CHAPTER 1: A FRAMEWORK FOR MATERNAL AND
CHILD HEALTH NURSING EXAM WITH ANSWERS
A 15-year-old client has just given birth and states that she does not want her infant to receive
any newborn vaccines. What is the appropriate action for the nurse to take? - answer-Withhold
the vaccines.
Explanation:
The client would frequently be considered emancipated and therefore legally able to make legal
decisions regarding the health care of the infant. The nurse should withhold the vaccines but
inquire as to the reason for no vaccination.
A client learns she is 6 weeks' pregnant and asks the nurse for the name of the local abortion
clinic. What is the most appropriate response by the nurse? - answer-Provide the client with the
requested information.
Explanation:
The nurse should provide information to the client regardless of his or her own personal views.
A healthy client without a primary care provider is exploring the options available for a health
care provider to assist with her pregnancy. Which health care provider can the nurse point out
as a best option? - answer-Certified nurse midwife
Explanation:
A certified nurse midwife is a nurse with advanced practice training in the care of women,
specific to pregnancy and birth. A women's health NP would not be able to deliver the infant. A
CNS is an advanced practice role but not specific to the care of pregnancy women. The lay
midwife has no formal education.
A mother of a child being cared for in a home setting makes the following statements. Which
statement best illustrates one of the positive aspects of home health care? - answer-"I can
perform my child's care since you taught the procedure to me."
Explanation:
By using methods of feedback, questions and answers, and demonstrations when appropriate,
the nurse is able to confirm that the client and family understand the information. This also gives
the nurse the opportunity to reinforce any areas of weak information.
A nurse educator is conducting a class on intimate partner violence for a group of new graduate
nurses during orientation. Which statement by the educator best reflects current practice
regarding these problems in women's health? - answer-"The nurse should screen for these
problems at every client encounter."
Explanation:
Both child and intimate partner violence is increasing in incidence. Families are more mobile
than in the past. Screening for child abuse (child maltreatment) or intimate partner violence
should be included in all family contacts. Nurses must be aware of the legal responsibilities for
reporting violence.
A nurse has just learned that the hospital where the nurse is employed has been named a
magnet hospital by the American Nurses Credentialing Center. Which characteristic would the
nurse most likely identify as meeting the criteria for this status? Select all that apply. - answer-
There is a high level of nursing job satisfaction.
, Nurses are involved in data collection and decision-making about client care.
All nurse managers and leaders have either a BSN or MSN.
There is a low staff nurse turnover rate.
Explanation:
Magnet hospitals typically demonstrate a high level of nursing job satisfaction and a low staff
nurse turnover rate, and they have policies in place that include nurses in data collection and
decision-making about client care. These hospitals demonstrate they value staff nurses, involve
them in research-based practice, and encourage and reward them for obtaining additional
degrees in nursing. All nurse managers and nurse leaders in magnet designated hospitals must
have either a BSN or MSN. A hospital's profitability is not necessarily related to magnet status,
and a client mortality rate of nearly zero is not likely.
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? - answer-congenital abnormalities
Explanation:
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 infant death syndrome (SIDS), respiratory distress syndrome, unintentional injuries,
bacterial sepsis, and necrotizing enterocolitis. Increased birth weight, breech presentation, and
shoulder dystocia are not recognized as potential causes.
A nurse is conducting a presentation for a group of pregnant women about appropriate health
promotion strategies to address issues related to infant mortality. Which strategy would the
nurse encourage to reduce the infant's risk for infection after birth? - answer-breastfeeding
Explanation:
After birth, other health promotion strategies can significantly improve an infant's health and
chances of survival. Breastfeeding has been shown to reduce rates of infection in infants and to
improve long-term health. Emphasizing the importance of placing an infant on his or her back to
sleep will reduce the incidence of SIDS. Newborn development support groups will help provide
education about normal child development and child rearing. Folic acid supplementation is used
during pregnancy to prevent neural tube defects.
A nurse is conducting a teaching session on sudden infant death syndrome (SIDS) for
expectant parents. Which information should the nurse include? Select all that apply. - answer-
Sharing a room allows for monitoring of the infant.
Place the infant on his or her back to sleep.
Maintain neutral temperatures and avoid overheating.
Explanation:
Sharing of a room allows for monitoring and bonding of the infant as well as ease of feeding.
Placing the infant on his or her back to sleep is the recommended sleeping position for all
infants until 12 months of age, or until they can change their own position during sleep. Infants
are not able to regulate their temperature; therefore, overheating can increase their risk for
SIDS. Co-bedding increases the risk for accidental suffocation, and allowing an infant to sleep
with a bottle increases risk for aspiration and infection.
A nurse is investigating an outbreak of syphilis at the local college. Which is the appropriate first
action by the nurse to reduce further spread of the infection? - answer-Provide free condoms
and educational materials.
Explanation:
CHILD HEALTH NURSING EXAM WITH ANSWERS
A 15-year-old client has just given birth and states that she does not want her infant to receive
any newborn vaccines. What is the appropriate action for the nurse to take? - answer-Withhold
the vaccines.
Explanation:
The client would frequently be considered emancipated and therefore legally able to make legal
decisions regarding the health care of the infant. The nurse should withhold the vaccines but
inquire as to the reason for no vaccination.
A client learns she is 6 weeks' pregnant and asks the nurse for the name of the local abortion
clinic. What is the most appropriate response by the nurse? - answer-Provide the client with the
requested information.
Explanation:
The nurse should provide information to the client regardless of his or her own personal views.
A healthy client without a primary care provider is exploring the options available for a health
care provider to assist with her pregnancy. Which health care provider can the nurse point out
as a best option? - answer-Certified nurse midwife
Explanation:
A certified nurse midwife is a nurse with advanced practice training in the care of women,
specific to pregnancy and birth. A women's health NP would not be able to deliver the infant. A
CNS is an advanced practice role but not specific to the care of pregnancy women. The lay
midwife has no formal education.
A mother of a child being cared for in a home setting makes the following statements. Which
statement best illustrates one of the positive aspects of home health care? - answer-"I can
perform my child's care since you taught the procedure to me."
Explanation:
By using methods of feedback, questions and answers, and demonstrations when appropriate,
the nurse is able to confirm that the client and family understand the information. This also gives
the nurse the opportunity to reinforce any areas of weak information.
A nurse educator is conducting a class on intimate partner violence for a group of new graduate
nurses during orientation. Which statement by the educator best reflects current practice
regarding these problems in women's health? - answer-"The nurse should screen for these
problems at every client encounter."
Explanation:
Both child and intimate partner violence is increasing in incidence. Families are more mobile
than in the past. Screening for child abuse (child maltreatment) or intimate partner violence
should be included in all family contacts. Nurses must be aware of the legal responsibilities for
reporting violence.
A nurse has just learned that the hospital where the nurse is employed has been named a
magnet hospital by the American Nurses Credentialing Center. Which characteristic would the
nurse most likely identify as meeting the criteria for this status? Select all that apply. - answer-
There is a high level of nursing job satisfaction.
, Nurses are involved in data collection and decision-making about client care.
All nurse managers and leaders have either a BSN or MSN.
There is a low staff nurse turnover rate.
Explanation:
Magnet hospitals typically demonstrate a high level of nursing job satisfaction and a low staff
nurse turnover rate, and they have policies in place that include nurses in data collection and
decision-making about client care. These hospitals demonstrate they value staff nurses, involve
them in research-based practice, and encourage and reward them for obtaining additional
degrees in nursing. All nurse managers and nurse leaders in magnet designated hospitals must
have either a BSN or MSN. A hospital's profitability is not necessarily related to magnet status,
and a client mortality rate of nearly zero is not likely.
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? - answer-congenital abnormalities
Explanation:
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 infant death syndrome (SIDS), respiratory distress syndrome, unintentional injuries,
bacterial sepsis, and necrotizing enterocolitis. Increased birth weight, breech presentation, and
shoulder dystocia are not recognized as potential causes.
A nurse is conducting a presentation for a group of pregnant women about appropriate health
promotion strategies to address issues related to infant mortality. Which strategy would the
nurse encourage to reduce the infant's risk for infection after birth? - answer-breastfeeding
Explanation:
After birth, other health promotion strategies can significantly improve an infant's health and
chances of survival. Breastfeeding has been shown to reduce rates of infection in infants and to
improve long-term health. Emphasizing the importance of placing an infant on his or her back to
sleep will reduce the incidence of SIDS. Newborn development support groups will help provide
education about normal child development and child rearing. Folic acid supplementation is used
during pregnancy to prevent neural tube defects.
A nurse is conducting a teaching session on sudden infant death syndrome (SIDS) for
expectant parents. Which information should the nurse include? Select all that apply. - answer-
Sharing a room allows for monitoring of the infant.
Place the infant on his or her back to sleep.
Maintain neutral temperatures and avoid overheating.
Explanation:
Sharing of a room allows for monitoring and bonding of the infant as well as ease of feeding.
Placing the infant on his or her back to sleep is the recommended sleeping position for all
infants until 12 months of age, or until they can change their own position during sleep. Infants
are not able to regulate their temperature; therefore, overheating can increase their risk for
SIDS. Co-bedding increases the risk for accidental suffocation, and allowing an infant to sleep
with a bottle increases risk for aspiration and infection.
A nurse is investigating an outbreak of syphilis at the local college. Which is the appropriate first
action by the nurse to reduce further spread of the infection? - answer-Provide free condoms
and educational materials.
Explanation:
