Im\afraid\ to\ have\ a\ cesarean\ birth\
should\ be\ made\ by\ the\ nurse?
a. Everything\ will\ be\ OK.
b. Dont\ worry\about\ it.\ It\ will\ be\ over\ soon.
c. What\ concerns\ you\ most\ about\ a\cesarean\birth?
d. The\ physician\ will\ be\ in\ later\ and\ you\ can\talk\ to\ him.
ANS:\ C
The\ response,\ What\ concerns\ you\ most\ about\ a\ cesarean\ birth\ focuses\ on\ what\ the\ client\ is\
saying\ and\ asks\ for\ clarification,\ which\ is\ the\ most\ therapeutic\ response.\ The\ response,\
Everything\ will\ be\ ok\ is\ belittling\ the\ clients\ feelings.\ The\ response,\ Dont\ worry\ about\ it.\ It\ will\
be\ over\ soon\ will\ indicate\ that\the\ clients\ feelings\ are\ not\ important.\ The\ response,\ The\ physician\
will\ be\ in\ later\ and\ you\ can\ talk\ to\ him\ does\ not\ allow\ the\ client\ to\ verbalize\ her\ feelings\ when\
she\ wishes\ to\ do\ that.
PTS:\ 1\DIF:\ Cognitive\ Level:\ Application\REF:\ 18\
OBJ:\ Nursing\ Process\ Step:\ Implementation
,[Type here]
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
MSC:\Client\ Needs:\ Psychosocial\Integrity
4. Which\action\should\ the\ nurse\ take\to\ evaluate\ the\clients\ learning\ about\ performing\ infant\
care?
a. Demonstrate\ infant\ care\ procedures.
b. Allow\ the\ client\ to\ verbalize\ the\ procedure.
c. Routinely\assess\ the\ infant\ for\ cleanliness.
d. Observe\ the\ client\ as\ she\ performs\ the\ procedure.
ANS:\ D
The\ clients\ correct\ performance\ of\the\ procedure\ under\ the\ nurses\ supervision\ is\ the\ best\ proof\of\
her\ ability.\ Demonstration\ is\ an\ excellent\ teaching\ method,\ but\ not\ an\ evaluation\ method.\ During\
verbalization\ of\ the\ procedure,\ the\ nurse\ may\ not\ pick\ up\ on\ techniques\ that\ are\ incorrect.\ It\ is\
not\ the\ best\ tool\ for\ evaluation.\ Routinely\ assessing\ the\ infant\ for\ cleanliness\ will\ not\ ensure\ that\
the\ proper\ procedure\ is\ carried\ out.\ The\ nurse\ may\ miss\ seeing\ that\ unsafe\ techniques\ being\
used.
PTS:\ 1\ DIF:\ Cognitive\ Level:\ Application\ REF:\ 21
OBJ:\ Nursing\ Process\ Step:\ Evaluation\ MSC:\ Client\ Needs:\ Health\ Promotion\ and\ Maintenance
5. A\nurse\ is\ reviewing\ teaching\ and\ learning\ principles.\ Which\situation\ is\ most\ conducive\ to\
learning?
a. An\auditorium\ is\ being\ used\ as\ a\ classroom\ for\ 300\ students.
b. A\teacher\ who\ speaks\ very\ little\ Spanish\ is\ teaching\ a\ class\ of\Hispanic\ students.
c. A\class\ is\ composed\ of\students\ of\ various\ ages\ and\ educational\ backgrounds.
d. An\ Asian\ nurse\ provides\ nutritional\ information\ to\ a\ group\of\pregnant\ Asian\
women.
ANS:\ D
, [Type here]
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
A\ clients\ culture\ influences\ the\ learning\ process;\ thus,\ a\ situation\ that\ is\ most\ conducive\ to\
learning\ is\ one\ in\ which\ the\ teacher\ has\ knowledge\ and\ understanding\ of\ the\ clients\ cultural\
beliefs.\ A\ large\ class\ is\ not\ conducive\ to\ learning.\ It\ does\ not\ allow\ questions,\ and\ the\ teacher\
cannot\ see\ nonverbal\ cues\ from\ the\ students\ to\ ensure\ understanding.\ The\ ability\ to\ understand\
the\ language\ in\ which\ teaching\ is\ done\ determines\ how\ much\ the\ client\ learns.\ Clients\ for\ whom\
English\ is\ not\their\ primary\language\ may\ not\ understand\ idioms,\ nuances,\ slang\ terms,\ informed\
usage\ of\ words,\ or\ medical\ terms.\ The\ teacher\ should\ be\ fluent\ in\ the\ language\ of\ the\ student.
Developmental\levels\ and\ educational\ levels\ influence\ how\ a\ person\ learns\ best.\ For\the\ teacher\
to\ present\ the\ information\ in\ the\ best\ way,\ the\ class\ should\ be\ at\ the\ same\ level.
