,
,Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The i na bfi ar b n. c to 'ms/ t eps at
rents are divorced. To obtain informed consent, which action would be
most 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 is
getting 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 Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageam b ir be. cnotm /o
t efs t Care
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would b ea 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 c a ar bei r bd. c eo mc /i tse 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 i oa bni r bs. hc oi mp /st e swt ill change.
Childbirth is viewed as a normal life event, not a medical procedure. Families are
very 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 Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focus aob fi r bh. c eo ma/ lt te hs t
during the 21st century ?
PRIMEXAM.COM
, A. Disease prevention
B. Health promotion
C. Wellness
D. Analysis of morbidity and mortality
Answer: D
Rationale: The focus on health has shifted to disease p r ea bvi reb .nc ot mi o/ t ne s,t health promotion,
and wellness. In the last century, much of the focus was on analyzing morbidity
and mortality rates.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: , p. Health Status of Women and Children
8. A nurse is planning a continuum of care for a client dua bri ir bn. cgo mp/ trees tgnancy,
labor, and childbirth. What is the most important factor in enhancing the
birthing experience?
A. Adhering to strict specific routines
B. Involving a pediatric physician
C. Educating the client about the importance of a suppora tb irp
b .e
c orm
s/oten
st
D. Assigning several nurses as a support team
Answer: C
Rationale: Educating the client about the importance of a support person during
labor and delivery has been shown to improve and enhance the birthing experience.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 5-7
9. The nurse is administering a number of therapeutic i na tbei r br. vc oemn/ t te isot ns for
neonates, infants, and children on the pediatric unit. Which intervention
contributes to an increase in chronic illness seen in early childhood?
A. Administering antibiotics to prevent lethal infections
B. Vaccinating children to prevent childhood diseases
C. Using mechanical ventilation for premature infants
D. Using corticosteroids as a treatment for asthma
Answer: C
Rationale: Using mechanical ventilation and medications to foster lung development
in premature infants increases their survival rate. Yet t haeb i ribn. cfoamn/ t te ss t who survive are
often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal
PRIMEXAM.COM
,Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The i na bfi ar b n. c to 'ms/ t eps at
rents are divorced. To obtain informed consent, which action would be
most 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 is
getting 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 Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageam b ir be. cnotm /o
t efs t Care
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would b ea 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 c a ar bei r bd. c eo mc /i tse 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 i oa bni r bs. hc oi mp /st e swt ill change.
Childbirth is viewed as a normal life event, not a medical procedure. Families are
very 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 Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focus aob fi r bh. c eo ma/ lt te hs t
during the 21st century ?
PRIMEXAM.COM
, A. Disease prevention
B. Health promotion
C. Wellness
D. Analysis of morbidity and mortality
Answer: D
Rationale: The focus on health has shifted to disease p r ea bvi reb .nc ot mi o/ t ne s,t health promotion,
and wellness. In the last century, much of the focus was on analyzing morbidity
and mortality rates.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: , p. Health Status of Women and Children
8. A nurse is planning a continuum of care for a client dua bri ir bn. cgo mp/ trees tgnancy,
labor, and childbirth. What is the most important factor in enhancing the
birthing experience?
A. Adhering to strict specific routines
B. Involving a pediatric physician
C. Educating the client about the importance of a suppora tb irp
b .e
c orm
s/oten
st
D. Assigning several nurses as a support team
Answer: C
Rationale: Educating the client about the importance of a support person during
labor and delivery has been shown to improve and enhance the birthing experience.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Reference: p. 5-7
9. The nurse is administering a number of therapeutic i na tbei r br. vc oemn/ t te isot ns for
neonates, infants, and children on the pediatric unit. Which intervention
contributes to an increase in chronic illness seen in early childhood?
A. Administering antibiotics to prevent lethal infections
B. Vaccinating children to prevent childhood diseases
C. Using mechanical ventilation for premature infants
D. Using corticosteroids as a treatment for asthma
Answer: C
Rationale: Using mechanical ventilation and medications to foster lung development
in premature infants increases their survival rate. Yet t haeb i ribn. cfoamn/ t te ss t who survive are
often faced with myriad chronic illnesses. Administering antibiotics to prevent lethal
PRIMEXAM.COM
