TEST BANK FOR MATERNAL AND CHILD NURSING CARE, 5TH EDITION, BY LONDON

TEST BANK FOR MATERNAL AND CHILD NURSING CARE, 5TH EDITION, BY LONDON TEST BANK FOR MATERNAL AND CHILD NURSING CARE , 5TH EDITION,BY LONDON, ISBN-10: 8 SOLUTION MANUAL ALL CHAPTERS QUESTIONS AND ANSWERS FOR REVISION SUCCESS A+ TABLE OF CONTENTS • PART 1. INTRODUCTION TO FAMILY-CENTERED CARE • 1. Contemporary Maternal, Newborn, and Child Health Nursing • 2. Culture and the Family • 3. Genetic and Genomic Influences in Maternal, Newborn, and Child Health • PART 2. WOMEN’S HEALTH • 4. Reproductive Anatomy and Physiology • 5. Health Promotion for Women • 6. Common Gynecologic Problems • PART 3. PREGNANCY AND THE FAMILY • 7. Conception and Fetal Development • 8. Physical and Psychological Changes of Pregnancy • 9. Antepartum Nursing Assessment • 10. The Expectant Family: Needs and Care • 11. Maternal Nutrition • 12. Pregnancy in Selected Populations • 13. Assessment of Fetal Well-Being • 14. Pregnancy at Risk: Pregestational Problems • 15. Pregnancy at Risk: Gestational Onset • PART 4. BIRTH AND THE FAMILY • 16. Processes and Stages of Labor and Birth • 17. Intrapartum Nursing Assessment • 18. The Family in Childbirth: Needs and Care • 19. Pharmacologic Pain Management • 20. Childbirth at Risk: Pre-Labor Complications • 21. Childbirth at Risk: Labor-Related Complications • 22. Birth-Related Procedures • PART 5. THE NEWBORN • 23. The Physiologic Responses of the Newborn to Birth • 24. Nursing Assessment of the Newborn • 25. The Normal Newborn: Needs, Care, and Feeding • 26. The Newborn at Risk: Conditions Present at Birth • 27. The Newborn at Risk: Birth-Related Stressors • PART 6. THE POSTPARTUM FAMILY • 28. Postpartum Adaptation and Nursing Assessment • 29. The Postpartum Family: Early Care Needs and Home Care • 30. The Postpartum Family at Risk • PART 7. CARE AND NEEDS OF CHILDREN • 31. Growth and Development • 32. Infant, Child, and Adolescent Nutrition • 33. Pediatric Assessment • 34. Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant • 35. Health Promotion and Maintenance: The Toddler, the Preschooler, and the School-Age Child • 36. Health Promotion and Maintenance: The Adolescent • 37. Family Assessment and Concepts of Nursing Care in the Community • 38. Nursing Considerations for the Child and Family with a Chronic Condition • 39. Nursing Considerations for the Hospitalized Child • 40. Pain Assessment and Management in Children • 41. The Child with a Life-Threatening Condition and End-of-Life Care • 42. Social and Environmental Influences on the Child • 43. Immunizations and Communicable Diseases • PART 8. CARING FOR CHILDREN WITH ALTERATIONS IN HEALTH STATUS • 44. The Child with Alterations in Fluid, Electrolyte, and Acid-Base Balance • 45. The Child with Alterations in Eye, Ear, Nose, and Throat Function • 46. The Child with Alterations in Respiratory Function • 47. The Child with Alterations in Cardiovascular Function • 48. The Child with Alterations in Immune Function • 49. The Child with Alterations in Hematologic Function • 50. The Child with Cancer • 51. The Child with Alterations in Gastrointestinal Function • 52. The Child with Alterations in Genitourinary Function • 53. The Child with Alterations in Endocrine Function • 54. The Child with Alterations in Neurological Function • 55. The Child with Alterations in Mental Health and Cognitive Function • 56. The Child with Alterations in Musculoskeletal Function • 57. The Child with Alterations in Skin Integrity Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing 1) A nurse is examining different nursing roles. Which statement best illustrates an advanced practice nursing role? 1. A registered nurse who is the manager of a large obstetric unit 2. A clinical nurse specialist working as a staff nurse on a mother–baby unit 3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections) 4. A clinical nurse specialist with whom other nurses consult for this nurse’s expertise in caring for high-risk infants Answer: 4 Explanation: 1. A registered nurse who is the manager of a large obstetric unit or one who is a circulating nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has graduated from an accredited program in nursing and completed the licensure examination. 2. A clinical nurse specialist working as a staff nurse on a mother–baby unit might have the qualifications for an advanced practice nursing staff but is not working in that capacity. 3. A registered nurse who is the manager of a large obstetric unit or one who is a circulating nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has graduated from an accredited program in nursing and completed the licensure examination. 4. A clinical nurse specialist with whom other nurses consult for expertise in caring for highrisk infants would illustrate an advanced practice nursing role. This nurse has specialized knowledge and competence in a specific clinical area, and is master’s-prepared. Page Ref: 3 Cognitive Level: Remembering Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a member of the health care team │AACN Essential Competencies: VI.1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e. scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, including overlaps │Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses. MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery. 2) What is the major focus of the nurse practitioner (NP)? 1. Leadership 2. Tertiary prevention 3. Physical and psychosocial clinical assessment 4. Independent care of the high-risk, pregnant client Answer: 3 Explanation: 1. Leadership might be a quality of the NP, but it is not the major focus. 