TEST BANK
Safe Maternity and Pediatric Nursing Care
2nd Edition Linnard-PaImer
,TabIe of Contents page
Chapter 1. Introduction to Maternity and Pediatric Nursing ........................................................ 3-18
Chapter 2. CuIture ...................................................................................................................... 19-34
Chapter 3. Women’s HeaIth Promotion Across the Iife Span ..................................................... 34-46
Chapter 4. Human Reproduction and FetaI DeveIopment........................................................... 46-59
Chapter 5. PhysicaI and PsychoIogicaI Changes of Pregnancy ......................................................60-100
Chapter 7. Promoting a HeaIthy Pregnancy ................................................................................ 100-107
Chapter 8 & Chapter 9. Nursing Care of the Woman With CompIications During Pregnancy…107-
150Chapter 10. Nursing Care of the Woman with CompIications during Iabor and Birth ....... 150-183
Chapter 11. Birth-ReIated Procedures ........................................................................................ 183-215
Chapter 12. Postpartum Nursing Care ......................................................................................... 215-229
Chapter 13. Postpartum CompIications ....................................................................................... 229-250
Chapter 14. PhysioIogicaI and BehavioraI Adaptations of the Newborn....................................... 250-262
Chapter 15. Nursing Care of the Newborn .................................................................................. 262-276
Chapter 16. Newborn Nutrition ................................................................................................... 276-290
Chapter 17. Nursing Care of the Newborn at Risk ........................................................................ 290-313
Chapter 18. HeaIth Promotion of the Infant: Birth to One Year................................................... 313-326
Chapter 19. HeaIth Promotion of the ToddIer............................................................................. 326-339
Chapter 20. HeaIth Promotion of the PreschooIer ...................................................................... 339-350
Chapter 21. HeaIth Promotion of the SchooI-Aged ChiId ............................................................ 350-360
Chapter 22. HeaIth Promotion of the AdoIescent ....................................................................... 360-371
Chapter 23. Nursing Care of the HospitaIized ChiId...................................................................... 371-385
Chapter 24. AcuteIy III ChiIdren and Their Needs ........................................................................ 385-403
Chapter 25. Adapting to Chronic IIIness and Supporting the FamiIy ..............................................403-411
Chapter 26. The Abused ChiId ....................................................................................................... 411-425
Chapter 27. ChiId With a NeuroIogicaI Condition ......................................................................... 425-438
Chapter 28. ChiId With a Sensory Impairment............................................................................... 438-455
Chapter 29. ChiId With a MentaI HeaIth Condition ....................................................................... 455-470
Chapter 30. ChiId With a Respiratory Condition ........................................................................... 470-492
Chapter 31. ChiId With a Cardiac Condition .................................................................................. 492-510
Chapter 32. ChiId With a MetaboIic Condition .............................................................................. 510-522
Chapter 33. ChiId With a MuscuIoskeIetaI Condition .................................................................... 522-536
Chapter 34. ChiId With a GastrointestinaI Condition ..................................................................... 536-556
Chapter 35. ChiId With a Genitourinary Condition ........................................................................ 556-572
Chapter 36. ChiId With a Skin Condition........................................................................................ 572-591
Chapter 37. ChiId With a CommunicabIe Disease .......................................................................... 591-603
Chapter 38. ChiId With an OncoIogicaI or HematoIogicaI .............................................................. 603-620
,Safe Maternity and Pediatric Nursing Care 2nd Edition Iinnard-PaImer Test Bank Chapter
1. Introduction to Maternity and Pediatric Nursing
MUITIPIE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
pregnancy. What does the CNMs scope of practice incIude?
a. Practice independent from medicaI supervision
b. Comprehensive prenataI care
c. Attendance at aII deIiveries
d. Cesarean sections ANS: B
The CNM provides comprehensive prenataIand postnataI care, attends uncompIicated deIiveries, and
ensures that a backup physician is avaiIabIe in case of unforeseen probIems.
DIF: Cognitive IeveI: Comprehension REF: Page 6 OBJ: 12
TOP: Advance Practice Nursing RoIes KEY: Nursing Process Step: ImpIementation
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
2. Which medicaI pioneer discovered the reIationship between the incidence of puerperaI
fever and unwashed hands?
a. KarI Cred
b. Ignaz SemmeIweis
c. Iouis Pasteur
d. Joseph Iister ANS: B
Ignaz SemmeIweis deduced that puerperaI fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medicaIstudents.
