Nursing care of childbearing and childrearing families (University of Texas at El Paso)
,hapter 01: Foundations of Maternity, Women's Health, and Child Health
Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th
Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the early 20th
century?
d. Technologic developments became available to physicians
2. Family-centered maternity care developed in response to
c. parental requests that infants be allowed to remain with them rather
than in a nursery.
3. Which setting for childbirth allows the least amount of parent-infant contact?
c. Traditional hospital birth
4. As a result of changes in health care delivery and funding, a current trend
seen in the pediatric setting is
c. an increase in ambulatory care.
5. The Women, Infants, and Children (WIC) program provides
d. supplemental food supplies to low-income pregnant or breastfeeding women.
6. In most states, adolescents who are not emancipated minors must have the
permission of their parents before
d. surgery.
7. The maternity nurse should have a clear understanding of the correct
use of a clinical pathway. One characteristic of clinical pathways is that
they
c. set specific time lines for sequencing interventions.
8. The fastest growing group of homeless people is
c. single women and their children.
9. A nurse wishes to work to reduce infant mortality in the United States.
Which activity would this nurse most likely participate in?
c. Volunteering to provide prenatal care at community centers.
10. The intrapartum woman sees no need for a routine admission fetal
monitoring strip. If she continues to refuse, what is the first action the nurse
should take?
b. Notify the provider of the situation.
11. Which statement is true regarding the "quality assurance"or "incident" report?
d. This report is a form of documentation of an event that may result in legal action.
12. Elective abortion is considered an ethical issue because
,c. a conflict exists between the rights of the woman and the rights of the fetus.
13. Which woman would be most likely to seek prenatal care?
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
14. A woman who delivered her baby 6 hours ago complains of headache
and dizziness. The nurse administers an analgesic but does not perform any
assessments. The woman then has a tonic-clonic seizure, falls out of bed,
and fractures her femur. How would the actions of the nurse be interpreted
in relation to standards of care?
a. Negligent: the nurse failed to assess the woman for possible complications
15. Which patient situation fails to meet the first requirement of informed consent?
c. The patient is confused and disoriented.
16. Which situation reflects a potential ethical dilemma for the nurse?
c. A labor nurse, whose religion opposes abortion, is asked to assist
with an elective abortion.
17. When planning a parenting class, the nurse should explain that the leading cause of death in
, children 1 to 4 years of age in the United States is
c. accidental death.
18. A nurse is floated to a different
unit. The nurse does not know how to perform a treatment that has
been prescribed for one of his or her assigned patients. What should the nurse's first
action be?
c. Inform the nursing supervisor of the problem.
19. The mother of a 5-year-old female inpatient on the pediatric unit asks the
nurse if she could provide information regarding the recommended amount of
television viewing time for her daughter. The nurse responds that the
appropriate amount of time a child should be watching television is
a.1 to 2 hours per day.
20. Family-centered care (FCC) describes safe, quality care that recognizes and adapts to both the
physical and psychosocial needs of the family. Which nursing practice coincides with the
principles of FCC?
d. The nurse's assignment includes both mom and baby and increases
the nurse's responsibility for education.
21. Which statement related to nursing care of the child at home is most correct?
a. The technology-dependent infant can safely be cared for at home.
22. Maternity nursing care that is based on knowledge gained through research is known as
b. evidence-based practice.
23. The level of practice a reasonably prudent nurse provides is called
a. the standard of care.
MULTIPLE RESPONSE
1. When counseling the newly pregnant woman regarding the option of
using a free-standing birth center for care, the nurse should be aware that
this type of care setting includes which advantages? (Select all that apply.)
a. Less expensive than acute-care hospitals
b. Access to follow-up care for 6 weeks postpartum
d. Safe, home-like births in a familiar setting
2. A school nurse is working with unlicensed assistive personnel (UAPs).
What aspects of delegation should the nurse incorporate into his or her
practice in this setting?
a. The registered nurse is always responsible for assessment.
b. Uncomplicated medication administration can be performed by the UAP.
d. The nurse must work within school district policies when delegating.
e. Understanding the complexity of the child's needs is a
consideration when delegating.
3. A student nurse has been studying Healthy People 2020. What
information about this initiative does the student understand? (Select
all that apply.)
c. Objectives are aimed at keeping people healthy with a good quality of life.
d. Ensuring that 77.9% of women receive prenatal care in the first
trimester is one goal.
e. Increasing to 100% the proportion of people with health insurance.
Chapter 02: The Nurse's Role in Maternity, Women's Health, and Pediatric
Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th
Edition MULTIPLE CHOICE