TEST BANK
Maternity and Pediatric Nursing, 9th Edition
(All Chapters By Ricci, Kyle & Carman)
CHAPTER 1. Perspectives on Maternal and Child Health Care
A family is seeking sources for payment of health care costs. When talking with the family, the nurse
determines that the family makes too much money to qualify for the federal program. Which source would
the nurse likely recommend?
Medicaid
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
Centers for Disease Control
State Child Health Insurance Program
State Child Health Insurance Program
Rationale:
The State Child Health Insurance Program, first known by its acronym “SCHIP” now referred to as “CHIP,” was
enacted in 1997. CHIP provides health insurance to newborns and children in low-income families who do not
otherwise qualify for Medicaid and are uninsured. Based on the information given, the family does not qualify
for Medicaid, a federal program that supplies grants to states to provide health care for individuals who have
low incomes and meet other eligibility criteria. The Special Supplemental Nutrition Program for Women,
Infants, and Children (WIC) provides nutritional services to low-income, nutritionally at-risk pregnant, breast-
feeding, and postpartum clients and their children (as old as 5 years). The Centers for Disease Control does not
provide funding for health care services.
A nurse informs a 19-year-old client that they are pregnant. The client immediately states that they plan to
have an abortion (elective termination of pregnancy). What would be the most appropriate response from
the nurse to this client?
"Are you sure you want to do that?"
"Have you notified the male parent?"
1|Page
,"I don't know of any health care providers who will perform them."
"I'll put together the information that you will need."
"I'll put together the information that you will need."
Rationale:
The nurse should not respond to this client with any judgment or biased information. The client does not have
to notify the male parent, and the other responses show the nurse's personal bias. If a nurse has an ethical
issue with this procedure, they should address it with their managers, not the client.
A group of clients are attending a community presentation regarding the leading health concerns of females.
Which intervention recommended by the nurse would have the greatest impact on the leading cause of
death?
yearly gynecologic exams
prompt attention to respiratory tract infections
eating a heart-healthy diet
genetic testing for Alzheimer disease trait
eating a heart-healthy diet
Rationale:
Cardiovascular disease is the leading cause of death of females in the United States. Interventions that address
reduction of this risk, such as a heart-healthy diet, would be a priority. The second leading cause of death in
females is cancer, specifically lung and cervical. Lower respiratory tract infections have increased over recent
years as a cause of death in females, but they are not the number one cause. Alzheimer disease, although
impacting the mortality rates of females, is not the greatest cause of death.
A nurse is analyzing a journal article presenting statistics concerning newborn and infant health. Which
condition has been determined to be the most likely cause of infant mortality in the United States?
congenital abnormalities
increased birth weight
breech presentation
shoulder dystocia
congential abnormalities
Rationale:
2|Page
,The main causes of early infant death in the United States include problems occurring at birth or shortly
thereafter such as prematurity, low birth weight, congenital and chromosomal anomalies, sudden unexpected
infant death (SUID), respiratory distress syndrome, unintentional injuries, bacterial sepsis, and necrotizing
enterocolitis. Increased birth weight, breech presentation, and shoulder dystocia are not recognized as
potential causes.
What societal issues greatly influence delivery of maternal and child health care? Select all that apply.
Cost of health care
Increase in surrogacy and adoption
Low income of families
Increased cultural and ethnic diversity of clients
Increased number of children born in the U.S.
Cost of health care
Low income of families
Increased cultural and ethnic diversity of clients
Rationale:
Demographic trends such as a decreased number children being born, combined with an increase in a
multicultural society seeking health care, are affecting the delivery of maternal and child health care. Poverty
and the cost of health care also play a major role in influencing health care delivery for both parents and
children.
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.
"Tell your children about the divorce and the reasons for it."
"Reassure your children that the divorce is not their fault."
"Make sure your children are aware of the potential financial issues."
"Let them know they can decide how the future family will look."
"Inform them in advance of someone moving out of the family home."
"Routines, rules, and discipline can be minimized until a later time."
"Tell your children about the divorce and the reasons for it."
"Reassure your children that the divorce is not their fault."
"Inform them in advance of someone moving out of the family home."
3|Page
, Rationale:
Rules for divorcing parents suggest to tell the children about the divorce and the reasons for the divorce in
terms that they can understand; reassure the children that the divorce is not their fault; inform the children
about the family structure after the divorce; inform them in advance of any changes in the household (i.e.,
someone moving out); do not discuss money or finances with children; and maintain rules and routines.
A nurse who specializes in maternal and child health care performs many varied functions in diverse settings
over the course of a year. Which action would be outside the nurse's scope of practice?
Assist in the treatment and recovery of a client with ovarian cancer.
Provide preconceptual health care to a client.
Discuss methods of alleviating morning sickness with a client in the first trimester.
Read a recent journal article on breastfeeding and its benefits for new birthing parents
Assist in the treatment and recovery of a client with ovarian cancer.
Rationale:
The primary goal of both maternal and child health nursing can be stated simply as the promotion and
maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing. Assisting in the
treatment and recovery of a client with ovarian cancer is the least likely function of a nurse specializing in this
type of nursing. Preconceptual care, care of a client during their first trimester, and reading journal articles
regarding breastfeeding are all within the scope of practice of maternal and child health nursing.
A nurse educator is preparing for a class discussion on the high maternal mortality rate in the 17th and 18th
centuries. Which information would the nurse likely include in the discussion? Select all that apply.
Clients giving birth often died from dehydration.
Exhaustion during labor occurred, resulting in death.
Infections were not common.
Postpartum hemorrhages were handled proficiently.
Preeclampsia is a concern of the 20th century.
Clients giving birth often died from dehydration.
Exhaustion during labor occurred, resulting in death.
Rationale:
During the 17th and 18th centuries, clients giving birth often died as a result of severe exhaustion from
protracted labor, and they would succumb to dehydration during long labor. Infection was a major cause of
death, as sepsis during labor and birth was common. Hemorrhages during or after birth were not well
controlled. Preeclamptic and eclamptic seizures that happened as a result of untreated high blood pressure
would result in the death of the client.
4|Page
Maternity and Pediatric Nursing, 9th Edition
(All Chapters By Ricci, Kyle & Carman)
CHAPTER 1. Perspectives on Maternal and Child Health Care
A family is seeking sources for payment of health care costs. When talking with the family, the nurse
determines that the family makes too much money to qualify for the federal program. Which source would
the nurse likely recommend?
Medicaid
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
Centers for Disease Control
State Child Health Insurance Program
State Child Health Insurance Program
Rationale:
The State Child Health Insurance Program, first known by its acronym “SCHIP” now referred to as “CHIP,” was
enacted in 1997. CHIP provides health insurance to newborns and children in low-income families who do not
otherwise qualify for Medicaid and are uninsured. Based on the information given, the family does not qualify
for Medicaid, a federal program that supplies grants to states to provide health care for individuals who have
low incomes and meet other eligibility criteria. The Special Supplemental Nutrition Program for Women,
Infants, and Children (WIC) provides nutritional services to low-income, nutritionally at-risk pregnant, breast-
feeding, and postpartum clients and their children (as old as 5 years). The Centers for Disease Control does not
provide funding for health care services.
A nurse informs a 19-year-old client that they are pregnant. The client immediately states that they plan to
have an abortion (elective termination of pregnancy). What would be the most appropriate response from
the nurse to this client?
"Are you sure you want to do that?"
"Have you notified the male parent?"
1|Page
,"I don't know of any health care providers who will perform them."
"I'll put together the information that you will need."
"I'll put together the information that you will need."
Rationale:
The nurse should not respond to this client with any judgment or biased information. The client does not have
to notify the male parent, and the other responses show the nurse's personal bias. If a nurse has an ethical
issue with this procedure, they should address it with their managers, not the client.
A group of clients are attending a community presentation regarding the leading health concerns of females.