2. The NP cannot do tertiary prevention as a major focus. 3. Physical and psychosocial clinical assessment is the major focus of the NP. 4. NPs cannot provide independent care of the high-risk pregnant client, but must work under a physician’s supervision. Page Ref: 3 Cognitive Level: Remembering Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a member of the health care team │AACN Essential Competencies: VI.1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e. scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, including overlaps │Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses. MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery. 3) What is the role of the certified nurse–midwife (CNM)? Select all that apply. 1. Give primary care for healthy newborns. 2. Be educated in two disciplines of nursing. 3. Give primary care for high-risk clients who are in hospital settings. 4. Obtain a physician consultation for all technical procedures at delivery. 5. Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth. Answer: 1, 2, 5 Explanation: 1. The CNM is prepared to manage independently the care of women at low risk for complications during pregnancy and birth and the care of healthy newborns. 2. The CNM is educated in the disciplines of nursing and midwifery. 3. CNMs cannot give primary care for high-risk clients who are in hospital settings. The physician provides the primary care. 4. The CNM does not need to obtain a physician consultation for all technical procedures at delivery. Situations in which the client is at risk, such as for a 4th-degree laceration or forceps delivery, would need physician consultation. 5. The CNM is prepared to manage independently the care of women at low risk for complications during pregnancy and birth and the care of healthy newborns. Page Ref: 3 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a member of the health care team │AACN Essential Competencies: VI.1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e. scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, including overlaps │Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses. MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery. 4) During the hospital admission process, a child’s parent asks for information about familycentered care. What should the nurse explain to this parent? 1. Mother is the principal caregiver in each family. 2. Father is the leader in each home; thus, all communications should include him. 3. Family serves as the constant influence and continuing support in the child’s life. 4. Child’s physician is the key person in ensuring the health of a child is maintained. Answer: 3 Explanation: 1. Culturally competent care recognizes that both matriarchal and patriarchal households exist. 2. Culturally competent care recognizes that both matriarchal and patriarchal households exist. 3. The foundation for the development of trusting relationships and partnerships with families is the recognition that the family is the principal caregiver, knows the unique nature of each individual child best, plays the vital role of meeting the child’s needs, and is responsible for ensuring each child’s health. 4. The physician is not present during the day-to-day routines in a child’s life. Page Ref: 3 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and respect for the diversity of human experience │AACN Essential Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences │NLN Competencies: Relationship Centered Care; Knowledge; The role of family, culture, and community in a person's development │Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the needs of childbearing and childrearing families. MNL Learning Outcome: 1.1.1. Relate the effect of culture and family to the childbearing experience. 5) A child is not enrolled in the Children’s Health Insurance Program (CHIP). What should the nurse do to encourage the family to consider enrolling the child in this program? 1. Assessment of the details of the family’s income and expenditures 2. Case management to limit costly, unnecessary duplication of services 3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility 4. Education of the family about the need for keeping regular well-child visit appointments Answer: 3 Explanation: 1. Financial assessment is more commonly the function of a social worker. 2. The case management activity mentioned will not provide a source of funding. 3. In the role of an advocate, a nurse will advance the interests of another by suggesting the family investigate its CHIP eligibility. 4. The educational effort described will not provide a source of funding. Page Ref: 6 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: information, communication, and education │ AACN Essential Competencies: V.12. Advocate for consumers and the nursing profession │ NLN Competencies: Relationship Centered Care; Practice; Communicate information effectively; listen openly and cooperatively │ Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and access to health care. MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the childbearing family. 6) The nurse is evaluating telephone calls made by the mothers of newborns in a community clinic. Which calls should the nurse make a priority? Select all that apply. 1. Mother who is 16 years old 2. Mother who is breastfeeding 3. Mother who is a single parent 4. Mother who gave birth to twins 2 weeks ago 5. Mother whose baby was born at 30 weeks’ gestation Answer: 1, 3, 4, 5 Explanation: 1. Infant mortality rates are higher for infants of teen mothers. 