Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................ 4
Chapter 2- Family-Centered Community-Based Care ....................................................................................................9
Chapter 3- Anatomy and Physiology of the Reproductive System ............................................................................... 14
Chapter 4- Common Reproductive Issues .................................................................................................................... 19
Chapter 5- Sexually Transmitted Infections ................................................................................................................. 24
Chapter 6- Disorders of the Breasts ............................................................................................................................. 29
Chapter 7- Benign Disorders of the Female Reproductive Tract .................................................................................. 34
Chapter 8- Cancers of the Female Reproductive Tract ................................................................................................. 39
Chapter 9- Violence and Abuse ................................................................................................................................... 44
Chapter 10- Fetal Development and Genetics .............................................................................................................. 49
Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................... 54
ESSENTIALS OF Chapter 12- Nursing Management During Pregnancy.................................................................................................. 60
Chapter 13- Labor and Birth Process ........................................................................................................................... 66
Chapter 14- Nursing Management During Labor and Birth ......................................................................................... 72
MATERNITY
Chapter 15- Postpartum Adaptations ........................................................................................................................... 78
Chapter 16- Nursing Management During the Postpartum Period ............................................................................... 84
Chapter 17- Newborn Transitioning ............................................................................................................................ 90
Chapter 18- Nursing Management of the Newborn ...................................................................................................... 96
NEWBORN AND Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ......................................................................... 102
Chapter 20- Nursing Management of the Pregnancy at Risk ...................................................................................... 108
Chapter 21- Nursing Management of Labor and Birth at Risk ................................................................................... 114
WOMEN’S HEALTH Chapter 22- Nursing Management of the Postpartum Woman at Risk ....................................................................... 120
Chapter 23- Nursing Care of the Newborn With Special Needs................................................................................. 126
Chapter 24- Nursing Management of the Newborn at Risk ........................................................................................ 132
NURSING 5TH
Chapter 25- Growth and Development of the Newborn and Infant ............................................................................ 138
Chapter 26- Growth and Development of the Toddler ............................................................................................... 144
Chapter 27- Growth and Development of the Preschooler ......................................................................................... 150
Chapter 28- Growth and Development of the School-Age Child ............................................................................... 157
EDITION RICCI Chapter 29- Growth and Development of the Adolescent .......................................................................................... 164
Chapter 30- Atraumatic Care of Children and Families ............................................................................................. 171
Chapter 31- Health Supervision ................................................................................................................................. 176
TEST BANK Chapter 32- Health Assessment of Children .............................................................................................................. 183
Chapter 33- Caring for Children in Diverse Settings ................................................................................................. 190
Chapter 34- Caring for the Special Needs Child ........................................................................................................ 197
Chapter 35- Key Pediatric Nursing Interventions....................................................................................................... 203
Chapter 36- Pain Management in Children ................................................................................................................ 210
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................................ 217
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ................. 224
, Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears........231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder .............................238 Chapter 1- Perspectives on Maternal, Newborn, and Women’s
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder ........................... 244
Health Care
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder ..............250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder ...............257
1. The United States ranks 50th in the world for maternal mortality and 41st among
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder industrialized nations for infant mortality rate. When developing programs to assist in decreasing
...................................................................................................................................................................................264
these rates, which factor would most likely need to be addressed as having the greatest impact?
Extra Questions: Musculoskeletal Disorder ........................................................................................................................270 A) Resolving all language and cultural differences
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder .................. 277 B) Assuring early and adequate prenatal care
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic C) Providing more extensive women’s shelters
Disorder ..................................................................................................................................................................... 283 D) Encouraging all women to eat a balanced diet
Extra Questions: Neoplastic Disorder .................................................................................................................... 290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ........................... 296
2. When integrating the principles of family-centered care, the nurse would include which of the
following?
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ....................................303
A) Childbirth is viewed as a procedural event
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ..............................................................................310 B) Families are unable to make informed choices
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ........................ 317 C) Childbirth results in changes in relationships
Chapter 51- Nursing Care During a Pediatric Emergency .......................................................................................... 324 D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
, Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
B) Health care workers’ attitudes B) Involving a pediatric physician
C) Transportation C) Educating the client about the importance of a support person
D) Finances D) Assigning several nurses as a support team
7. After teaching a group of nursing students about the issue of informed consent. Which of the 13. A nursing instructor is preparing a class discussion on case management in maternal and
following, if identified by the student, would indicate an understanding of a violation of newborn health care. Which of the following would the instructor include as a key component?
informed consent? Select all that apply.
A) Performing a procedure on a 15-year-old without consent A) Advocacy
B) Serving as a witness to the signature process B) Coordination
C) Asking whether the client understands what she is signing C) Communication
D) Getting verbal consent over the phone for emergency procedures D) Resource management
E) Event managed care
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
His parents are out of town on vacation, and the child is staying with a neighbor. Which action 14. After teaching a group of students about the concept of maternal mortality, the instructor
would be the priority? determines that additional teaching is needed when the students state which of the following?