Which intervention recommended by the nurse would have the greatest impact on the leading cause of
death?
yearly gynecologic exams
prompt attention to respiratory tract infections
eating a heart-healthy diet
genetic testing for Alzheimer disease trait
eating a heart-healthy diet
Rationale:
Cardiovascular disease is the leading cause of death of females in the United States. Interventions that address
reduction of this risk, such as a heart-healthy diet, would be a priority. The second leading cause of death in
females is cancer, specifically lung and cervical. Lower respiratory tract infections have increased over recent
years as a cause of death in females, but they are not the number one cause. Alzheimer disease, although
impacting the mortality rates of females, is not the greatest cause of death.
A nurse is analyzing a journal article presenting statistics concerning newborn and infant health. Which
condition has been determined to be the most likely cause of infant mortality in the United States?
congenital abnormalities
increased birth weight
breech presentation
shoulder dystocia
congential abnormalities
Rationale:
2|Page
,The main causes of early infant death in the United States include problems occurring at birth or shortly
thereafter such as prematurity, low birth weight, congenital and chromosomal anomalies, sudden unexpected
infant death (SUID), respiratory distress syndrome, unintentional injuries, bacterial sepsis, and necrotizing
enterocolitis. Increased birth weight, breech presentation, and shoulder dystocia are not recognized as
potential causes.
What societal issues greatly influence delivery of maternal and child health care? Select all that apply.
Cost of health care
Increase in surrogacy and adoption
Low income of families
Increased cultural and ethnic diversity of clients
Increased number of children born in the U.S.
Cost of health care
Low income of families
Increased cultural and ethnic diversity of clients
Rationale:
Demographic trends such as a decreased number children being born, combined with an increase in a
multicultural society seeking health care, are affecting the delivery of maternal and child health care. Poverty
and the cost of health care also play a major role in influencing health care delivery for both parents and
children.
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.
"Tell your children about the divorce and the reasons for it."
"Reassure your children that the divorce is not their fault."
"Make sure your children are aware of the potential financial issues."
"Let them know they can decide how the future family will look."
"Inform them in advance of someone moving out of the family home."
"Routines, rules, and discipline can be minimized until a later time."
"Tell your children about the divorce and the reasons for it."
"Reassure your children that the divorce is not their fault."
"Inform them in advance of someone moving out of the family home."
3|Page
, Rationale:
Rules for divorcing parents suggest to tell the children about the divorce and the reasons for the divorce in
terms that they can understand; reassure the children that the divorce is not their fault; inform the children
about the family structure after the divorce; inform them in advance of any changes in the household (i.e.,
someone moving out); do not discuss money or finances with children; and maintain rules and routines.
A nurse who specializes in maternal and child health care performs many varied functions in diverse settings
over the course of a year. Which action would be outside the nurse's scope of practice?
Assist in the treatment and recovery of a client with ovarian cancer.
Provide preconceptual health care to a client.
Discuss methods of alleviating morning sickness with a client in the first trimester.
Read a recent journal article on breastfeeding and its benefits for new birthing parents
Assist in the treatment and recovery of a client with ovarian cancer.
Rationale:
The primary goal of both maternal and child health nursing can be stated simply as the promotion and
maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing. Assisting in the
treatment and recovery of a client with ovarian cancer is the least likely function of a nurse specializing in this
type of nursing. Preconceptual care, care of a client during their first trimester, and reading journal articles
regarding breastfeeding are all within the scope of practice of maternal and child health nursing.
A nurse educator is preparing for a class discussion on the high maternal mortality rate in the 17th and 18th
centuries. Which information would the nurse likely include in the discussion? Select all that apply.
Clients giving birth often died from dehydration.
Exhaustion during labor occurred, resulting in death.
Infections were not common.
Postpartum hemorrhages were handled proficiently.
Preeclampsia is a concern of the 20th century.
Clients giving birth often died from dehydration.
Exhaustion during labor occurred, resulting in death.
Rationale:
During the 17th and 18th centuries, clients giving birth often died as a result of severe exhaustion from
protracted labor, and they would succumb to dehydration during long labor. Infection was a major cause of
death, as sepsis during labor and birth was common. Hemorrhages during or after birth were not well
controlled. Preeclamptic and eclamptic seizures that happened as a result of untreated high blood pressure
would result in the death of the client.
4|Page