2. There are no data to support the mortality rate of infants who are being breastfed. 3. Infant mortality rates are higher among unmarried mothers. 4. Infant mortality rates are higher among infants born in multiple births. 5. Infant mortality rates are higher among infants born prematurely. Page Ref: 8 Cognitive Level: Analyzing Client Need/Sub: Health Promotion and Maintenance Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: information, communication, and education │ AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches │ NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions │Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further research questions. MNL Learning Outcome: 1.1.3. Relate various factors to their effect on pregnancy outcomes. 7) What is the maternity nurse’s best defense against an accusation of malpractice or negligence? 1. Follows the physician’s written orders 2. Acts on the advice of the nurse manager 3. Becomes certified as a nurse–midwife or nurse practitioner 4. Meets the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) standards of practice Answer: 4 Explanation: 1. Following the physician’s written orders is not enough to defend the nurse from accusations because the orders and/or advice might be wrong or unethical. 2. Acting on the advice of the nurse manager is not enough to defend the nurse from accusations because the orders and/or advice might be wrong or unethical. 3. Being a certified nurse–midwife or nurse practitioner does not defend the nurse against these accusations if she does not follow the AWHONN standards of practice. 4. Meeting the AWHONN standards of practice would cover the maternity nurse against an accusation of malpractice or negligence because the standards are rigorous and cover all bases of excellent nursing practice. Page Ref: 9 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral, ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment; Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students, patients, and families │ Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of maternal-child nursing. MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the childbearing family. 8) The nurse is coordinating a clinical research trial with pediatric clients. From which clients should the nurse seek assent to participate in the research? Select all that apply. 1. A 9-year-old client who qualifies to test a medication for muscular dystrophy 2. A precocious 4-year-old starting as a participant in a cystic fibrosis research study 3. A 10-year-old starting in an investigative study for clients with precocious puberty 4. A 7-year-old client with leukemia who has elected to receive a newly developed trial medication 5. A 13-year-old client beginning participation in a research program for attention deficit/hyperactivity disorder (ADHD) treatments Answer: 1, 3, 4, 5 Explanation: 1. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent. 2. The 4-year-old patient would qualify since the age of assent is 7 years old. 3. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent. 4. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent. 5. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent. Page Ref: 11 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral, ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment; Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students, patients, and families │ Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of maternal-child nursing. MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the childbearing family. 9) A 12-year-old pediatric client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure? 1. The nurse 2. The physician 3. The social worker 4. The unit secretary Answer: 2 Explanation: 1. The nurse is not legally responsible for obtaining informed consent for an invasive procedure. 2. Informed consent is legal preauthorization for an invasive procedure. It is the physician’s legal responsibility to obtain this because it consists of an explanation about the medical condition, a detailed description of treatment plans, the expected benefits and risks related to the proposed treatment plan, alternative treatment options, the client’s questions, and the client’s or guardian’s right to refuse treatment. 3. It is beyond the social worker’s scope of practice to obtain informed consent for an invasive procedure. 4. It is beyond the unit secretary’s scope of practice to obtain informed consent for an invasive procedure. Page Ref: 10 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral, ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment; Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students, patients, and families │ Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of maternal-child nursing. MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the childbearing family. 10) The nurse tells family members the sex of a newborn baby without first consulting the parents. Which act did this nurse commit? 1. Negligence 2. Malpractice 3. A breach of ethics 4. Breach of privacy Answer: 4 Explanation: 1. Any nurse who fails to meet appropriate standards of care invites allegations of negligence. 2. Any nurse who fails to meet appropriate standards of care invites allegations of malpractice. 3. A breach of ethics would not apply to this situation. 