Test Bank - for Maternity and Pediatric Nursing 4th Edition by Susan Ricci, Theresa Kyle, All Chapters |Complete Guide A+

MaternityandPediatricNursing5thEdition
RicciKyleCarmanTestBank u




Chapter1

1. When integrating the principles of family-centered care into the
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birthing process, the nurse would base care upon which belief?
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A. Birthisviewedasamedicalevent. u u



B. Familiesareunabletomakeinformedchoicesduetostress. u



C. Birthresultsinchangesinrelationships. u



D. Familiesrequirelittleinformationtomakeappropriatedecisionsforcare. b




Answer:C u




Rationale:Family-centeredcareisbasedonthefollowinagbirpb.rcionmc/tiepstles: Birthaffectsthe u



entirefamily,andrelationshipswillchange;birthisviewedasanormal,healthy event in
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thelifeofthefamily;andfamiliesarecapableofmakingdecisionsabouttheirowncare if
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given adequate information and professional support.
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Questionformat:Multiple Choice u



Chapter1:PerspectivesonMaternalandChildHealthCare
Cognitive Level: Apply
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ClientNeeds:HealthPromotionandMaintenance
u b




Integrated Process: Teaching/Learning
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IntegratedProcess:Caring u u



Reference:p.7
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2. The nurse is working with a group of community health members to develop a
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plan to address the special health needs of women. The group would design
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educational programs to address which priority condition?
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A. Smoking
B. Heartdisease
C. Diabetes
D. Cancer

u Answer:

B

Rationale:Thegroupneedstoaddress cardiovasculardise ase, the numberone causeof death
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inwomenregardlessofracialorethnicgroup.Smokingisrelatedtoheart disease and the
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development of cancer. However, heart disease and cancer
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ucanoccurinanywomanregardlessofhersmokinghistoarbyirb..cComa/ntecsteristhesecond
uleadingcauseofdeath,withwomenhavingaoneinthreelifetimeriskof developing u



u cancer.Diabetesisanotherimportanthealthconditionthatcanaffect women. u b u



However,itisnotthemajorhealthproblemthatheartdiseaseis. b u



u Questionformat:MultipleChoice u



uChapter1:PerspectivesonMaternalandChildHealthCare
Cognitive Level: Apply u u


uClientNeeds:HealthPromotionandMaintenance
b




IntegratedProcess:NursingProcess u

,Reference:p.12

3. A nurse is conducting an orientation program for a group of newly hired nurses. As
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part of the program, the nurse is reviewingthe issuea ob i rfb.icnofmo/ t re m
u u u u s t ed consent. The nurse u u u u u u u u u u u u b u u u u



determines that the teaching was effective when the group identifies which situation as
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a violation of informed consent?
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A. Performingaprocedureona15-year-oldwithoutparentalconsent b




B. Servingasawitnesstothesignatureprocessonanoapbierbr.caotmiv/teest permit
b b b b b b b b b
b u




C. Asking whether the client understands what she is signing following receiving
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education
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D. Gettingverbalconsentoverthephoneforanemergeanbicrby.copmr/ ot ecstedure from the
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spouse of a unconscious woman
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Answer:A u




Rationale:Inmoststates,onlyclientsovertheageof18canlegallyprovideconsentfor
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health care. Serving as a witness to the signature process, asking
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whethertheclientunderstandswhatsheissigning,andagbirebt.cto imng/ tes
verbalconsentover
t the b b b b u
u u b
u u
u
u
b
u
b
b




phoneforemergencyproceduresareallkeyto informedconsentandare notviolations.
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Questionformat:MultipleChoice
u u



Chapter1:Perspectives onMaternalandChildHealth Caabrierb
u b b




CognitiveLevel:Analyze
ClientNeeds:Safe,EffectiveCareEnvironment:ManagementofCare
u b




Integrated Process: Nursing Process
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Reference:p.45

4. Apregnantwomanistoundergoaninvasiveprocedure toevaluatethestatus of u u u



herfetus.Toensureinformedconsent,whichactionwouabldirb.bcoem/ttehset priority
responsibility of thenurseprovidingcaretothiswoman?
u u u


A. Askingrelevantquestionstodeterminethe client's understanding b b b b




B. Providingadetaileddescriptionoftherisks andbenefitsoftheprocedure u b




C. Explainingtheexactstepsthatwilloccurduringthepar bo i rbc e od u/ teres t b b b b u
b u
u
u
u u
b u u
u
u

u .c u m b




D. Offering suggestions for alternative options for treatment u u u u u u




u Answer:A u




Rationale:Thenurse'sresponsibilitiesrelatedtoinformedconsent include:Ensuring the u b u



consentformiscompletedwithsignaturesfromtheclient;servingas awitness tothe
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signatureprocess;anddeterminingwhetherthecalbiierbn.ctomu/tnesdt erstandswhatsheissigning
u b b b
b b
b u



byaskingherpertinentquestions.Thephysician,advancedpracticenurse,ormidwife is
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responsible for informing the client about the procedure and obtainingconsentby
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providingadetaileddescriptionoftheprocedureortreatment, its potentialrisks and
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benefits,andalternativemethodsaab ivrba.ciolma/btelset .
u b
u b u




Questionformat:Multiple Choice u



Chapter1:PerspectivesonMaternalandChildHealthCare
Cognitive Level: Apply
u u u



ClientNeeds:Safe,EffectiveCareEnvironment:ManagementofCare
b b

,IntegratedProcess:NursingProcess u



uReference: p. 45 u u




5. A 9-month-oldwithglaucomarequiressurgery.Theinabfiarbn.
b b b b b




cto'ms/tepsat
u b




rentsaredivorced.Toobtaininformedconsent,whichactionwouldbe
u b




mostappropriate?
u u


A. Contactingthefatherforinformedconsent b




B. Obtaininginformedconsentfromthemother
C. Seekingacourtrulingonthecourseofcare u u



D. Determiningsoleorjointcustodybytheparents b b




u Answer:D u




Rationale: The most appropriate action would be to determine legal custody by court
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decree. If the parents have joint custody, then either parent may give consent,but it is
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alwaysbesttohaveconsentgivenbybaboirtbh.copma/t erset nts.Theparentwithonlyphysical
u b b b b b
b b b b b ub u
b b




custodymaygiveconsent foremergencycare.Thelastresortis getting a court ruling; u b u u u u u



usuallythisis notnecessaryunlesstheparentsdisagreeaboutthecareofthechild.
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Questionformat:MultipleChoice
u



Chapter1:PerspectivesonMaternalandChildHealthCare
u



CognitiveLevel:Apply u u



ClientNeeds:Safe,EffectiveCareEnvironment:Ma na geam
b birbe.cnotm/otefstCare b b u



Integrated Process: Nursing Process
u u u u



Reference:p.47

6. Whichstatementmadebyanursingstudentwouldbeabsirtb.cionmd/tiecsat b b b b b
b b u u
te
that hereducation on family-centered care was fully understood?
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A. "Childbirthaffectstheentirefamily,andrelationshipswillchange." b




B. "Familiesareusuallynotcapableofmakinghealthcaarbeirbd.ceomc/itseisotb b b b b b b




unsforthemselves, especially in stressful situations." u u u u



C. "Mothersaretheonlyfamilymemberaffectedbychildbirth."
D. "Since childbirth is a medical procedure, it may affect
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u everyone." Answer: A u u




Rationale:Childbirthaffectstheentirefamily,andrelatioabnirbs.hcoimp/steswt illchange. b b b u b u


uChildbirthisviewedasanormallifeevent,notamedicalprocedure.Familiesare very
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ucapableofmakinghealthcaredecisionsabouttheirowncarewithproperinformation
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uandsupport.
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Questionformat:MultipleChoice u



Chapter1:PerspectivesonMaternalandChildHealthCare
u



Cognitive Level: Apply
u u u


ClientNeeds:PsychosocialIntegrity u u




IntegratedProcess:NursingProcess u



uReference: p. 15 u u




7. Whichaspectofclient wellness has not been afocus aobfi r bh.ceo m a/ lttehs b b b u b b b u u t
duringthe21stcentury ? b u

, A. Diseaseprevention
B. Healthpromotion
C. Wellness
D. Analysis ofmorbidityandmortality b




u Answer:D u




Rationale:Thefocusonhealthhasshiftedtodiseasepreabvireb. ncotmio/t ne s,t healthpromotion,and
b b b b
b bu b u u u
b




wellness.Inthelastcentury,muchofthefocuswasonanalyzingmorbidityand
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mortalityrates.
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Questionformat:MultipleChoice u



Chapter1:PerspectivesonMaternalandChildHealthCare
u



Cognitive Level: Remember
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ClientNeeds:HealthPromotionandMaintenanceIntegrated u u



Process: NursingProcess
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Reference:,p.HealthStatusofWomenandChildren
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8. Anursei splanningacontinuumofcareforaclientduba ri
b b u b

i
n g p r e stgnancy,
.c om /t
b b b
u
u
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labor,andchildbirth. What is themost important factor in enhancing the
b



u rb e u u u u u u u u u u u


ubirthing experience? u



A. Adheringtostrictspecificroutines b




B. Involvingapediatricphysician u u



C. Educatingtheclientabouttheimportanceofasupporatbi rpb. ec orms / ot e ns t
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D. Assigning several nurses as a u u u u




u support team Answer: C
u u u




Rationale: Educating the client about the importance of a support person during labor
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anddeliveryhas beenshownto improve andenhancethe birthingexperience. Question
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format: Multiple Choice
u u u



Chapter1:PerspectivesonMaternalandChildHealthCare
Cognitive Level: Remember
u u u



ClientNeeds:HealthPromotionandMaintenance u



Integrated Process: Teaching/Learning
u u u



Reference: p. 5-7
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9. The nurse is administering a number of therapeutic inatbeirbr.vcoemn/tteisot ns
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for neonates, infants, and children on the pediatric unit. Which
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intervention contributes to an increase in chronic illness seen in early
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childhood?
u



A. Administeringantibiotics toprevent lethalinfections u u u u



B. Vaccinatingchildrentopreventchildhooddiseases u u u



C. Usingmechanicalventilationforpremature infants u



D. Using corticosteroids as a treatment for asthma
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u Answer:C u




Rationale: Using mechanical ventilation and medications to foster lung development in
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prematureinfantsincreasestheirsurvivalrate. Yet thaeb i ribn. cfoamn/ ttess t whosurvive are often
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facedwithmyriadchronicillnesses.Administeringantibioticstoprevent lethal
u u b