Description
Test Bank for Maternal-Child Nursing Care with The Women’s Health Companion:
Optimizing Outcomes for Mothers, Children, and Families, 2nd Edition, Susan L. Ward,
Shelton M. Hisley, ISBN-13: 978-0-8036-3665-1, ISBN-10: 0803636652, ISBN-13:
9780803636651
Maternal-Child Care Nursing, 2nd Edition
I. Foundations in Maternal, Family, and Child Care
1. Traditional and Community Nursing Care for Women, Families, and Children
2. Contemporary Issues in Women’s, Families’, and Children’s Health Care
3. The Evolving Family
4. Caring for Women, Families, and Children Across the Life Span
II. The Process of Human Reproduction
5. Reproductive Anatomy and Physiology
6. Human Sexuality and Fertility
7. Conception and Development of the Embryo and Fetus
III. The Prenatal Journey
8. Physiological and Psychosocial Changes During Pregnancy
9. The Prenatal Assessment
10. Promoting a Health Pregnancy
11. Caring for the Woman Experiencing Complications During Pregnancy
IV. The Birth Experience
12. The Process of Labor and Birth
13. Promoting Patient Comfort During Labor and Birth
14. Caring for the Woman Experiencing Complications During Labor and Birth
, Chapter 1: Traditional and Community Nursing Care for Women, Families, and
Children
V. Care of the New Family MULTIPLE CHOICE
15. Caring for the Postpartal Woman and Her Family 1. The clinic nurse understands the new description of nursing art/aesthetics as the way that
nurses and patients help each other through a circular process. What is the event that begins
16. Caring for the Woman Experiencing Complications During Postpartal Period this process?
17. Physiological Transition of the Newborn A. A health threat
B. Experiencing new possibilities for health
18. Caring for the Normal Newborn C. Hope and understanding for the future
D. Relationship building
19. Caring for the Newborn at Risk
ANS: A
Nursing aesthetics consists of the low-tech, high-touch caring in a nurse–patient encounter.
This transformative process begins with a health threat. The event that begins the process is
VI. Caring for the Child and Family
not experiencing new possibilities for health, hope and understanding for the future, or
20. Caring for the Developing Child relationship building.
21. Caring for the Child in the Hospital, the Community and Across Care Settings Cognitive Level: Knowledge/Remembering
22. Caring for the Child with a Psychosocial or Cognitive Condition Content Area: Pediatrics/Maternity
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Caring
Difficulty: Moderate
VII. Ongoing Care of the Child in the Hospital and in the Community
PTS: 1
23. Caring for the Child with a Respiratory Condition
24. Caring for the Child with a Gastrointestinal Condition 2. A nurse manager in a community clinic is concerned because the local refugee population
does not seek health care routinely. What action by the nurse would be most helpful?
25. Caring for the Child with an Immunologic or Infectious Condition A. Assess clinic staff and procedures for evidence of ethnocentrism.
B. Put up flyers advertising the clinic’s services in local retailers.
26. Caring for the Child with a Cardiovascular Condition C. Reward preventative health patients with coupons for needed items.
27. Caring for the Child with an Endocrinologic or Metabolic Condition D. Try to meet with community leaders to work on the problem.
ANS: A
28. Caring for the Child with a Neurological or Sensory Condition
Ethnocentrism is the view that the beliefs, values, and behaviors of one culture are superior to
29. Caring for the Child with a Musculoskeletal Condition those of other cultures. Ethnocentrism is dangerous in health care because it is blind to the
possibilities of other solutions and viewpoints and alienates people in need of health care. The
30. Caring for the Child with an Integumentary Condition nurse manager would be wise to assess the clinic’s staff and procedures for ethnocentrism.
31. Caring for the Child with a Genitourinary Condition Meeting with a community leader is always a good idea to learn the viewpoints of the
community, but unless ethnocentric behaviors change, it is unlikely that the refugee
32. Caring for the Child with a Hematological Condition community will increase its use of the clinic. Flyers and incentives may also be helpful in
some cases, but not as helpful as reducing the barriers imposed by ethnocentrism.
