TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
MATERNAL AND CHILD HEALTH
NURSING TESTBANK –MATERNAL AND 3. Which actions should the nurse perform when supporting the goals of maternal and
child health care? (Select all that apply.)
CHILD 8TH EDITION PILLITERI UPDATED A) Advocates protecting the rights of the mother and fetus
B) Teaches family members interventions to improve health
AND COMPLETE TESTBANK C) Adheres to principles that focus on the needs of the mother
D) Encourages maternal hospitalization to regain strength and stamina
1. For which reasons would a nurse review infant mortality statistics in the United States? E) Assesses family members for strengths and specific needs or challenges
(Select all that apply.) Ans: A, B, E
A) Measures the quality of pregnancy care Feedback:
B) Reviews information on overall nutrition Actions that the nurse should perform when supporting the goals of maternal and child
C) Compares health with those of other states health care include advocating the rights for the mother and fetus, teaching health
D) Determines infant health and available care promotion interventions, and assessing the family for strengths and specific needs or
E) Provides an index of the country's general health challenges. Adhering to principles that focus on the needs of the mother and
Ans: A, B, D, E encouraging maternal hospitalization to regain strength and stamina are not actions that
support the goals of maternal and child health care.
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
quality of pregnancy care, provides information on overall nutrition, and determines
infant health and available care. Infant mortality statistics compares the health with 4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus
those of other countries and not with those of other states. of these goals?
A) Health promotion and disease prevention
B) Early diagnosis of chronic health problems
2. The nurse is providing care in an organization that supports the maternal and child care C) Effective use of medication to treat disease
continuum. Which type of patient care area is an example of this approach? D) Reduce the cost of health care and medications
A) Primary care Ans: A
B) Team nursing Feedback:
C) Case management The 2020 National Health Goals are intended to help citizens more easily understand the
D) Family-centered care importance of health promotion and disease prevention and to encourage wide
Ans: D participation in improving health in the next decade. These goals do not focus on the
Feedback: early diagnosis of chronic problems, use of medications to treat disease, or reduce the
Keeping the family at the center of care is important because the level of a family's cost of health care and medications.
functioning is important to the health status of its members. A healthy family establishes
an environment conducive to growth and health-promoting behaviors to sustain family
members during crises. A family-centered approach enables nurses to better understand
individuals and their effect on others and, in turn, to provide more holistic care. Primary
nursing, team nursing, and case management do not necessary take into consideration
the maternal and child care continuum.
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5. The nurse has noticed a change in the type of care needed to support maternal and child 7. The nurse notes that statistics on maternal mortality had improved but are again
health issues. What does the nurse realize as reasons for the changes in care? (Select all becoming elevated. What does the nurse realize as a reason for this change in maternal
that apply.) mortality rates?
A) Smaller families A) Earlier prenatal care
B) Less domestic violence B) Gestational hypertension
C) More employed mothers C) Increased vaginal deliveries
D) Stable home environments D) Treatment for chronic diseases
E) More single-parent families Ans: B
Ans: A, C, E Feedback:
Feedback: This increasing rate in maternal mortality is associated with more cesarean births, more
Nursing care for maternal and child is changing because families are smaller, more gestational hypertension related to preexisting hypertensive disorders, and lack of health
mothers are employed out of the home, and there are more single-parent families. There insurance for many Americans. This increase is not because of earlier prenatal care,
is an increase in domestic violence, and families are less stable and more mobile, which increased vaginal deliveries, or treatment for chronic diseases.
influences homelessness.
8. A new mother asks the nurse if all of the new baby's injections can be given in one visit
6. During an assessment, the nurse asks a patient from a non-English-speaking culture because the mother is losing income from missing work because of the office visits.
which types of home remedies and herbs the patient uses for health care. What is the What does this new mother's issue indicate to the nurse?
purpose of asking the patient this question? A) The mother needs to find an alternative employer.
A) Analyze for herb–drug interactions B) The mother's income is more important that the baby's health.
B) Understand the patient's philosophy of alternative health care C) Missing work does not support the baby's health maintenance visits.
C) Determine the types of medications the patient will need to be prescribed D) The federal government needs to do more to support well-baby visits.