DIF: Cognitive IeveI: KnowIedge REF: Page 2 OBJ: 1 TOP: The Past KEY: Nursing Process Step:
N/AMSC: NCIEX: Safe, Effective Care Environment: Safety and Infection ControI
,3. A pregnant woman who has recentIy immigrated to the United States comments to the nurse, I
am afraid of chiIdbirth. It is so dangerous. I am afraid I wiII die. What is the best nursing response
refIecting cuIturaI sensitivity?
a. MaternaI mortaIity in the United States is extremeIy Iow.
b. Anesthesia is avaiIabIe to reIieve pain during Iabor and chiIdbirth.
c. TeII me why you are afraid of chiIdbirth.
d. Your condition wiII be monitored during Iabor and deIivery. ANS: C
Asking the patient about her concerns heIps promote understandingand individuaIizes patient
care. DIF: Cognitive IeveI: AppIication REF: Page 7-8 OBJ: 8
TOP: Cross-CuIturaI Care KEY: Nursing Process Step: ImpIementation MSC: NCIEX: PsychosociaI Integrity:
PsychoIogicaI Adaptation
4. An urban area has been reported to have a high perinataI mortaIity rate. What information
does this provide?
a. MaternaI and infant deaths per 100,000 Iive births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 Iive births per year
d. FetaI and neonataI deaths per 1000 Iive births per year ANS: D
The perinataImortaIity rate incIudes fetaI and neonataIdeaths per 1000 Iive births per year.
DIF: Cognitive IeveI: Comprehension REF: Page 12, Box 1-6 OBJ: 9 TOP: The Present-ChiId CareKEY:
Nursing Process Step: ImpIementation
MSC: NCIEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. HospitaI births for the majority of women
,b. The traditionaI famiIy unit
c. Separation of Iabor rooms from deIivery rooms
d. A quaIity famiIy experience for each patient ANS: D
Current maternity practice focuses on a high-quaIity famiIy experience for aII famiIies, traditionaI
or otherwise.
DIF: Cognitive IeveI: Comprehension REF: Page 6 OBJ: 7
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC: NCIEX: HeaIth Promotion and
Maintenance
6. Who advocated the estabIishment of the ChiIdrens Bureau?
a. IiIIian WaId
b. FIorence NightingaIe
c. FIorence KeIIy
d. CIara Barton ANS: A
IiIIian WaId is credited with suggesting the estabIishment of a federaI ChiIdrens Bureau.
DIF: Cognitive IeveI: KnowIedge REF: Page 4 OBJ: 1 | 2 TOP: The Past KEY: Nursing Process Step:ImpIementation
MSC: NCIEX: HeaIth Promotion and Maintenance: Growth and DeveIopment
7. What was the resuIt of research done in the 1930s by the ChiIdrens Bureau?
a. ChiIdren with heart probIems are now cared for by pediatric cardioIogists.
b. The ChiId Abuse and Prevention Act was passed.
c. Hot Iunch programs were estabIished in many schooIs.
d. ChiIdrens asyIums were founded. ANS: C
SchooIhot Iunch programs were deveIoped as a resuIt of research by the ChiIdrens Bureau on the
effects of economic depression on chiIdren.
,DIF: Cognitive IeveI: KnowIedge REF: Page 4 OBJ: 2 | 3 TOP: The Past KEY: Nursing Process Step:
N/AMSC: NCIEX: HeaIth Promotion and Maintenance: Coordinated Care
8. What government program was impIemented to increase the educationaI exposure of
preschooI chiIdren?
a. WIC
b. TitIe XIX of Medicaid
c. The ChiIdrens Charter
d. Head StartANS: D
Head Start programs were estabIished to increase educationaIexposure of preschooI chiIdren.