A) Getting telephone consent with two people listening to the verbal consent A) “The rate includes accidental causes for deaths.”
B) Providing emergency care without parental consent B) “It addresses pregnancy-related causes.”
C) Contacting the child’s aunt or uncle to obtain their consent C) “The duration of the pregnancy is not a concern.”
D) Advocating for termination of parental rights for this situation D) “The time frame is typically for a specified year.”
9. After teaching nursing students about the basic concepts of family-centered care, the instructor 15. A group of students are reviewing the historical aspects about childbirth. The students
determines that the teaching was successful when the students state which of the following? demonstrate understanding of the information when they identify the use of twilight sleep as a
A) “Childbirth affects the entire family, and relationships will change.” key event during which time frame?
B) “Families are not capable of making health care decisions for themselves.” A) 1700s
C) “Mothers are the family members affected by childbirth.” B) 1800s
D) “Childbirth is a medical procedure.” C) 1900s
D) 2000s
10. A nursing instructor is preparing a class discussion on the trends in health care and health
care delivery over the past several centuries. When discussing the changes during the past 16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which
century, which of the following would the instructor be least likely to include? action would least likely demonstrate application of the concept of family-centered care?
A) Disease prevention A) Focusing on the birth as a normal healthy event for the family
B) Health promotion B) Creating opportunities for the family to make informed decisions
C) Wellness C) Encouraging the woman to keep her other children at home
D) Analysis of morbidity and mortality D) Fostering a sense of respect for the mother and the family
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care 17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors.
with the understanding that based on this client’s cultural background, the client most likely Which of the following would the nurse most likely include? Select all that apply.
views illness as which of the following? A) Chromosomal abnormalities
A) Caused by supernatural forces. B) Malnutrition
B) A punishment for sins. C) Preterm cervical dilation
C) Due to spirits or demons. D) Underlying disease condition
D) From an imbalance of yin and yang E) Poor placental attachment
12. A nurse is developing a plan of care for a woman to ensure continuity of care during 18. A nurse is preparing a presentation for a local community group about health status and
pregnancy, labor, and childbirth. Which of the following would be most important for the nurse children’s health. Which of the following would the nurse include as one of the most significant
to incorporate into that plan? measures?
A) Adhering to strict, specific routines A) Fetal mortality rate
, Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
B) Neonatal mortality rate 5. B
C) Infant mortality rate
6. D
D) Maternal mortality rate
7. A
19. A group of students are reviewing an article describing information related to indicators for 8. A
women’s health and the results of a national study. Which of the following would the students
identify as being satisfactory for women? Select all that apply.
9. A
A) Smoking cessation 10. D
B) Colorectal cancer screening 11. D
C) Violence against women
D) Health insurance coverage
12. C
E) Mammograms 13. A, B, C, D
14. A
20. A nurse is preparing a presentation for a local women’s group about heart disease and
women. Which of the following would the nurse expect to address when discussing measures to
15. C
promote health. 16. C
A) Women have similar symptoms as men for a heart attack. 17. B, C, D
B) Heart disease is no longer viewed as a “man’s disease.”
C) Women experiencing a heart attack are at greater risk for dying.
18. C
D) Heart attacks in women are more easily diagnosed. 19. B, E
20. C
21. A nurse is working to develop a health education program for a local community to address
breast cancer awareness. Which of the following would the nurse expect to include when
21. A, B
describing this problem to the group? Select all that apply. 22. A, B, C, D, E
A) White women have higher rates of breast cancer than African American women.
B) African American women are more likely to die from breast cancer at any age.
C) Survival at any stage is worse among white women.
D) Women living in South America have the highest rates of breast cancer.
E) Breast cancer is the leading cause of cancer mortality in women.
22. A group of nursing students are reviewing information about factors affecting maternal,
newborn, and women’s health. The students demonstrate understanding of the information when
they identify which of the following deficiencies as being associated with poverty? Select all that
apply.
A) Literacy
B) Employment opportunities
C) Mobility
D) Political representation
E) Skills
Answer Key
1. B
2. C
3. D
4. B
Contents
Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care ................................................................ 4
Chapter 2- Family-Centered Community-Based Care ....................................................................................................9
Chapter 3- Anatomy and Physiology of the Reproductive System ............................................................................... 14
Chapter 4- Common Reproductive Issues .................................................................................................................... 19
Chapter 5- Sexually Transmitted Infections ................................................................................................................. 24
Chapter 6- Disorders of the Breasts ............................................................................................................................. 29
Chapter 7- Benign Disorders of the Female Reproductive Tract .................................................................................. 34
Chapter 8- Cancers of the Female Reproductive Tract ................................................................................................. 39
Chapter 9- Violence and Abuse ................................................................................................................................... 44
Chapter 10- Fetal Development and Genetics .............................................................................................................. 49
Chapter 11- Maternal Adaptation During Pregnancy ................................................................................................... 54
ESSENTIALS OF Chapter 12- Nursing Management During Pregnancy.................................................................................................. 60
Chapter 13- Labor and Birth Process ........................................................................................................................... 66
Chapter 14- Nursing Management During Labor and Birth ......................................................................................... 72
MATERNITY
Chapter 15- Postpartum Adaptations ........................................................................................................................... 78
Chapter 16- Nursing Management During the Postpartum Period ............................................................................... 84
Chapter 17- Newborn Transitioning ............................................................................................................................ 90
Chapter 18- Nursing Management of the Newborn ...................................................................................................... 96
NEWBORN AND Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy ......................................................................... 102
Chapter 20- Nursing Management of the Pregnancy at Risk ...................................................................................... 108
Chapter 21- Nursing Management of Labor and Birth at Risk ................................................................................... 114
WOMEN’S HEALTH Chapter 22- Nursing Management of the Postpartum Woman at Risk ....................................................................... 120
Chapter 23- Nursing Care of the Newborn With Special Needs................................................................................. 126
Chapter 24- Nursing Management of the Newborn at Risk ........................................................................................ 132
NURSING 5TH
Chapter 25- Growth and Development of the Newborn and Infant ............................................................................ 138
Chapter 26- Growth and Development of the Toddler ............................................................................................... 144
Chapter 27- Growth and Development of the Preschooler ......................................................................................... 150
Chapter 28- Growth and Development of the School-Age Child ............................................................................... 157
EDITION RICCI Chapter 29- Growth and Development of the Adolescent .......................................................................................... 164
Chapter 30- Atraumatic Care of Children and Families ............................................................................................. 171
Chapter 31- Health Supervision ................................................................................................................................. 176
TEST BANK Chapter 32- Health Assessment of Children .............................................................................................................. 183
Chapter 33- Caring for Children in Diverse Settings ................................................................................................. 190
Chapter 34- Caring for the Special Needs Child ........................................................................................................ 197
Chapter 35- Key Pediatric Nursing Interventions....................................................................................................... 203
Chapter 36- Pain Management in Children ................................................................................................................ 210
Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder ............................................ 217
Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder ................. 224
, Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears........231
Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder .............................238 Chapter 1- Perspectives on Maternal, Newborn, and Women’s
Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder ........................... 244
Health Care
Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder ..............250
Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder ...............257
1. The United States ranks 50th in the world for maternal mortality and 41st among
Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder industrialized nations for infant mortality rate. When developing programs to assist in decreasing
...................................................................................................................................................................................264
these rates, which factor would most likely need to be addressed as having the greatest impact?
Extra Questions: Musculoskeletal Disorder ........................................................................................................................270 A) Resolving all language and cultural differences
Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder .................. 277 B) Assuring early and adequate prenatal care
Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic C) Providing more extensive women’s shelters
Disorder ..................................................................................................................................................................... 283 D) Encouraging all women to eat a balanced diet
Extra Questions: Neoplastic Disorder .................................................................................................................... 290
Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder ........................... 296
2. When integrating the principles of family-centered care, the nurse would include which of the
following?
Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder ....................................303
A) Childbirth is viewed as a procedural event
Chapter 49- Nursing Care of the Child With an Alteration in Genetics ..............................................................................310 B) Families are unable to make informed choices
Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development ........................ 317 C) Childbirth results in changes in relationships
Chapter 51- Nursing Care During a Pediatric Emergency .......................................................................................... 324 D) Families require little information to make appropriate decisions
3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to
review how maternity care has changed over the years. Which of the following would the nurse
include when discussing events of the 20th century?
A) Epidemics of puerperal fever
B) Performance of the first cesarean birth
C) Development of the x-ray to assess pelvic size
D) Creation of free-standing birth centers
4. After teaching a group of students about pregnancy-related mortality, the instructor determines
that additional teaching is needed when the students identify which condition as a leading cause?
A) Hemorrhage
B) Embolism
C) Obstructed labor
D) Infection
5. The nurse is working with a group of community health members to develop a plan to address
the special health needs of women. Which of the following conditions would the group address
as the major problem?
A) Smoking
B) Heart disease
C) Diabetes
D) Cancer
6. When assessing a family for possible barriers to health care, the nurse would consider which
factor to be most important?
A) Language
, Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
B) Health care workers’ attitudes B) Involving a pediatric physician
C) Transportation C) Educating the client about the importance of a support person
D) Finances D) Assigning several nurses as a support team
7. After teaching a group of nursing students about the issue of informed consent. Which of the 13. A nursing instructor is preparing a class discussion on case management in maternal and
following, if identified by the student, would indicate an understanding of a violation of newborn health care. Which of the following would the instructor include as a key component?
informed consent? Select all that apply.
A) Performing a procedure on a 15-year-old without consent A) Advocacy
B) Serving as a witness to the signature process B) Coordination
C) Asking whether the client understands what she is signing C) Communication
D) Getting verbal consent over the phone for emergency procedures D) Resource management
E) Event managed care
8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis.
His parents are out of town on vacation, and the child is staying with a neighbor. Which action 14. After teaching a group of students about the concept of maternal mortality, the instructor
would be the priority? determines that additional teaching is needed when the students state which of the following?
A) Getting telephone consent with two people listening to the verbal consent A) “The rate includes accidental causes for deaths.”
B) Providing emergency care without parental consent B) “It addresses pregnancy-related causes.”
C) Contacting the child’s aunt or uncle to obtain their consent C) “The duration of the pregnancy is not a concern.”
D) Advocating for termination of parental rights for this situation D) “The time frame is typically for a specified year.”
9. After teaching nursing students about the basic concepts of family-centered care, the instructor 15. A group of students are reviewing the historical aspects about childbirth. The students
determines that the teaching was successful when the students state which of the following? demonstrate understanding of the information when they identify the use of twilight sleep as a
A) “Childbirth affects the entire family, and relationships will change.” key event during which time frame?
B) “Families are not capable of making health care decisions for themselves.” A) 1700s
C) “Mothers are the family members affected by childbirth.” B) 1800s
D) “Childbirth is a medical procedure.” C) 1900s
D) 2000s
10. A nursing instructor is preparing a class discussion on the trends in health care and health
care delivery over the past several centuries. When discussing the changes during the past 16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which
century, which of the following would the instructor be least likely to include? action would least likely demonstrate application of the concept of family-centered care?
A) Disease prevention A) Focusing on the birth as a normal healthy event for the family
B) Health promotion B) Creating opportunities for the family to make informed decisions
C) Wellness C) Encouraging the woman to keep her other children at home
D) Analysis of morbidity and mortality D) Fostering a sense of respect for the mother and the family
11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care 17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors.
with the understanding that based on this client’s cultural background, the client most likely Which of the following would the nurse most likely include? Select all that apply.
views illness as which of the following? A) Chromosomal abnormalities
A) Caused by supernatural forces. B) Malnutrition
B) A punishment for sins. C) Preterm cervical dilation
C) Due to spirits or demons. D) Underlying disease condition
D) From an imbalance of yin and yang E) Poor placental attachment
12. A nurse is developing a plan of care for a woman to ensure continuity of care during 18. A nurse is preparing a presentation for a local community group about health status and
pregnancy, labor, and childbirth. Which of the following would be most important for the nurse children’s health. Which of the following would the nurse include as one of the most significant
to incorporate into that plan? measures?
A) Adhering to strict, specific routines A) Fetal mortality rate
, Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
B) Neonatal mortality rate 5. B
C) Infant mortality rate
6. D
D) Maternal mortality rate
7. A
19. A group of students are reviewing an article describing information related to indicators for 8. A
women’s health and the results of a national study. Which of the following would the students
identify as being satisfactory for women? Select all that apply.
9. A
A) Smoking cessation 10. D
B) Colorectal cancer screening 11. D
C) Violence against women
D) Health insurance coverage
12. C
E) Mammograms 13. A, B, C, D
14. A
20. A nurse is preparing a presentation for a local women’s group about heart disease and
women. Which of the following would the nurse expect to address when discussing measures to
15. C
promote health. 16. C
A) Women have similar symptoms as men for a heart attack. 17. B, C, D
B) Heart disease is no longer viewed as a “man’s disease.”
C) Women experiencing a heart attack are at greater risk for dying.
18. C
D) Heart attacks in women are more easily diagnosed. 19. B, E
20. C
21. A nurse is working to develop a health education program for a local community to address
breast cancer awareness. Which of the following would the nurse expect to include when
21. A, B
describing this problem to the group? Select all that apply. 22. A, B, C, D, E
A) White women have higher rates of breast cancer than African American women.
B) African American women are more likely to die from breast cancer at any age.
C) Survival at any stage is worse among white women.
D) Women living in South America have the highest rates of breast cancer.
E) Breast cancer is the leading cause of cancer mortality in women.
22. A group of nursing students are reviewing information about factors affecting maternal,
newborn, and women’s health. The students demonstrate understanding of the information when
they identify which of the following deficiencies as being associated with poverty? Select all that
apply.
A) Literacy
B) Employment opportunities
C) Mobility
D) Political representation
E) Skills
Answer Key
1. B
2. C
3. D
4. B