D) Explain to the physician the patient's preference for nontraditional medicine Ans: C
approaches Feedback:
Ans: A An area that needs additional research is finding effective stimuli to encourage women
Feedback: to bring children for health maintenance visits. The mother losing income because of
Assessing what alternative measures are being used is important because the action of missing work for well-baby visits will deter health maintenance visits for the baby going
an herb can interfere with prescribed medications. Assessing the use of herbal remedies forward. This mother's issue does not indicate that the mother needs to find another job,
is not done to understand the patient's philosophy of alternative health care, determine that the mother's income is more important that the baby's health, or that the federal
the types of medications the patient will need to be prescribed, or explain the patient's government needs to do more to support well-baby visits.
preferences for nontraditional medicine approaches to the physician.
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9. The nurse works in a maternal and child care area that supports health promotion. 11. The nurse is caring for a mother who has just given birth to twins of 28 weeks gestation,
Which activities will the nurse perform to support this philosophy of health care? each weighing 2 kg. What is the health risk for the mother and the twins?
(Select all that apply.) A) Child mortality
A) Planning care B) Neonatal death
B) Patient teaching C) Infant mortality
C) Family counseling D) Maternal mortality
D) New mother advocacy Ans: B
E) Identifying nursing diagnoses Feedback:
Ans: B, C, D Neonatal death reflects the quality of care available to women during pregnancy and
Feedback: childbirth and the quality of care available to infants during the first month of life. The
Extensive changes in the scope of maternal and child health nursing have occurred as leading causes of death during this time are prematurity with associated low birth
health promotion has become a greater priority in care. The nursing activities for health weight. Child mortality is the number of people who die during childhood years. Infant
promotion include teaching, counseling, and advocacy. Planning care and identifying mortality is the number of infants who die before the age of 1 year. Maternal mortality
nursing diagnoses are a part of the nursing process and not specific to health promotion. is the number of women who die from activities related to childbirth.
10. During a care conference, a nurse provides everyone with a copy of the latest research 12. The nurse is planning an educational session for community members to address the
on improving the success of breastfeeding for first-time mothers. Which Quality & issue of school-age child mortality. Which topic should the nurse identify as the highest
Safety Education for Nurses competency does this nurse's action support? priority for this population?
A) Quality improvement A) Cancer
B) Patient-centered care B) Assault
C) Evidence-based practice C) Suicide
D) Teamwork and collaboration D) Accidents
Ans: C Ans: D
Feedback: Feedback:
Providing research material supports the Quality & Safety Education for Nurses For the school-age child between the ages of 5 and 14 years, the number one cause of
competency of evidence-based practice because the nurse is integrating the best current mortality is from unintentional injuries or accidents. Other top five causes for child
evidence with clinical expertise and patient/family preferences and values for delivery mortality include cancer, assault, and suicide.
of optimal health care. Providing research evidence does not support the Quality &
Safety Education for Nurses competencies of quality improvement, patient-centered
care, or teamwork and collaboration. 13. While providing care to a child, the nurse informs the parents about the treatment plans
and helps the parents make decisions about the child's care needs. What do this nurse's
actions support?
A) Autonomy
B) Empowerment
C) Accountability
D) Informed consent
Ans: B
Feedback:
Nurses promote empowerment of parents and children by respecting their views and
concerns, regarding parents as important participants in their own or their child's health,
keeping them informed, and helping and supporting them to make decisions about care.
The nurse's actions are not being done to support autonomy, accountability, or informed
consent.
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14. The nurse has been hired to provide care to patients on a maternal and child unit. What 1. A school-age child, a member of a family with a mother, father, and toddler, is
will the nurse use to as a guide to legally provide care to this patient population? hospitalized. The father is employed outside of the home, and the mother stays at home
A) Code of ethics with the other child. The mother is challenged with supporting both children at this time.
B) Nursing research What should the nurse suggest to the mother?
C) Standards of practice A) Place the toddler in day care.
D) Evidence-based guidelines B) Suggest the father take time off to help.
Ans: C C) Ask extended family members to help out during this time.
Feedback: D) Visit with the patient after the father comes home from work.
Understanding standards of care can help nurses practice within appropriate legal Ans: C
parameters. The Code of Ethics will help with ethical situations. Nursing research and Feedback:
evidence-based guidelines will help with providing care that is based upon best In a time of crisis, the nuclear family is challenged because there are few family
practices. members to share the burden or look at a problem objectively. The nurse should suggest
that the family locate and reach out to support people in their extended family during a
crisis. Placing the toddler in day care and suggesting the father take time off to help
15. The nurse is providing care to a new mother and infant according to the Quality & might negatively impact the family's financial situation and would be inappropriate for
Safety Education for Nurses competency approach. Which action should the nurse the nurse to suggest these options. The option of visiting the school-age child after the
perform to demonstrate the skill for the competency of safety? father comes home from work may not support the child adequately during the
A) Assess the mother for preferences based on personal values. hospitalization.
B) Ensure the mother and newborn have intact identification bands.
C) Introduce all members of the care team to the mother and family.
D) Document patient care using computerized spreadsheets and forms. 2. A preadolescent patient, a member of a single-parent family, has abdominal pain and the
Ans: B health care provider suspects that an appendectomy might need to be performed. The
Feedback: patient's father is asking for a second opinion, whereas the mother tells the nurse to do
Action to demonstrate the skill of the competency of safety is to ensure that the mother whatever needs to be done to help the patient. What does the nurse need to assess before
and newborn have intact identification bands. Assessing the mother for preferences moving forward with planning care for this patient?
based on personal values is the skill associated with patient-centered care. Introducing A) Permission to miss school
all members of the care team to the mother and family is the skill associated with B) Identify the custodial parent
teamwork and collaboration. Documenting patient care using computerized spreadsheets C) The type of health insurance
and forms is the skill associated with quality improvement. D) Plans for help upon discharge
Ans: B
Feedback:
The nurse needs to identify who is the custodial parent. This is especially important
when consent forms for care need to be signed. Once this information is obtained, the
nurse needs to clearly document it in the patient's medical record. Permission to miss
school, health insurance, and needs after discharge do not necessarily need to be
assessed prior to planning care for the patient.
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MATERNAL AND CHILD HEALTH
NURSING TESTBANK –MATERNAL AND 3. Which actions should the nurse perform when supporting the goals of maternal and
child health care? (Select all that apply.)
CHILD 8TH EDITION PILLITERI UPDATED A) Advocates protecting the rights of the mother and fetus
B) Teaches family members interventions to improve health
AND COMPLETE TESTBANK C) Adheres to principles that focus on the needs of the mother
D) Encourages maternal hospitalization to regain strength and stamina
1. For which reasons would a nurse review infant mortality statistics in the United States? E) Assesses family members for strengths and specific needs or challenges
(Select all that apply.) Ans: A, B, E
A) Measures the quality of pregnancy care Feedback:
B) Reviews information on overall nutrition Actions that the nurse should perform when supporting the goals of maternal and child
C) Compares health with those of other states health care include advocating the rights for the mother and fetus, teaching health
D) Determines infant health and available care promotion interventions, and assessing the family for strengths and specific needs or
E) Provides an index of the country's general health challenges. Adhering to principles that focus on the needs of the mother and
Ans: A, B, D, E encouraging maternal hospitalization to regain strength and stamina are not actions that
support the goals of maternal and child health care.
Feedback:
Infant mortality statistics provide an index of a country's general health, measures the
quality of pregnancy care, provides information on overall nutrition, and determines
infant health and available care. Infant mortality statistics compares the health with 4. The nurse is reviewing the 2020 National Health Goals and notes that which is a focus
those of other countries and not with those of other states. of these goals?
A) Health promotion and disease prevention
B) Early diagnosis of chronic health problems
2. The nurse is providing care in an organization that supports the maternal and child care C) Effective use of medication to treat disease
continuum. Which type of patient care area is an example of this approach? D) Reduce the cost of health care and medications
A) Primary care Ans: A
B) Team nursing Feedback:
C) Case management The 2020 National Health Goals are intended to help citizens more easily understand the
D) Family-centered care importance of health promotion and disease prevention and to encourage wide
Ans: D participation in improving health in the next decade. These goals do not focus on the
Feedback: early diagnosis of chronic problems, use of medications to treat disease, or reduce the
Keeping the family at the center of care is important because the level of a family's cost of health care and medications.
functioning is important to the health status of its members. A healthy family establishes
an environment conducive to growth and health-promoting behaviors to sustain family
members during crises. A family-centered approach enables nurses to better understand
individuals and their effect on others and, in turn, to provide more holistic care. Primary
nursing, team nursing, and case management do not necessary take into consideration
the maternal and child care continuum.
Page 1 Page 2
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,TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
5. The nurse has noticed a change in the type of care needed to support maternal and child 7. The nurse notes that statistics on maternal mortality had improved but are again
health issues. What does the nurse realize as reasons for the changes in care? (Select all becoming elevated. What does the nurse realize as a reason for this change in maternal
that apply.) mortality rates?
A) Smaller families A) Earlier prenatal care
B) Less domestic violence B) Gestational hypertension
C) More employed mothers C) Increased vaginal deliveries
D) Stable home environments D) Treatment for chronic diseases
E) More single-parent families Ans: B
Ans: A, C, E Feedback:
Feedback: This increasing rate in maternal mortality is associated with more cesarean births, more
Nursing care for maternal and child is changing because families are smaller, more gestational hypertension related to preexisting hypertensive disorders, and lack of health
mothers are employed out of the home, and there are more single-parent families. There insurance for many Americans. This increase is not because of earlier prenatal care,
is an increase in domestic violence, and families are less stable and more mobile, which increased vaginal deliveries, or treatment for chronic diseases.
influences homelessness.
8. A new mother asks the nurse if all of the new baby's injections can be given in one visit
6. During an assessment, the nurse asks a patient from a non-English-speaking culture because the mother is losing income from missing work because of the office visits.
which types of home remedies and herbs the patient uses for health care. What is the What does this new mother's issue indicate to the nurse?
purpose of asking the patient this question? A) The mother needs to find an alternative employer.
A) Analyze for herb–drug interactions B) The mother's income is more important that the baby's health.
B) Understand the patient's philosophy of alternative health care C) Missing work does not support the baby's health maintenance visits.
C) Determine the types of medications the patient will need to be prescribed D) The federal government needs to do more to support well-baby visits.
D) Explain to the physician the patient's preference for nontraditional medicine Ans: C
approaches Feedback:
Ans: A An area that needs additional research is finding effective stimuli to encourage women
Feedback: to bring children for health maintenance visits. The mother losing income because of
Assessing what alternative measures are being used is important because the action of missing work for well-baby visits will deter health maintenance visits for the baby going
an herb can interfere with prescribed medications. Assessing the use of herbal remedies forward. This mother's issue does not indicate that the mother needs to find another job,
is not done to understand the patient's philosophy of alternative health care, determine that the mother's income is more important that the baby's health, or that the federal
the types of medications the patient will need to be prescribed, or explain the patient's government needs to do more to support well-baby visits.
preferences for nontraditional medicine approaches to the physician.
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9. The nurse works in a maternal and child care area that supports health promotion. 11. The nurse is caring for a mother who has just given birth to twins of 28 weeks gestation,
Which activities will the nurse perform to support this philosophy of health care? each weighing 2 kg. What is the health risk for the mother and the twins?
(Select all that apply.) A) Child mortality
A) Planning care B) Neonatal death
B) Patient teaching C) Infant mortality
C) Family counseling D) Maternal mortality
D) New mother advocacy Ans: B
E) Identifying nursing diagnoses Feedback:
Ans: B, C, D Neonatal death reflects the quality of care available to women during pregnancy and
Feedback: childbirth and the quality of care available to infants during the first month of life. The
Extensive changes in the scope of maternal and child health nursing have occurred as leading causes of death during this time are prematurity with associated low birth
health promotion has become a greater priority in care. The nursing activities for health weight. Child mortality is the number of people who die during childhood years. Infant
promotion include teaching, counseling, and advocacy. Planning care and identifying mortality is the number of infants who die before the age of 1 year. Maternal mortality
nursing diagnoses are a part of the nursing process and not specific to health promotion. is the number of women who die from activities related to childbirth.
10. During a care conference, a nurse provides everyone with a copy of the latest research 12. The nurse is planning an educational session for community members to address the
on improving the success of breastfeeding for first-time mothers. Which Quality & issue of school-age child mortality. Which topic should the nurse identify as the highest
Safety Education for Nurses competency does this nurse's action support? priority for this population?
A) Quality improvement A) Cancer
B) Patient-centered care B) Assault
C) Evidence-based practice C) Suicide
D) Teamwork and collaboration D) Accidents
Ans: C Ans: D
Feedback: Feedback:
Providing research material supports the Quality & Safety Education for Nurses For the school-age child between the ages of 5 and 14 years, the number one cause of
competency of evidence-based practice because the nurse is integrating the best current mortality is from unintentional injuries or accidents. Other top five causes for child
evidence with clinical expertise and patient/family preferences and values for delivery mortality include cancer, assault, and suicide.
of optimal health care. Providing research evidence does not support the Quality &
Safety Education for Nurses competencies of quality improvement, patient-centered
care, or teamwork and collaboration. 13. While providing care to a child, the nurse informs the parents about the treatment plans
and helps the parents make decisions about the child's care needs. What do this nurse's
actions support?
A) Autonomy
B) Empowerment
C) Accountability
D) Informed consent
Ans: B
Feedback:
Nurses promote empowerment of parents and children by respecting their views and
concerns, regarding parents as important participants in their own or their child's health,
keeping them informed, and helping and supporting them to make decisions about care.
The nurse's actions are not being done to support autonomy, accountability, or informed
consent.
Page 5 Page 6
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, TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION TESTBANK FOR MATERNAL AND CHILD HEALTH NURSING 8TH EDITION
14. The nurse has been hired to provide care to patients on a maternal and child unit. What 1. A school-age child, a member of a family with a mother, father, and toddler, is
will the nurse use to as a guide to legally provide care to this patient population? hospitalized. The father is employed outside of the home, and the mother stays at home
A) Code of ethics with the other child. The mother is challenged with supporting both children at this time.
B) Nursing research What should the nurse suggest to the mother?
C) Standards of practice A) Place the toddler in day care.
D) Evidence-based guidelines B) Suggest the father take time off to help.
Ans: C C) Ask extended family members to help out during this time.
Feedback: D) Visit with the patient after the father comes home from work.
Understanding standards of care can help nurses practice within appropriate legal Ans: C
parameters. The Code of Ethics will help with ethical situations. Nursing research and Feedback:
evidence-based guidelines will help with providing care that is based upon best In a time of crisis, the nuclear family is challenged because there are few family
practices. members to share the burden or look at a problem objectively. The nurse should suggest
that the family locate and reach out to support people in their extended family during a
crisis. Placing the toddler in day care and suggesting the father take time off to help
15. The nurse is providing care to a new mother and infant according to the Quality & might negatively impact the family's financial situation and would be inappropriate for
Safety Education for Nurses competency approach. Which action should the nurse the nurse to suggest these options. The option of visiting the school-age child after the
perform to demonstrate the skill for the competency of safety? father comes home from work may not support the child adequately during the
A) Assess the mother for preferences based on personal values. hospitalization.
B) Ensure the mother and newborn have intact identification bands.
C) Introduce all members of the care team to the mother and family.
D) Document patient care using computerized spreadsheets and forms. 2. A preadolescent patient, a member of a single-parent family, has abdominal pain and the
Ans: B health care provider suspects that an appendectomy might need to be performed. The
Feedback: patient's father is asking for a second opinion, whereas the mother tells the nurse to do
Action to demonstrate the skill of the competency of safety is to ensure that the mother whatever needs to be done to help the patient. What does the nurse need to assess before
and newborn have intact identification bands. Assessing the mother for preferences moving forward with planning care for this patient?
based on personal values is the skill associated with patient-centered care. Introducing A) Permission to miss school
all members of the care team to the mother and family is the skill associated with B) Identify the custodial parent
teamwork and collaboration. Documenting patient care using computerized spreadsheets C) The type of health insurance
and forms is the skill associated with quality improvement. D) Plans for help upon discharge
Ans: B
Feedback:
The nurse needs to identify who is the custodial parent. This is especially important
when consent forms for care need to be signed. Once this information is obtained, the
nurse needs to clearly document it in the patient's medical record. Permission to miss
school, health insurance, and needs after discharge do not necessarily need to be
assessed prior to planning care for the patient.
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