33. Caring for the Child with Cancer
34. Caring for the Child with a Chronic Condition or the Dying Child Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
35. Caring for the Critically Ill Child Patient Needs: Health Promotion and Maintenance
Integrated Process: Caring
Difficulty: Moderate
, C. Learn to speak one or two common languages of the patients in the clinic.
PTS: 1 D. Read about different folk remedies common among the populations seen.
3. The nursing faculty explains to students that ethnopluralism is an important force shaping ANS: A
health care today. What concept is most important in understanding this trend? Divergent populations enter the health-care system with differing beliefs about health care and
A. The decreased need for cultural competency wellness and differing expectations for the outcomes of such experiences. Understanding
B. The growth in one ethnic group in a single area these expectations will help the nurse plan care that has a better chance of meeting these
C. The increased impact of diverse cultures on health care expectations. Learning languages and becoming familiar with folk remedies is helpful as well,
D. The percentage increase of the non-Caucasian population but these two solutions are very limited in scope and a nurse cannot hope to become proficient
in all the languages/behaviors of every population seen, leaving some patients with a lessened
ANS: C experience. Explaining policies is important too, but simply telling someone the rules does not
Ethnopluralism means diverse cultures. As the population of different ethnic take his or her cultural norms into account and may not be successful.
(non-Euro-Caucasian) groups grows, their impact on health care will increase exponentially.
Ethnopluralism is not just the growth of one ethnic group in one location. It is also more than Cognitive Level: Application/Applying
just the percentage change in the non-Euro-Caucasian population, although that is part of the Content Area: Pediatrics/Maternity
phenomenon. As ethnopluralism continues to impact health care, providers will need to be Patient Needs: Psychosocial Integrity
more, not less, culturally competent. Integrated Process: Nursing Process: Assessment
Difficulty: Moderate
Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity PTS: 1
Patient Needs: Psychosocial Integrity
Integrated Process: Teaching/Learning 6. A nurse is working with a minority group that has a high incidence of cardiovascular disease,
Difficulty: Moderate including hypertension and stroke. When participating in a community health fair with this
group, what action by the nurse will be most effective?
PTS: 1 A. Educate the participants about weight loss and a low-sodium, low-fat diet.
B. Explain the genetic basis for the high incidence of cardiovascular disease in the
4. A nursing faculty member is explaining recent shifts in nursing practice. What change has group.
been important in applying the nursing process? C. Help participants make lifestyle changes that are culturally congruent.
A. A change to a spiral or circular process D. Present statistics on the mortality and morbidity of cardiovascular disease.
B. A focus on more independent nursing actions
C. A return to the nurse-as-expert model of care ANS: C
D. An emphasis on attaining a disease-free state The ever-increasing culturally diverse population interacting with the health-care system
brings its own beliefs, values, and health-related practices that impact health and well-being.
ANS: A In order to help people make healthy lifestyle changes, the changes must be culturally
The nursing process has recently changed from a linear one to a spiral or circular process in congruent and acceptable. Forcing an incongruent practice makes it highly unlikely to
which the patient/family is motivated toward promotion, maintenance, and restoration of succeed. Education is important, but it must be done in a culturally congruent way.
health. The focus has not changed to include more independent actions, a return to the Pathophysiology and statistical knowledge, by itself, is not likely to be beneficial.
nurse-as-expert model, or an emphasis on attaining a disease-free state of being.
Cognitive Level: Application/Applying
Cognitive Level: Comprehension/Understanding Content Area: Pediatrics/Maternity
Content Area: Pediatrics/Maternity Patient Needs: Psychosocial Integrity
Patient Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning
Integrated Process: Teaching/Learning Difficulty: Difficult
Difficulty: Easy
PTS: 1
PTS: 1
7. What does the practicing nurse understand to be the most important influence on
5. A nurse is working in an urban clinic with a diverse population. What action by the nurse is interdependent, assertive nursing practice today?
most important? A. Higher education of registered nurses
A. Determine patients’ definitions of health and desired outcomes of health care. B. Improved working conditions and salaries
B. Explain policies such as appointment cancellations to ensure compliance. C. Increased numbers of female physicians
, D. Use of the nursing process for patient care
ANS: C
ANS: D The role of the family-centered nurse is to facilitate and assist the family in making informed
Nurses were passive, deferential, and compliant to the knowledge and orders of mostly male choices that lead to the outcome the patient and family desire. This requires the nurse to give
physicians until the late 20th century. The nursing process changed that. The nursing process up the paternalistic role of authority on health care. The family knows the child best and
is a framework for systematic problem solving and implementation of both independent and should be assumed to make decisions that are in the best interests of both child and family.
dependent nursing actions. The nursing process allows nurses to make decisions regarding The other options are all good interventions, but are too limited in scope to be the best way to
patient care based on critical thinking and clinical judgment. The other options listed were not create a family-centered environment.
vital in creating a nursing practice that is interdependent and assertive.
Cognitive Level: Analysis/Analyzing
Cognitive Level: Analysis/Analyzing Content Area: Pediatrics/Maternity
Content Area: Pediatrics/Maternity Patient Needs: Psychosocial Integrity
Patient Needs: Safe and Effective Care Environment: Management of Care Integrated Process: Caring
Integrated Process: Nursing Process Difficulty: Difficult
Difficulty: Difficult
PTS: 1
PTS: 1
10. A clinic nurse is explaining to a student nurse the function of the community health map in
8. A child who has been hospitalized for a long time is preparing to go home, where care will be assessing families. Which description of this assessment tool is most accurate?
continued. Which action by the nurse is most beneficial to assist the family in this transition? A. It assesses how the family interacts with outside social systems.
A. Advise the family to call the local visiting nurses association for home visits. B. It locates health-care settings in, or close to, their neighborhood.
B. Call the child’s school to inquire about requirements for returning to school. C. It outlines family problems and social resources to help with them.
C. Consult a social worker to help evaluate insurance coverage and transportation. D. It shows how the health of the community impacts each family.
D. Give the family brochures for the local support group for chronically ill children.
ANS: A
ANS: C A community health map is an assessment tool for family structure, function, and support
Preparing a family for home-based care, or other community-based care, involves ensuring networks. It displays significant related data and helps the nurse focus on the family as it
that the family is able to provide the care needed by the child at home or in another setting. interacts with the social systems within and around the family. Its purpose is not to locate
This can include discussing specialized equipment in the home, health insurance coverage, local health-care settings. The focus is on family health and past successes and current
transportation, and/or returning to school. If the family needs or desires visiting nurses, the strengths, not on family problems. Correlations can be made between the health of the
nursing staff or social worker at the hospital should arrange this for the family. Calling the community and the health of those living in that community, but this is not the purpose of the
school to get information about the child’s return to school yields helpful information, but community health map.
may not be needed yet, and is too limited in scope to be the best answer. Simply giving
parents brochures for support groups may or may not be helpful; the parents may not be Cognitive Level: Comprehension/Understanding
literate or may not understand the benefit without discussion. Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Cognitive Level: Analysis/Analyzing Integrated Process: Teaching/Learning
Content Area: Pediatrics/Maternity Difficulty: Moderate
Patient Needs: Health Promotion and Maintenance
Integrated Process: Communication and Documentation PTS: 1
Difficulty: Difficult
11. A nurse wishes to improve his or her cultural sensitivity while working with patients. Which
PTS: 1 action by the nurse would best indicate progress toward this goal?
A. Demonstrate good knowledge of different cultural health beliefs
9. A nurse manager wants to make the pediatric clinic a more family-centered health-care B. Effectively respond to the needs of people of different cultures
setting. Which of the following actions by the nursing staff would best meet this goal? C. Interact respectfully with patients who have differing health beliefs
A. Encourage family members to be present in the exam room and to ask questions. D. Recognizes that he or she will never be the expert in other cultures
B. Incorporate the use of a community health map for all new patients in the clinic.
ANS: C
C. Recognize family members as experts on their child and incorporate them in
decision making.
D. Use evidence-based practice to develop policies and procedures used in the clinic.
Test Bank for Maternal-Child Nursing Care with The Women’s Health Companion:
Optimizing Outcomes for Mothers, Children, and Families, 2nd Edition, Susan L. Ward,
Shelton M. Hisley, ISBN-13: 978-0-8036-3665-1, ISBN-10: 0803636652, ISBN-13:
9780803636651
Maternal-Child Care Nursing, 2nd Edition
I. Foundations in Maternal, Family, and Child Care
1. Traditional and Community Nursing Care for Women, Families, and Children
2. Contemporary Issues in Women’s, Families’, and Children’s Health Care
3. The Evolving Family
4. Caring for Women, Families, and Children Across the Life Span
II. The Process of Human Reproduction
5. Reproductive Anatomy and Physiology
6. Human Sexuality and Fertility
7. Conception and Development of the Embryo and Fetus
III. The Prenatal Journey
8. Physiological and Psychosocial Changes During Pregnancy
9. The Prenatal Assessment
10. Promoting a Health Pregnancy
11. Caring for the Woman Experiencing Complications During Pregnancy
IV. The Birth Experience
12. The Process of Labor and Birth
13. Promoting Patient Comfort During Labor and Birth
14. Caring for the Woman Experiencing Complications During Labor and Birth
, Chapter 1: Traditional and Community Nursing Care for Women, Families, and
Children
V. Care of the New Family MULTIPLE CHOICE
15. Caring for the Postpartal Woman and Her Family 1. The clinic nurse understands the new description of nursing art/aesthetics as the way that
nurses and patients help each other through a circular process. What is the event that begins
16. Caring for the Woman Experiencing Complications During Postpartal Period this process?
17. Physiological Transition of the Newborn A. A health threat
B. Experiencing new possibilities for health
18. Caring for the Normal Newborn C. Hope and understanding for the future
D. Relationship building
19. Caring for the Newborn at Risk
ANS: A
Nursing aesthetics consists of the low-tech, high-touch caring in a nurse–patient encounter.
This transformative process begins with a health threat. The event that begins the process is
VI. Caring for the Child and Family
not experiencing new possibilities for health, hope and understanding for the future, or
20. Caring for the Developing Child relationship building.
21. Caring for the Child in the Hospital, the Community and Across Care Settings Cognitive Level: Knowledge/Remembering
22. Caring for the Child with a Psychosocial or Cognitive Condition Content Area: Pediatrics/Maternity
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Caring
Difficulty: Moderate
VII. Ongoing Care of the Child in the Hospital and in the Community
PTS: 1
23. Caring for the Child with a Respiratory Condition
24. Caring for the Child with a Gastrointestinal Condition 2. A nurse manager in a community clinic is concerned because the local refugee population
does not seek health care routinely. What action by the nurse would be most helpful?
25. Caring for the Child with an Immunologic or Infectious Condition A. Assess clinic staff and procedures for evidence of ethnocentrism.
B. Put up flyers advertising the clinic’s services in local retailers.
26. Caring for the Child with a Cardiovascular Condition C. Reward preventative health patients with coupons for needed items.
27. Caring for the Child with an Endocrinologic or Metabolic Condition D. Try to meet with community leaders to work on the problem.
ANS: A
28. Caring for the Child with a Neurological or Sensory Condition
Ethnocentrism is the view that the beliefs, values, and behaviors of one culture are superior to
29. Caring for the Child with a Musculoskeletal Condition those of other cultures. Ethnocentrism is dangerous in health care because it is blind to the
possibilities of other solutions and viewpoints and alienates people in need of health care. The
30. Caring for the Child with an Integumentary Condition nurse manager would be wise to assess the clinic’s staff and procedures for ethnocentrism.
31. Caring for the Child with a Genitourinary Condition Meeting with a community leader is always a good idea to learn the viewpoints of the
community, but unless ethnocentric behaviors change, it is unlikely that the refugee
32. Caring for the Child with a Hematological Condition community will increase its use of the clinic. Flyers and incentives may also be helpful in
some cases, but not as helpful as reducing the barriers imposed by ethnocentrism.
33. Caring for the Child with Cancer
34. Caring for the Child with a Chronic Condition or the Dying Child Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
35. Caring for the Critically Ill Child Patient Needs: Health Promotion and Maintenance
Integrated Process: Caring
Difficulty: Moderate
, C. Learn to speak one or two common languages of the patients in the clinic.
PTS: 1 D. Read about different folk remedies common among the populations seen.
3. The nursing faculty explains to students that ethnopluralism is an important force shaping ANS: A
health care today. What concept is most important in understanding this trend? Divergent populations enter the health-care system with differing beliefs about health care and
A. The decreased need for cultural competency wellness and differing expectations for the outcomes of such experiences. Understanding
B. The growth in one ethnic group in a single area these expectations will help the nurse plan care that has a better chance of meeting these
C. The increased impact of diverse cultures on health care expectations. Learning languages and becoming familiar with folk remedies is helpful as well,
D. The percentage increase of the non-Caucasian population but these two solutions are very limited in scope and a nurse cannot hope to become proficient
in all the languages/behaviors of every population seen, leaving some patients with a lessened
ANS: C experience. Explaining policies is important too, but simply telling someone the rules does not
Ethnopluralism means diverse cultures. As the population of different ethnic take his or her cultural norms into account and may not be successful.
(non-Euro-Caucasian) groups grows, their impact on health care will increase exponentially.
Ethnopluralism is not just the growth of one ethnic group in one location. It is also more than Cognitive Level: Application/Applying
just the percentage change in the non-Euro-Caucasian population, although that is part of the Content Area: Pediatrics/Maternity
phenomenon. As ethnopluralism continues to impact health care, providers will need to be Patient Needs: Psychosocial Integrity
more, not less, culturally competent. Integrated Process: Nursing Process: Assessment
Difficulty: Moderate
Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity PTS: 1
Patient Needs: Psychosocial Integrity
Integrated Process: Teaching/Learning 6. A nurse is working with a minority group that has a high incidence of cardiovascular disease,
Difficulty: Moderate including hypertension and stroke. When participating in a community health fair with this
group, what action by the nurse will be most effective?
PTS: 1 A. Educate the participants about weight loss and a low-sodium, low-fat diet.
B. Explain the genetic basis for the high incidence of cardiovascular disease in the
4. A nursing faculty member is explaining recent shifts in nursing practice. What change has group.
been important in applying the nursing process? C. Help participants make lifestyle changes that are culturally congruent.
A. A change to a spiral or circular process D. Present statistics on the mortality and morbidity of cardiovascular disease.
B. A focus on more independent nursing actions
C. A return to the nurse-as-expert model of care ANS: C
D. An emphasis on attaining a disease-free state The ever-increasing culturally diverse population interacting with the health-care system
brings its own beliefs, values, and health-related practices that impact health and well-being.
ANS: A In order to help people make healthy lifestyle changes, the changes must be culturally
The nursing process has recently changed from a linear one to a spiral or circular process in congruent and acceptable. Forcing an incongruent practice makes it highly unlikely to
which the patient/family is motivated toward promotion, maintenance, and restoration of succeed. Education is important, but it must be done in a culturally congruent way.
health. The focus has not changed to include more independent actions, a return to the Pathophysiology and statistical knowledge, by itself, is not likely to be beneficial.
nurse-as-expert model, or an emphasis on attaining a disease-free state of being.
Cognitive Level: Application/Applying
Cognitive Level: Comprehension/Understanding Content Area: Pediatrics/Maternity
Content Area: Pediatrics/Maternity Patient Needs: Psychosocial Integrity
Patient Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning
Integrated Process: Teaching/Learning Difficulty: Difficult
Difficulty: Easy
PTS: 1
PTS: 1
7. What does the practicing nurse understand to be the most important influence on
5. A nurse is working in an urban clinic with a diverse population. What action by the nurse is interdependent, assertive nursing practice today?
most important? A. Higher education of registered nurses
A. Determine patients’ definitions of health and desired outcomes of health care. B. Improved working conditions and salaries
B. Explain policies such as appointment cancellations to ensure compliance. C. Increased numbers of female physicians
, D. Use of the nursing process for patient care
ANS: C
ANS: D The role of the family-centered nurse is to facilitate and assist the family in making informed
Nurses were passive, deferential, and compliant to the knowledge and orders of mostly male choices that lead to the outcome the patient and family desire. This requires the nurse to give
physicians until the late 20th century. The nursing process changed that. The nursing process up the paternalistic role of authority on health care. The family knows the child best and
is a framework for systematic problem solving and implementation of both independent and should be assumed to make decisions that are in the best interests of both child and family.
dependent nursing actions. The nursing process allows nurses to make decisions regarding The other options are all good interventions, but are too limited in scope to be the best way to
patient care based on critical thinking and clinical judgment. The other options listed were not create a family-centered environment.
vital in creating a nursing practice that is interdependent and assertive.
Cognitive Level: Analysis/Analyzing
Cognitive Level: Analysis/Analyzing Content Area: Pediatrics/Maternity
Content Area: Pediatrics/Maternity Patient Needs: Psychosocial Integrity
Patient Needs: Safe and Effective Care Environment: Management of Care Integrated Process: Caring
Integrated Process: Nursing Process Difficulty: Difficult
Difficulty: Difficult
PTS: 1
PTS: 1
10. A clinic nurse is explaining to a student nurse the function of the community health map in
8. A child who has been hospitalized for a long time is preparing to go home, where care will be assessing families. Which description of this assessment tool is most accurate?
continued. Which action by the nurse is most beneficial to assist the family in this transition? A. It assesses how the family interacts with outside social systems.
A. Advise the family to call the local visiting nurses association for home visits. B. It locates health-care settings in, or close to, their neighborhood.
B. Call the child’s school to inquire about requirements for returning to school. C. It outlines family problems and social resources to help with them.
C. Consult a social worker to help evaluate insurance coverage and transportation. D. It shows how the health of the community impacts each family.
D. Give the family brochures for the local support group for chronically ill children.
ANS: A
ANS: C A community health map is an assessment tool for family structure, function, and support
Preparing a family for home-based care, or other community-based care, involves ensuring networks. It displays significant related data and helps the nurse focus on the family as it
that the family is able to provide the care needed by the child at home or in another setting. interacts with the social systems within and around the family. Its purpose is not to locate
This can include discussing specialized equipment in the home, health insurance coverage, local health-care settings. The focus is on family health and past successes and current
transportation, and/or returning to school. If the family needs or desires visiting nurses, the strengths, not on family problems. Correlations can be made between the health of the
nursing staff or social worker at the hospital should arrange this for the family. Calling the community and the health of those living in that community, but this is not the purpose of the
school to get information about the child’s return to school yields helpful information, but community health map.
may not be needed yet, and is too limited in scope to be the best answer. Simply giving
parents brochures for support groups may or may not be helpful; the parents may not be Cognitive Level: Comprehension/Understanding
literate or may not understand the benefit without discussion. Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Cognitive Level: Analysis/Analyzing Integrated Process: Teaching/Learning
Content Area: Pediatrics/Maternity Difficulty: Moderate
Patient Needs: Health Promotion and Maintenance
Integrated Process: Communication and Documentation PTS: 1
Difficulty: Difficult
11. A nurse wishes to improve his or her cultural sensitivity while working with patients. Which
PTS: 1 action by the nurse would best indicate progress toward this goal?
A. Demonstrate good knowledge of different cultural health beliefs
9. A nurse manager wants to make the pediatric clinic a more family-centered health-care B. Effectively respond to the needs of people of different cultures
setting. Which of the following actions by the nursing staff would best meet this goal? C. Interact respectfully with patients who have differing health beliefs
A. Encourage family members to be present in the exam room and to ask questions. D. Recognizes that he or she will never be the expert in other cultures
B. Incorporate the use of a community health map for all new patients in the clinic.
ANS: C
C. Recognize family members as experts on their child and incorporate them in
decision making.
D. Use evidence-based practice to develop policies and procedures used in the clinic.