4. A breach of privacy would have been committed in this situation, because it violates the right to privacy of this family. The right to privacy is the right of a person to keep his or her person and property free from public scrutiny (of even other family members). Page Ref: 11 Cognitive Level: Analyzing Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral, ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment; Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students, patients, and families │Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of maternal-child nursing. MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the childbearing family. 11) The nurse is reviewing the 1973 Supreme Court decision in Roe v. Wade for a patient asking about an abortion. What should the nurse explain about the induction of a legal abortion? 1. It must be performed at a federally funded clinic. 2. It must be performed before the period of viability. 3. It must be performed at a military hospital overseas. 4. It must be performed to provide tissue for therapeutic research. Answer: 2 Explanation: 1. Whether conducted at a federally funded clinic, abortion can be provided legally if under U.S. laws. 2. Abortion can be performed legally until the period of viability; after viability, the rights of the fetus take precedence. 3. Whether or not conducted at a military hospital overseas, abortion can be provided legally if under U.S. laws. 4. Abortion cannot be used to provide tissue for therapeutic research. Page Ref: 12 Cognitive Level: Applying Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral, ethical, and legal conduct │NLN Competencies: Context and Environment; Ethical Comportment; Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students, patients, and families │ Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of maternal-child nursing. MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the childbearing family. 12) Which family might find cord blood banking to be especially useful? 1. A family with a history of leukemia 2. A family with a history of infertility 3. A family that wishes to select the sex of a future child 4. A family that wishes to avoid a future intrauterine fetal surgery Answer: 1 Explanation: 1. Families with a history of leukemia might find cord blood banking useful because cord blood, like bone marrow and embryonic tissue, contains regenerative stem cells, which can replace diseased cells in the affected individual. 2. A family with a history of infertility would not be helped by cord blood banking. 3. A family that wishes to select the sex of a future child would not be helped by cord blood banking. 4. A family that wishes to avoid a future intrauterine surgery would not be helped by cord blood banking. Page Ref: 13 Cognitive Level: Analyzing Client Need/Sub: Safe and Effective Care Environment/Management of Care Standards: QSEN Competencies: I.A.7. Explore ethical and legal implications of patient-centered care │ AACN Essential Competencies: VIII.1. Demonstrate the professional standards of moral, ethical, and legal conduct │ NLN Competencies: Context and Environment; Ethical Comportment; Act in accordance with legal and regulatory requirements, including HIPAA, for faculty, students, patients, and families │Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1.5 Delineate significant legal and ethical issues that influence the practice of maternal-child nursing. MNL Learning Outcome: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the childbearing family. 13) A nurse is providing guidance to a group of parents of children in the infant-to-preschool age group. After reviewing statistics on the most common cause of death in this age group, what information should the nurse include about prevention? 1. Reduce the use of pesticides in the home to prevent cancer. 2. Review swimming pool and traffic accidents to prevent accidental injury. 3. Incorporate heart-healthy foods into the child’s diet to prevent heart disease. 4. Provide a diet high in vitamin C from fruits and vegetables to prevent pneumonia. Answer: 2 Explanation: 1. Cancer is not a common cause of death for this age group. 2. Unintentional injuries are the most common cause of death for children between 1 and 19 years old. In children 1 to 4 years old, this is followed by drowning; fire and burns; suffocation; and pedestrian-related injuries. 3. Heart disease is not a common cause of death for this age group. 4. Pneumonia is not a common cause of death for this age group. Page Ref: 8 Cognitive Level: Applying Client Need/Sub: Health Promotion and Maintenance Standards: QSEN Competencies: III.C.3. Value the concept of EBP as integral to determining best clinical practice │ AACN Essential Competencies: III.6. Integrate evidence, clinical judgment, interprofessional perspectives and patient preferences in planning, implementing, and evaluating outcomes of care │NLN Competencies: Knowledge and Science; Practice; evaluate the strength of evidence for application of research findings to clinical practice │ Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1.6 Discuss the role of evidence-based practice in improving the quality of nursing care for childbearing families. MNL Learning Outcome: 1.1.3. Relate various factors to their effect on pregnancy outcomes. 14) Which practices characterize the basic competencies related to evidence-based practice? Select all that apply. 1. Clinical practice supported by data 2. Clinical practice that promotes quality 3. Clinical practice supported by good evidence 4. Clinical practice supported by intuitive evidence 5. Clinical practice that provides a useful approach to problem solving Answer: 1, 2, 3, 5 Explanation: