Maternity and Pediatric Nursing
4th Edition Ricci Kyle Carman Test
Bank
Chapter 1
PRIMEXAM.COM
,1. When integrating the principles of family-centered care into the birthingprocess, the nurse
would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the fol low ingagb i rpb .rcionmc/ tieps tl e s: Birth affects the entire
family, and relationships will change; birth is viewed as a normal, healthyevent in the life of the
family; and families are capable of making decisions about their own care if given adequate
information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning Integrated
Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop a plan to address the
special health needs of women. The group would designeducational programs to address which
priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular dise ase, the number one cause of death in
women regardless of racial or ethnic group. Smoking is related to heartdisease and the
development of cancer. However, heart disease and cancer
can occur in any woman regardless of her smoking h is toarbyi r b. .cCo ma/nte cste r is the second leading cause of
death, with women having a one in three lifetime risk of developing cancer. Diabetes is another
important health condition that can affectwomen. However, it is not the major health problem that
heart disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
PRIMEXAM.COM
,Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the
program, the nurse is reviewing the is s u e aob i rfb .icno fmo/ t rem
s t ed consent. The nurse determines that the
teaching was effective when the group identifies which situation as a violation of informed
consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an oapb i er br. cao tmiv/ t ees t permit
C. Asking whether the client understands what she is signing following receivingeducation
D. Getting verbal consent over the phone for an emergeanb icr by. c opmr/ot ecs tedure from the spouse of a
unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for health
care. Serving as a witness to the signature process, asking whether the client understands what she
is signing, an d agb i rebt. ctoi mn/gt e s vt erbal consent over
the phone for emergency procedures are all key to informed consent and are not
violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrier b
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of CareIntegrated
Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
her fetus. To ensure informed consent, which action priority
wouabldirb.bcoem/ttehsetresponsibility of the nurse providing care to
this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the parb iorbc.ceodmu/terset
D. Offering suggestions for alternative options for treatmentAnswer:
A
Rationale: The nurse's responsibilities related to informed consent include: Ensuringthe consent
form is completed with signatures from the client; serving as a witnessto the signature process; and
determining whether the calbi ier bn. cto mu/ t ne sdt erstands what she is signing by asking her pertinent
questions. The physician, advanced practice nurse, or midwife is responsible for informing the
client about the procedure and obtaining consent by providing a detailed description of the
procedure or treatment,its potential risks and benefits, and alternative m e t h o d sa ab ivr b a. ciol ma /bt elset .
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Safe, Effective Care Environment: Management of Care
PRIMEXAM.COM
, Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The ina bfiar b n. c to 'ms/ t epsat rents are divorced. To
obtain informed consent, which action would bemost appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents
Answer: D
Rationale: The most appropriate action would be to determine legal custody by court decree. If
the parents have joint custody, then either parent may give consent, but it is always best to have
consent given by ba boi rtbh. c o pm a/ t er set nts. The parent with only physical custody may give consent for
emergency care. The last resort isgetting a court ruling; usually this is not necessary unless the
parents disagree about the care of the child.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Safe, Effective Care Environment: Manageam birbe.cnotm/o
tefst Care Integrated
Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would bea bsi r tb . ci onmd/ t iecs at te that her education on
family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B. "Families are usually not capable of making health ca ar bei r bd. c eo mc/i t se is ot ns for themselves, especially in
stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone."Answer: A
Rationale: Childbirth affects the entire family, and r e la t ioa bni r bs.hcoi mp /st e swt ill change. Childbirth is viewed
as a normal life event, not a medical procedure. Families arevery capable of making health care
decisions about their own care with proper
information and support. Question
format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focusaobfi r bh. c eo ma / lt tehs t
during the 21st century ?
PRIMEXAM.COM
4th Edition Ricci Kyle Carman Test
Bank
Chapter 1
PRIMEXAM.COM
,1. When integrating the principles of family-centered care into the birthingprocess, the nurse
would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the fol low ingagb i rpb .rcionmc/ tieps tl e s: Birth affects the entire
family, and relationships will change; birth is viewed as a normal, healthyevent in the life of the
family; and families are capable of making decisions about their own care if given adequate
information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning Integrated
Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop a plan to address the
special health needs of women. The group would designeducational programs to address which
priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular dise ase, the number one cause of death in
women regardless of racial or ethnic group. Smoking is related to heartdisease and the
development of cancer. However, heart disease and cancer
can occur in any woman regardless of her smoking h is toarbyi r b. .cCo ma/nte cste r is the second leading cause of
death, with women having a one in three lifetime risk of developing cancer. Diabetes is another
important health condition that can affectwomen. However, it is not the major health problem that
heart disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
PRIMEXAM.COM
,Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the
program, the nurse is reviewing the is s u e aob i rfb .icno fmo/ t rem
s t ed consent. The nurse determines that the
teaching was effective when the group identifies which situation as a violation of informed
consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an oapb i er br. cao tmiv/ t ees t permit
C. Asking whether the client understands what she is signing following receivingeducation
D. Getting verbal consent over the phone for an emergeanb icr by. c opmr/ot ecs tedure from the spouse of a
unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for health
care. Serving as a witness to the signature process, asking whether the client understands what she
is signing, an d agb i rebt. ctoi mn/gt e s vt erbal consent over
the phone for emergency procedures are all key to informed consent and are not
violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabrier b
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of CareIntegrated
Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
her fetus. To ensure informed consent, which action priority
wouabldirb.bcoem/ttehsetresponsibility of the nurse providing care to
this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the parb iorbc.ceodmu/terset
D. Offering suggestions for alternative options for treatmentAnswer:
A
Rationale: The nurse's responsibilities related to informed consent include: Ensuringthe consent
form is completed with signatures from the client; serving as a witnessto the signature process; and
determining whether the calbi ier bn. cto mu/ t ne sdt erstands what she is signing by asking her pertinent
questions. The physician, advanced practice nurse, or midwife is responsible for informing the
client about the procedure and obtaining consent by providing a detailed description of the
procedure or treatment,its potential risks and benefits, and alternative m e t h o d sa ab ivr b a. ciol ma /bt elset .
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Safe, Effective Care Environment: Management of Care
PRIMEXAM.COM
, Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The ina bfiar b n. c to 'ms/ t epsat rents are divorced. To
obtain informed consent, which action would bemost appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents
Answer: D
Rationale: The most appropriate action would be to determine legal custody by court decree. If
the parents have joint custody, then either parent may give consent, but it is always best to have
consent given by ba boi rtbh. c o pm a/ t er set nts. The parent with only physical custody may give consent for
emergency care. The last resort isgetting a court ruling; usually this is not necessary unless the
parents disagree about the care of the child.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Safe, Effective Care Environment: Manageam birbe.cnotm/o
tefst Care Integrated
Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would bea bsi r tb . ci onmd/ t iecs at te that her education on
family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B. "Families are usually not capable of making health ca ar bei r bd. c eo mc/i t se is ot ns for themselves, especially in
stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone."Answer: A
Rationale: Childbirth affects the entire family, and r e la t ioa bni r bs.hcoi mp /st e swt ill change. Childbirth is viewed
as a normal life event, not a medical procedure. Families arevery capable of making health care
decisions about their own care with proper
information and support. Question
format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health CareCognitive Level:
Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focusaobfi r bh. c eo ma / lt tehs t
during the 21st century ?
PRIMEXAM.COM
