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
high-risk 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
family-centered 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
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
high-risk 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
family-centered 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