PTS:\ 1\ DIF:\ Cognitive\ Level:\ Application\ REF:\ 20
OBJ:\ Nursing\ Process\ Step:\Planning\ MSC:\ Client\ Needs:\ Psychosocial\Integrity
6. Which\ is\ the\ step\of\the\ nursing\ process\ in\ which\ the\ nurse\ determines\ the\ appropriate\
interventions\ for\ the\ identified\ nursing\ diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:\ A
The\ third\ step\ in\ the\ nursing\ process\ involves\ planning\ care\ for\ problems\ that\ were\ identified\
during\ assessment.\ The\ evaluation\phase\ is\ determining\ whether\ the\ goals\ have\ been\ met.\ During\
the\ assessment\ phase,\ data\ are\ collected.\ The\ intervention\ phase\ is\ when\ the\ plan\ of\ care\ is\
carried\ out.
PTS:\ 1\DIF:\ Cognitive\ Level:\ Understanding\ REF:\ 24\
OBJ:\ Nursing\ Process\ Step:\ Planning
MSC:\ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
MULTIPLE CHOICE
1. Which principle\ of\teaching\ should\ the\ nurse\ use\ to\ ensure\ learning\ in\ a\ family\ situation?
a. Motivate\ the\ family\with\ praise\ and\ positive\ feedback.
b. Learning\ is\ best\ accomplished\ with\the\ lecture\ format.
c. Present\ complex\ subject\ material\ first\ while\ the\ family\ is\ alert\ and\ ready\to\ learn.
d. Families\should\ be\ taught\ using\ medical\ jargon\ so\ they\will\ be\ able\ to\ understand\
the\ technical\ language\ used\ by\ physicians.
ANS:\ A
Praise\ and\ positive\ feedback\ are\ particularly\ important\ when\ a\ family\ is\ trying\ to\ master\ a\
frustrating\ task\ such\ as\ breastfeeding.\ A\ lively\ discussion\ stimulates\ more\ learning\ than\ a\
straight\ lecture,\ which\ tends\ to\ inhibit\ questions.\ Learning\ is\ enhanced\ when\ the\ teaching\ is\
structured\ to\ present\ the\ simple\ tasks\ before\ the\ complex\ material.\ Even\ though\ a\ family\ may\
understand\ English\ fairly\well,\ they\ may\ not\ understand\ the\ medical\terminology\or\ slang\ terms\
that\ are\ used.
PTS:\ 1\ DIF:\ Cognitive\ Level:\ Application\ REF:\ 18,\ 19
OBJ:\ Nursing\ Process\ Step:\ Planning\ MSC:\ Client\ Needs:\ Health\Promotion\ and\ Maintenance
2. Which\nursing\ intervention\ is\ an\ independent\ function\ of\the\ nurse?
a. Administering\ oral\analgesics
b. Requesting\diagnostic\studies
c. Teaching\ the\ client\ perineal\care
d. Providing\ wound\ care\ to\ a\ surgical\ incision
,[Type here]
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
ANS:\ C
Nurses\ are\ now\ responsible\ for\ various\ independent\ functions,\ including\ teaching,\ counseling,\
and\ intervening\ in\ nonmedical\ problems.\ Interventions\ initiated\ by\ the\ physician\ and\ carried\ out\
by\ the\ nurse\ are\ called\ dependent\ functions.\ Administrating\ oral\ analgesics\ is\ a\ dependent\
function;\ it\ is\ initiated\ by\a\ physician\ and\ carried\ out\ by\a\ nurse.\ Requesting\ diagnostic\ studies\ is\
a\ dependent\ function.\ Providing\ wound\ care\ is\ a\ dependent\ function;\ it\ is\ usually\ initiated\ by\the\
physician\ through\ direct\ orders\ or\ protocol.
PTS:\ 1\ DIF:\ Cognitive\ Level:\ Understanding\ REF:\ 24\
OBJ:\ Nursing\ Process\ Step:\ Assessment
MSC:\ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment
3. Which\ most\ therapeutic\ response\ to\ the\ clients\ statement,\ Im\afraid\ to\ have\ a\ cesarean\ birth\
should\ be\ made\ by\ the\ nurse?
a. Everything\ will\ be\ OK.
b. Dont\ worry\about\ it.\ It\ will\ be\ over\ soon.
c. What\ concerns\ you\ most\ about\ a\cesarean\birth?
d. The\ physician\ will\ be\ in\ later\ and\ you\ can\talk\ to\ him.
ANS:\ C
The\ response,\ What\ concerns\ you\ most\ about\ a\ cesarean\ birth\ focuses\ on\ what\ the\ client\ is\
saying\ and\ asks\ for\ clarification,\ which\ is\ the\ most\ therapeutic\ response.\ The\ response,\
Everything\ will\ be\ ok\ is\ belittling\ the\ clients\ feelings.\ The\ response,\ Dont\ worry\ about\ it.\ It\ will\
be\ over\ soon\ will\ indicate\ that\the\ clients\ feelings\ are\ not\ important.\ The\ response,\ The\ physician\
will\ be\ in\ later\ and\ you\ can\ talk\ to\ him\ does\ not\ allow\ the\ client\ to\ verbalize\ her\ feelings\ when\
she\ wishes\ to\ do\ that.