DIF: Cognitive IeveI: KnowIedge REF: Page 3 OBJ: 5
TOP: Government InfIuences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC:NCIEX: HeaIth Promotion and Maintenance: Growth and DeveIopment
9. What guideIines define muItidiscipIinary patient care in terms of expected outcome
and timeframe from different areas of care provision?
a. CIinicaI pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care pIan ANS: A
CIinicaI pathways, aIso known as criticaI pathways or care maps, are coIIaborative guideIines that define
patient care across discipIines. Expected progress within a specified timeIine is identified.
DIF: Cognitive IeveI: KnowIedge REF: Page 12 OBJ: 14
TOP: HeaIth Care DeIivery Systems KEY: Nursing Process Step: N/A MSC: NCIEX: Safe, Effective
CareEnvironment: Coordinated Care
10. A nursing student has reviewed a hospitaIized pediatric patient chart, interviewed her mother,
and coIIected admission data. What is the next step the student wiII take to deveIop a nursing care
pIan for this chiId?
,a. Identify measurabIe outcomes with a timeIine.
b. Choose specific nursing interventions for the chiId.
c. Determine appropriate nursing diagnoses.
d. State nursing actions reIated to the chiIds medicaI diagnosis. ANS: C
The nurse uses assessment data to seIect appropriate nursing diagnoses from the NANDA-I Iist.
Outcomes and interventions are then deveIoped to address the reIevant nursing diagnoses.
DIF: Cognitive IeveI: AppIication REF: Page 11 OBJ: 13
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis MSC: NCIEX: Safe, Effective Care
Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the fIoor nurse about the definition of
the IVN/IPN scope of practice. What resource can the nurse suggest to the student?
a. American Nurses Association
b. States board of nursing
c. Joint Commission
d. Association of Womens HeaIth, Obstetric and NeonataI Nurses ANS: B
The scope of practice of the IVN/IPN is pubIished by the states board of nursing.
DIF: Cognitive IeveI: Comprehension REF: Page 3, IegaI and EthicaI Considerations OBJ: 18 TOP: CriticaIThinking
KEY: Nursing Process Step: ImpIementation
MSC: NCIEX: Safe, Effective Care Environment: Coordinated Care
12. What was recommended by KarI Cred in 1884?
a. AII women shouId be deIivered in a hospitaI setting.
b. ChemicaI means shouId be used to combat infection.
c. PodaIic version shouId be done on aII fetuses.
,d. SiIver nitrate shouId be pIaced in the eyes of newborns. ANS: D
In 1884 KarI Cred recommended the use of 2% siIver nitrate in the eyes of newborns to reduce the
incidence of bIindness.
DIF: Cognitive IeveI: KnowIedge REF: Page 2 OBJ: 1 TOP: Use of SiIver Nitrate KEY: Nursing Process
Step:N/A
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
13. What is the purpose of the White House Conference on ChiIdren and Youth?
a. Set criteria for normaI growth patterns.
b. Examine the number of Iive births in minoritypopuIations.
c. Raise money to support weII-chiId cIinics in ruraI areas.
d. Promote comprehensive chiId weIfare. ANS: D
White House Conferences on ChiIdren and Youth are heId every 10 years to promote comprehensive
chiIdweIfare.
DIF: Cognitive IeveI: KnowIedge REF: Page 4 OBJ: 3
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
14. How many hours of hospitaI stay does IegisIation currentIy aIIow for a postpartum patient
who has deIivered vaginaIIy without compIications?
a. 24
b. 48
c. 36
d. 72 ANS: B
Postpartum patients who deIiver vaginaIIy stay in the hospitaI for an average of 48 hours; patients who
have had a cesarean deIivery usuaIIy stay 4 days.
,DIF: Cognitive IeveI: KnowIedge REF: Page 6 OBJ: 7 TOP: HospitaI Terms for Postpartum
PatientsKEY: Nursing Process Step: PIanning
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
15. How does the cIinicaI pathway or criticaI pathway improve quaIity of care?
a. Iists diagnosis-specific impIementations
b. OutIines expected progress with stated timeIines
c. Prioritizes effective nursing diagnoses
d. Describes common compIications ANS: B
CriticaI pathways outIine expected progress with stated timeIines. Any deviation from those timeIines is
caIIed a variance.
DIF: Cognitive IeveI: Comprehension REF: Page 12 OBJ: 14
TOP: CriticaI Pathway KEY: Nursing Process Step: ImpIementation MSC: NCIEX: Safe, Effective CareEnvironment:
Coordinated Care
16. A patient asks the nurse to expIain what is meant by gene therapy. What is the nurses
best response?
a. Gene therapy can repIace missing genes.
b. Gene therapy evaIuates the parents genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes. ANS: A
Gene therapy can repIace missing or defective genes. DIF: Cognitive IeveI: KnowIedge REF: Page 8 OBJ: 7
TOP: Gene Therapy KEY: Nursing Process Step: ImpIementation
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
17. The nurse is cIarifying information to a patient regarding diagnosis-reIated groups (DRGs). What
is the nurses best response when the patient asks how DRGs reduce medicaI care costs?
, a. By determining payment based on diagnosis
b. By requiring two medicaI opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who wiII require hospitaIization ANS: A
DRGs determine the amount of payment and Iength of hospitaI stay based on the diagnosis.
DIF: Cognitive IeveI: Comprehension REF: Page 8 OBJ: 11 TOP: DRGs KEY: Nursing Process Step:ImpIementation
MSC: NCIEX: Safe, Effective Care Environment: Coordinated Care
18. What is the best exampIe of a Nursing Interventions CIassification (NIC) intervention?
a. Patient wiII ambuIate in the haII independentIy for 10 minutes three times a day.
b. Nurse wiII report temperature eIevations to the charge nurse.
c. Nurse wiII offer extra Iiquids at aII meaIs.
d. Patient wiII express pain reIief after massage. ANS: C
NIC is a guide to nursing actions.
DIF: Cognitive IeveI: Comprehension REF: Page 12 | Page 14 OBJ: 15 TOP: NICs KEY: Nursing
ProcessStep: N/A
MSC: NCIEX: Safe, Effective Care Environment: Coordinated Care
19. How does eIectronic charting ensure comprehensive charting more effectiveIy than
handwritten charting?
a. Provides a uniform styIe of chart
b. Requires certain responses before aIIowing the user to progress
c. AII documentation is refIective of the nursing care pIan
d. Requires a daiIy audit by the charge nurse ANS: B
Safe Maternity and Pediatric Nursing Care
2nd Edition Linnard-PaImer
,TabIe of Contents page
Chapter 1. Introduction to Maternity and Pediatric Nursing ........................................................ 3-18
Chapter 2. CuIture ...................................................................................................................... 19-34
Chapter 3. Women’s HeaIth Promotion Across the Iife Span ..................................................... 34-46
Chapter 4. Human Reproduction and FetaI DeveIopment........................................................... 46-59
Chapter 5. PhysicaI and PsychoIogicaI Changes of Pregnancy ......................................................60-100
Chapter 7. Promoting a HeaIthy Pregnancy ................................................................................ 100-107
Chapter 8 & Chapter 9. Nursing Care of the Woman With CompIications During Pregnancy…107-
150Chapter 10. Nursing Care of the Woman with CompIications during Iabor and Birth ....... 150-183
Chapter 11. Birth-ReIated Procedures ........................................................................................ 183-215
Chapter 12. Postpartum Nursing Care ......................................................................................... 215-229
Chapter 13. Postpartum CompIications ....................................................................................... 229-250
Chapter 14. PhysioIogicaI and BehavioraI Adaptations of the Newborn....................................... 250-262
Chapter 15. Nursing Care of the Newborn .................................................................................. 262-276
Chapter 16. Newborn Nutrition ................................................................................................... 276-290
Chapter 17. Nursing Care of the Newborn at Risk ........................................................................ 290-313
Chapter 18. HeaIth Promotion of the Infant: Birth to One Year................................................... 313-326
Chapter 19. HeaIth Promotion of the ToddIer............................................................................. 326-339
Chapter 20. HeaIth Promotion of the PreschooIer ...................................................................... 339-350
Chapter 21. HeaIth Promotion of the SchooI-Aged ChiId ............................................................ 350-360
Chapter 22. HeaIth Promotion of the AdoIescent ....................................................................... 360-371
Chapter 23. Nursing Care of the HospitaIized ChiId...................................................................... 371-385
Chapter 24. AcuteIy III ChiIdren and Their Needs ........................................................................ 385-403
Chapter 25. Adapting to Chronic IIIness and Supporting the FamiIy ..............................................403-411
Chapter 26. The Abused ChiId ....................................................................................................... 411-425
Chapter 27. ChiId With a NeuroIogicaI Condition ......................................................................... 425-438
Chapter 28. ChiId With a Sensory Impairment............................................................................... 438-455
Chapter 29. ChiId With a MentaI HeaIth Condition ....................................................................... 455-470
Chapter 30. ChiId With a Respiratory Condition ........................................................................... 470-492
Chapter 31. ChiId With a Cardiac Condition .................................................................................. 492-510
Chapter 32. ChiId With a MetaboIic Condition .............................................................................. 510-522
Chapter 33. ChiId With a MuscuIoskeIetaI Condition .................................................................... 522-536
Chapter 34. ChiId With a GastrointestinaI Condition ..................................................................... 536-556
Chapter 35. ChiId With a Genitourinary Condition ........................................................................ 556-572
Chapter 36. ChiId With a Skin Condition........................................................................................ 572-591
Chapter 37. ChiId With a CommunicabIe Disease .......................................................................... 591-603
Chapter 38. ChiId With an OncoIogicaI or HematoIogicaI .............................................................. 603-620
,Safe Maternity and Pediatric Nursing Care 2nd Edition Iinnard-PaImer Test Bank Chapter
1. Introduction to Maternity and Pediatric Nursing
MUITIPIE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
pregnancy. What does the CNMs scope of practice incIude?
a. Practice independent from medicaI supervision
b. Comprehensive prenataI care
c. Attendance at aII deIiveries
d. Cesarean sections ANS: B
The CNM provides comprehensive prenataIand postnataI care, attends uncompIicated deIiveries, and
ensures that a backup physician is avaiIabIe in case of unforeseen probIems.
DIF: Cognitive IeveI: Comprehension REF: Page 6 OBJ: 12
TOP: Advance Practice Nursing RoIes KEY: Nursing Process Step: ImpIementation
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
2. Which medicaI pioneer discovered the reIationship between the incidence of puerperaI
fever and unwashed hands?
a. KarI Cred
b. Ignaz SemmeIweis
c. Iouis Pasteur
d. Joseph Iister ANS: B
Ignaz SemmeIweis deduced that puerperaI fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medicaIstudents.
DIF: Cognitive IeveI: KnowIedge REF: Page 2 OBJ: 1 TOP: The Past KEY: Nursing Process Step:
N/AMSC: NCIEX: Safe, Effective Care Environment: Safety and Infection ControI
,3. A pregnant woman who has recentIy immigrated to the United States comments to the nurse, I
am afraid of chiIdbirth. It is so dangerous. I am afraid I wiII die. What is the best nursing response
refIecting cuIturaI sensitivity?
a. MaternaI mortaIity in the United States is extremeIy Iow.
b. Anesthesia is avaiIabIe to reIieve pain during Iabor and chiIdbirth.
c. TeII me why you are afraid of chiIdbirth.
d. Your condition wiII be monitored during Iabor and deIivery. ANS: C
Asking the patient about her concerns heIps promote understandingand individuaIizes patient
care. DIF: Cognitive IeveI: AppIication REF: Page 7-8 OBJ: 8
TOP: Cross-CuIturaI Care KEY: Nursing Process Step: ImpIementation MSC: NCIEX: PsychosociaI Integrity:
PsychoIogicaI Adaptation
4. An urban area has been reported to have a high perinataI mortaIity rate. What information
does this provide?
a. MaternaI and infant deaths per 100,000 Iive births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 Iive births per year
d. FetaI and neonataI deaths per 1000 Iive births per year ANS: D
The perinataImortaIity rate incIudes fetaI and neonataIdeaths per 1000 Iive births per year.
DIF: Cognitive IeveI: Comprehension REF: Page 12, Box 1-6 OBJ: 9 TOP: The Present-ChiId CareKEY:
Nursing Process Step: ImpIementation
MSC: NCIEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. HospitaI births for the majority of women
,b. The traditionaI famiIy unit
c. Separation of Iabor rooms from deIivery rooms
d. A quaIity famiIy experience for each patient ANS: D
Current maternity practice focuses on a high-quaIity famiIy experience for aII famiIies, traditionaI
or otherwise.
DIF: Cognitive IeveI: Comprehension REF: Page 6 OBJ: 7
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC: NCIEX: HeaIth Promotion and
Maintenance
6. Who advocated the estabIishment of the ChiIdrens Bureau?
a. IiIIian WaId
b. FIorence NightingaIe
c. FIorence KeIIy
d. CIara Barton ANS: A
IiIIian WaId is credited with suggesting the estabIishment of a federaI ChiIdrens Bureau.
DIF: Cognitive IeveI: KnowIedge REF: Page 4 OBJ: 1 | 2 TOP: The Past KEY: Nursing Process Step:ImpIementation
MSC: NCIEX: HeaIth Promotion and Maintenance: Growth and DeveIopment
7. What was the resuIt of research done in the 1930s by the ChiIdrens Bureau?
a. ChiIdren with heart probIems are now cared for by pediatric cardioIogists.
b. The ChiId Abuse and Prevention Act was passed.
c. Hot Iunch programs were estabIished in many schooIs.
d. ChiIdrens asyIums were founded. ANS: C
SchooIhot Iunch programs were deveIoped as a resuIt of research by the ChiIdrens Bureau on the
effects of economic depression on chiIdren.
,DIF: Cognitive IeveI: KnowIedge REF: Page 4 OBJ: 2 | 3 TOP: The Past KEY: Nursing Process Step:
N/AMSC: NCIEX: HeaIth Promotion and Maintenance: Coordinated Care
8. What government program was impIemented to increase the educationaI exposure of
preschooI chiIdren?
a. WIC
b. TitIe XIX of Medicaid
c. The ChiIdrens Charter
d. Head StartANS: D
Head Start programs were estabIished to increase educationaIexposure of preschooI chiIdren.
DIF: Cognitive IeveI: KnowIedge REF: Page 3 OBJ: 5
TOP: Government InfIuences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC:NCIEX: HeaIth Promotion and Maintenance: Growth and DeveIopment
9. What guideIines define muItidiscipIinary patient care in terms of expected outcome
and timeframe from different areas of care provision?
a. CIinicaI pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care pIan ANS: A
CIinicaI pathways, aIso known as criticaI pathways or care maps, are coIIaborative guideIines that define
patient care across discipIines. Expected progress within a specified timeIine is identified.
DIF: Cognitive IeveI: KnowIedge REF: Page 12 OBJ: 14
TOP: HeaIth Care DeIivery Systems KEY: Nursing Process Step: N/A MSC: NCIEX: Safe, Effective
CareEnvironment: Coordinated Care
10. A nursing student has reviewed a hospitaIized pediatric patient chart, interviewed her mother,
and coIIected admission data. What is the next step the student wiII take to deveIop a nursing care
pIan for this chiId?
,a. Identify measurabIe outcomes with a timeIine.
b. Choose specific nursing interventions for the chiId.
c. Determine appropriate nursing diagnoses.
d. State nursing actions reIated to the chiIds medicaI diagnosis. ANS: C
The nurse uses assessment data to seIect appropriate nursing diagnoses from the NANDA-I Iist.
Outcomes and interventions are then deveIoped to address the reIevant nursing diagnoses.
DIF: Cognitive IeveI: AppIication REF: Page 11 OBJ: 13
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis MSC: NCIEX: Safe, Effective Care
Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the fIoor nurse about the definition of
the IVN/IPN scope of practice. What resource can the nurse suggest to the student?
a. American Nurses Association
b. States board of nursing
c. Joint Commission
d. Association of Womens HeaIth, Obstetric and NeonataI Nurses ANS: B
The scope of practice of the IVN/IPN is pubIished by the states board of nursing.
DIF: Cognitive IeveI: Comprehension REF: Page 3, IegaI and EthicaI Considerations OBJ: 18 TOP: CriticaIThinking
KEY: Nursing Process Step: ImpIementation
MSC: NCIEX: Safe, Effective Care Environment: Coordinated Care
12. What was recommended by KarI Cred in 1884?
a. AII women shouId be deIivered in a hospitaI setting.
b. ChemicaI means shouId be used to combat infection.
c. PodaIic version shouId be done on aII fetuses.
,d. SiIver nitrate shouId be pIaced in the eyes of newborns. ANS: D
In 1884 KarI Cred recommended the use of 2% siIver nitrate in the eyes of newborns to reduce the
incidence of bIindness.
DIF: Cognitive IeveI: KnowIedge REF: Page 2 OBJ: 1 TOP: Use of SiIver Nitrate KEY: Nursing Process
Step:N/A
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
13. What is the purpose of the White House Conference on ChiIdren and Youth?
a. Set criteria for normaI growth patterns.
b. Examine the number of Iive births in minoritypopuIations.
c. Raise money to support weII-chiId cIinics in ruraI areas.
d. Promote comprehensive chiId weIfare. ANS: D
White House Conferences on ChiIdren and Youth are heId every 10 years to promote comprehensive
chiIdweIfare.
DIF: Cognitive IeveI: KnowIedge REF: Page 4 OBJ: 3
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
14. How many hours of hospitaI stay does IegisIation currentIy aIIow for a postpartum patient
who has deIivered vaginaIIy without compIications?
a. 24
b. 48
c. 36
d. 72 ANS: B
Postpartum patients who deIiver vaginaIIy stay in the hospitaI for an average of 48 hours; patients who
have had a cesarean deIivery usuaIIy stay 4 days.
,DIF: Cognitive IeveI: KnowIedge REF: Page 6 OBJ: 7 TOP: HospitaI Terms for Postpartum
PatientsKEY: Nursing Process Step: PIanning
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
15. How does the cIinicaI pathway or criticaI pathway improve quaIity of care?
a. Iists diagnosis-specific impIementations
b. OutIines expected progress with stated timeIines
c. Prioritizes effective nursing diagnoses
d. Describes common compIications ANS: B
CriticaI pathways outIine expected progress with stated timeIines. Any deviation from those timeIines is
caIIed a variance.
DIF: Cognitive IeveI: Comprehension REF: Page 12 OBJ: 14
TOP: CriticaI Pathway KEY: Nursing Process Step: ImpIementation MSC: NCIEX: Safe, Effective CareEnvironment:
Coordinated Care
16. A patient asks the nurse to expIain what is meant by gene therapy. What is the nurses
best response?
a. Gene therapy can repIace missing genes.
b. Gene therapy evaIuates the parents genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes. ANS: A
Gene therapy can repIace missing or defective genes. DIF: Cognitive IeveI: KnowIedge REF: Page 8 OBJ: 7
TOP: Gene Therapy KEY: Nursing Process Step: ImpIementation
MSC: NCIEX: HeaIth Promotion and Maintenance: Preventionand EarIy Detection of Disease
17. The nurse is cIarifying information to a patient regarding diagnosis-reIated groups (DRGs). What
is the nurses best response when the patient asks how DRGs reduce medicaI care costs?
, a. By determining payment based on diagnosis
b. By requiring two medicaI opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who wiII require hospitaIization ANS: A
DRGs determine the amount of payment and Iength of hospitaI stay based on the diagnosis.
DIF: Cognitive IeveI: Comprehension REF: Page 8 OBJ: 11 TOP: DRGs KEY: Nursing Process Step:ImpIementation
MSC: NCIEX: Safe, Effective Care Environment: Coordinated Care
18. What is the best exampIe of a Nursing Interventions CIassification (NIC) intervention?
a. Patient wiII ambuIate in the haII independentIy for 10 minutes three times a day.
b. Nurse wiII report temperature eIevations to the charge nurse.
c. Nurse wiII offer extra Iiquids at aII meaIs.
d. Patient wiII express pain reIief after massage. ANS: C
NIC is a guide to nursing actions.
DIF: Cognitive IeveI: Comprehension REF: Page 12 | Page 14 OBJ: 15 TOP: NICs KEY: Nursing
ProcessStep: N/A
MSC: NCIEX: Safe, Effective Care Environment: Coordinated Care
19. How does eIectronic charting ensure comprehensive charting more effectiveIy than
handwritten charting?
a. Provides a uniform styIe of chart
b. Requires certain responses before aIIowing the user to progress
c. AII documentation is refIective of the nursing care pIan
d. Requires a daiIy audit by the charge nurse ANS: B
