Maternity and Pediatrics - Chapter 2
Exam Questions & Answers Scored
A+
1) The nurses caring for a two week old newborn girl with a metabolic disorder which of
the following activities would deviate from the characteristics of family-centered care?
A - softening unpleasant information or prognosis
B-evaluating and changing the nursing plan of care
C- collaborating with a child and the family as equals
D- showing respect for the families beliefs and wishes - CORRECT ANSWER-A -
softening unpleasant information or prognosis
Feedback:Family-centered care requires that the nurse provide open and honest
information to the child and family. It is inappropriate to soften unpleasant information or
prognoses. Evaluating and changing the nursing plan of care to fit the needs of the child
and family, collaborating with them as equals, and showing respect for their beliefs and
wishes are guidelines for family-centered care.
2) The nurses providing home care for a 6 year old girl with multiple medical challenges
which of the following activities would be considered the tertiary level of prevention?
A - arranging for a physical therapy session
B-teaching parents to administer Albuterol
C - reminding parent to give full course of antibiotics
d-giving DTaP vaccination at proper interval - CORRECT ANSWER-A - arranging for a
physical therapy session
Feedback:The tertiary level of prevention involves restorative, rehabilitative, or quality-
of-life care, such as arranging for a physical therapy session. Teaching the parents to
administer albuterol and reminding them to give the full course of antibiotics as
, prescribed are part of the secondary level of prevention, which focuses on diagnosis
and treatment of illness. Giving a DTaP vaccination at proper intervals is an example of
the primary level of prevention, which centers on health promotion and illness
prevention.
3) A nursing student is reviewing information about documenting client care and
education in the medical record and the purpose that it serves. The student
demonstrates a need for additional study when the nurse identifies which of the
following as a reason?
A - serves as a communication tool for the interdisciplinary team
B- demonstrates education the family has received of legal matters arise
c-permits others access to allow refusal of medical insurance coverage
d-verifies meeting client education standards set by The Joint Commission - CORRECT
ANSWER-c-permits others access to allow refusal of medical insurance coverage
Feedback: Medical records are not in place for others to view for the sole purpose of
denying medical coverage. Documenting client care and education (medical records)
serves four main purposes. The client's medical record serves as a communication tool
that the entire interdisciplinary team can use to keep track of what the client and family
have learned. Next, it serves to testify to the education the family has received if legal
matters arise. Third, it verifies standards set by JCAHO and other accrediting bodies
that hold health care providers accountable for client education activities. Last, it informs
third-party payers of goods and services provided for reimbursement purposes.
A pregnant client tells her nurse that she is interested in arranging a home birth. After
educating the client on the advantages and disadvantages, which statement would
indicate that the client understood the information?
4) A pregnant client tells the nurse that she's interested in arranging a home birth after
educating the client on the advantages and disadvantage which statement would
indicate that the client understood this information?
A - I like having the privacy but it might be too expensive for me to set up in my home
b - I want to have more control but I'm concerned if an emergency would arise
C- it is safer because I will have a midwife
Exam Questions & Answers Scored
A+
1) The nurses caring for a two week old newborn girl with a metabolic disorder which of
the following activities would deviate from the characteristics of family-centered care?
A - softening unpleasant information or prognosis
B-evaluating and changing the nursing plan of care
C- collaborating with a child and the family as equals
D- showing respect for the families beliefs and wishes - CORRECT ANSWER-A -
softening unpleasant information or prognosis
Feedback:Family-centered care requires that the nurse provide open and honest
information to the child and family. It is inappropriate to soften unpleasant information or
prognoses. Evaluating and changing the nursing plan of care to fit the needs of the child
and family, collaborating with them as equals, and showing respect for their beliefs and
wishes are guidelines for family-centered care.
2) The nurses providing home care for a 6 year old girl with multiple medical challenges
which of the following activities would be considered the tertiary level of prevention?
A - arranging for a physical therapy session
B-teaching parents to administer Albuterol
C - reminding parent to give full course of antibiotics
d-giving DTaP vaccination at proper interval - CORRECT ANSWER-A - arranging for a
physical therapy session
Feedback:The tertiary level of prevention involves restorative, rehabilitative, or quality-
of-life care, such as arranging for a physical therapy session. Teaching the parents to
administer albuterol and reminding them to give the full course of antibiotics as
, prescribed are part of the secondary level of prevention, which focuses on diagnosis
and treatment of illness. Giving a DTaP vaccination at proper intervals is an example of
the primary level of prevention, which centers on health promotion and illness
prevention.
3) A nursing student is reviewing information about documenting client care and
education in the medical record and the purpose that it serves. The student
demonstrates a need for additional study when the nurse identifies which of the
following as a reason?
A - serves as a communication tool for the interdisciplinary team
B- demonstrates education the family has received of legal matters arise
c-permits others access to allow refusal of medical insurance coverage
d-verifies meeting client education standards set by The Joint Commission - CORRECT
ANSWER-c-permits others access to allow refusal of medical insurance coverage
Feedback: Medical records are not in place for others to view for the sole purpose of
denying medical coverage. Documenting client care and education (medical records)
serves four main purposes. The client's medical record serves as a communication tool
that the entire interdisciplinary team can use to keep track of what the client and family
have learned. Next, it serves to testify to the education the family has received if legal
matters arise. Third, it verifies standards set by JCAHO and other accrediting bodies
that hold health care providers accountable for client education activities. Last, it informs
third-party payers of goods and services provided for reimbursement purposes.
A pregnant client tells her nurse that she is interested in arranging a home birth. After
educating the client on the advantages and disadvantages, which statement would
indicate that the client understood the information?
4) A pregnant client tells the nurse that she's interested in arranging a home birth after
educating the client on the advantages and disadvantage which statement would
indicate that the client understood this information?
A - I like having the privacy but it might be too expensive for me to set up in my home
b - I want to have more control but I'm concerned if an emergency would arise
C- it is safer because I will have a midwife