PTS:\ 1\DIF:\ Cognitive\ Level:\ Application\REF:\ 18\
OBJ:\ Nursing\ Process\ Step:\ Implementation
,[Type here]
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
MSC:\Client\ Needs:\ Psychosocial\Integrity
4. Which\action\should\ the\ nurse\ take\to\ evaluate\ the\clients\ learning\ about\ performing\ infant\
care?
a. Demonstrate\ infant\ care\ procedures.
b. Allow\ the\ client\ to\ verbalize\ the\ procedure.
c. Routinely\assess\ the\ infant\ for\ cleanliness.
d. Observe\ the\ client\ as\ she\ performs\ the\ procedure.
ANS:\ D
The\ clients\ correct\ performance\ of\the\ procedure\ under\ the\ nurses\ supervision\ is\ the\ best\ proof\of\
her\ ability.\ Demonstration\ is\ an\ excellent\ teaching\ method,\ but\ not\ an\ evaluation\ method.\ During\
verbalization\ of\ the\ procedure,\ the\ nurse\ may\ not\ pick\ up\ on\ techniques\ that\ are\ incorrect.\ It\ is\
not\ the\ best\ tool\ for\ evaluation.\ Routinely\ assessing\ the\ infant\ for\ cleanliness\ will\ not\ ensure\ that\
the\ proper\ procedure\ is\ carried\ out.\ The\ nurse\ may\ miss\ seeing\ that\ unsafe\ techniques\ being\
used.
PTS:\ 1\ DIF:\ Cognitive\ Level:\ Application\ REF:\ 21
OBJ:\ Nursing\ Process\ Step:\ Evaluation\ MSC:\ Client\ Needs:\ Health\ Promotion\ and\ Maintenance
5. A\nurse\ is\ reviewing\ teaching\ and\ learning\ principles.\ Which\situation\ is\ most\ conducive\ to\
learning?
a. An\auditorium\ is\ being\ used\ as\ a\ classroom\ for\ 300\ students.
b. A\teacher\ who\ speaks\ very\ little\ Spanish\ is\ teaching\ a\ class\ of\Hispanic\ students.
c. A\class\ is\ composed\ of\students\ of\ various\ ages\ and\ educational\ backgrounds.
d. An\ Asian\ nurse\ provides\ nutritional\ information\ to\ a\ group\of\pregnant\ Asian\
women.
ANS:\ D
, [Type here]
Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank
A\ clients\ culture\ influences\ the\ learning\ process;\ thus,\ a\ situation\ that\ is\ most\ conducive\ to\
learning\ is\ one\ in\ which\ the\ teacher\ has\ knowledge\ and\ understanding\ of\ the\ clients\ cultural\
beliefs.\ A\ large\ class\ is\ not\ conducive\ to\ learning.\ It\ does\ not\ allow\ questions,\ and\ the\ teacher\
cannot\ see\ nonverbal\ cues\ from\ the\ students\ to\ ensure\ understanding.\ The\ ability\ to\ understand\
the\ language\ in\ which\ teaching\ is\ done\ determines\ how\ much\ the\ client\ learns.\ Clients\ for\ whom\
English\ is\ not\their\ primary\language\ may\ not\ understand\ idioms,\ nuances,\ slang\ terms,\ informed\
usage\ of\ words,\ or\ medical\ terms.\ The\ teacher\ should\ be\ fluent\ in\ the\ language\ of\ the\ student.
Developmental\levels\ and\ educational\ levels\ influence\ how\ a\ person\ learns\ best.\ For\the\ teacher\
to\ present\ the\ information\ in\ the\ best\ way,\ the\ class\ should\ be\ at\ the\ same\ level.
PTS:\ 1\ DIF:\ Cognitive\ Level:\ Application\ REF:\ 20
OBJ:\ Nursing\ Process\ Step:\Planning\ MSC:\ Client\ Needs:\ Psychosocial\Integrity
6. Which\ is\ the\ step\of\the\ nursing\ process\ in\ which\ the\ nurse\ determines\ the\ appropriate\
interventions\ for\ the\ identified\ nursing\ diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:\ A
The\ third\ step\ in\ the\ nursing\ process\ involves\ planning\ care\ for\ problems\ that\ were\ identified\
during\ assessment.\ The\ evaluation\phase\ is\ determining\ whether\ the\ goals\ have\ been\ met.\ During\
the\ assessment\ phase,\ data\ are\ collected.\ The\ intervention\ phase\ is\ when\ the\ plan\ of\ care\ is\
carried\ out.
PTS:\ 1\DIF:\ Cognitive\ Level:\ Understanding\ REF:\ 24\
OBJ:\ Nursing\ Process\ Step:\ Planning
MSC:\ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment
