1. When integrating the principles of family-centered care into the
birthing process, 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.
2. When preparing a teaching plan for a group of women during their first pregnancy, the
nurse reviews how maternity care has changed over the years. Which information would
the nurse include when discussing events occurring in the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) X-ray developed to assess pelvic size
D) Development of free-standing birth centers
3. 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 design educational
programs to address which condition as the priority?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
4. When assessing a family for possible barriers to health care, the mother reports several
problems she has been having when coming to her local clinic. The nurse would
consider which reported problem as having the greatest impact on this family's health
care?
A) Language barrier
B) Health care workers' attitudes
C) Transportation to the clinic
D) Family finances
Page 1
, Test Bank For Maternity and Pediatric Nursing 3rd Edition by Susan Ricci
5. A nurse is conducting an orientation program for a group of newly hired nurses. As part
of the program, the nurse is reviewing the issue of informed 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 operative permit
C) Asking whether the client understands what she is signing following receiving
education
D) Getting verbal consent over the phone for an emergency procedure from the spouse
of a unconscious woman
6. The nurse is trying to get consent to care for an 11-year-old boy with diabetic
ketoacidosis. His parents are out of town on vacation, and the child is staying with a
neighbor. Which action would be the priority?
A) Getting telephone consent with two people listening to the verbal consent
B) Providing emergency care without parental consent
C) Contacting the child's aunt or uncle to obtain their consent
D) Asking the courts to grant permission on the child's behalf
7. A 9-month-old with glaucoma requires surgery. The infant's parents 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
8. Which statement made by a nursing student would best indicate that their 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 care decisions 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.”
9. Which aspect of client wellness has not been a focus of health during the 21st century?
A) Disease prevention
B) Health promotion
C) Wellness
D) Analysis of morbidity and mortality
Page 2
, Test Bank For Maternity and Pediatric Nursing 3rd Edition by Susan Ricci
10. A nurse is conducting an in-service program for a group of nurses on the health of
women and their families, incorporating information from Healthy People 2020. The
nurse determines that additional discussion and clarification is needed when the group
makes which statement?
A) “Obesity, drug use, and smoking are major problems.”
B) “Maintaining a physically active lifestyle is strongly encouraged”
C) “Immunizations may be the cause of some illnesses being seen currently.”
D) “Environmental quality is directly related to health care.”
11. A nurse is assigned to care for an Asian American client. The nurse plans the care
recognizing that which statement best explains an Asian American's view of illness?
A) Illness is caused by supernatural forces.
B) Illness is a punishment for sins.
C) Illness may be caused by God's will or evil influences.
D) Illness is due to an imbalance between yin and yang.
12. A nurse is planning a continuum of care for a client during pregnancy, 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 support person
D) Assigning several nurses as a support team
13. A nurse educator is teaching a group of students about what made cities during the late
19th and early 20th century healthier to live in than they previously were. The nurse
determines that the teaching is effective when the students make which statements?
Select all that apply.
A) Cities were healthier due to the enforcement of an immunization process.
B) The pasteurization of milk assisted in making cities healthier.
C) The cities were much healthier with treated municipal water.
D) Improved sanitation services made the cities healthier.
E) Hygienic practices improved living conditions of the cities.
14. Which goals of the federal government initiative Healthy People 2020 program to
improve maternal health are priority? Select all that apply.
A) Improvement in general health is promoted.
B) Technological advances is maintained.
C) Focus is on health-related quality of life factors.
D) The determinants of health are addressed.
E) Disparities among individuals are eliminated.
F) Human services are provided.
Page 3
, Test Bank For Maternity and Pediatric Nursing 3rd Edition by Susan Ricci
15. A public health nurse is developing programs to assist in improving infant mortality
rates. Which factors would need to be addressed because they would have the greatest
impact? Select all that apply.
A) Congenital anomalies
B) Low birth weights
C) Prematurity
D) Sudden infant death syndrome
E) Infectious diseases
16. A nurse is preparing a class discussion on cardiovascular disease in women. When
discussing the priority risk factors for this disease, which would the nurse least likely
include? Select all that apply.
A) Menopause
B) Diabetes diagnosis
C) Weight cycling
D) Gender
E) Age
17. A nurse is preparing a class discussion on the clinical manifestations of a heart attack
observed in women. Which symptoms would the nurse include as key assessment data?
Select all that apply.
A) Syncope
B) Unusual fatigue
C) Sleep disturbances
D) Arm pain
E) Extreme hunger
18. A nurse is preparing a breast cancer presentation for a health forum. Which fact would
the nurse expect to address in this presentation?
A) Breast cancer is more advanced in African American women when found.
B) African American women have the BRCA 1 and BRCA 2 gene.
C) More Hispanic women smoke, which increases their risk.
D) American white women respond better to breast cancer treatment.
19. A nurse is making a presentation at a parenting class dealing with divorce. A participant
asks the nurse, "How should a parent handle telling the children about a divorce?"
Which statements are the most helpful? Select all that apply.
A) "Tell your children about the divorce and the reasons for it."
B) "Reassure your children that the divorce is not their fault."
C) "Make sure your children are aware of the potential financial issues."
D) "Let them know they can decide how the future family will look."
E) "Inform them in advance of someone moving out of the family home."
F) "Routines, rules, and discipline can be minimized until a later time."
Page 4